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International comparison of subclinical atherosclerosis among the Japanese and American men aged 40-49

Research Project

Project/Area Number 13307016
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section一般
Research Field Public health/Health science
Research InstitutionShiga University of Medical Science

Principal Investigator

UESHIMA Hirotsugu  Shiga University of Medical Science, Department of Medicine, Professor, 医学部, 教授 (70144483)

Co-Investigator(Kenkyū-buntansha) MURATA Kyoshi  Shiga University of Medical Science, Department of Medicine, Professor, 医学部, 教授 (20127038)
KASHIWAGI Atsunori  Shiga University of Medical Science, Department of Medicine, Professor, 医学部, 教授 (20127210)
NAKAMURA Yasuyuki  Kyoto Women's University, Department of Home Economics, 家政学部, 教授 (20144371)
OKAMURA Tomonori  Kyoto Women's University, Department of Home Economics, 医学部, 助教授 (00324567)
KADOWAKI Takashi  Kyoto Women's University, Department of Home Economics, 医学部, 助手 (30324578)
三ッ浪 健一  滋賀医科大学, 医学部, 教授 (10127037)
Project Period (FY) 2001 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥43,940,000 (Direct Cost: ¥33,800,000、Indirect Cost: ¥10,140,000)
Fiscal Year 2004: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2003: ¥16,900,000 (Direct Cost: ¥13,000,000、Indirect Cost: ¥3,900,000)
Fiscal Year 2002: ¥16,900,000 (Direct Cost: ¥13,000,000、Indirect Cost: ¥3,900,000)
Fiscal Year 2001: ¥6,240,000 (Direct Cost: ¥4,800,000、Indirect Cost: ¥1,440,000)
Keywordsinternational collaborative study / the United States / Atherosclerosis / coronary calcification / physical activity / エレクトロンビームCT / 危険因子 / 予防医学 / 疫学 / 冠動脈疾患危険因子 / 国際共同研究 / 血清総コレステロール / 心筋梗塞 / 循環器疾患 / 脂肪摂取量 / EBCT / 超音波検査 / 脈波速度
Research Abstract

We conducted an international collaborative study, ERA JUMP (EBT and Risk Factor Assessment among Japanese and U.S. Men in the Post World-War II Birth Cohort), cooperating with the University of Pittsburgh and Pacific Health Research Institute in Hawaii. The purpose of this study was to elucidate and compare the progression of subclinical atherosclerosis among the Japanese and American men aged 40-49, and explore risk factors for atherosclerosis.
We found the following results during the study period ; 1)the progression of subclinical atherosclerosis was severer in the Americans than in the Japanese, regardless of the unfavorable risk profile in the Japanese such as higher blood pressure, higher smoking prevalence, and similar levels of cholesterol, 2)the Japanese American men in Hawaii had severer levels of subclinical atherosclerosis than the Japanese men in Japan, indicating that the determinant of subclinical atherosclerosis is not genetic difference, and 3)physical activity did not seem to affect the progression of atherosclerosis, although we lacked in sufficient sample size and information in our pilot study on physical activity.
For the purpose of standardization of blood sample examinations, samples were shipped to a laboratory in the University of Pittsburgh. We plan to examine lipoprotein profiles by NMR, emerging risk factors such as adipocytokines and possible genetic differences.
Future directions of the study would be : 1)to elucidate the relationship between atherosclerosis and insulin resistance, 2)to add a new samples from South Korea whose risk profile is more favorable, but the progression of subclinical atherosclerosis is severer than the Japanese, and 3)to expand the age group in the Japanese

Report

(5 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • 2001 Annual Research Report
  • Research Products

    (11 results)

All 2004 2003 Other

All Journal Article (9 results) Publications (2 results)

  • [Journal Article] Much Lower prevalence of coronary calcium detected by electron-beam computed tomogaraphy among men aged 40-49 in Japan than in the US, despite aless favoratable profile of major risk factors.2004

    • Author(s)
      Akira Sekikawa, Hirotsugu Ueshima et al.
    • Journal Title

      Int J Epidemiol

      Pages: 1-7

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] World Health Organization-Defined Metabolic Syndrome is a Better Predictor of Coronary Calcium Than the Adult Treatment Panel III Criteria in American Men Aged 40-49 Years2004

    • Author(s)
      Tomoko Takamiya, Hirotsugu Ueshima, Akira Sekikawa, Takashi Kadowaki, et al.
    • Journal Title

      Diabetes Care 27(12)

      Pages: 2977-2979

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Much Lower prevalence of coronary calcium detected by electron-beam computed tomogaraphy among men aged 40-49 in Japan than in the US, despite aless favoratable profile of major risk factors.2004

    • Author(s)
      Akira Sekikawa, Hirotsugu Ueshima, et al.
    • Journal Title

      Int J Epidemiol

      Pages: 1-7

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Much lower prevalence of coronary calcium detected by electron-beam computed tomography among men aged 40-49 in Japan than in the US, despite a less favorable profile of major risk factors.2004

    • Author(s)
      Sekikawa A, Ueshima H, Kadowaki T, Okamuar T, Nakamura Y, Kashiwagi A, Mitsunami K, Kita Y, Mitsunami K, et al.
    • Journal Title

      Int J Epidemiol 34(1)

      Pages: 173-179

    • Related Report
      2004 Annual Research Report
  • [Journal Article] World Health Organization-defined metabolic syndrome is a better predictor of coronary calcium than the adult treatment panel III criteria in American men aged 40-49years.2004

    • Author(s)
      Takamiya T, Zaky WR, Edmundowics D, Kadowaki T, Ueshima H, Kuller LH, Sekikawa A.
    • Journal Title

      Diabetes Care 27(12)

      Pages: 2977-2979

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 潜在的動脈硬化所見の早期発見とその公衆衛生的意義2003

    • Author(s)
      関川暁, 岡村智教, 上島弘嗣 他10名
    • Journal Title

      日本公衛誌 50巻3号

      Pages: 183-193

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 21世紀の国際間比較対照研究:ERA-JUMP -予防循環器病における日本の挑戦、世界への貢献2003

    • Author(s)
      関川暁, 上島弘嗣, J.David Curb, Lewis H.Kuller
    • Journal Title

      医学のあゆみ Vol 207, No7

      Pages: 482-486

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] A "natural experiment" in cardiovascular epidemiology in the early 21^<st> century2003

    • Author(s)
      Akira Sekikawa, Hirotsugu Ueshima et al.
    • Journal Title

      Heart

      Pages: 255-257

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] A "natural experiment" in cardiovascular epidemiology in the early 21^<th> century2003

    • Author(s)
      Akira Sekikawa, Hirotsugu Ueshima, et al.
    • Journal Title

      Heart 89

      Pages: 255-257

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] Sekikawa A, Horiuchi BY, Edmundowicz D, Ueshima H, Curb JD, Sutton-Tyrrell K, Okamura T, Kadowaki T, Kashiwagi A, Mitsunami K, Murata K, Nakamura Y, Ro driguez BL, Kuller LH: "A "natural experiment" in cardiovascular epidemiology in the early 21st century."Heart. 89・3. 255-257 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 関川暁(米国), 上島弘嗣, CurbDavid J., KullerLewis H.: "【循環器疫学の最前線】21世紀の国際間比較対照研究 ERA-JUMP 予防循環器病における日本の挑戦,世界への貢献"医学のあゆみ. 207・7. 482-486 (2003)

    • Related Report
      2003 Annual Research Report

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Published: 2001-04-01   Modified: 2016-04-21  

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