All-cause mortality among Japanese-Brazilians according to nutritional characteristics.
The aim of this study was to verify the association between nutritional variables and mortality in a Japanese-Brazilian cohort. In 1993, 647 subjects were interviewed with food frequency questionnaires and scheduled for physical procedures (weight, height, blood pressure) and biochemical tests (oral glucose tolerance test). Student's t test was used to compare the mean values of target variables between living and deceased subjects. Mortality rate and hazard ratios were obtained (crude and adjusted) according to the nutritional variables. Overall mortality rates were 21.4 and 11.7/1,000 person-years for males and females, respectively. Smoking, diabetes, sedentary lifestyle, hypertension, higher mean age, high blood pressure, high blood glucose, and higher percent weight gain and rate of weight gain were observed in the history of deceased subjects. After adjusting for control variables, an increase was observed in mortality among individuals with lower carbohydrate and cholesterol intake. The results suggest that mortality risk factors like age, chronic diseases, sedentary lifestyle, smoking, and inadequate diet must also be acting in the Japanese-Brazilian population.
Massimino
Flavia Cincotto
FC
Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil. fnutricionista@uol.com.br
Gimeno
Suely Godoy Agostinho
SG
Ferreira
Sandra Roberta Gouveia
SR
D000328:Adult; D044466:Asian People / Q000706:statistics & numerical data*; D001938:Brazil / Q000453:epidemiology; D002423:Cause of Death; D003920:Diabetes Mellitus / Q000401:mortality; D004032:Diet; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D002149:Energy Intake; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D006973:Hypertension / Q000401:mortality; D007564:Japan / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D009752:Nutritional Status; D012307:Risk Factors