- 第1章 病気のリスクから目を背けさせる5つのバイアス
- 第2章 「病気のリスク」と「行動」の切り離せない関係
- 第3章 病気のリスクを減らす10の習慣
第1章 病気のリスクから目を背けさせる5つのバイアス
「今は大丈夫」でも、もしかしてー
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バイアス①「年だから仕方ない」と思い込むー「年齢」バイアス
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バイアス②リスクを高める行動の影響は、遅れてやってくるー「タイムラグ」バイアス
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バイアス③その瞬間の心地よさに“誘惑”されるー「快楽」バイアス
Wise RA, Robble MA. Dopamine and Addiction. Annu Rev Psychol 2020; 71: 79–106.
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Marques A, Marconcin P, Werneck AO, et al. Bidirectional Association between Physical Activity and Dopamine Across Adulthood-A Systematic Review. Brain Sci 2021; 11. DOI:10.3390/brainsci11070829.
バイアス④人と比べ、引き合いに出すことで安心するー「比較・同調」バイアス
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Guerra JVS, Dias MMG, Brilhante AJVC, Terra MF, García-Arévalo M, Figueira ACM. Multifactorial Basis and Therapeutic Strategies in Metabolism-Related Diseases. Nutrients 2021; 13. DOI:10.3390/nu13082830.
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バイアス⑤「A判定」の診断結果に気が緩むー「異常なし」バイアス
健診・検診の考え方と特定健康診査における健診項目の位置づけについて 厚生労働省 https://www.mhlw.go.jp/file/05-Shingikai-10901000-Kenkoukyoku-Soumuka/0000124143.pdf(accessed May 24, 2024).
最新の科学的知見に基づいた保健事業に係る調査研究 厚生労働科学研究費補助金 行政政策研究分野 厚生労働科学特別研究 https://mhlw-grants.niph.go.jp/project/9261(accessed May 24, 2024).
中 山 健 夫 健診・保健指導の有効性に関する考察 日循予防誌 第42巻 第2号(2007年11月)https://www.jstage.jst.go.jp/article/jjcdp2001/42/2/42_2_124/_pdf(accessed May 24, 2024).
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Birtwhistle R, Bell NR, Thombs BD, Grad R, Dickinson JA. Periodic preventive health visits: a more appropriate approach to delivering preventive services: From the Canadian Task Force on Preventive Health Care. Can Fam Physician 2017; 63: 824–6.
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Lu J. Ningen Dock: Japan’s unique comprehensive health checkup system for early detection of disease. Glob Health Med 2022; 4: 9–13.
Liss DT, Uchida T, Wilkes CL, Radakrishnan A, Linder JA. General Health Checks in Adult Primary Care: A Review. JAMA 2021; 325: 2294–306.
第2章 「病気のリスク」と「行動」の切り離せない関係
「病気と行動」は想像以上に複雑に絡み合っている
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図①・②出典
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理学療法ガイドライン 5.変形性膝関節症, 第1版. 公益社団法人 日本理学療法士協会 https://www.jspt.or.jp/upload/jspt/obj/files/guideline/11_gonarthrosis.pdf (accessed May 24, 2024).
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日本整形外科学会診療ガイドライン委員会, 変形性股関節症診療ガイドライン策定委員会, editors. 変形性股関節症診療ガイドライン2016, 改訂第2版. 南江堂, 2016 https://minds.jcqhc.or.jp/common/wp-content/plugins/pdfjs-viewer-shortcode/pdfjs/web/viewer.php?file=https://minds.jcqhc.or.jp/common/summary/pdf/c00322.pdf&dButton=false&pButton=false&oButton=false&sButton=true#zoom=auto&pagemode=none&_wpnonce=3b871a512b, https://minds.jcqhc.or.jp/summary/c00322/(accessed May 24, 2024).
