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THE CLINICAL EPIDEMIOLOGY OF HYPERTENSION : THE HISAYAMA STUDY

Research Project

Project/Area Number 04670539
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Circulatory organs internal medicine
Research InstitutionKYUSHU UNIVERSITY

Principal Investigator

KIYOHARA Yutaka  KYUSHU UNIVERSITY,FACULTY OF MEDICINE,THE SECOND DEPARTMENT OF INTERNAL MEDICINE,ASSISTANT PROFESSOR, 医学部, 助手 (80161602)

Co-Investigator(Kenkyū-buntansha) 上田 一雄  九州大学, 医療技術短期大学部, 教授 (10038812)
Project Period (FY) 1992 – 1994
Project Status Completed (Fiscal Year 1994)
Budget Amount *help
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1994: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 1993: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 1992: ¥1,300,000 (Direct Cost: ¥1,300,000)
KeywordsHypertension / Prevalence / Incidence / Risk factor / Cardiovascular disease / Mortality / Hyperinsulinemia / Prognosis / 発症率 / 一般住民 / 肥満 / 飲酒 / 時代的変化 / 米国高血圧合同委員会第5次報告 / 疫学調査 / 前向き追跡研究 / 中心性肥満 / アルコール / インスリン抵抗性 / 高齢者 / 地域住民 / 心血管系疾患
Research Abstract

(1) The incidence of hypertension (HT) and its risk factors were investigated in a 10-year follow-up survey of 1093 Hisayama residents <greater than or equal>40 y.o.free from HT and cardiovascular disease. The findings of the study suggest that alcohol intake in men and obesity (centrally deposited body fat pattern) in women increase the risk for developing HT in a general Japanese po
(2) We compared the prevalence of HT and its relating factors among three cross-sectional examinations on Hisayama residents <greater than or equal>40 y.o.in 1967,1978, and 1988 (the participation rates of 3 examinations, >80%). We also compared the 10-year incidence of HT between early cohort free from HT established in 1967 and recent cohort scrutinized in 1978. During 20 years, blood pressure levels significantly decreased due to popularization of antihypertensive treatment among Hisayama residents of both sexes, but the prevalence of HT remained unchanged. The incidence of HT for women significantly decreased in the recent cohort compared with the early cohort, but not for men. The impact of obesity on HT increased in recent years, while alcohol intake was a significant risk factor for HT with the same magnitude through
(3) The relationship between serum insulin and blood pressure, as well as the prevalence of HT was studied in 2480 Hisayama residents aged 40-79 years who underwent 75-g oral glucose tolerance test in 1988. The present study shows that hyperinsulinemia is related to HT in a general Japanese population.
(4) We also studied the effect of HT on incidence and mortality from cardiovascular disease and its changing pattern during 30 years in a prospective survey of Hisayama residents.

Report

(4 results)
  • 1994 Annual Research Report   Final Research Report Summary
  • 1993 Annual Research Report
  • 1992 Annual Research Report
  • Research Products

    (27 results)

All Other

All Publications (27 results)

