Trends in Dietary Intakes and Serum Cholesterol Levels over 50 Years in Tanushimaru in Japanese Men

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DOI: 10.4236/fns.2011.25068   PDF   HTML     5,535 Downloads   9,524 Views   Citations

Abstract

We investigated the relationship between time trends in dietary intakes and serum cholesterol levels in a Japanese cohort of the Seven Countries Study, in Tanushimaru, a typical farming town on Kyushu Island. Total subjects were 628 in 1958, 539 in 1977, 602 in 1982, 752 in 1989, 402 in 1999, and 329 in 2009, and all of the subjects were men aged 40 - 64 years. Eating patterns were evaluated by 24-hour dietary recall from 1958 through 1989, and by a food frequency questionnaire in 1999 and 2009. We also measured serum cholesterol levels in each health examination. The total energy intake decreased from 2,837 kcal in 1958 to 2,289 kcal in 2009. The carbohydrate intake in percentage of total energy intake decreased markedly, from 84% in 1958 to 58% in 2009, in contrast to large increases during this period in protein intake (from 11% to 16%) and fat intake (from 5% to 22%). In proportion to the dramatic change in protein and fat intake, serum cholesterol levels showed large increases (from 152.5 mg/dl to 207.7 mg/dl). Despite of such big dietary changes toward a westernized diet, incidence of coronary heart disease has not increased in our cohort for a couple of decades. However, careful surveillance is needed in the future because of the remarkably increasing intake of fats.

