Differences in Lifestyle Improvements With the Intention to Prevent Cardiovascular Diseases by Socioeconomic Status in a Representative Japanese Population

NIPPON DATA2010

Sayuri Goryoda, Nobuo Nishi, Atsushi Hozawa, Katsushi Yoshita, Yusuke Arai, Keiko Kondo, Naoko Miyagawa, Takehito Hayakawa, Akira Fujiyoshi, Aya Kadota, Takayoshi Ohkubo, Tomonori Okamura, Nagako Okuda, Hirotsugu Ueshima, Akira Okayama, Katsuyuki Miura

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND: The relationships among socioeconomic status and lifestyle improvements have not yet been examined in a representative Japanese population.

METHODS: We analyzed data from 2,647 participants (1,087 men and 1,560 women) who participated in NIPPON DATA2010. This survey inquired about lifestyle improvements and socioeconomic status. Education was categorized as low (≤9 years), middle (10-12 years), and high (≥13 years). Marital status was categorized as married, divorced, widowed, and never married/other. A multivariable logistic regression model was used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) of lifestyle improvements with the intention of preventing cardiovascular diseases for educational attainment and marital status, with adjustments for age and awareness of cardiovascular disease risk factors.

RESULTS: Overall, 1,507 (56.9%) participants practiced prevention and improvements in hypertension, diabetes, elevated cholesterol, and metabolic syndrome, and the OR of lifestyle improvements was significantly higher with a high education than with a low education in men (OR 2.86; 95% CI, 1.96-4.17) and women (OR 2.36; 95% CI, 1.67-3.33). The number of participants who practiced prevention and improvements in hypertension, diabetes, elevated cholesterol, and metabolic syndrome was significantly lower in divorced than in married men (OR 0.46; 95% CI, 0.22-0.95) and women (OR 0.53; 95% CI, 0.33-0.86).

CONCLUSIONS: Specific differences caused by educational attainment and marital status may exist in lifestyle improvements.

Original languageEnglish
Pages (from-to)S35-S39
JournalJournal of Epidemiology
Volume28
DOIs
Publication statusPublished - 2018 Jan 1

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Social Class
Life Style
Cardiovascular Diseases
Odds Ratio
Confidence Intervals
Marital Status
Population
Educational Status
Divorce
Hypercholesterolemia
Education
Logistic Models
Hypertension
Widowhood

Keywords

  • dietary habits
  • eating habits
  • healthy behaviors
  • lifestyle
  • socioeconomic status

ASJC Scopus subject areas

  • Epidemiology

Cite this

Differences in Lifestyle Improvements With the Intention to Prevent Cardiovascular Diseases by Socioeconomic Status in a Representative Japanese Population : NIPPON DATA2010. / Goryoda, Sayuri; Nishi, Nobuo; Hozawa, Atsushi; Yoshita, Katsushi; Arai, Yusuke; Kondo, Keiko; Miyagawa, Naoko; Hayakawa, Takehito; Fujiyoshi, Akira; Kadota, Aya; Ohkubo, Takayoshi; Okamura, Tomonori; Okuda, Nagako; Ueshima, Hirotsugu; Okayama, Akira; Miura, Katsuyuki.

In: Journal of Epidemiology, Vol. 28, 01.01.2018, p. S35-S39.

