Publications by authors named "Akiko K Svensson"

Background: Associations between subjective sleep quality and stage-specific heart rate (HR) may have important clinical relevance when aiming to optimize sleep and overall health. The majority of previously studies have been performed during short periods under laboratory-based conditions. The aim of this study was to investigate the associations of subjective sleep quality with heart rate during REM sleep (HR REMS) and non-REM sleep (HR NREMS) using a wearable device (Fitbit Versa).

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Background: The molecular pathways linking short and long sleep duration with incident diabetes mellitus (iDM) and incident coronary heart disease (iCHD) are not known. We aimed to identify circulating protein patterns associated with sleep duration and test their impact on incident cardiometabolic disease.

Methods: We assessed sleep duration and measured 78 plasma proteins among 3336 participants aged 46-68 years, free from DM and CHD at baseline, and identified cases of iDM and iCHD using national registers.

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Cardiovascular diseases (CVDs) remain a leading cause of death globally. According to the American Heart Association, approximately 19.1 million deaths were attributed to CVDs in 2020, in particular, ischemic heart disease and stroke.

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(1) Background: This study examined the cross-sectional association between metabolic syndrome (MetS) status classified into three groups and daily physical activity (PA; step count and active minutes) using a wearable device in Japanese office workers. (2) Methods: This secondary analysis used data from 179 participants in the intervention group of a randomized controlled trial for 3 months. Individuals who had received an annual health check-up and had MetS or were at a high risk of MetS based on Japanese guidelines were asked to use a wearable device and answer questionnaires regarding their daily life for the entire study period.

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Aims: TMS-007, an SMTP family member, modulates plasminogen conformation and enhances plasminogen-fibrin binding, leading to promotion of endogenous fibrinolysis. Its anti-inflammatory action, mediated by soluble epoxide hydrolase inhibition, may contribute to its efficacy. Evidence suggests that TMS-007 can effectively treat experimental thrombotic and embolic strokes with a wide time window, while reducing haemorrhagic transformation.

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The association between obesity and psychological stress is ambiguous. The aim is to investigate the association between metabolic syndrome (MetS) and body mass index (BMI), respectively, with occupational stress among Japanese office workers. The study is a secondary analysis of the intervention group from a randomized controlled trial.

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Background: Reducing the number of items in a questionnaire while maintaining relevant information is important as it is associated with advantages such as higher respondent engagement and reduced response error. However, in health care, after the original design, an a posteriori check of the included items in a questionnaire is often overlooked or considered to be of minor importance. When conducted, this is often based on a single selected method.

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Physiological time series are affected by many factors, making them highly nonlinear and nonstationary. As a consequence, heart rate time series are often considered difficult to predict and handle. However, heart rate behavior can indicate underlying cardiovascular and respiratory diseases as well as mood disorders.

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Objective: The aim of the study was to investigate the associations of total sleep time (TST) and occupational stress based on the Brief Job Stress Questionnaire (BJSQ) with cholesterol levels in an occupational cohort of Japanese office workers.

Methods: The present study is a secondary analysis of a subset of participants from a randomized controlled trial. Participants were 179 employees from 5 companies in Tokyo who participated as the intervention group in a 3-month lifestyle intervention study among office workers with metabolic syndrome or at risk of metabolic syndrome.

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Identification of medical conditions using claims data is generally conducted with algorithms based on subject-matter knowledge. However, these claims-based algorithms (CBAs) are highly dependent on the knowledge level and not necessarily optimized for target conditions. We investigated whether machine learning methods can supplement researchers' knowledge of target conditions in building CBAs.

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Importance: The association between long sleep duration and mortality appears stronger in East Asian populations than in North American or European populations.

Objectives: To assess the sex-specific association between sleep duration and all-cause and major-cause mortality in a pooled longitudinal cohort and to stratify the association by age and body mass index.

Design, Setting, And Participants: This cohort study of individual-level data from 9 cohorts in the Asia Cohort Consortium was performed from January 1, 1984, to December 31, 2002.

