最適な糖尿病スクリーニング法の開発とその県レベルコホートにおける実証
Project/Area Number |
12J00046
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Research Category |
Grant-in-Aid for JSPS Fellows
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Allocation Type | Single-year Grants |
Section | 国内 |
Research Field |
Metabolomics
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Research Institution | University of Tsukuba |
Principal Investigator |
平安座 依子 筑波大学, 大学院人間総合科学研究科, 特別研究員(DC1)
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Project Period (FY) |
2012 – 2014-03-31
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Project Status |
Declined (Fiscal Year 2013)
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Budget Amount *help |
¥1,800,000 (Direct Cost: ¥1,800,000)
Fiscal Year 2013: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2012: ¥900,000 (Direct Cost: ¥900,000)
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Keywords | 糖尿病 / スクリーニング / リスクスコア / 追跡調査 / 臨床疫学 / 血糖 / Glycosylated Hemoglobin A / リスク評価 / 危険因子 |
Research Abstract |
未診断糖尿病発見リスクスコアを当てはめるべき集団を特定すべく、糖尿病関連因子についての検討をさらに発展させた。生活状況と糖尿病との関連を検討した結果、単身生活の日本人男性では、未診断糖尿病を有する可能性が高いことを認めた(Heianza Y, Diabet Med 2013 ; 30 : 1355-1359)。また、特に過体重、喫煙者や運動習慣の無い者において、単身生活は糖尿病と有意に関連しており、単身生活と未診断の糖尿病との関連は、部分的に、改善可能な他の生活習慣に影響されている可能性が示唆された。さらに、日本人女性では特に閉経後に加齢とは独立して糖尿病を有する可能性が高まる可能性を見出した(Heianza Y, et al. Diabetes Care 2013 ; 36 : 4007-4014)。閉経前女性と比較して、閉経後女性では、加齢、体格指標(BMI)や生活習慣因子とは独立して、糖尿病を有する可能性が有意に高かった。男性の有する糖尿病保有リスクには匹敵しないものの、閉経後女性では加齢とは独立して高血糖状態と関連する可能性が認められた。以上の結果より、単身生活の男性や閉経後女性などに対する糖尿病スクリーニングの働きかけが有効であると思われた。前年度に開発した糖尿病リスクスコアの妥当性を検証するため、新潟県の健康診査・人間ドック受診者のデータを活用したvalidation研究を今年度下旬より取り組み始めたところである。来年度中には研究結果が得られると思われる。 一方、糖尿病を指摘されても、多くの者が通院治療を開始せずに糖尿病を放置していることが世界的に問題となっている。申請者らがレセプトデータを活用した糖尿病スクリーニング勧果の検証を実施した結果において、糖尿病を未治療・放置することと比較して、高血糖を指摘された後すぐに通院治療を開始・継続することは、良好な血糖コントロールに寄与することが科学的に証明された。
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Strategy for Future Research Activity |
(抄録なし)
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Report
(2 results)
Research Products
(59 results)
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[Journal Article] Quality and accuracy of Internet information concerning a healthy diet2013
Author(s)
Hirasawa R, Yachi Y, Yoshizawa S, Horikawa C, Heianza Y, Sugawara A, Sone Y, Kondo K, Shimano H, Saito K, Kodama S, Sone H.
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Journal Title
Int J Food Sci Nutr
Volume: 64
Issue: 8
Pages: 1007-1013
DOI
Related Report
Peer Reviewed
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[Journal Article] Development of a Screening Score for Undiagnosed Diabetes and Its Application in Estimating Absolute Risk of Future Type 2 Diabetes in Japan: Toranomon Hospital Health Management Center Study 10 (TOPICS10)2013
Author(s)
Heianza Y, Arase y ; Saito K, Hsieh SD, Tsuji H, Kodama S, Tanaka S, Ohashi Y, Shimano H, Yamada N, Hara S, Sone H
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Journal Title
The Journal of clinical endocrinology and metabolism
Volume: 98
Issue: 3
Pages: 1051-1060
DOI
Related Report
Peer Reviewed
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[Journal Article] Longitudinal trajectories of HbAlc and fasting plasma glucose levels during the development of type 2 diabetes : the Toranomon Hospital Health Management Center Study 7 (TOPICS 7)2012
Author(s)
Heianza Y, Arase Y, Fujihara K, Hsieh SD, Saito K, Tsuji H, Kodama S, Yahagi N, Shimano H, Yamada N, Hara S, Sone H.