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特定非営利活動法人日本高血圧学会, 特定非営利活動法人日本高血圧協会, 認定特定非営利活動法人ささえあい医療人権センターCOML, editors. 一般向け「高血圧治療ガイドライン2019」解説冊子 高血圧の話. 特定非営利活動法人日本高血圧学会, 2019 https://www.jpnsh.jp/data/jsh2019_gen.pdf (accessed May 24, 2024).
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Valenzuela PL, Carrera-Bastos P, Gálvez BG, et al. Lifestyle interventions for the prevention and treatment of hypertension. Nat Rev Cardiol. 2021; 18: 251–75.
Lv Y, Jiang G, Tan X, Bao W, Chen L, Liu L. Association of Sleep Patterns and Lifestyles With Incident Hypertension: Evidence From a Large Population-Based Cohort Study. Front Cardiovasc Med 2022; 9: 847452.
動脈硬化性疾患予防ガイドライン2022年版, 2022年版. 一般社団法人 日本動脈硬化学会, 2022 https://www.j-athero.org/jp/wp-content/uploads/publications/pdf/GL2022_s/jas_gl2022_220713.pdf (accessed May 24, 2024).
Na X, Chen Y, Ma X, et al. Relations of Lifestyle Behavior Clusters to Dyslipidemia in China: A Compositional Data Analysis. Int J Environ Res Public Health 2021; 18. DOI:10.3390/ijerph18157763.
Mach F, Baigent C, Catapano AL, et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur Heart J 2020; 41: 111–88.
Shubrook JH, Chen W, Lim A. Evidence for the Prevention of Type 2 Diabetes Mellitus. J Am Osteopath Assoc 2018; 118: 730–7.
Taylor R, Valabhji J, Aveyard P, Paul D. Prevention and reversal of Type 2 diabetes: highlights from a symposium at the 2019 Diabetes UK Annual Professional Conference. Diabetic Medicine. 2019; 36: 359–65.
図③出典
高血圧の話 一般向け「高血圧治療ガイドライン2019」解説冊子 特定非営利活動法人日本高血圧学会 特定非営利活動法人日本高血圧協会認定特定非営利活動法人ささえあい医療人権センターCOML 編 https://www.jpnsh.jp/data/jsh2019_gen.pdf(accessed May 24, 2024).
高血圧治療ガイドライン2019 図1-6 日本高血圧学会高血圧治療ガイドライン作成委員会 編、日本高血圧学会 発行 https://www.jpnsh.jp/data/jsh2019/JSH2019_noprint.pdf (accessed May 24, 2024).
平成18年国民健康・栄養調査報告 結果の概要 第4部 生活習慣病等の状況 厚生労働省 https://www.mhlw.go.jp/bunya/kenkou/eiyou08/dl/01-kekka.pdf(accessed May 24, 2024).
平成28年 国民健康・栄養調査 厚生労働省 https://www.mhlw.go.jp/bunya/kenkou/eiyou/dl/h28-houkoku-03.pdf(accessed May 24, 2024).
令和2年 患者調査の概況 総患者数 傷病分類別 厚生労働省 https://www.mhlw.go.jp/toukei/saikin/hw/kanja/20/index.html(accessed May 24, 2024).
令和2年 全国がん登録 罹患数・率 報告 CANCER INCIDENCE OF JAPAN 2020 厚生労働省健康・生活衛生局がん・疾病対策課 https://www.mhlw.go.jp/content/10900000/001231386.pdf(accessed May 24, 2024).
令和5年度老人保健事業推進費等補助金(老人保健健康増進等事業分)「認知症及び軽度認知障害の有病率調査並びに将来推計に関する研究」国立大学法人 九州大学 https://www.eph.med.kyushu-u.ac.jp/jpsc/uploads/resmaterials/0000000111.pdf?1715072186 (accessed May 24, 2024).
病気は想像以上に身近にあるー誰もが予備群候補生?!
図④出典
Kadomatsu Y, Tsukamoto M, Sasakabe T, et al. A risk score predicting new incidence of hypertension in Japan. J Hum Hypertens 2019; 33: 748–55.
