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Associations between questionnaires on lifestyle and atherosclerotic cardiovascular disease in a Japanese general population: A cross-sectional study.


ABSTRACT:

Objective

We aimed to investigate the association between questionnaires related to lifestyle habits and atherosclerotic cardiovascular diseases (ASCVD).

Design

Cross-sectional observational study.

Settings

Community-based medical checkups, called specific health checkups started in Japan since 2008. This checkup includes standard medical examinations as well as a specific questionnaire related to lifestyle habits.

Participants

Overall, 47,842 subjects (males = 16,913, 35.4%) aged ?40 years who underwent a Japanese specific health checkup in 2014 in Kanazawa city were included.

Main outcome measures

Association between 12 lifestyle habits-related questionnaires and the presence of ASCVD, including coronary artery disease and stroke. The questionnaire included the following 12 questions on lifestyle habits: 1) weight gain (>10 kg/20 years), 2) exercise (>30 min, twice a week, >1 year), 3) daily walking or equivalent (>1 h), 4) walking faster (than others in the same generation), 5) body weight changes (>3 kg/year), 6) eating faster (than others in the same generation), 7) eating within 2 h before going to bed (more than three times a week), 8) having a snack after dinner (more than three times a week), 9) skipping breakfast (more than three times a week), 10) daily drinking (alcohol), 11) heavy drinking (more than 60 g ethanol/day), and 12) good sleeping.

Results

Multivariable logistic regression analyses revealed that walking faster (odds ratio [OR] = 0.74, 95% confidence interval [CI] = 0.69-0.79, p < 0.0003), body weight changes (>3 kg/year, OR = 1.26, 95% CI = 1.16-1.37, p < 0.0003), eating faster (OR = 1.09, 95% CI = 1.03-1.15, p = 0.003), daily drinking (OR = 0.83, 95% CI = 0.76-0.89, p < 0.0003), and good sleeping (OR = 0.86, 95% CI = 0.79-0.93, p < 0.0003) were independently associated with ASCVD. Subjects with a high lifestyle habits risk score (number of bad habits: 7-12) had significantly higher odds for ASCVD than those with a low risk score (number of bad habits: 0-3, OR = 1.78, 95%CI = 1.62-1.95, p < 0.0003).

Conclusion

Simple questionnaires related to lifestyle habits were associated with self-reported ASCVD.

SUBMITTER: Tada H 

PROVIDER: S-EPMC6261639 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Publications

Associations between questionnaires on lifestyle and atherosclerotic cardiovascular disease in a Japanese general population: A cross-sectional study.

Tada Hayato H   Kawashiri Masa-Aki MA   Yasuda Kenji K   Yamagishi Masakazu M  

PloS one 20181128 11


<h4>Objective</h4>We aimed to investigate the association between questionnaires related to lifestyle habits and atherosclerotic cardiovascular diseases (ASCVD).<h4>Design</h4>Cross-sectional observational study.<h4>Settings</h4>Community-based medical checkups, called specific health checkups started in Japan since 2008. This checkup includes standard medical examinations as well as a specific questionnaire related to lifestyle habits.<h4>Participants</h4>Overall, 47,842 subjects (males = 16,91  ...[more]

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