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Impact of Hypertension, Diabetes and Dyslipidemia on Ischemic Heart Disease among Japanese: A Case-Control Study Based on National Health Insurance Medical Claims
http://hdl.handle.net/10069/28547
http://hdl.handle.net/10069/28547ba4bbe72-6b2f-4624-8d40-2340d37985f9
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
ActMed57_13.pdf (131.8 kB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2012-05-16 | |||||
| タイトル | ||||||
| タイトル | Impact of Hypertension, Diabetes and Dyslipidemia on Ischemic Heart Disease among Japanese: A Case-Control Study Based on National Health Insurance Medical Claims | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Hypertension | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | diabetes | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | dyslipidemia | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | ischemic heart disease | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | medical claim | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 著者 |
Huang, Hairong
× Huang, Hairong× Ye, Zhaojia× Nagahama, Iyoko× Tazoe, Hideaki× Abe, Yasuyo× Aoyagi, Kiyoshi |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Aim Although the important role of conventional risk factors (cigarette smoking, hypertension, diabetes and dyslipidemia) in the pathogenesis of ischemic heart disease (IHD) has been established, how frequently IHD is preceded by exposure to conventional risk factors remains controversial. The present study aimed to identify the prevalence of hypertension, diabetes and dyslipidemia among patients with IHD and examine associations between each of them with IHD in a Japanese population. Methods Data were collected from health insurance claims in May 2010 for National Health Insurance beneficiaries aged 40- 79 years in Nagasaki Prefecture, Japan. One sex- and age-matched control was randomly selected for each of 42,236 patients with IHD (International Classification of Diseases, 10th Revision code: I20-25). The prevalence of hypertension, diabetes and dyslipidemia and the number of these risk factors were compared between the patients and controls. Associations between risk factors and IHD were examined using a conditional logistic regression model. Results Over 90% of patients with IHD had at least one of hypertension, diabetes or dyslipidemia. The odds of IHD were 4.5- fold (95% confidence interval [CI]: 4.3, 4.7), 4.2-fold (95% CI: 3.9, 4.6) and 5.3-fold (95% CI: 4.9, 5.7) higher for patients with hypertension, diabetes and dyslipidemia, respectively, compared with patients without any of these risk factors. Patients with several risk factors were at increased risk for IHD. Conclusion Comprehensive risk reduction strategies that encourage a healthy lifestyle and diet and promote the recognition, evaluation and management of conventional risk factors are important to prevent IHD. |
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| 書誌情報 |
Acta Medica Nagasakiensia 巻 57, 号 1, p. 13-18, 発行日 2012-04 |
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| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 00016055 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA00508430 | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| 出版者 | ||||||
| 出版者 | Nagasaki University School of Medicine | |||||
| 出版者別言語 | ||||||
| 値 | 長崎大学医学部 | |||||
| 関係URI | ||||||
| 関連名称 | http://hdl.handle.net/10069/29707 | |||||
| sortkey | ||||||
| 値 | 03 | |||||
| 引用 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Acta Medica Nagasakiensia, 57(1), pp.13-18; 2012 | |||||