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H. Adachi, Y. Hirai, S. Sasaki, M. Enomoto, A. Fukami, E. Kumagai, E. Esaki and T. Imaizumi, "Trends in Dietary Intakes and Serum Cholesterol Levels over 50 Years in Tanushimaru in Japanese Men," Food and Nutrition Sciences, Vol. 2 No. 5, 2011, pp. 476-481. doi: 10.4236/fns.2011.25068.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] A. Keys, C. Aravanis, H. Blackburn, R. Buzina, B. S. Djordjevic, A. S. Dontas, F. Fidanza, M. J. Karvonen, N. Kimura, A. Menotti, I. Mohachek, S. Nedeljkovic, V. Puddu, S. Punsar, H. L. Taylor and F. S. P. Van Buchem, “Seven Countries Study: A Multivaliate Analysis of Death and Coronary Artery Disease,” Harvard University Press, Cambridge, 1980.
[2] H. Toshima, H. Tashiro, M. Sumie, Y. Koga and N. Kimura, “Nutritional Prevention of Cardiovascular Disease,” In: W. Lovenberg and Y. Yamori, Eds., Changes in risk factors and cardiovascular mortality and morbidity within Tanushimaru 1958-1982, Academic Press, New York, 1984, pp. 203-210.
[3] Y. Koga, R. Hashimoto, H. Adachi, M. Tsuruta, H. Tashiro and H. Toshima, “Recent Trends in Cardiovascular Disease and Risk Factors in the Seven Countries Study,” In: H. Toshima, Y. Koga, H. Blackburn and A. Keys, Eds., Lessons for Science from the Seven Countries Study: A 35-Year Collaborative Experience in Cardiovascular Disease Epidemiology, Springer-Verlag, Tokyo, 1994, pp. 63-74.
[4] A. Keys, H. Blackburn, F. S. P. Van Buchem, R. Buzina, B. S. Djordjevic, A. S. Dontas, F. Fidanza, M. J. Karvonen, N. Kimura, D. Lekos, M. Monti, V. Puddu and H. L. Taylor, “Epidemiological Studies Related to Coronary Heart Disease: Characteristics Men Aged 40-59 in Seven Countries,” Acta Medica Scandinavica, Vol. 460, 1966, pp. 1-392.
[5] I. F. Hunt, L. S. Luke, N. J. Murphy, V. A. Clark and A. H. Coulson, “Nutrient Estimates for Computerized Questionnaire vs. 24-hr. Recall Interviews,” Journal of the American Dietetic Association, Vol. 74, No. 6, 1979, pp. 656-659.
[6] F. E. Thompson and T. Byers, “Dietary Assessment Resource Manual,” The Journal of Nutrition, Vol. 11, 1994, pp. 2245S-2317S.
[7] The ARIC Investigators, “The Atherosclerosis Risk in Communities (ARIC) Study: Design and Objectives,” American Journal of Epidemiology, Vol. 129, No. 4, 1989, pp. 687-702.
[8] S. Sasaki, “Development and Evaluation of Dietary Assessment Methods Using Biomarkers and Diet History Questionnaires for Individuals,” In: H. Tanaka, Ed., Research for Evaluation Methods of Nutrition and Dietary Lifestyle Programs Held on Healthy Japan 21, Summary Report, Ministry of Health, Welfare, and Labour, Tokyo, 2004, pp. 10-44 (in Japanese).
[9] S. Kobayashi, K. Murakami, S. Sasaki, H. Okubo, N. Hirota, A. Notsu, M. Fukui and C. Date, “Comparison of Relative Validity of Food Group Intakes Estimated by Comprehensive and Brief-Type Self-Administered Diet History Questionnaires against 16 d Dietary Records in JAPANESE Adults,” Public Health Nutrition, Vol. 11, No. 4, 2011, pp. 1-12.
[10] “Standard Tables of Food Composition in Japan,” 4th Revision Edition, Resource Council Science and Technology Agency, Printing bureau, Ministry of Finance, Japan,1999 (in Japanese).
[11] J. T. Anderson and A. Keys, “Cholesterol in Serum Lipoprotein Fractions: Its Measurement and Stability,” Clinical Chemistry, Vol. 2, No. 3, 1956, pp. 145-159.
[12] L. L. Abel, B. B. Levy, B. B. Brodie and F. E. Kendall, “A Simplified Method for the Estimation of Total Cholesterol in Serum and Demonstration of Its Specificity,” The Journal of Biological Chemistry, Vol. 195, No. 1, 1952, pp. 357-366.
[13] C. C. Allain, L. S. Poon, C. S. Chan, W. Richmond and P. C. Fu, “Enzymatic Determination of Total Serum Cholesterol,” Clinical Chemistry, Vol. 20, No. 4, 1974, pp. 470-475.
[14] SAS Institute, SAS/STAT Software: Changes and Enhancements through Release 9.2, SAS Institute, Inc., Cary, NC, 2007.
[15] H. Adachi and A. Hino, “Trends in Nutritional Intake and Serum Cholesterol Levels over 40 Years in Tanushimaru, Japanese Men,” Journal of Epidemiology, Vol. 15, No. 3, 2005, pp. 85-89. doi:10.2188/jea.15.85
[16] A. Kafatos, A. Diacatou, G. Voukiklaris, N. Nikolakakis, J. Vlachonikolis, D. Kounali, G. Mamalakis and A. S. Dontas, “Heart Disease Risk-Factor Status and Dietary Changes in the Cretan Population over the Past 30y: The Seven Countries Study,” The American Journal of Clinical Nutrition, Vol. 65, No. 6, 1997, pp.1882-1886.
[17] J. Matsuura, M. Siina and S. Hattori, “Trends in Nutritional Intake in Japanese,” Journal of Health and Walfare Statistics (Kosei no Shihyo), Vol. 39, 1992, pp. 93-95. (in Japanese).
[18] T. Shimamoto, Y. Komachi, H. Inada, M. Doi, H. Iso, S. Sato, A. Kitamura, M. Iida, M. Konishi and N. Nakanishi, “Trend for Coronary Heart Disease and Stroke and Their Risk Factors in Japan,” Circulation, Vol. 79, No.3, 1989, pp. 503-515. doi:10.1161/01.CIR.79.3.503
[19] A. Okayama, H. Ueshima, M. G. Marmot, P. Elliott, M. Yamakawa and Y. Kita, “Different Trends in Serum Cholesterol Levels among Rural and Urban Populations Aged 40-59 in Japan from 1960 to 1990,” Journal of Clinical Epidemiology, Vol. 48, No. 3, 1995, pp. 329-337. doi:10.1016/0895-4356(94)00146-H
