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Effect of clustering of cardiovascular risk factors on medical expenditures : A large-scale cohort study of National Health Insurance

Research Project

Project/Area Number 20590655
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

TANNO Kozo  Iwate Medical University, 医学部, 講師 (20327026)

Co-Investigator(Renkei-kenkyūsha) OHSAWA Masaki  岩手医科大学, 医学部, 講師 (60295970)
ONODA Toshiyuki  岩手医科大学, 医学部, 講師 (00254748)
ITAI Kazuyoshi  岩手医科大学, 医学部, 教授 (10048572)
SAKATA Kiyomi  岩手医科大学, 医学部, 教授 (50225794)
OKAYAMA Akira  岩手医科大学, 医学部, 非常勤講師 (60169159)
Project Period (FY) 2008 – 2010
Project Status Completed (Fiscal Year 2010)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2010: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2009: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2008: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords社会医学 / 循環器 / 高血圧 / コホート研究 / 医療費 / 循環器・高血圧 / レセプトデータ / 国民健康保険 / 岩手県 / 健康診査 / 生活習慣
Research Abstract

We evaluated the relationship between clustering of cardiovascular risk factors (obesity, hypertension, diabetes, dyslipidemia, and current smoking) and medical expenditures using data of 4,481 Japanese National Health Insurance beneficiaries. As a result, mean medical expenditure was higher in participants who had 3 or more risk factors than participants who had no risk factor. In this cohort, 20.2% of total medical expenditures were attributable to participants who had one or more risk factors.

Report

(4 results)
  • 2010 Annual Research Report   Final Research Report ( PDF )
  • 2009 Annual Research Report
  • 2008 Annual Research Report
  • Research Products

    (32 results)

All 2011 2010 2009 2008

All Journal Article (24 results) (of which Peer Reviewed: 24 results) Presentation (8 results)

  • [Journal Article] Serum low-density lipoprotein to high-density lipoprotein ratio as a predictor of future acute myocardial infarction among men in a 2.7-year cohort study of a Japanese northern rural population.2011

    • Author(s)
      Yokokawa H, Yasumura S, Tanno K, Ohsawa M, Onoda T, Itai K, et al. (14名)
    • Journal Title

      J Atheroscler Thromb 18

      Pages: 89-98

    • NAID

      130004444494

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 透析患者の血清ヒ素濃度の検討-健常対照との比較、血清ヒ素濃度が心筋梗塞ならびに虚血性脳卒中罹患リスクに与える影響2011

    • Author(s)
      大澤正樹
    • Journal Title

      日本循環器病予防学会誌

      Volume: 46 Pages: 13-29

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Serum low-density lipoprotein to high-density lipoprotein ratio as a predictor of future acute myocardial infarction among men in a 2.7-year cohort study of a Japanese northern rural population.2011

    • Author(s)
      Yokokawa H
    • Journal Title

      J Atheroscler Thromb.

      Volume: 18 Pages: 89-98

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparison of low-density lipoprotein cholesterol concentrations measured by a direct homogeneous assay and by the Friedewald formula in a large community population.2010

    • Author(s)
      Tanno K, Okamura T, Ohsawa M, Onoda T, Itai K, Sakata K, et al. (10名)
    • Journal Title

      Clin Chim Acta 411

      Pages: 1774-1780

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Prehypertension subtype with elevated C-reactive protein: risk of ischemic stroke in a general Japanese population.2010

    • Author(s)
      Tanaka F, Makita S, Onoda T, Tanno K, Ohsawa M, Itai K, et al. (15名)
    • Journal Title

      Am J Hypertens 23

      Pages: 1108-1113

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Plasma B-type natriuretic peptide level and cardiovascular events in chronic kidney disease in a community-based population.2010

    • Author(s)
      Sakuma M, Nakamura M, Tanaka F, Onoda T, Itai K, Tanno K, et al. (12名)
    • Journal Title

      Circ J 74

      Pages: 792-797

    • NAID

      10026472774

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 高齢者のbody mass indexと総死亡,循環器疾患罹患との関連 岩手県北地域コホート研究の2.7年の追跡調査より2010

    • Author(s)
      丹野高三, 栗林徹, 大澤正樹, 小野田敏行, 板井一好, 八重樫由美, 他. (13名)
    • Journal Title

