Obesity, but not metabolic syndrome, as a risk factor for late-onset asthma in Japanese women.


Journal

Allergology international : official journal of the Japanese Society of Allergology
ISSN: 1440-1592
Titre abrégé: Allergol Int
Pays: England
ID NLM: 9616296

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 11 08 2018
revised: 18 10 2018
accepted: 25 10 2018
pubmed: 27 11 2018
medline: 2 8 2019
entrez: 27 11 2018
Statut: ppublish

Résumé

Several cross-sectional studies have suggested an association between obesity and asthma. However, few studies have investigated this relationship longitudinally, especially in middle-aged subjects. Although metabolic syndrome is a well-known risk factor for many non-communicable diseases, its contribution to asthma remains controversial. From 2008, specific health checkups for metabolic syndrome have been conducted throughout Japan. To seek relationships of obesity and metabolic syndrome with late-onset asthma in Japan, we analyzed data collected from health insurance claims and specific health checkups for metabolic syndrome at three large health insurance societies. Among subjects aged 40-64 years (n = 9888), multivariate logistic regression analyses were performed to investigate the relationships of obesity and metabolic syndrome in fiscal year 2012 (from April 2012 to March 2013) with the incidence of late-onset asthma in the following two years (from April 2013 to March 2015). In women, BMI 25-29.9 kg/m Only the obesity measures, not metabolic syndrome, were shown to be significant risk factors for the incidence of late-onset asthma but only in middle-aged Japanese women, and not in men.

Sections du résumé

BACKGROUND BACKGROUND
Several cross-sectional studies have suggested an association between obesity and asthma. However, few studies have investigated this relationship longitudinally, especially in middle-aged subjects. Although metabolic syndrome is a well-known risk factor for many non-communicable diseases, its contribution to asthma remains controversial.
METHODS METHODS
From 2008, specific health checkups for metabolic syndrome have been conducted throughout Japan. To seek relationships of obesity and metabolic syndrome with late-onset asthma in Japan, we analyzed data collected from health insurance claims and specific health checkups for metabolic syndrome at three large health insurance societies. Among subjects aged 40-64 years (n = 9888), multivariate logistic regression analyses were performed to investigate the relationships of obesity and metabolic syndrome in fiscal year 2012 (from April 2012 to March 2013) with the incidence of late-onset asthma in the following two years (from April 2013 to March 2015).
RESULTS RESULTS
In women, BMI 25-29.9 kg/m
CONCLUSIONS CONCLUSIONS
Only the obesity measures, not metabolic syndrome, were shown to be significant risk factors for the incidence of late-onset asthma but only in middle-aged Japanese women, and not in men.

Identifiants

pubmed: 30473411
pii: S1323-8930(18)30157-6
doi: 10.1016/j.alit.2018.10.003
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

240-246

Informations de copyright

Copyright © 2018 Japanese Society of Allergology. Production and hosting by Elsevier B.V. All rights reserved.

Auteurs

Yasuhiro Tomita (Y)

Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Sagamihara, Japan; Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Yuma Fukutomi (Y)

Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Sagamihara, Japan. Electronic address: fukutomi.yuma.da@mail.hosp.go.jp.

Mari Irie (M)

Nihon Medical Insurance Institute Ltd., Tokyo, Japan.

Kazuhiro Azekawa (K)

MHI Co., Ltd., Tokyo, Japan.

Hiroaki Hayashi (H)

Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Sagamihara, Japan; Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Yosuke Kamide (Y)

Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Sagamihara, Japan.

Kiyoshi Sekiya (K)

Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Sagamihara, Japan.

Yoichi Nakamura (Y)

Medical Center for Allergic and Immune Diseases, Yokohama City Minato Red Cross Hospital, Yokohama, Japan.

Chiharu Okada (C)

Headquarters, National Hospital Organization, Tokyo, Japan.

Terufumi Shimoda (T)

San Remo Rehabilitation Hospital, Sasebo, Japan.

Yoshinori Hasegawa (Y)

Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Masami Taniguchi (M)

Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Sagamihara, Japan.

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