著者

Jess D. Curb Kazunori Kodama

出版者

Japan Epidemiological Association

雑誌

Journal of Epidemiology (ISSN:09175040)

巻号頁・発行日

vol.6, no.4sup, pp.197-201, 1996 (Released:2007-11-30)

参考文献数

19

被引用文献数

8 9

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The NI-HON-SAN Study begun in 1965, and is a comparative study of cardiovascular disease and associated risk factors in Japanese living in Japan, Hawaii, and San Francisco. Early comparisons showed the prevalence of stroke to be the highest in Japan, intermediate in Hawaii, and the lowest in California. The trends for the prevalance of coronary heart disease in these three areas on the other hand were found to be completely opposite to those of stroke. Comparisons of risk factors demonstrated no difference in blood pressure levels, whereas the mean serum cholesterol level and body mass index were the lowest in Japan. A major difference in intake of total and saturated fats was noted between these three areas with the lowest values noted in Japan. The NI-HON-SAN Study demonstrated that a change to a Western life-style had a favorable effect in reducing stroke but conversely resulted in increase of coronary heart disease. The message to be noted is that an excessive change to a Western life-style should be avoided in developing countries, where rapid economic growth is taking place. J Epidemiol, 1996 ; 6 : S197-S201.