This is a population-based study using Japanese Vital Statistics and Japan Tuberculosis Surveillance from 1997 to 2016. Sex-age-period specific mortality rates of the Japanese population are available at the Portal Site of Official Statistics of Japan (e-Stat).9 Observed and expected number of deaths were then categorised according to attained age group (0–<30, 30–<40, 40–<50, 50–<60, 60–<70, 70–<80 and ≥80 years). Adults Differences in adult mortality among countries are large and growing. Japan Death rate. In our study, a higher intake of fish and n-3 polyunsaturated fatty acids was associated with a decreased risk of myocardial infarction,47 and a higher intake of saturated fatty acids was associated with a decreased risk of stroke.48. Objective To examine the association between adherence to the Japanese Food Guide Spinning Top and total and cause specific mortality. These associations appeared to be linear (fig C and E, appendix 1). Rates of suicide mortality in Japan spiked in 1998 and remained high thereafter (Fig. All rights reserved. The National Health and Nutrition Survey in Japan, 2010. Our findings suggest that balanced consumption of energy, grains, vegetables, fruits, meat, fish, eggs, soy products, dairy products, confectionaries, and alcoholic beverages can contribute to longevity by decreasing the risk of death, predominantly from cardiovascular disease, in the Japanese population. From 2000 to 2017, the global maternal mortality ratio declined by 38 per cent – from 342 deaths to 211 deaths per 100,000 live births, according to UN inter-agency estimates. Overall mortality for COVID-19-positive patients was 11 percent. Please note: your email address is provided to the journal, which may use this information for marketing purposes. The mortality rate in Japan declined steadily from the end of the 19th century until World War 11. 13 However, in our Japanese cohort, the point estimates of mortality rates (Table 2) and adjusted HRs (Figure 2) from ischaemic heart and cerebrovascular diseases in the nephropathy group were higher than those in the macrovascular disease group (Table 2). North Dakota had the highest COVID-19 mortality rate of any other state or even any other country in the world last week, according to a shocking analysis by the Federation of American Scientists. Nevertheless, the perinatal mortality rate in Japan was 4:1000 in 2012,1 which is the lowest in the world. This page was last updated on Friday, January 22, 2021 at 03:00 AM EST. excluded, mortality rates in industrial countries tend to rise in economic expansions and fall in recessions. The infant mortality rate is the number of infant deaths per 1,000 live births. Members of the Japan Public Health Center based Prospective (JPHC) Study Group. Causes of deaths were confirmed through death certificates (with permission) and were defined according to ICD-10 (international classification of diseases, 10th revision).33 The major endpoint of the present study was mortality from all causes, cancer (ICD-10 codes C00 to C97), cardiovascular disease (I00 to I99), heart disease (I20 to I52), and cerebrovascular disease (I60 to I69). Given that higher intake of vegetables and fruits has been associated with a lower risk of mortality,35 the previous study10 might have underestimated this association. The second survey included data on 147 food and beverage items and nine frequency categories.28 For most food items, nine options were available for describing consumption frequency, ranging from rarely (less than once a month) to seven or more times a day. Risk factor profiles differed between high- and low-incidence areas within China, but not in Japan. ICD-10: international statistical classification of diseases and related health problems: 10th revision. If you are unable to import citations, please contact We prospectively examined the associations between the standard and modified scores on the Japanese Food Guide Spinning Top and total and cause specific mortality using data from a large scale population based cohort study in Japan. The infant mortality rate for U.S. in 2020 was 5.681 deaths per 1000 live births, a 1.17% decline from 2019. We used mortality data reported to the Japanese Society for Dialysis Therapy and national Vital Statistics data for 2008 and 2009. Deaths under age five per 1,000 live births. The death rate, while only a rough indicator of the mortality situation in a country, accurately indicates the current mortality impact on population growth. The proportional hazards assumption was tested by including a product term between fourths of the score and the follow-up period in the models; no significant violation of the assumption was found (all P>0.10). Data were analysed stratified by sex, BMI (<25 or ≥25), smoking status (men only), and menopausal status. Mortality in the most affected countries. 