Journal of Epidemiology

キービジュアル

Highlights

 

Volume 35, Issue 1-2 (2025)

Issue 2 (February 2025)
Issue 1 (January 2025)

Volume 35, Issue 2 (February 2025)

Review Article

Seasonal Variation in the Intake of Food Groups and Nutrients in Japan: A Systematic Review and Meta-analysis

  • This systematic review aimed to determine seasonal variations in dietary intake in Japanese adults.
  • The reported seasonal variations were inconsistent across studies for most nutrients and food groups.
  • Meta-analyses showed significant seasonal differences in mean intakes of vegetables, fruits, and potatoes in five out of six comparisons.
  • Most of the differences in mean intakes between seasons were attributed to the heterogeneity of the included studies, not just seasonal variations.

Changes in Alcohol Consumption During and After the Covid-19 Pandemic From 2020 to 2023 in a Prospective Cohort of Italian Adults

  • At-risk drinking prevalence in Italy: 26.4% pre-lockdown, 23.4% during, stabilized at 30.0% post-lockdown.
  • Findings indicate unfavorable post-pandemic alcohol trends, emphasizing specific groups at increased risk.
  • Economic status linked to at-risk consumption, with a significant downward trend.
  • Higher rates of at-risk drinking were observed among younger individuals, women with higher economic status and married individuals.
  • Higher vulnerability was observed among those with anxiety/depressive symptoms, psychotropic drug users, and tobacco consumers.

Development of a Brief Assessment Tool to Evaluate Early Low Nutrition Risk in Community Elderly: Creation of the Tool and Examination of Its Reliability and Criterion-related Validity

  • To date, a simple assessment tool to evaluate early low nutrition risk in the general older population has not been available.
  • In this study, we developed such an indicator consisting of 13 items with four factors through a rigorous scale development process.
  • This indicator showed good internal reliability and criterion-related validity, indicating a potential to evaluate early low nutrition risk.

Association Between Maternal Physical Activity From Pre-pregnancy to Child-rearing and Their Children’s Physical Activity in Early Childhood Among Japanese

  • We determined the influence of cumulative maternal physical activity during the pre-pregnancy to child-rearing period on children’s physical activity in early childhood in a Japanese population.
  • We also compared the influence of maternal physical activity of each stage on children’s physical activity in early childhood.
  • The level of cumulative maternal physical activity was positively associated with the level of children’s physical activity at 5.5 years of age.
  • Maternal physical activity during pregnancy and at 5.5 years postpartum was positively associated with children’s physical activity at 5.5 years of age.

Much Lower Prevalence and Mortality of Chronic Obstructive Pulmonary Disease in Japan Than in the United States Despite Higher Smoking Rates: A Meta-Analysis/Systematic Review

  • Japan exhibits significantly lower mortality from chronic obstructive pulmonary disease (COPD) than the United States, despite much higher smoking rates among Japanese men.
  • We conducted a systemic review and meta-analysis of COPD prevalence in Japan and compared the prevalence in the United States .
  • COPD prevalence is consistently over 10% lower in Japan than in the United States across different age groups and sexes.
  • Investigating the factors behind Japan's lower COPD burden could inform more effective prevention strategies globally.

Regional Disparities in Measles Vaccination Coverage and Their Associated Factors: An Ecological Study in Japan

  • We performed an ecological study to clarify regional disparities in measles vaccination coverage and their associated factors in Japan.
  • Data on measles vaccination coverage and potential associated factors for each municipality were obtained from official statistics of Japan.
  • Among the municipalities, 54.3% had less than 95.0% measles vaccination coverage.
  • Negative binomial regression showed that measles vaccination coverage was positively associated with population density.
  • It also showed that measles vaccination coverage was negatively associated with single-father households, mother’s age, and area deprivation index.

Volume 35, Issue 1 (January 2025)

Special Article
Methodological Tutorial Series for Epidemiological Studies:Confounder Selection and Sensitivity Analyses to Unmeasured Confounding From Epidemiological and Statistical Perspectives

  • Identifying a sufficient set of confounders is crucial for estimating the causal effect of exposure on outcome.
  • We summarize approaches to identifying a sufficient set of confounders from both epidemiological and statistical perspectives.
  • We also describe some pitfalls and considerations in confounder selection.
  • E-value and robustness value are introduced as approaches to assess the sensitivity to unmeasured confounders.
  • Integrating these principles and approaches will enhance our understanding of confounder selection in future epidemiological studies.
Comparison of Instrumental Variable Methods With Continuous Exposure and Binary Outcome: A Simulation Study

  • A comprehensive side-by-side comparison of different instrumental variable (IV) methods in binary outcome and continuous exposures with many IVs was performed.
  • The findings indicated that the bias associated with these methods could not be fully addressed.
  • The use of multiple IV methods (e.g., one method for primary analysis and another for sensitivity analysis) may be helpful.
Causal Mediation Analyses for the Natural Course of Hepatitis C: A Prospective Cohort Study
 
  • We employ disease-mediating mortality separating disease-specific mortality into disease (the mediator) and mortality (the outcome) to characterize the natural course of hepatitis C virus (HCV).
  • We identified three liver diseases (eg, liver cirrhosis, liver cancer) and nine non-liver diseases (eg, septicemia, renal diseases, endocrine diseases, hypertension) that mediate HCV-induced mortality and provide the proportion of mediation to reflect their relative contributions.
  • For developing countries with limited access to direct-acting antiviral agents, our study may guide health policies in screening for particular diseases (except liver diseases) to reduce the preventable deaths of the HCV-infected population.
 
Income Dynamics and Risk of Colorectal Cancer in Individuals With Type 2 Diabetes: A Nationwide Population-based Cohort Study

  • The association between income and colorectal cancer (CRC) risk varies across countries.
  • The role of income dynamics in CRC risk is unknown in individuals with type 2 diabetes mellitus (T2DM) who are at increased risk of colorectal cancer.
  • Individuals with T2DM who had persistent low-income status over 5 years or experienced income declines had an elevated CRC risk.
  • In contrast, constant high income over 5 years was associated with reduced risk of colorectal cancer.
A Principal Component Analysis of Metabolome and Cognitive Decline Among Japanese Older Adults: Cross-sectional Analysis Using Tohoku Medical Megabank Cohort Study Data
 
  • This study investigated the association between the patterns of various metabolites and cognitive decline in Japanese community-dwelling older adults.
  • Amino acids were protectively associated with cognitive decline, whereas ketone metabolites were associated with higher odds of cognitive decline.
  • Metabolome monitoring can be useful for predicting and preventing future cognitive decline. 
Short Communication
Validity of Self-reported Participation in Cancer Screenings and Health Checkups in Japan
 
  • We compared self-reported participation in cancer screenings and health checkups with municipality records.
  • Self-reported participation in colorectal, stomach, breast, and cervical cancer screenings was moderately valid.
  • Self-reported participation in lung cancer screening was underreported and participation in health checkup was overreported.
  • Self-reported screening participation should be carefully interpreted to assess the performance of preventive measures.
 
Share