Five-year cumulative incidence of overweight and obesity, and longitudinal change in body mass index in Japanese workers: The Japan Epidemiology Collaboration on Occupational Health Study

被引:17
|
作者
Hasegawa, Miyuki [1 ]
Akter, Shamima [1 ]
Hu, Huanhuan [1 ]
Kashino, Ikuko [1 ]
Kuwahara, Keisuke [1 ,2 ]
Okazaki, Hiroko [3 ]
Sasaki, Naoko [4 ]
Ogasawara, Takayuki [4 ]
Eguchi, Masafumi [5 ]
Kochi, Takeshi [5 ]
Miyamoto, Toshiaki [6 ]
Nakagawa, Tohru [7 ]
Honda, Toru [7 ]
Yamamoto, Shuichiro [7 ]
Murakami, Taizo [8 ]
Shimizu, Makiko [8 ]
Uehara, Akihiko [9 ]
Yamamoto, Makoto [10 ]
Imai, Teppei [11 ]
Nishihara, Akiko [11 ]
Tomita, Kentaro [12 ]
Nagahama, Satsue [13 ]
Hori, Ai [14 ]
Konishi, Maki [1 ]
Kabe, Isamu [5 ]
Mizoue, Tetsuya [1 ]
Kunugita, Naoki [15 ]
Dohi, Seitaro [3 ]
Mizoue, T. [16 ]
Akter, S. [16 ]
Hu, H. [16 ]
Inoue, Y. [16 ]
Fukunaga, A. [16 ]
Kashino, I [16 ]
Islam, Z. [16 ]
Konishi, M. [16 ]
Nanri, A. [17 ]
Kurotani, K. [18 ]
Kuwahara, K. [19 ]
Watanabe, Y. [7 ]
Imai, T. [20 ]
Miyamoto, T. [21 ]
Hasegawa, M. [21 ]
Shirozu, M. [21 ]
Kabe, I [22 ]
Shimizu, C. [8 ]
Gonmori, N. [8 ]
Ogasawara, A. [8 ]
Kato, N. [23 ]
Tomizawa, A. [23 ]
机构
[1] Natl Ctr Global Hlth & Med, Ctr Clin Sci, Dept Epidemiol & Prevent, Tokyo, Japan
[2] Teikyo Univ, Grad Sch Publ Hlth, Tokyo, Japan
[3] Mitsui Chem Inc, Tokyo, Japan
[4] Mitsubishi Fuso Truck & Bus Corp, Kawasaki, Kanagawa, Japan
[5] Furukawa Elect Corp Ltd, Tokyo, Japan
[6] Nippon Steel Corp Ltd, Chiba, Japan
[7] Hitachi Ltd, Ibaraki, Japan
[8] Mizue Med Clin, Keihin Occupat Hlth Ctr, Yokohama, Kanagawa, Japan
[9] Seijinkai Shizunai Hosp, Shinhidaka, Hokkaido, Japan
[10] Yamaha Corp, Shizuoka, Japan
[11] Azbil Corp, Tokyo, Japan
[12] Healthplant, Tokyo, Japan
[13] All Japan Labour Welf Fdn, Tokyo, Japan
[14] Univ Tsukuba, Dept Global Publ Hlth, Ibaraki, Japan
[15] Natl Inst Publ Hlth, Saitama, Japan
[16] Natl Ctr Global Hlth & Med, Tokyo, Japan
[17] Fukuoka Womens Univ, Fukuoka, Fukuoka, Japan
[18] Natl Inst Hlth & Nutr, Tokyo, Japan
[19] Teikyo Univ, Tokyo, Japan
[20] Occupat Hlth Support Co, Tokyo, Japan
[21] Nippon Steel & Sumitomo Met Corp Kimitsu Works, Chiba, Japan
[22] KUBOTA Corp, Ibaraki, Japan
[23] Fuji Elect Co Ltd, Kawasaki, Kanagawa, Japan
[24] Univ Occupat & Environm Hlth, Fukuoka, Fukuoka, Japan
[25] ADVANTAGE Risk Management Co Ltd, Tokyo, Japan
[26] Univ Tsukuba, Ibaraki, Japan
[27] Tokyo Gas Co Ltd, Tokyo, Japan
[28] Healc Corp, Tokyo, Japan
[29] Univ Tokyo, Tokyo, Japan
[30] Himawari Ind Phys & Occupat Hlth Consultant Off, Saitama, Japan
[31] Hlth Design Inc, Tokyo, Japan
[32] Mizuho Hlth Insurance Soc, Tokyo, Japan
[33] Juntendo Univ, Tokyo, Japan
[34] New Japan Radio Co Ltd, Tokyo, Japan
[35] Cent Japan Railway Co, Nagoya, Aichi, Japan
[36] AEON Co Ltd, Chiba, Japan
[37] Mitsubishi Hitachi Power Syst Ltd, Yokohama, Kanagawa, Japan
[38] HOYA Corp, Tokyo, Japan
基金
日本学术振兴会;
关键词
body mass index; epidemiology; Japanese worker; obesity; overweight; INTERVIEW SURVEY; RISK-FACTORS; FOLLOW-UP; WEIGHT; ADULTS; COHORT; PERIOD; TRENDS; GAIN; AGE;
D O I
10.1002/1348-9585.12095
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective The present study aimed to estimate cumulative incidence of overweight and obesity and describe 5-year longitudinal changes in body mass index (BMI) in a large occupational cohort in Japan. Methods Participants were 55 229 Japanese employees, who were aged 20-59 years and attended at all subsequent annual health check-ups between 2009 and 2014. Mixed model analysis was performed to examine the effects of age and cohort by gender on BMI change, with age as a random variable. Cumulative incidence of overweight (23.0 <= BMI <27.5 kg/m(2)) and obesity (BMI >= 27.5 kg/m(2)) was calculated. Logistic regression analysis was used to estimate odds ratios for the incidence of overweight and obesity according to age group. Results The incidence of overweight and obesity was approximately double in men (28.3% and 6.7%, respectively) compared to women (14.3% and 3.9%, respectively).The incidence of obesity decreased with age in men, but did not differ according to age in women (P for trend: .02 and .89, respectively). Among overweight participants, the incidence of obesity was higher in women (18.9%) than men (14.5%) and decreased with advancing age (P for trend: <.001 in men and .003 in women). Mean BMI was higher in men than women in all age groups throughout the period. Younger cohorts tended to have a higher BMI change compared with older cohorts. Conclusions In this Japanese occupational cohort, transition from overweight to obesity is higher in women than men, and the more recent cohorts had a higher change in mean BMI than the older cohorts.
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页数:11
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