      日本循環器病予防学会誌 45

      Pages: 9-21

    • NAID

      10029555196

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 岩手県北地域における死亡、脳卒中と心筋梗塞罹患、心不全発症および要介護認定状況について 岩手県北地域コホート研究の平均2.7年の追跡結果から2010

    • Author(s)
      小野田敏行, 丹野高三, 大澤正樹, 板井一好, 坂田清美, 小川彰, 他. (17名)
    • Journal Title

      日本循環器病予防学会誌 45

      Pages: 2-48

    • NAID

      10029555268

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Gender-specific risk stratification with plasma B-type natriuretic peptide for future onset of congestive heart failure and mortality in the Japanese general population.2010

    • Author(s)
      Nakamura M, Tanaka F, Onoda T, Takahashi T, Sakuma M, Kawamura K, et al. (11名,7番目)
    • Journal Title

      Int J Cardiol 143

      Pages: 124-129

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Serum Selenium Levels in Hemodialysis Patients Are Significantly Lower than Those in Healthy Controls.2010

    • Author(s)
      Fujishima Y
    • Journal Title

      Blood Purif.

      Volume: 32 Pages: 43-47

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparison of low-density lipoprotein cholesterol concentrations measured by a direct homogeneous assay and by the Friedewald formula in a large community population.2010

    • Author(s)
      Tanno K
    • Journal Title

      Clin Chim Acta.

      Volume: 411 Pages: 1774-80

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Prehypertension subtype, with elevated C-reactive protein : risk of ischemic stroke in a general Japanese population.2010

    • Author(s)
      Tanaka F
    • Journal Title

      Am J Hypertens.

      Volume: 23 Pages: 1108-13

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Plasma B-type natriuretic peptide level and cardiovascular events in chronic kidney disease in a community-based population.2010

    • Author(s)
      Sakuma M
    • Journal Title

      Circ J.

      Volume: 74 Pages: 792-7

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 高齢者のbody mass indexと総死亡、循環器疾患罹患との関連 岩手県北地域コホート研究の2.7年の追跡調査より2010

    • Author(s)
      丹野高三
    • Journal Title

      日本循環器病予防学会誌 45

      Pages: 9-21

    • NAID

      10029555196

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 岩手県北地域における死亡、脳卒中と心筋梗塞罹患、心不全発症および要介護認定状況について 岩手県北地域コホート研究の平均2.7年の追跡結果から2010

    • Author(s)
      小野田敏行
    • Journal Title

      日本循環器病予防学会誌 45

      Pages: 32-48

    • NAID

      10029555268

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Predictive value of plasma B-type natriuretic peptide for ischemic stroke : a community-based longitudinal study.2009

    • Author(s)
      Takahashi T, Nakamura M, Onoda T, Ohsawa M, Tanno K, Itai K, et al. (14名)
    • Journal Title

      Atherosclerosis 207

      Pages: 298-303

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Serum C-reactive protein levels can be used to predict future ischemic stroke and mortality in Japanese men from the general population.2009

    • Author(s)
      Makita S, Nakamura M, Satoh K, Tanaka F, Onoda T, Kawamura K, et al. (14名,8番目)
    • Journal Title

      Atherosclerosis 204

      Pages: 234-238

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] Cardiovascular risk factors in the Japanese northeastern rural population.2009

    • Author(s)
      Ohsawa M, Itai K, Tanno K, Onoda T, Ogawa A, Nakamura M, et al. (12名)
    • Journal Title

      Int J Cardiol 137

      Pages: 226-235

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 閉じこもりと要介護発生との関連についての検討2009

    • Author(s)
      横川博英, 安村誠司, 丹野高三, 大澤正樹, 小野田敏行, 板井一好, 他. (8名)
    • Journal Title

      日本老年医学会雑誌 46

      Pages: 447-457

    • NAID

      10026894363

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 岩手県北部地域住民の肥満に関する考察 岩手県北地域コホート研究の登録時横断解析結果より2009

    • Author(s)
      栗林徹, 大澤正樹, 丹野高三, 小野田敏行, 板井一好
    • Journal Title

      岩手公衆衛生学会誌 20

      Pages: 33-45

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Journal Article] 閉じこもりと要介護発生との関連についての検討2009