[20] Ministry of Health and Welfare, “National Survey on Circulatory Disorders, 1990,” Japan Cardiovascular Research Foundation, Osaka, 1993.
[21] H. Toshima, “Coronary Artery Disease in Japan,” Japanese Circulation Journal, Vol. 58, No. 3, 1994, pp.166- 172. doi:10.1253/jcj.58.166
[22] M. Konishi, M. Iida and Y. Naito, “Studies on the Relationship between the Trend of Serum Cholesterol Level and the Increase of Cerebro Cardiovascular Diseases Based on the Follow-up Studies in Akita and Osaka – with a Special Reference to the Optimal Serum Total Cholesterol Level Preventing Both Cerebral Hemorrhage and Coronary Heart Disease,” Japanese Atherosclerotic Society, Vol. 25, 1987, pp. 1115-1123 (in Japanese).
[23] Y. Tanizaki, Y. Kiyohara, I. Kato, H. Iwamoto, K. Nakayama, N. Shinohara, H. Arima, K. Tanaka, S. Ibayashi and M. Fujishima, “Incidence and Risk Factors for Subtypes of Cerebral Infarction in a General Population: The Hisayama Study,” Stroke, Vol. 31, No. 11, 2000, pp. 2612-2622. doi:10.1161/01.STR.31.11.2616
[24] C. L. Johnson, B. M. Rifkind, C. T. Sempos, M. D. Carroll, P. S. Bachorik, R. R. Briefel, D. J. Gordon, V. L. Burt, C. D. Brown and K. Lippel, “Declining Serum Total Cholesterol Levels among US Adults. The National Health and Nutritional Surveys,” The Journal of the Ame- rican Medical Association, Vol. 269, No. 23, 1993, pp. 3002-3008. doi:10.1001/jama.269.23.3002
[25] A. Sekikawa, L. H. Kuller, H. Ueshima, J. E. Park, I. Suh, S. H. Jee, H. K. Lee and W. H. Pan, “Coronary Heart Disease Mortality Trends in Men in the Post World War II Birth Cohorts Aged 35-44 in Japan, Korea and Taiwan Compared with the United States,” International Journal of Epidemiology, Vol. 28, No. 6, 1999, pp. 1044-1049. doi:10.1093/ije/28.6.1044
[26] H. Adachi, F. C. Goetz, D. R. Jacobs, M. Tsuruta, Y. Hirai, Y. Fujiura, and T. Imaizumi, “The Role of Obesity in the Association of Cardiovascular Risk Factors and Glucose Intolerance in Small Japanese and North American Communities,” Diabetes Research and Clinical Practice, Vol. 41, No. 1, 2000, pp. 41-51. doi:10.1016/S0168-8227(00)00133-9
[27] S. Baba, W. H. Pan, H. Ueshima, H. Ozawa, Y. Komachi, R. Stamler, K. Ruth and J. Stamler, “Blood Pressure Levels, Related Factors, and Hypertension Control Status of Japanese and Americans,” Journal of Human Hypertension, Vol. 5, No. 4, 1991, pp. 317-327.
[28] M. C. Fiore, T. E. Novotny, J. P. Pierce, E. J. Hatziandreu, K. M. Patel and R. M. Davis, “Trends in Cigarette Smoking in the United States: The Changing Influence of Sex and Race,” The Journal of the American Medical Association, Vol. 261, No. 1, 1989, pp. 49-55. doi:10.1001/jama.261.1.49
[29] G. H. Tofler, P. H. Stone, M. Maclure, E. Edelman, V. G. Davis, T. Robertson, E. M. Antman, J. E. Muller and the MILIS Study Group, “Analysis of Possible Triggers of Acute Myocardial Infarction (The MILIS Study),” American Journal of Cardiology, Vol. 66, No. 1, 1990, pp. 22-27. doi:10.1016/0002-9149(90)90729-K
[30] J. A. Berlin and G. A. Colditz, “A Meta-Analysis of Physical Activity in the Prevention of Coronary Heart Disease,” American Journal of Epidemiology, Vol. 132, No. 4, 1990, pp. 612-628.
[31] N. D. Ernst, C. T. Sempos, R. R. Briefel and M. B. Clark, “Consistency between US Dietary Fat Intake and Serum Total Cholesterol Concentrations: The National Health and Nutritional Examination Surveys,” The American Journal of Clinical Nutrition, Vol. 66, Supple. 4, 1997, pp. 965S-972S.
[32] H. Iso, S. Sato, A. R. Folsom, T. Shimamoto, A. Terao, R. G. Munger, A. Kitamura, M. Konishi, M. Iida and Y. Komachi, “Serum Fatty Acids and Fish Intake in Rural Japanese, Urban Japanese, Japanese American, and Caucasian American Men,” International Journal of Epidemiology, Vol. 18, No. 2, 1989, pp.374-381. doi:10.1093/ije/18.2.374
[33] R. M. Krauss, R. J. Deckelbaum, N. Ernst, E. Fisher, B. V. Howard, R. H. Knopp, T. Kotchen, A. H. Lichtenstein, H. C. McGill, T. A. Pearson, T. E. Prewitt, N. J. Stone, L. V. Horn and R. Weinberg, “Dietary Guidelines for Healthy American Adults: A Statement for Health Professionals from the Nutrition Committee, American Heart Association,” Circulation, Vol. 94, No. 7, 1996, pp.1795-1800.
[34] A. Ascherio, E. B. Rimm, M. J. Stamper, E. L. Giovannucci and W. C. Willett, “Dietary Intake of Marine n-3 Fatty Acids, Fish Intake, and the Risk of Coronary Disease among Men,” The New England Journal of Medicine, Vol. 332, No. 15, 1995, pp. 979-982. doi:10.1056/NEJM199504133321501
[35] S. Ishikawa, Ed., “The National Nutrition Survey: The Ministry of Welfare and Labor,” Daiichi Publishing Co., Ltd., Japan, 1999 (in Japanese).
[36] A. Hino, H. Adachi, K. Toyomasu, N. Yoshida, M. Enomoto, A. Hiratsuka, Y. Hirai, A. Satoh and T. Imaizumi, “Very Long Chain N-3 Fatty Acids Intake and Carotid Atherosclerosis: An Epidemiological Study Evaluated by Ultrasonography,” Atherosclerosis, Vol. 176, No. 1, 2004, pp. 145-149. doi:10.1016/j.atherosclerosis.2004.04.020

  
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