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Journal Title
Diabetes Care
Volume: 35
Issue: 5
Pages: 1050-1052
DOI
Related Report
Peer Reviewed
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[Journal Article] Development of a new scoring system for predicting the 5 year incidence of type 2 diabetes 1n Japan : the Toranomon Hospital Health Management Center Study 6 (TOPICS 6)2012
Author(s)
Heianza Y, Arase Y, Hsieh SD, Saito K, Tsuji H, Kodama S, Tanaka S, Ohashi Y, Shimano H, Yamada N, Hara S, Sone H,
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Journal Title
Diabetologia
Volume: 55
Pages: 3213-3223
Related Report
Peer Reviewed
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[Journal Article] Impact of introducing HbAlc into the diagnostic criteria on prevalence and cardiovascular risk profiles of individuals with newly diagnosed diabetes in Japan : the Toranomon Hospital Health Management Center Study 2 (TOPICS 2)2012
Author(s)
Heianza Y, Hara S, Arase y Saito K, Tsuji H, Kodama S, Hsieh SD, Mori Y, Okubo M, Yamada N, Kosaka K, Sone H
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Journal Title
Diabetes research and clinical practice
Volume: 95
Issue: 2
Pages: 283-290
DOI
Related Report
Peer Reviewed
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[Journal Article] Quality of Internet information related to the Mediterranean diet2012
Author(s)
Hirasawa R, Saito K, Yachi y lbe Y, Kodama S, Asumi M, Horikawa C, Saito A, Heianza Y, Kondo K, Shimano H, Sone H.
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Journal Title
Public health nutrition
Volume: 15
Issue: 5
Pages: 885-893
DOI
Related Report
Peer Reviewed
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[Journal Article] Comparisons of the Strength of Associations With Future Type 2 Diabetes Risk Among Anthropometric Obesity Indicators, Including Waist-to-Height Ratio : A Meta-Analysis2012
Author(s)
Kodama S, Horikawa C, Fujihara K, Heianza Y, Hirasawa R, Yachi y Sugawara A, Tanaka S, Shimano H, Iida KT, Saito K, Sone H
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Journal Title
American journal of epidemiology
Volume: 176
Issue: 11
Pages: 959-969
DOI
Related Report
Peer Reviewed
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[Presentation] 糖尿病と閉塞性睡眠時無呼吸症候群の関連性及び方向性のメタ解析2013
Author(s)
藤原和哉,児玉暁,堀川千嘉,平安座 依子,由澤咲子,菅原歩美,平澤玲子,谷内洋子,斎藤和美,島野仁,山田信博,曽根博仁
Organizer
第23回日本疫学会学術総会
Place of Presentation
大阪大学(大阪)
Year and Date
2013-01-26
Related Report
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[Presentation] 2型糖尿病発症に至るまでのBMIの長期変化に関する大規模縦断的検討:TOPICS2013
Author(s)
平安座 依子,原 茂子,謝 勲東,斎藤 和美,辻 裕之,羽入 修,児玉 暁,島野 仁,山田 信博,荒瀬 康司,曽根 博仁
Organizer
第23回日本疫学会学術総会
Place of Presentation
大阪大学(大阪)
Year and Date
2013-01-25
Related Report
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[Presentation] 特定健診による要受診判定後の医療機関受診率とその推移.2013
Author(s)
羽入修, 平安座依子, 古川和郎, 川田亮, 大澤妙子, 山本正彦, 皆川真一, 鈴木裕美, 山田絢子, 山田貴穂, 鈴木亜希子, 曽根博仁.
Organizer
第56回日本糖尿病学会年次学術集会
Place of Presentation
ホテル日航熊本他(熊本)
Related Report
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[Presentation] Comparison of Various Body Mass Index Histories to Identify Undiagnosed Diabetes in Japanese Men and Women : Toranomon Hospital Heaith.2013
Author(s)
Yoshizawa S, Heianza Y, Arase Y, Saito K, Hsieh SD, Tsuji H, Hanyu O, Suzuki A, Tanaka S, Kodama S, Shimano H, Hara S, Sone H.
Organizer
Asia-Pacific Diabetes and Obesity Study Group symposium
Place of Presentation
Tokyo International Forum (Tokyo)
Related Report
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[Presentation] Trajectory of body mass index before the development of type 2 diabetes in Japanese men : Toranomon hospital health management center study (TOPICS).2013
Author(s)
Heianza Y, Arase Y, Hara S, Fujihara K, Hsieh SD, Sugawara A, Suzuki A, Hanyu O, Saito K, Kodama S, Shimano H, Sone H.