  • [Publications] Yoshitake T, et al: "Incidence and risk factors of vascular dementia and Alzheimer's disease in a defined elderly Japanese population:the Hisayama syudy." Neurology. 45(in press). (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Kiyohara Y,et al: "The impact of alcohol and hypertension on stroke incidence in a general Japanese population:the Hisayama study." Stroke. 26(3). 368-372 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Shinkawa A. et al: "Silent cerebral infarction in a community-based autopsy series in Japan:the Hisayama study." Stroke. 26(3). 380-385 (1995)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] 岩本廣満 他: "久山町における高齢者の生命予後とその危険因子-26年間の追跡調査-" 日老医誌. 31(9). 671-676 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Ohmura T,et al: "The association of the insulin resistance syndrome with impaired glucose tolerance and NIDDM in the Japanese general population:the Hisayama syudy." Diabetologia. 37. 897-904 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Kiyohara Y,et al: "Changing patterns in the prevalence of dementia in a Japanese community:the Hisayama study." Gerontology. 40(suppl 2). 29-35 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Ohmori S,et al: "Hyperinsulinaemia and blood pressure in a general Japanese population:the Hisayama study." J Hypertens. 12(10). 1191-1197 (1994)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Ohmura T,et al: "Prevalence of type 2(non-insulin-dependent)diabetes mellitus and impaired glucose tolerance in the Japanese general population:the Hisayama study." Diabetologia. 36. 1198-1203 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] 大森 将 他: "高齢者高血圧に及ぼす血清インスリン値の意義-久山町研究-" 日老医誌. 30(7). 595-601 (1993)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Fujishima M, et al: "Smoking as cardiovascular risk factor in low cholesterol population: the Hisayama study." Clin.and Exper.Hyper.A14(1&2). 99-108 (1992)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Yoshitake: "Incidence of vascular and Alzhermers disease and their risk factors in a defined elderly Japanese population : the Hisayama study." Neurology. 45 (in press). (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Kiyohara: "The impact of alcohol and hypertension on stroke incidence in a general Japanese population : the Hisayama study." Stroke. 26 (in press). (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Shinkawa: "Silent cerebral infarction in a community-based autopsy series in Japan : the Hisayama study." Stroke. 26 (in press). (1995)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] H,Iwamoto: "Mortality from major causes of death and its risk factors in the elderly-26-year follow-up study in Hisayama-." Jpn J Geriat. 31. 671-676 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] T,Ohmura: "The association of the insulin resistance syndrome with impaired glucose tolerance and NIDDM in the Japanese general population : the Hisayama study." Diabetologia. 37. 897-904 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Y,Kiyohara: "Changing patterns in prevalence of dementia in a Japanese cummunity : the Hisayama study." Gerontology. 40 (suppl 2). 29-35 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] S,Ohmori: "Hyperinsulinemia and blood pressure in a general Japanese population : the Hisayama study." J Hypertens. 12. 1191-1197 (1994)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] T,Ohmura: "Prevalence of type 2 (non-insulin-dependent) diabetes mellitus and impaired glucose tolerance in the Japanese general population : the Hisayama study." Diabetologia. 36. 1198-1203 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] S,Ohmori: "Hyperinsulinemia and Hypertension in an elderly Japanese population-the Hisayama study-." Jpn J Geriat. 30. 595-601 (1993)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] M,Fujishima: "Smoking as cardiovascular risk factor in low cholesterol population : the Hisayama study." Clin Exper Hyper. A14. 99-108 (1992)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1994 Final Research Report Summary
  • [Publications] Yoshitake T.et al: "Incidence and risk factors of vascular dementia and Alzheimer's disease in a defined elderly Japanese population:the Hisayama study." Neurology. 45(in press). (1995)

    • Related Report
      1994 Annual Research Report
  • [Publications] Kiyohara Y,et al: "The impact of alcohol and hypertension on stroke incidence in a general Japanese population:the Hisayama study." Stroke. 26(3). 368-372 (1995)

    • Related Report
      1994 Annual Research Report
  • [Publications] Shinkawa A.et al: "Silent cerebral infarction in a community-based autopsy series in Japan:the Hisayama study." Stroke. 26(3). 380-385 (1995)

    • Related Report
      1994 Annual Research Report
  • [Publications] 岩本廣満他: "久山町における高齢者の生命予後とその危険因子-26年間の追跡調査-" 日老医誌. 31(9). 671-676 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Ohmura T. et al: "The association of the insulin resistance syndrome with impaired glucose tolerance and NIDDM in the Japanese general population:the Hisayama study." Diabetologia. 37. 897-904 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] Kiyohara Y, et al: "Changing patterns in the prevalence of dementia in a Japanese community:the Hisayama study." Gerontology. 40(suppl 2). 29-35 (1994)

    • Related Report
      1994 Annual Research Report
  • [Publications] 大森,将: "高齢者高血圧に及ぼす血清インスリン値の意義-久山町研究-" 日本老年医学会雑誌. 30. 595-601 (1993)

    • Related Report
      1993 Annual Research Report

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Published: 1992-04-01   Modified: 2016-04-21  

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