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Accepted manuscript

Association between consumption of small fish and all-cause mortality among Japanese: the Japan Multi-Institutional Collaborative Cohort Study

Published online by Cambridge University Press:  03 May 2024

Chinatsu Kasahara*
Affiliation:
Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan (CK, TT, KW, YT, Y. Kato, Y. Kubo, RO, MN, AH, KT)
Takashi Tamura
Affiliation:
Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan (CK, TT, KW, YT, Y. Kato, Y. Kubo, RO, MN, AH, KT)
Kenji Wakai
Affiliation:
Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan (CK, TT, KW, YT, Y. Kato, Y. Kubo, RO, MN, AH, KT)
Yudai Tamada
Affiliation:
Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan (CK, TT, KW, YT, Y. Kato, Y. Kubo, RO, MN, AH, KT) Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Japan (YT, KT)
Yasufumi Kato
Affiliation:
Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan (CK, TT, KW, YT, Y. Kato, Y. Kubo, RO, MN, AH, KT)
Yoko Kubo
Affiliation:
Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan (CK, TT, KW, YT, Y. Kato, Y. Kubo, RO, MN, AH, KT)
Rieko Okada
Affiliation:
Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan (CK, TT, KW, YT, Y. Kato, Y. Kubo, RO, MN, AH, KT)
Mako Nagayoshi
Affiliation:
Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan (CK, TT, KW, YT, Y. Kato, Y. Kubo, RO, MN, AH, KT)
Asahi Hishida
Affiliation:
Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan (CK, TT, KW, YT, Y. Kato, Y. Kubo, RO, MN, AH, KT) Department of Public Health, School of Medicine, Aichi Medical University, Nagakute, Japan (AH)
Nahomi Imaeda
Affiliation:
Department of Nutrition, Faculty of Wellness, Shigakkan University, Obu, Japan (NI) Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan (NI, CG, SS, MW)
Chiho Goto
Affiliation:
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan (NI, CG, SS, MW) Department of Health and Nutrition, School of Health and Human Life, Nagoya Bunri University, Nagoya, Japan (CG)
Jun Otonari
Affiliation:
Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (JO)
Hiroaki Ikezaki
Affiliation:
Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan (HI) Department of Comprehensive General Internal Medicine, Kyushu University Faculty of Medical Sciences, Fukuoka, Japan (HI)
Yuichiro Nishida
Affiliation:
Department of Preventive Medicine, Faculty of Medicine, Saga University, Saga, Japan (Y. Nishida)
Chisato Shimanoe
Affiliation:
Department of Pharmacy, Saga University Hospital, Saga, Japan (CS)
Isao Oze
Affiliation:
Division of Cancer Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan (IO, YNK, KM)
Yuriko N. Koyanagi
Affiliation:
Division of Cancer Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan (IO, YNK, KM)
Yohko Nakamura
Affiliation:
Cancer Prevention Center, Chiba Cancer Center Research Institute, Chiba, Japan (Y. Nakamura, MK)
Miho Kusakabe
Affiliation:
Cancer Prevention Center, Chiba Cancer Center Research Institute, Chiba, Japan (Y. Nakamura, MK)
Daisaku Nishimoto
Affiliation:
Department of Epidemiology and Preventive Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan (DN, IS) School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan (DN)
Ippei Shimoshikiryo
Affiliation:
Department of Epidemiology and Preventive Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan (DN, IS) Environmental Epidemiology Section, Health and Environmental Risk Division, National Institute for Environmental Studies, Tsukuba, Japan (IS)
Sadao Suzuki
Affiliation:
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan (NI, CG, SS, MW)
Miki Watanabe
Affiliation:
Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan (NI, CG, SS, MW)
Etsuko Ozaki
Affiliation:
Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan (EO, CO, NT)
Chie Omichi
Affiliation:
Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan (EO, CO, NT) Department of Hygiene and Public Health, Osaka Medical and Pharmaceutical University, Takatsuki, Japan (CO)
Kiyonori Kuriki
Affiliation:
Laboratory of Public Health, Division of Nutritional Sciences, School of Food and Nutritional Sciences, University of Shizuoka, Shizuoka, Japan (KK)
Naoyuki Takashima
Affiliation:
Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan (EO, CO, NT) Department of Public Health, Shiga University of Medical Science, Otsu, Japan (NT, NM)
Naoko Miyagawa
Affiliation:
Department of Public Health, Shiga University of Medical Science, Otsu, Japan (NT, NM) Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (NM)
Kokichi Arisawa
Affiliation:
Department of Preventive Medicine, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan (KA, SKK)
Sakurako Katsuura-Kamano
Affiliation:
Department of Preventive Medicine, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan (KA, SKK)
Kenji Takeuchi
Affiliation:
Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan (CK, TT, KW, YT, Y. Kato, Y. Kubo, RO, MN, AH, KT) Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Japan (YT, KT) Division for Regional Community Development, Liaison Center for Innovative Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan (KT)
Keitaro Matsuo
Affiliation:
Division of Cancer Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan (IO, YNK, KM) Department of Cancer Epidemiology, Nagoya University Graduate School of Medicine, Nagoya, Japan (KM)
*
Corresponding author: Chinatsu Kasahara, MD, Department of Preventive Medicine, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan, Tel: +81-52-744-2132, Fax: +81-52-744-2971, E-mail: kurogomatohu@gmail.com
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Abstract

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Objective:

Although small fish are an important source of micronutrients, the relationship between their intake and mortality remains unclear. This study aimed to clarify the association between intake of small fish and all-cause and cause-specific mortality.

Design:

We used the data from a cohort study in Japan. The frequency of the intake of small fish was assessed using a validated food frequency questionnaire. The hazard ratios (HRs) and 95% confidence intervals (CIs) for all-cause and cause-specific mortality according to the frequency of the intake of small fish by sex were estimated using a Cox proportional hazard model with adjustments for covariates.

Setting:

The Japan Multi-Institutional Collaborative Cohort (J-MICC) Study.

Participants:

A total of 80,802 participants (34,555 males and 46,247 females), aged 35–69 years.

Results:

During a mean follow-up of 9.0 years, we identified 2,482 deaths including 1,495 cancer-related deaths. The intake of small fish was statistically significantly and inversely associated with the risk of all-cause and cancer mortality in females. The multivariable-adjusted HRs (95% CIs) in females for all-cause mortality according to the intake were 0.68 (0.55–0.85) for intakes 1–3 times/month, 0.72 (0.57–0.90) for 1–2 times/week, and 0.69 (0.54–0.88) for ≥3 times/week, compared with the rare intake. The corresponding HRs (95% CIs) in females for cancer mortality were 0.72 (0.54–0.96), 0.71 (0.53–0.96), and 0.64 (0.46–0.89), respectively. No statistically significant association was observed in males.

Conclusions:

Intake of small fish may reduce the risk of all-cause and cancer mortality in Japanese females.

Type
Research Paper
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Authors 2024