- 著者
-
Daisaku Nishimoto
Rie Ibusuki
Ippei Shimoshikiryo
Kenichi Shibuya
Shiroh Tanoue
Chihaya Koriyama
Toshiro Takezaki
Isao Oze
Hidemi Ito
Asahi Hishida
Takashi Tamura
Yasufumi Kato
Yudai Tamada
Yuichiro Nishida
Chisato Shimanoe
Sadao Suzuki
Takeshi Nishiyama
Etsuko Ozaki
Satomi Tomida
Kiyonori Kuriki
Naoko Miyagawa
Keiko Kondo
Kokichi Arisawa
Takeshi Watanabe
Hiroaki Ikezaki
Jun Otonari
Kenji Wakai
Keitaro Matsuo
- 出版者
- Japan Epidemiological Association
- 雑誌
- Journal of Epidemiology (ISSN:09175040)
- 巻号頁・発行日
- pp.JE20220354, (Released:2023-11-04)
- 参考文献数
- 35
Background: Improving diets requires an awareness of the need to limit foods for which excessive consumption is a health problem. Since there are limited reports on the link between this awareness and mortality risk, we examined the association between awareness of limiting food intake (energy, fat, and sweets) and all-cause mortality in a Japanese cohort study.Methods: Participants comprised 58,772 residents (27,294 men; 31,478 women) aged 35–69 years who completed baseline surveys of the Japan Multi-Institutional Collaborative Cohort Study from 2004 to 2014. Hazard ratios (HRs) for all-cause mortality and 95% confidence intervals (CIs) were estimated by sex using a Cox proportional hazard model, with adjustment for related factors. Mediation analysis with fat intake as a mediator was also conducted.Results: The mean follow-up period was 11 years and 2,516 people died. Estimated energy and fat intakes according to the Food Frequency Questionnaire were lower in those with awareness of limiting food intake than in those without this awareness. Women with awareness of limiting fat intake showed a significant decrease in mortality risk (HR=0.73; 95% CI, 0.55 to 0.94). Mediation analysis revealed that this association was due to the direct effect of the awareness of limiting fat intake and that the total effect was not mediated by actual fat intake. Awareness of limiting energy or sweets intake was not related to mortality risk reduction.Conclusion: Awareness of limiting food intake had a limited effect on reducing all-cause mortality risk.