Organizer
49th European Association for the Study of Diabetes (EASD) Annual Meeting
Place of Presentation
The Fira de Barcelona's Gran Via exhibition centre (Barcelone, Spain)
Related Report
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[Presentation] Predictive ability of simple clinical information without blood tests for future incident diabetes : a meta-allalysis.2013
Author(s)
Yoshizawa S, Kodama S, Fujihara K, Horikawa C, Sugawara A, Heianza Y, Yachi Y, Tanaka S, Minagawa S, Yamada T, Suzuki A, Hanyu O, Kodama S, Shimano H, Sone H.
Organizer
49th European Association for the Study of Diabetes (EASD) Annual Meeting
Place of Presentation
The Fira de Barcelona's Gran Via exhibition centre (Barcelone, Spain)
Related Report
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[Presentation] Simple self-reported anger and memory loss as risk factors for the development of type2 diabetes in Japanese individuals2013
Author(s)
Suzuki A, Heianza Y, Arase Y, Hara S, Hsieh S, Yamada T, Fujihara K, Saito K, Kodama S, Hanyu O, Sone H.
Organizer
49th European Association for the Study of Diabetes (EASD) Annual Meeting
Place of Presentation
The Fira de Barcelona's Gran Via exhibition centre (Barcelone, Spain)
Related Report
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[Presentation] Utility of Elevated 1-h Glucose Values for Assessment of Pathogenesis of Type 2 Diabetes in Japanese Individuals.2013
Author(s)
Heianza Y, Arase Y, Kodama S, Hsieh SD, Fujihara K, Tanaka S, Suzuki A, Hanyu O, Saito K, Shimano H, Hara S, Sone H.
Organizer
73rd American Diabetes Association Scientific Sessions
Place of Presentation
McCormick Place Convention Center (Chicago, USA)
Related Report
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[Presentation] Relationship of Living Alone with Undiagnosed Diabetes in Japan : Toranomon Hospital Health Management Center Study2013
Author(s)
Heianza Y, Arase Y, Kodama S, Hsieh SD, Sugawara A, Tanaka S, Suzuki A, Saito K, Hanyu O, Saito K, Shimano H, Hara S, Sone H.
Organizer
73rd American Diabetes Association Scientific Sessions
Place of Presentation
McCormick Place Convention Center (Chicago, USA)
Related Report
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[Presentation] HbA1C in theFirst Trimester Predicts Gestational Diabetes Independent of Fasting Glucose in Japanese Pregnant Women : TWC Study.2013
Author(s)
Yachi Y, Tanaka Y, Sugawara A, Nishibata I, Horikawa C, Heianza Y, Fujihara K, Kodama S, Hanyu O, Sone H.
Organizer
73rd American Diabets Association Scientific Sessions.
Place of Presentation
McCormick Place Convention Center (Chicago, USA)
Related Report
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[Presentation] Effects of Recommendation Notices for Clinic Visits by Nationwide Health Screening System in Japan.2013
Author(s)
Hanyu O, Heianza Y, Furukawa K, Kawada R, Yamamoto M, Osawa T, Suzuki H, Minagawa S, Yamada T, Yamada A, Suzuki A, Sone H.
Organizer
73rd American Diabetes Association Scientific Sessions
Place of Presentation
McCormick Place Convention Center (Chicago, USA)
Related Report
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[Presentation] Relationship between Body Weight (BW) Gain from Early Adultbood and Incident Type 2 Diabetes (T2DM)-A Meta-Analysis.2013
Author(s)
Kodama S, Horikawa C, Fujihara K, Tajima R, Heianza Y, Hirasawa R, Yachi Y, Iida KT, Shimano H, Hanyu O, Sone H.
Organizer
73rd American Diabetes Association Scientific Sessions
Place of Presentation
McCormick Place Convention Center (Chicago, USA)
Related Report
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[Presentation] Relationship between Diabetic Neuropathy and Sleep Apnea Syndrome-A Meta-Analysis.2013
Author(s)
Fujihara K, Kodama S, Horikawa C, Sugawara A, Heianza Y, Yachi Y, Saito K, Shimano H, Hanyu O, Sone H.