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Objectives: Although higher occupational classes have been reported to be associated with better health, researchers do not fully understand whether such associations derive from the position or individual characteristics of the person in that position. We examined the association between being a manager and cardiovascular disease (CVD) risk factors using unique panel data in Japan that annually observed employees' occupational class and health conditions.

Methods: We analyzed data for 45 888 observations from a Japanese company from 2013 through 2017.

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Background: The spread of SARS-CoV-2, originating in Wuhan, China, was classified as a pandemic by the World Health Organization on March 11, 2020. The governments of affected countries have implemented various measures to limit the spread of the virus. The starting point of this paper is the different government approaches, in terms of promulgating new legislative regulations to limit the virus diffusion and to contain negative effects on the populations.

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Background: Lifestyle-related diseases, such as stroke, heart disease, and diabetes, are examples of noncommunicable diseases. Noncommunicable diseases are now the leading cause of death in the world, and their major causes are lifestyle related. The number of eHealth interventions is increasing, which is expected to improve individuals' health literacy on lifestyle-related diseases.

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Article Synopsis
  • The increasing prevalence of lifestyle-related diseases highlights the need for improved health literacy, and mobile health (mHealth) services like educational videos could be an effective way to enhance understanding and change behavior.
  • The MIRAMED app was developed to provide users with educational videos and visualized health data, with content created in consultation with experts to ensure accurate communication about 8 specific lifestyle-related diseases.
  • This innovative approach to health education through digital technology aims to improve user engagement and understanding, with future research planned to assess its effectiveness.
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Background: Measuring emotional status objectively is challenging, but voice pattern analysis has been reported to be useful in the study of emotion.

Objective: The purpose of this pilot study was to investigate the association between specific sleep measures and the change of emotional status based on voice patterns measured before and after nighttime sleep.

Methods: A total of 20 volunteers were recruited.

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Objective: To compare a wearable device, the Fitbit Versa (FV), to a validated portable single-channel EEG system across multiple nights in a naturalistic environment.

Methods: Twenty participants (10 men and 10 women) aged 25-67 years were recruited for the present study. Study duration was 14 days during which participants were asked to wear the FV daily and nightly.

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Objectives: Although claims data are widely used in medical research, their ability to identify persons' health-related conditions has not been fully justified. We assessed the validity of claims-based algorithms (CBAs) for identifying people with common chronic conditions in a large population using annual health screening results as the gold standard.

Study Design And Setting: Using a longitudinal claims database (n = 523,267) combined with annual health screening results, we defined the people with hypertension, diabetes, and/or dyslipidemia by applying health screening results as their gold standard and compared them against various CBAs.

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Article Synopsis
  • The study examines the link between sleep duration, plasma caspase-8 levels, and the development of diabetes mellitus (DM) in a cohort of individuals aged 45 to 68.
  • Sleep duration was the only lifestyle factor significantly connected to plasma caspase-8, which in turn correlated with increased risks of DM.
  • High levels of caspase-8 combined with shorter sleep durations heightened the risk of developing DM, suggesting that both sleep and caspase-8 levels play crucial roles in metabolic health.
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Article Synopsis
  • The study aimed to explore how sleep duration impacts the risk of developing diabetes and coronary heart disease (CHD), especially focusing on whether new diabetes diagnoses could explain cases of CHD.
  • Researchers analyzed data from nearly 17,000 participants over several years, using medical records to track incidents of diabetes and CHD while controlling for other health factors.
  • Findings indicated that both short (<6 hours) and long (≥9 hours) sleep durations increased the risk of incident diabetes and diabetes-related CHD in men, while not significantly affecting non-diabetes related CHD; similar patterns were observed for women, though details were less emphasized.
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Objectives: The influence of the amount and rate of weight loss on subsequently regaining weight and dropout from treatment in severely obese patients targeting 5% weight loss was investigated.

Methods: A total of 120 consecutive hospital patients with severe obesity (BMI: 42 ± 9 kg/m(2) ) participated in an inpatient program targeting 5% weight loss that involved goal setting, charting weight four times daily, and diet and exercise. They were followed after discharge to assess subsequent regaining of weight and dropout.

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