Outpatient visit frequency and control of lifestyle-related diseases

• Project/Area Number: 25460799
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Hygiene and public health
• Research Institution: Shiga University of Medical Science
• Principal Investigator: Shima Azusa 滋賀医科大学, 医学部, 客員助教 (20635958)
• Co-Investigator(Kenkyū-buntansha): 石崎 達郎 地方独立行政法人東京都健康長寿医療センター(東京都健康長寿医療センター研究所), 東京都健康長寿医療センター研究所, 研究部長 (30246045) ; 宮松 直美 滋賀医科大学, 医学部, 教授 (90314145) ; 呉代 華容 滋賀医科大学, 医学部, 助教 (30708681)
• Co-Investigator(Renkei-kenkyūsha): OKAMURA Tomonori 慶應義塾大学, 医学部, 教授 (00324567)
• Project Period (FY): 2013-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000); Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2014: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000); Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
• Keywords: 職域 / コホート / 循環器疾患 / コントロール / レセプト / 健康診断 / 職域コホート / 外来受診 / 血圧コントロール / 糖尿病コントロール / 糖尿病発症 / 受診状況 / 医療費 / 受診頻度 / 高血圧 / 生活習慣 / 循環器疾患リスク / 耐糖能異常 / 脂質異常症 / 外来受診頻度

Outline of Final Research Achievements

The purpose of this study was to investigate the relationship between the outpatient visits, as determined from health insurance claim data, and consequent hypertension control among participants with hypertension.
Antihypertensive agents were taken by 66.4% of the participants and the prevalence of uncontrolled hypertension at 9 years was 62.4%. Mean annual outpatient visit days at a hospital/clinic during the 9-year period were classified within four quartiles. Uncontrolled hypertension increased significantly as the number of outpatient visits decreased
(P for trend < 0.001).Logistic regression analysis was used and the multivariable-adjusted OR for uncontrolled hypertension was approximately four times higher in group with few outpatient visits (Q1) than in the group with highest number of visits (Q4, once or twice a month). This tendency did not change when participants with baseline use of antihypertensive agents was excluded.

Research Products

• [Journal Article] Relationship between outpatient visit frequency and hypertension control: a 9-year occupational cohort study (2016)
  • Author(s): Shima A, Tatsumi Y, Ishizaki T, Godai K, Kawatsu Y, Okamura T, Nishikawa T, Morimoto A, Morino A, Miyamatsu N
  • Journal Title: Hypertension Research Volume: 39 Issue: 5 Pages: 376-381
  • DOI: 10.1038/hr.2015.157
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Casual serum triglyceride as a predictor of premature type 2 diabetes mellitus: an 8-year cohort study of middle-aged Japanese workers (2016)
  • Author(s): Nishikawa T, Okamura T, Shima A, Kawatsu S, Sugiyama D, Kadota A, Morimoto A, Tatsumi Y, Godai K, Miyamatsu N
  • Journal Title: Diabetology International Volume: in press Issue: 3 Pages: 252-258
  • DOI: 10.1007/s13340-015-0241-z
  • Peer Reviewed
• [Presentation] Short sleep duration is associated with higher risk for diabetes mellitus in obese but not in non-obese Japanese workers. (2016)
  • Author(s): Godai K, Shima A, Tatsumi Y, Kawatsu Y, Morimoto A, Miyamatsu N
  • Organizer: 48th Asia-Pacific Academic Consortium for Public Health Conference
  • Place of Presentation: Tokyo, Japan
  • Year and Date: 2016-09-16
  • Int'l Joint Research
• [Presentation] 職域糖尿病有所見者における、1年間の外来受診頻度と翌年健診でのHbA1c変化 (2016)
  • Author(s): 志摩梓, 呉代華容, 辰巳友佳子, 森本明子, 森野亜弓, 石崎達郎, 河津雄一郎, 岡村智教, 西川智文, 井戸晴香, 宮松直美
  • Organizer: 第26回日本疫学会学術総会
  • Place of Presentation: 鳥取県米子市
  • Year and Date: 2016-01-22
• [Presentation] 職域高血圧者における降圧剤処方間隔と3年後の血圧コントロールの関連 (2015)
  • Author(s): 志摩梓, 辰巳友佳子, 呉代華容, 森本明子, 河津雄一郎, 石崎達郎, 岡村智教, 宮松直美
  • Organizer: 第51回日本循環器病予防学会学術集会
  • Place of Presentation: 大阪府大阪市
  • Year and Date: 2015-06-25
• [Presentation] 喫煙の有無による, 循環器リスク因子集積がその後9年間の外来医療費に及ぼす影響. (2014)
  • Author(s): 志摩梓, 呉代華容, 森本明子, 辰巳友佳子, 河津雄一郎, 石崎達郎, 岡村智教, 宮松直美.
  • Organizer: 第50回日本循環器病予防学会
  • Place of Presentation: 京都市
  • Year and Date: 2014-07-21
• [Presentation] 就労者における健康習慣の実施数と9年後の高血圧の関連の検討. (2014)
  • Author(s): 志摩梓, 呉代華容, 森本明子 , 辰巳友佳子, 河津雄一郎, 宮松直美.
  • Organizer: 第87回産業衛生学会
  • Place of Presentation: 岡山県
  • Year and Date: 2014-05-22
• [Presentation] 職域における高血圧者の外来受診頻度と8年後の目標血圧達成者割合 (2014)
  • Author(s): 志摩梓，呉代華容，森本明子，一浦嘉代子，森野亜弓，石崎達郎，河津雄一郎，岡村智教，宮松直美．
  • Organizer: 第24回日本疫学会学術総会
  • Place of Presentation: 宮城
• [Presentation] 職域集団における糖尿病型ごとの睡眠時間とHbA1c値との関連． (2014)
  • Author(s): 呉代華容，志摩梓，河津雄一郎，森本明子，園田奈央，森野亜弓，宮松直美．
  • Organizer: 第24回日本疫学会学術総会
  • Place of Presentation: 宮城
• [Presentation] 一企業就労女性の閉経の有無によるBMIと高血圧症の関連の横断的評価． (2014)
  • Author(s): 片寄亮，志摩梓，河津雄一郎，森本明子，呉代華容，森野亜弓，園田奈央，一浦嘉代子，宮松直美．
  • Organizer: 第24回日本疫学会学術総会
  • Place of Presentation: 宮城
• [Presentation] Triglyceride is a predictor of diabetes mellitus irrespective of BMI in an 8-year cohort study in the Japanese workers. (2013)
  • Author(s): Nishikawa T, Okamura T, Shima A, Kawatsu Y, Sugiyama D, Kadota A, Morimoto A, Tatsumi Y, Morino A, Sonoda N, Miyamatsu N.
  • Organizer: 81st European Atherosclerosis Society Congress.
  • Place of Presentation: Lyon、フランス共和国
• [Presentation] Triglyceride is a predictor of hypertension in an 8-year cohort study in the Japanese workers. (2013)
  • Author(s): Miyamatsu N, Shima A, Kawatsu Y, Nishikawa T, Sugiyama D, Kadota A, Morimoto A, Tatsumi Y, Sonoda N, Morino A, Okamura T.
  • Organizer: 81st European Atherosclerosis Society Congress.
  • Place of Presentation: Lyon、フランス共和国