Organizer
73rd American Diabetes Association Scientific Sessions
Place of Presentation
McCormick Place Convention Center (Chicago, USA)
Related Report
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[Presentation] Development and Validation of Screening Score for Detecting Undiagnosed Diabetes and Estimating Risk of Future Diabetes2012
Author(s)
Heianza Y, Yasuji Y , Saito K, Tsuji H, Fujihara K, Hsieh S.D, Kodama S, Shimano H, Yamada N, Hara S, Sone H
Organizer
9th IDF-WPR Congress and 4th AASD Scientific Meeting
Place of Presentation
国立京都国際会館(京都)
Year and Date
2012-11-25
Related Report
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[Presentation] Roles of Alcohol Drinking Pattern in Type 2 Diabetes in Japanese Men : Toranomon Hospital Health Management Center Study2012
Author(s)
Heianza Y, Yasuji Y, Saito K, Tsuji H, Fujihara K, Hsieh Sd, Kodama S, Shimano H, YamadaN, Hara S, Sone H
Organizer
9th IDF-WPR Congress and 4th AASD Scientific Meeting
Place of Presentation
国立京都国際会館(京都)
Year and Date
2012-11-25
Related Report
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[Presentation] Comparison of current BMI and BMI histories to screen for undiagnosed diabetes in Japanese men : Tbranomon Hospital Health Management Center Study2012
Author(s)
Yoshizawa S, Heianza Y, Horikawa C, Hara S, Saito K, Kodama S, S.D. Hsieh, Tsuji H, Yamada N, Arase Y, Sone H
Organizer
48th EASD Annual Meeting
Place of Presentation
Berlin, Germany
Year and Date
2012-10-04
Related Report
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[Presentation] Comparison of Framingham risk score, UKPDS risk engine, maximum-IMT, and LDL-C/HDL-C ratio for predicting coronary plaque in asymptomatic patients with type 2 diabetes2012
Author(s)
Fujihara K, Suzuki H, Sato A, Kodama S, Heianza Y, Ishizu T, Saito K, Iwasaki H, KobayashiK, Yatoh S, Takahashi A, Yamada N, Sone H, Shimano H
Organizer
48th EASD Annual Meeting
Place of Presentation
Berlin, Germany
Year and Date
2012-10-04
Related Report
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[Presentation] Development and evaluation of screening score for detecting undiagnosed diabetes and estimating absolute risk of future type 2 diabetes: TOPICS2012
Author(s)
Heianza Y, Hara S, Yoshizawa S, Kodama S, Saito K, Hsieh S, Horikawa C, Tsuji H, Yamada N, Arase Y, Sone H
Organizer
48th EASD Annual Meeting
Place of Presentation
Berlin, Germany
Year and Date
2012-10-03
Related Report
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[Presentation] Association between pulse pressure and cardiovascular risk in diabetesmellitus: a meta-analysis2012
Author(s)
Horikawa C, Kodama S, Heianza Y, Yoshizawa S, Fujihara K, Tanaka S, Iida T. K, Yachi Y, Ohashi Y, Sone H
Organizer
48th EASD Annual Meeting
Place of Presentation
Berlin, Germany
Year and Date
2012-10-02
Related Report
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[Presentation] New Risk Score for Predicting 5-year Incidence of Type 2 Diabetes in Japan: the Toranomon Hospital Health Management Center Study2012
Author(s)
Heianza Y, Arase Y, Tsuji H, Yoshizawa S, Saito K, Hsieh Sd, Kodama S, Yamada N, Hara S, Sone H
Organizer
72nd American Diabetes Association Scientific Sessions
Place of Presentation
Philadelphia, USA
Year and Date
2012-06-11
Related Report
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[Presentation] Quality and accuracy of Internet information concerning a healthy diet2012
Author(s)
Hirasawa R, Sugawara A, SaitoK, Kodama S, Yachi Y, Yoshizawa S, Horikawa Chika, Heianza Y, Ibe Y, Sone H
Organizer
72nd American Diabetes Association Scientific Sessions
Place of Presentation
Philadelphia, USA
Year and Date
2012-06-11
Related Report
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[Presentation] Low Lung Function and Risk of Type 2 Diabetes in Japanese men: the Toranomon Hospital Health Management Center Study2012
Author(s)
Heianza Y, Arase Y, Tsuji H, Sugawara A, Saito K, Hsieh SD, Amakawa K, Kodama S, Yamada N, Hara S, H. Sone.