    • Author(s)
      横川博英
    • Journal Title

      日本老年医学会雑誌 46

      Pages: 447-457

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Predictive value of plasma B-type natriuretic peptide for ischemic stroke : a community-based longitudinal study2009

    • Author(s)
      Takahashi, T.
    • Journal Title

      Atherosclerosis 207

      Pages: 298-303

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 岩手県北部地域住民の肥満に関する考察 岩手県北地域コホート研究の登録時横断解析結果より2009

    • Author(s)
      栗林徹
    • Journal Title

      岩手公衆衛生学会誌 20

      Pages: 33-45

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Dietary intake of n-3 polyunsaturated fatty acids is inversely associated with CRP levels, especially among male smokers.2008

    • Author(s)
      Ohsawa M, Itai K, Onoda T, Tanno K, Sasaki S, Nakamura M, et al. (12名)
    • Journal Title

      Atherosclerosis 201

      Pages: 184-191

    • Related Report
      2010 Final Research Report
    • Peer Reviewed
  • [Presentation] 血清アルブミン値とbody mass index の組み合わせと介護認定ならびに死亡との関連 -岩手県北地域コホート研究の平均5.6年の追跡結果から-2011

    • Author(s)
      丹野高三, 他
    • Organizer
      第21回日本疫学会学術集会
    • Place of Presentation
      札幌市
    • Related Report
      2010 Final Research Report
  • [Presentation] 血清アルブミン値とbody mass indexの組み合わせと介護認定ならびに死亡との関連-岩手県北地域コホート研究の平均5.6年の追跡結果から-2011

    • Author(s)
      丹野高三
    • Organizer
      第21回日本疫学会学術集会
    • Place of Presentation
      札幌市
    • Related Report
      2010 Annual Research Report
  • [Presentation] More risk factors are clustering in persons with poor self-rated health in an apparently healthy Japanese population.2010

    • Author(s)
      丹野高三, et al.
    • Organizer
      Joint Conference 50th Cardiovascular Disease Epidemiology and Prevention and Nutrition, Physical Activity and Metabolism 2010
    • Place of Presentation
      San Francisco, CA, USA.
    • Year and Date
      2010-03-03
    • Related Report
      2010 Final Research Report
  • [Presentation] More risk factors are clustering in persons with poor self-rated health in an apparently healthy Japanese population2010

    • Author(s)
      Tanno, K.
    • Organizer
      Joint Conference 50th Cardiovascular Disease Epidemiology and Prevention and Nutrition, Physical Activity and Metabolism 2010
    • Place of Presentation
      San Francisco, CA, USA.
    • Year and Date
      2010-03-03
    • Related Report
      2009 Annual Research Report
  • [Presentation] 男性血液透析患者の婚姻・同居状況と死亡率との関連 KAREN研究の5年追跡結果2010

    • Author(s)
      丹野高三, 他
    • Organizer
      第69回日本公衆衛生学会
    • Place of Presentation
      東京都
    • Related Report
      2010 Annual Research Report 2010 Final Research Report
  • [Presentation] Incidence rates of functional disability based on the public long-term care insurance system in patients with first-ever stroke.2010

    • Author(s)
      丹野高三, et al.
    • Organizer
      国際疫学会西太平洋地域学術会議兼第20回日本疫学会学術総会
    • Place of Presentation
      越谷市
    • Related Report
      2010 Final Research Report
  • [Presentation] Incidence rates of functional disability based on the public long-term care insurance system in patients with first-ever stroke2010

    • Author(s)
      Tanno, K.
    • Organizer
      国際疫学会西太平洋地域学術会議兼第20回日本疫学会学術総会
    • Place of Presentation
      越谷市
    • Related Report
      2009 Annual Research Report
  • [Presentation] 1年間の体重変化と要介護認定との関連 岩手県北地域コホート研究2009

    • Author(s)
      丹野高三, 他
    • Organizer
      第68回日本公衆衛生学会
    • Place of Presentation
      奈良市
    • Related Report
      2010 Final Research Report 2009 Annual Research Report

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Published: 2008-04-01   Modified: 2016-04-21  

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