Publications by authors named "Ichiro Tsuji"

Background: There are scarce data on risk factors for epithelial ovarian cancer (EOC) in Asian populations. Our goal was to advance knowledge on reproductive -related risk factors for EOC in a large population of Asian women.

Methods: This study used pooled individual data from baseline questionnaires in 11 prospective cohorts (baseline years, 1958-2015) in the Asia Cohort Consortium.

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Introduction: This study determined whether tooth loss was associated with the development of functional disability and estimated the population attributable fraction (PAF) of functional disability due to tooth loss, along with risk factors for functional disability such as physical function and cognitive impairment.

Methods: The participants were 838 community-dwelling older adults aged ≥70 years living in the Tsurugaya district in Japan in 2003. The exposure variable was the number of remaining teeth (counted by trained dentists).

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  • - The study aimed to evaluate the effectiveness of combining ustekinumab with budesonide versus using ustekinumab alone in treating Crohn's disease in 19 patients.
  • - Results showed no significant difference in clinical remission rates or mucosal healing between the combination therapy and ustekinumab monotherapy after 8 and 32 weeks.
  • - The most common side effect observed was an exacerbation of Crohn's disease, but safety profiles were comparable for both treatment groups.
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  • * Researchers analyzed data from nearly 14,000 Japanese individuals aged 65 and older, using a Markov model to estimate DFLE across different education levels and social participation statuses.
  • * Findings indicate that DFLE in individuals with lower education levels can be comparable to those with higher education when social participation is encouraged, highlighting the potential to bridge the gap in health outcomes linked to education.
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  • A study was conducted using data from 968,738 adults across 20 cohort studies in Asia to investigate the link between diabetes and liver cancer incidence and mortality.
  • The findings revealed that adults with diabetes had a significantly higher risk of being diagnosed with liver cancer (hazard ratio of 1.97) and dying from it (adjusted hazard ratio of 1.97) compared to those without diabetes.
  • The robust results, supported by a two-stage meta-analysis, contribute valuable evidence to the understanding of liver cancer risks among diabetic populations in Asian countries.
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Background: Epidemiological studies have shown inconsistent results regarding the link between smoking and breast cancer risk, despite the biological plausibility of a positive association.

Methods: Participants were 166 611 women from nine prospective cohort studies in Japan which launched in 1984-1994 and followed for 8-22 years. Information on smoking and secondhand smoke was obtained through self-administered baseline questionnaires.

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  • - The study analyzed lung cancer risk related to reproductive factors among 308,949 Asian women across four countries, finding inconsistent results in previous research.
  • - Parous women (those who have given birth) were found to have a significantly lower risk of lung cancer incidence and mortality compared to nulliparous women, especially among smokers.
  • - Higher ages at first childbirth were associated with decreased lung cancer risk, while hormone replacement therapy users showed a greater likelihood of developing non-small cell lung cancer. Future research is needed to explore these findings further.
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  • A large study analyzed data from 444,143 Japanese individuals to investigate the relationship between body mass index (BMI) and lung cancer risk.
  • Results showed that lower BMI, specifically under 18.5, increased lung cancer risk, while being overweight or obese correlated with reduced risk.
  • The findings suggest an inverse relationship between BMI and lung cancer risk in the Japanese population, with the effect being more significant in male smokers, indicating possible smoking-related confounding.
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  • Body fatness is highlighted as a potential risk factor for biliary tract cancer (BTC), with established correlations between obesity and cholelithiasis (gallstones).
  • A comprehensive analysis of data from over 905,000 participants across 21 studies in Asia found that higher body mass index (BMI) correlates with increased BTC mortality, especially in females.
  • The study indicates that while obesity is linked to BTC mortality in women without gallstones, the relationship is less clear in men and when gallstones are present, suggesting complex interactions between BMI, gender, and gallstone presence.
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Introduction: Although lung cancer prediction models are widely used to support risk-based screening, their performance outside Western populations remains uncertain. This study aims to evaluate the performance of 11 existing risk prediction models in multiple Asian populations and to refit prediction models for Asians.

Methods: In a pooled analysis of 186,458 Asian ever-smokers from 19 prospective cohorts, we assessed calibration (expected-to-observed ratio) and discrimination (area under the receiver operating characteristic curve [AUC]) for each model.

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Social isolation is frequently observed among survivors of disaster. However, there is limited evidence regarding the association between social isolation and adverse health outcomes among survivors of disaster. The purpose of this study was to investigate the association between social isolation and the risk of incident functional disability (IFD) among survivors of the 2011 Great East Japan Earthquake (GEJE).