Organizer
72nd American Diabetes Association Scientific Sessions
Place of Presentation
Philadelphia, USA
Year and Date
2012-06-10
Related Report
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[Presentation] Determining Optimal Combined Thresholds of HbAlc and Fasting Plasma Glucose as Predictors of Type 2 Diabetes: the Toranomon Hospital Health Management Center Study2012
Author(s)
Sugawara A, Heianza Y, AraseY, Fujihara K, Tsuji H, Saito K, Hsieh SD, Kodama S, Yamada N, Hara S, Sone H
Organizer
72nd American Diabetes Association Scientific Sessions
Place of Presentation
Philadelphia.USA
Year and Date
2012-06-10
Related Report
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[Presentation] Both lifetime maximum BMI and BMI change since age 20 years to maximum were strongly associated with having undiagnosed diabetes in Japanese women: Toranomon Hospital Health Management Center Study2012
Author(s)
Yoshizawa S, Heianza Y, Arase Y, Tsuji H, Saito K, Hsieh SD, Kodama S, Yamada N, Hara S, Sone H
Organizer
72nd American Diabetes Association Scientific Sessions
Place of Presentation
Philadelphia, USA
Year and Date
2012-06-10
Related Report
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[Presentation] Relationship between dairy intake and risk of metabolic syndrome: A-meta-analysis2012
Author(s)
Horikawa C, Kodama S, Heianza Y, Hirasawa R, Sugawara A, Maki M, Yoshizawa S, Yachi Y, Saito K, Sone H
Organizer
72nd American Diabetes Association Scientific Sessions
Place of Presentation
Philadelphia, USA
Year and Date
2012-06-10
Related Report
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[Presentation] 糖尿病と難聴の関連性についてのメタ解析2012
Author(s)
堀川 千嘉, 児玉 暁, 藤原 和哉, 平安座 依子, 菅原 歩美, 平澤 玲子, 谷内 洋子, 斎藤 和美, 曽根 博仁
Organizer
第55回日本糖尿病学会年次学術集会
Place of Presentation
パシフィコ横浜(横浜)
Year and Date
2012-05-19
Related Report
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[Presentation] 生涯最大BMIならびに20歳から生涯最大までのBMI変化はいずれも2型糖尿病と強く関連する2012
Author(s)
由澤 咲子,平安座 依子,荒瀬 康司,斎藤 和美,辻 裕之,児玉 暁,謝 勲東,島野 仁,山田 信博,原 茂子,曽根 博仁
Organizer
第55回日本糖尿病学会年次学術集会
Place of Presentation
パシフィコ横浜(横浜)
Year and Date
2012-05-19
Related Report
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[Presentation] HbAlcを導入した新しい2型糖尿病リスクスコアの開発 The Toranomon Hospital Health Management Center Study(TOPICS)2012
Author(s)
平安座 依子,原 茂子,斎藤 和美,藤原 和哉,辻 裕之,児玉 暁,謝 勲東,島野 仁,荒瀬 康司,山田 信博,曽根 博仁
Organizer
第55回日本糖尿病学会年次学術集会
Place of Presentation
パシフィコ横浜(横浜)
Year and Date
2012-05-18
Related Report
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[Presentation] 2型糖尿病発症に至るまでのHbAlc値と空腹時血糖値の長期変化に関する検討TOPICS2012
Author(s)
原 茂子,平安座 依子,斎藤 和美,藤原 和哉,辻 裕之,児玉 暁,謝 勲東,島野 仁,荒瀬 康司,山田 信博,曽根 博仁
Organizer
第55回日本糖尿病学会年次学術集会
Place of Presentation
パシフィコ横浜(横浜)
Year and Date
2012-05-18
Related Report
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[Presentation] フラミンガムリスクスコア、UKPDSリスクエンジン、max-IMT、LDL/HDL比による冠動脈病変予測能に関する検討2012
Author(s)
藤原 和哉,鈴木 浩明,佐藤 明,大崎 芳典,尾本 美代子,豊島 晶子,平安座 依子,児玉 暁,斎藤 和美,小林 和人,矢藤 繁,高橋 昭光,山田 信博,曽根 博仁,島野 仁
Organizer
第55回日本糖尿病学会年次学術集会
Place of Presentation
パシフィコ横浜(横浜)
Year and Date
2012-05-18
Related Report
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[Presentation] Relationship between obstructive sleep apnea and diabetes risk-A metaanalysis-2012
Author(s)
Fujihara K, Kodama S, Horikawa C, Heianza Y, Sugawara A, Maki M, Yachi Y, Shimano H, Saito K, Sone H
Organizer
72nd American Diabetes Association Scientific Sessions
Place of Presentation
Philadelphia, USA
Related Report