A retrospective, cross-sectional study of real-world values of cardiovascular risk factors using a healthcare database in Japan

BMC Cardiovascular Disorders

Research Article

Yoichi Ii¹  Daisuke Shima²  Yoko Fujimoto²  Yumiko Ikeda³  Yuji Yamamoto⁴  Satoshi Nagayasu⁴ 

[1] Clinical Statistics, Pfizer Japan Inc., 3-22-7 Yoyogi, 151-8589, Shibuya-ku, Tokyo, Japan;Medical Affairs, Pfizer Japan Inc., 3-22-7 Yoyogi, 151-8589, Shibuya-ku, Tokyo, Japan;Medical Writing, Pfizer Japan Inc., 3-22-7 Yoyogi, 151-8589, Shibuya-ku, Tokyo, Japan;MinaCare Co. Ltd., Japan, 1-23 Kandanishiki-cho, 101-0054, Chiyoda-ku, Tokyo, Japan;

关键词: National Health and Nutrition Survey;    Specific health checkups and specific health guidance;    MinaCare database;    Noncommunicable disease;    Japanese epidemiology;    Blood pressure;    Low-density lipoprotein cholesterol;    Hemoglobin A1c;   

DOI  :  10.1186/1471-2261-14-120

 received in 2014-02-19, accepted in 2014-09-09,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundData collected by the Japanese Ministry of Health, Labour and Welfare (MHLW), namely data from the Specific Health Checkups and Specific Health Guidance (MHLW-SH) and the National Health and Nutrition Survey (MHLW-H&N) allow assessment of blood pressure (BP), low-density lipoprotein cholesterol (LDL-C), and hemoglobin A1c (HbA1c) in Japan. Recently, a large database of employment-based health insurance has been developed by MinaCare Co. Ltd.MethodsA retrospective, cross-sectional study using the Japanese healthcare checkup database developed by MinaCare Co. Ltd. was designed to investigate the distribution of real-world values of BP, LDL-C, and HbA1c in Japan. Data in the MinaCare database were also compared with those in the two national data sources to assess the extent to which the health status in Japan is reflected in each data source.ResultsOf the healthcare checkup results of 232515 subjects in the 2011 MinaCare database, 49.9% were male and 50.1% were female. The age of the subjects ranged from <20 to >70 years. The proportion of subjects with systolic BP (SBP) ≥140 mmHg, LDL-C ≥140 mg/dL, and HbA1c ≥6.1% generally increased with increasing age. If one focused on the upper-end age group representing the majority of the MinaCare study population (i.e. age range, 55–59 years), the proportions of subjects with SBP ≥140 mmHg, LDL–C ≥140 mg/dL, and HbA1c ≥6.1% were 19.0%/12.2% (males/females), 27.2%/42.7%, and 13.5%/5.4%, respectively. The MinaCare database was mostly comparable with the two national data sources; however, some notable differences in BP and lipid parameters were found between MHLW-H&N and the other two data sources.ConclusionsAnalysis of the MinaCare database indicated that a substantial proportion of subjects did not achieve the target BP, LDL-C, and HbA1c levels to reduce the risk of future cardiovascular and cerebrovascular disease events. The results were generally consistent with those of the national data sources. Considering its characteristics of low selection bias, large sample size, wide age distribution, and high flexibility in analysis of subject-level data, the MinaCare database is highly valuable for studying the health status of the population covered by employment-based health insurance.

【 授权许可】

Unknown   
© Shima et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.