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  • The study aimed to explore how family history of diabetes, alongside genetic and lifestyle factors, impacts the risk of developing diabetes in a large cohort of participants.
  • The research involved 9,681 individuals, using a lifestyle score and polygenic risk scores to assess the relationship between family history, genetic risks, and lifestyle choices in relation to diabetes incidence.
  • Results indicated that family history and poor lifestyle choices significantly increased diabetes risk, emphasizing that maintaining a healthy lifestyle can help prevent diabetes even for those with a genetic predisposition.
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Importance: Despite evidence of an association between reproductive factors and endometrial cancer risk, prospective studies have been conducted mainly in non-Asian countries.

Objective: To assess the association between reproductive factors, such as number of deliveries, age at menarche, or menopause, and endometrial cancer risk.

Design, Setting, And Participants: This cohort study used pooled individual data from 13 prospective cohort studies conducted between 1963 and 2014 in the Asia Cohort Consortium.

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Purpose: The objective of the present study was to examine the relationship between anxiety and sleep disorder during the COVID-19 pandemic and to evaluate whether sleep disorder is mediated by the decreased frequency of going out.

Methods: The data of a total of 1976 residents aged 18 years and over who had responded to a self-reported questionnaires at a health survey in 2020 were analyzed. The subjects were divided into four groups based on their response to the questionnaire on anxiety about the COVID-19 pandemic.

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  • The study investigates the relationship between sleep duration and the risk of endometrial cancer in Japanese women due to increasing global incidence of the disease.
  • A total of 36,537 women participated, providing data on their sleep patterns and undergoing follow-up for endometrial cancer cases.
  • The results showed no significant link between sleep duration and cancer incidence, with hazard ratios indicating minimal variation between different sleep duration categories compared to a baseline of 7-8 hours.
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Aim: People with high normal blood pressure (BP) have a higher risk of cardiovascular events than those with normal BP; therefore, progression to hypertension (HT) should be prevented. We aimed to assess the HT risk using central BP and carotid intima media thickness (CIMT) in people with high normal BP.

Methods: This prospective cohort study used the Tohoku Medical Megabank Community-Based Project Cohort Study (conducted from 2013 in Miyagi Prefecture in Japan).

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Low back pain (LBP) and neck pain (NP) are common health problems worldwide. LBP often coexists with NP; however, the association between these pains remains unclear. The purpose of this study was to clarify the association between LBP and NP, focusing on dose-dependent effects.

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  • The study aimed to explore the link between dairy consumption and the risk of developing dementia in older Japanese adults aged 65 and above, following 11,637 individuals for up to 5.7 years.
  • Results indicated that moderate dairy intake could be linked to a slightly reduced risk of dementia, with milk and yogurt consumers showing a lower incidence, while daily cheese consumers had an increased risk.
  • The findings suggest that low dairy or milk consumption might decrease the likelihood of developing dementia, but more research is needed to clarify these associations.
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Background: Our study aimed to investigate the association between psychological distress and disability-free life expectancy (DFLE).

Methods: In 2006, a cohort study was conducted of 12,365 Japanese individuals aged ≥65 years, who were followed-up for 13 years. Psychological distress was measured using the Kessler 6-item psychological distress scale and was categorized into no (0-4), mild (5-9), moderate (10-12), and serious distress (13-24).

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Introduction: In Japan, evacuation at home is expected to increase in the future as a post-disaster evacuation type due to the pandemic, aging, and diverse disabilities of the population. However, more disaster-related indirect deaths occurred in homes than in evacuation centers after the 2011 Great East Japan Earthquake (GEJE). The health risks faced by evacuees at home have not been adequately discussed.

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Background: The role of reverse causation in the association between psychological distress and incident dementia remains unclear. We investigated whether psychological distress is a risk factor for, or prodromal symptom of, dementia.

Methods: A longitudinal analysis of psychological distress with incident dementia was conducted among 12,076 Japanese individuals (age ≥65 years) followed for 5.

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Some laboratory studies have shown that fucoidan, which is contained in seaweed extract, has inhibitory effects on the invasion and angiogenesis of tumor cells; however, the association between seaweed consumption and prostate cancer incidence remains unclear. The purpose of the present study was to examine the association between seaweed consumption and the risk of prostate cancer incidence in the Japanese population. Data from 19 311 men in the Miyagi Cohort Study who were 40-64 years old at baseline in 1990 were examined.

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Background: Although fat mass index (FMI) and fat-free mass index (FFMI) affect lung function, FMI and FFMI are not independent of each other, since FMI and FFMI were calculated as fat mass and fat-free mass divided by height squared, respectively. We aimed to examine the association of combined FMI and FFMI with lung function.

Methods: In this cross-sectional study, lung function was evaluated using forced expiratory volume at 1 s (FEV) and forced vital capacity (FVC) measured using spirometry.

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