1). Old age mortality in Japan is directly influenced by age, gender, employment, functional status, self-rated ill health, and cognitive impairment. A recent study, published in the International Journal of Infectious Diseases, could perhaps explain this paradox. All-cause mortality in Japan fell 3.5% in May despite Covid deaths peaking. KK and TM are guarantors. 2005. The first list is based on the Organization for Economic Cooperation and Development (OECD) "2011 annual statistics". Firstly, the food frequency questionnaire was not developed for the purpose of estimating the adherence to the Japanese Food Guide Spinning Top. Of the participants in the analytic cohort, 43 676 (19 778 men and 23 898 women) participated in the 10 year follow-up survey (that is, the third survey) and completed the food frequency questionnaire. For individuals who were lost to follow-up, we used the last confirmed date of their participation in the study area as the censoring date. In Japan, the Ministry of Health, Labour and Welfare and the Ministry of Agriculture, Forestry and Fisheries of Japan jointly developed the Japanese Food Guide Spinning Top in 2005 (fig 1⇓).9 This guide attempts to illustrate the balance and quantity of food in the daily Japanese diet.9 In 2009, Oba and colleagues developed a scoring system to measure the adherence to the food guide based on intake of grain dishes, vegetable dishes, fish and meat dishes, milk, and fruits, as well as the total daily energy and energy from snacks and alcoholic beverages.10. Specifically, vegetables and/or fruits probably protect against cancers of the lung, stomach, oesophagus, mouth, pharynx, and larynx and milk probably protects against colorectal cancer, whereas there is convincing evidence that red meat and processed meat increase the risk of colorectal cancer.42 Of all deaths from cancer in the present cohort, the proportions of deaths from the above mentioned cancers were much higher in men (60.6%) than in women (40.4%). The strengths of the present study were its population based prospective design involving a large cohort, the long duration of follow-up (15 years), and the use of a validated food frequency questionnaire. This finding could be explained by the higher consumption of fish44 45 and lower consumption of beef and pork45 46 among the Japanese population compared with Western populations, maintaining an appropriate balance between white and red meat intakes in terms of cardiovascular health. Furthermore, the maternal mortality rate, which was 8.8 in 1992 and 4.0 per 100 000 births in 2012, respectively,1 has decreased by half over the past two decades. Objective To examine the association between adherence to the Japanese Food Guide Spinning Top and total and cause specific mortality. The Association for Cooperative Operations Research and Development (ACORD) is a non-profit organization dedicated to the electronic exchange of insurance data. Differences in the number of people tested: With more testing, more people with milder cases are identified. There was a significant effect in individuals with normal weight (P=0.02 for trend) but not in overweight/obese individuals (P=0.79 for trend); the difference in these subgroup effects was also significant (P=0.003 for interaction by BMI). The first model was adjusted for age, sex, and study area, and the second model was further adjusted for BMI, smoking status, total physical activity, history of diabetes mellitus, history of hypertension, history of dyslipidaemia, coffee consumption, green tea consumption, and occupation. Maternal mortality ratio , 2010, Lifetime risk of maternal death (1 in:) 13100. Lower mortality was observed for cardiovascular disease among those with a higher score for vegetable dishes or fruits, for cerebrovascular disease among those with a higher score for fish and meat dishes or fruits, and for heart disease among those with a higher milk score. The maternal mortality ratio is used as a criterion for the quality of medical care in a country. One serving of a grain dish is composed of about 40 g carbohydrates. We calculated standardized mortality ratios and compared the mortality rates for each category of infectious disease. Definitions and data sources Compared with men, we observed decreasing trends even in the older populations (75–84 and ≥85 years) in women. Objectives In this study, we compared the decrease in cancer mortality rates among prefectures in Japan using age-period-cohort (APC) analysis.Methods We used the cancer mortality data of each prefecture in Japan, as determined by the Vital Statistics, over 5-year periods from 1995 to 2015. We found a less clear association between score on the Japanese Food Guide Spinning Top and mortality from cancer in the whole study population, corroborating results of previous studies.10 11 14 15 16 18 19 20 22 23 25 This could reflect the fact that cancer is a heterogeneous endpoint and that diet is involved in the pathogenesis of certain cancers.41 In subgroup analyses, we found a significantly decreasing trend of mortality from cancer with closer adherence to the food guide in men but not in women. 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