Research output: Contribution to journalArticle

Goryoda, S, Nishi, N, Hozawa, A, Yoshita, K, Arai, Y, Kondo, K, Miyagawa, N, Hayakawa, T, Fujiyoshi, A, Kadota, A, Ohkubo, T, Okamura, T, Okuda, N, Ueshima, H, Okayama, A & Miura, K 2018, 'Differences in Lifestyle Improvements With the Intention to Prevent Cardiovascular Diseases by Socioeconomic Status in a Representative Japanese Population: NIPPON DATA2010', Journal of Epidemiology, vol. 28, pp. S35-S39. https://doi.org/10.2188/jea.JE20170254
Goryoda, Sayuri ; Nishi, Nobuo ; Hozawa, Atsushi ; Yoshita, Katsushi ; Arai, Yusuke ; Kondo, Keiko ; Miyagawa, Naoko ; Hayakawa, Takehito ; Fujiyoshi, Akira ; Kadota, Aya ; Ohkubo, Takayoshi ; Okamura, Tomonori ; Okuda, Nagako ; Ueshima, Hirotsugu ; Okayama, Akira ; Miura, Katsuyuki. / Differences in Lifestyle Improvements With the Intention to Prevent Cardiovascular Diseases by Socioeconomic Status in a Representative Japanese Population : NIPPON DATA2010. In: Journal of Epidemiology. 2018 ; Vol. 28. pp. S35-S39.
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abstract = "BACKGROUND: The relationships among socioeconomic status and lifestyle improvements have not yet been examined in a representative Japanese population.METHODS: We analyzed data from 2,647 participants (1,087 men and 1,560 women) who participated in NIPPON DATA2010. This survey inquired about lifestyle improvements and socioeconomic status. Education was categorized as low (≤9 years), middle (10-12 years), and high (≥13 years). Marital status was categorized as married, divorced, widowed, and never married/other. A multivariable logistic regression model was used to calculate the odds ratios (ORs) and 95{\%} confidence intervals (CIs) of lifestyle improvements with the intention of preventing cardiovascular diseases for educational attainment and marital status, with adjustments for age and awareness of cardiovascular disease risk factors.RESULTS: Overall, 1,507 (56.9{\%}) participants practiced prevention and improvements in hypertension, diabetes, elevated cholesterol, and metabolic syndrome, and the OR of lifestyle improvements was significantly higher with a high education than with a low education in men (OR 2.86; 95{\%} CI, 1.96-4.17) and women (OR 2.36; 95{\%} CI, 1.67-3.33). The number of participants who practiced prevention and improvements in hypertension, diabetes, elevated cholesterol, and metabolic syndrome was significantly lower in divorced than in married men (OR 0.46; 95{\%} CI, 0.22-0.95) and women (OR 0.53; 95{\%} CI, 0.33-0.86).CONCLUSIONS: Specific differences caused by educational attainment and marital status may exist in lifestyle improvements.",
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AU - Goryoda, Sayuri

AU - Nishi, Nobuo

AU - Hozawa, Atsushi

AU - Yoshita, Katsushi

AU - Arai, Yusuke

AU - Kondo, Keiko

AU - Miyagawa, Naoko

AU - Hayakawa, Takehito

AU - Fujiyoshi, Akira

AU - Kadota, Aya

AU - Ohkubo, Takayoshi

AU - Okamura, Tomonori

AU - Okuda, Nagako

AU - Ueshima, Hirotsugu

AU - Okayama, Akira

AU - Miura, Katsuyuki

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N2 - BACKGROUND: The relationships among socioeconomic status and lifestyle improvements have not yet been examined in a representative Japanese population.METHODS: We analyzed data from 2,647 participants (1,087 men and 1,560 women) who participated in NIPPON DATA2010. This survey inquired about lifestyle improvements and socioeconomic status. Education was categorized as low (≤9 years), middle (10-12 years), and high (≥13 years). Marital status was categorized as married, divorced, widowed, and never married/other. A multivariable logistic regression model was used to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) of lifestyle improvements with the intention of preventing cardiovascular diseases for educational attainment and marital status, with adjustments for age and awareness of cardiovascular disease risk factors.RESULTS: Overall, 1,507 (56.9%) participants practiced prevention and improvements in hypertension, diabetes, elevated cholesterol, and metabolic syndrome, and the OR of lifestyle improvements was significantly higher with a high education than with a low education in men (OR 2.86; 95% CI, 1.96-4.17) and women (OR 2.36; 95% CI, 1.67-3.33). The number of participants who practiced prevention and improvements in hypertension, diabetes, elevated cholesterol, and metabolic syndrome was significantly lower in divorced than in married men (OR 0.46; 95% CI, 0.22-0.95) and women (OR 0.53; 95% CI, 0.33-0.86).CONCLUSIONS: Specific differences caused by educational attainment and marital status may exist in lifestyle improvements.

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