Publications by authors named "Okami Y"

Background: Prevention of heart failure (HF) is a public health issue. Using the National Vital Statistics, we explored risk factors for HF and coronary artery disease (CAD) mortality.

Methods And Results: Altogether, 7,556 Japanese individuals aged ≥30 years in 1990 were followed over 25 years; of these, 139 and 154 died from HF and CAD, respectively.

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Objectives Food environment improvement involving salt reduction requires improving access to and labeling low-sodium foods. Assessing the implementation status of these measures is also necessary. However, to date, no established methods exist for assessing the availability of low-sodium foods in communities.

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  • Altered gut microbiota may be linked to the development or progression of Chronic Obstructive Pulmonary Disease (COPD), and this study explored this association while considering smoking status.
  • The research involved a comparison of gut microbiomes among three groups: never-smokers, non-COPD ever-smokers, and COPD patients, using advanced gene sequencing techniques.
  • Results showed similarities in gut microbiota between COPD patients and non-COPD ever-smokers, but specific bacteria were identified as potential risk factors for COPD, suggesting a possible therapeutic target.
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Background: Deviations of hemoglobin from normal levels may be a factor in cardiovascular disease (CVD) risk; however, conclusive evidence is lacking. In addition, preclinical conditions may influence hemoglobin concentrations, but studies focusing on reverse causation are limited. Thus, we examined the relationship between hemoglobin concentrations and CVD mortality risk, considering reverse causation.

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Objective: Comprehensive investigations of correlations between subnational socioeconomic factors and trends in mortality and lifestyle are important for addressing public health problems.

Methods: Forty-seven prefectures in Japan were divided into quartiles based on the proportion of public assistance recipients (PPAR). Age-standardized mortality from all causes, cancer, heart disease, and stroke in each prefecture were averaged for these quartiles in 2000, 2005, 2010, and 2015.

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This study aimed to investigate the association between daily sedentary time and the risk of breast cancer (BC) in a large Japanese population. The participants were 36,023 women aged 35-69 years from the Japan Multi-Institutional Collaborative Cohort Study. Cox proportional hazards analysis was used to estimate adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) for BC incidence in relation to time spent sedentarily (categorical variables: <7 and ≥7 hours/day [h/d]).

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  • A study investigated the relationship between high blood pressure (BP) and the risk of mortality from various cancers, excluding initial deaths to avoid reverse causality.
  • The analysis included 8,088 participants from the general Japanese population over a 29-year period, focusing on confounding factors like smoking and obesity.
  • Findings revealed a significant association between high BP and an increased risk of colorectal cancer mortality in younger adults, specifically those aged 30-49, while no such link was found for other types of cancer.
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Aim: A pro-inflammatory diet may increase the risk of cardiovascular disease (CVD) and all-cause mortality. However, this remains inconclusive as there is yet no study using a dietary record method that has been conducted in a large general population. Furthermore, an underestimation of the pro-inflammatory diet may exist due to the unmeasured effect of salt intake.

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  • The study aimed to explore differences in gut microbiota between individuals with varying levels of coronary artery calcification (CAC) and healthy controls in a Japanese population to determine if these differences exist before CAD develops.
  • A total of 663 participants were categorized by their CAC scores and underwent gut microbiology tests, revealing distinct microbial profiles correlated with symptom severity, particularly higher levels of Firmicutes and Streptococcus in those at greater CAD risk.
  • Results indicated that gut microbiota composition varied significantly depending on CAC scores, suggesting that these microbial differences could potentially serve as indicators for early CAD risk.
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  • * Data from various surveys over multiple years was analyzed, revealing that both mortality rates and lifestyle factors varied significantly between income quartiles, with lower income groups experiencing higher mortality.
  • * Key findings showed that while overall mortality decreased, men in lower income quartiles had notably higher mortality rates from all causes, cancer, and stroke, and lifestyle issues like higher BMI and smoking rates were more prevalent in these lower quartiles.
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Background: Accurate assessment of fat intake is essential to examine relationships between diet and disease risk. However, estimating individual intakes of fat quantity by dietary assessment is difficult.

Objective: We assessed the association of plasma phospholipid fatty acid levels with dietary intake of fatty acids in the INTERMAP/INTERLIPID study, conducted with a standardized protocol.

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  • Equol is a metabolite derived from isoflavones produced by the gut microbiome in some individuals, known as equol-producers (EP), and may help protect against artery hardening (atherogenic factors).
  • In a study of 979 Japanese men aged 40-79, those identified as EP showed significantly lower odds of aortic calcification compared to non-EP, suggesting equol's potential protective effect independent of cardiovascular disease (CVD) risk factors.
  • Interestingly, while equol levels correlated with reduced aortic calcification, concentrations of isoflavones did not show a significant link to this condition, highlighting equol's unique role in vascular health.
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Growing epidemiological evidence has shown an association of the urinary sodium (Na) to potassium (K) ratio (Na/K ratio) with blood pressure and cardiovascular diseases. However, no clear cutoff level has been defined. We investigated the cutoff level of the urinary Na/K ratio under different dietary guidelines for Japanese individuals, especially that endorsed by the 2020 revised Japanese Dietary Reference Intakes (DRIs).

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Aim: To identify the most differentiated serum lipids, especially concerning particle size and fractions, between Japanese living in Japan and Japanese-Americans in Hawaii, in the absence of possible genetic confounders, and cross-sectionally examine the associated modifiable lifestyle factors.

Methods: Overall, 1,241 (aged 40-59 years) Japanese living in Japan and Japanese-Americans in Hawaii were included. We quantified 130 serum lipid profiles (VLDL 1-5, IDL, LDL 1-6, high-density lipoprotein [HDL] 1-4, and their subfractions) using Bruker's H-nuclear magnetic resonance spectrometer for the primary outcome.

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We performed a systematic review and meta-analysis to re-evaluate the effectiveness of angiotensin-converting enzyme inhibitors (ACE-I) in the reduction of pneumonia risk. We searched relevant publications in five databases. All studies included patients older than 18 years, who had used ACE-I as an intervention, and had assessed pneumonia.

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The prevalence of hypertension has been decreasing in Japan due to improved medical treatment and a decrease in dietary salt intake. However, disparities in the prevalence, treatment, and control of hypertension are expected to occur in different regions. This study aimed to investigate the trends in the prevalence, treatment, and control of hypertension at the prefectural level of life expectancy among Japanese population.

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Introduction: This systematic review investigated the efficacy of a meal sequence, the carbohydrate-later meal pattern (CL), on type 2 diabetes mellitus (T2DM).

Research Design And Methods: We searched the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, WHO International Clinical Trials Registry Platform, and ClinicalTrials.gov until April 2020 to perform meta-analyses using random-effects models.

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Several studies have reported a J-shaped relationship between alcohol consumption and coronary heart disease (CHD) risk. However, the mechanisms of this relationship remain unclear. This study aimed to evaluate the relationships of alcohol consumption with established CHD risk factors and with macro-/micro-nutrient intake among Japanese people.

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Background: This study assessed sex-specific time-associated changes in the impact of risk factors on coronary artery disease (CAD) mortality in a general population over long-term follow-up.

Methods and results: A prospective longitudinal cohort study was conducted on representative Japanese populations followed up for 29 years. Data from 8,396 participants (3,745 men, 4,651 women) were analyzed.

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Background: In recent years, individuals with high serum total cholesterol (TC) have been more likely to modify their diet by reducing their intake of dietary lipids. The aim of this study was to investigate time-related changes in the relationships between the Keys score, dietary lipids, and TC between 1980 and 2010 in representative Japanese populations.

Methods and results: We used 3 cross-sectional cohort studies conducted among Japanese representative populations in 1980, 1990, and 2010 (NIPPON DATA80/90/2010) for the analyses.

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Aim: The positive relationship between dietary cholesterol and serum cholesterol has been questioned by a set of recent cohort studies. This study aimed to investigate how employment status and education years relate to the association between dietary cholesterol and serum low-density lipoprotein cholesterol (LDL-C) in a Japanese population.

Methods: A population-based, random sample, cross-sectional study (INTERLIPID) was performed.

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Background: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder comprising abdominal pain, abdominal discomfort, and disordered defecation. The prevalence of IBS is 10-15% in the general population. This study investigated the prevalence of IBS and the relationship between IBS and stress, lifestyle, and dietary habits among nursing and medical school students.

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Leptin may influence sweet taste sensitivity. However, there are no reports on an association between the sweet taste threshold and serum leptin levels during weight loss in humans. We investigated the changes in the sweet taste threshold and the serum leptin levels during a weight-loss program, in connection with a leptin receptor polymorphism (Lys109Arg) that may be related to insulin and glucose metabolism.

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The protoplasts of two strains of Micromonospora which were sensitive to kanamycin (KM(s)) and utilized raffinose (Raf+), and one strain of Streptomyces griseus which was resistant to KM (KM(r)) and did not utilize raffinose (Raf-), were prepared, mixed in the presence of polyethylene glycol (PEG) and incubated on regeneration agar plates. Recombinant colonies showing KM(r)*Raf+ were obtained at a frequency of 2 x 10(-6). Their recombinants displayed a significant exchange of taxonomic characteristics between the two genera, although the majority appeared similar to the parent Micromonospora in their morphology as well as growth at 40 degrees C.

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