Nanri A, Nakagawa T, Kuwahara K, et al. Correction: Development of Risk Score for Predicting 3-Year Incidence of Type 2 Diabetes: Japan Epidemiology Collaboration on Occupational Health Study. PLoS One 2018; 13: e0199075.
Nanri A, Nakagawa T, Kuwahara K, et al. Development of Risk Score for Predicting 3-Year Incidence of Type 2 Diabetes: Japan Epidemiology Collaboration on Occupational Health Study. PLoS One 2015; 10: e0142779.
Honda T, Chen S, Hata J, et al. Development and Validation of a Risk Prediction Model for Atherosclerotic Cardiovascular Disease in Japanese Adults: The Hisayama Study. J Atheroscler Thromb 2022; 29: 345–61.
Sasazuki S, Inoue M, Iwasaki M, et al. Combined impact of five lifestyle factors and subsequent risk of cancer: The Japan Public Health Center Study. Prev Med (Baltim) 2012; 54: 112–6.
Honda T, Ohara T, Yoshida D, et al. Development of a dementia prediction model for primary care: The Hisayama Study. Alzheimers Dement (Amst) 2021; 13: e12221.
図⑤出典
GBD 2019 Risk Factors Collaborators. Global burden of 87 risk factors in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020; 396: 1223–49.
病気が「見えてくる」のは40代からー診断された時=早期ではない
図⑥出典
令和2年 患者調査の概況 厚生労働省 https://www.mhlw.go.jp/toukei/saikin/hw/kanja/20/index.html(accessed May 24, 2024).
病気の「その先にあるもの」にも目を向ける
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Rajoo SS, Wee ZJ, Lee PSS, Wong FY, Lee ES. A Systematic Review of the Patterns of Associative Multimorbidity in Asia. Biomed Res Int 2021; 2021: 6621785.
Ho IS-S, Azcoaga-Lorenzo A, Akbari A, et al. Examining variation in the measurement of multimorbidity in research: a systematic review of 566 studies. Lancet Public Health 2021; 6: e587–97.
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Pazan F, Wehling M. Polypharmacy in older adults: a narrative review of definitions, epidemiology and consequences. Eur Geriatr Med 2021; 12: 443–52.
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Kuriyama S, Hozawa A, Ohmori K, et al. Joint impact of health risks on health care charges: 7-year follow-up of National Health Insurance beneficiaries in Japan (the Ohsaki Study). Prev Med (Baltim) 2004; 39: 1194–9.
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発がんリスクの低減に資する効果的な禁煙推進のための環境整備と支援方策の開発ならびに普及のための制度化に関する研究 厚生労働科学研究費補助金 疾病・障害対策研究分野 第3次対がん総合戦略研究 https://mhlw-grants.niph.go.jp/project/22511(accessed May 24, 2024).
図⑦出典
高血圧治療ガイドライン 2019 日本高血圧学会高血圧治療ガイドライン作成委員会 編
日本糖尿病学会 編・著:糖尿病治療の手びき2020(改訂第58版), p25, 南江堂, 2020
糖尿病合併症について 日本糖尿病学会 https://www.jds.or.jp/modules/citizen/index.php?content_id=3(accessed May 24, 2024).
図⑧出典
Gijsen R, Hoeymans N, Schellevis FG, Ruwaard D, Satariano WA, Van Den Bos GAM. Causes and consequences of comorbidity: A review. 2001 www.rivm.nl/public.
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Marengoni A, Angleman S, Melis R, et al. Aging with multimorbidity: A systematic review of the literature. Ageing Res Rev. 2011; 10: 430–9.
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Lehnert T, Heider D, Leicht H, et al. Health care utilization and costs of elderly persons with multiple chronic conditions. Medical Care Research and Review 2011; 68: 387–420.
France EF, Wyke S, Gunn JM, Mair FS, McLean G, Mercer SW. Multimorbidity in primary care: a systematic review of prospective cohort studies. Br J Gen Pract 2012; 62: e297-307.
Picco L, Achilla E, Abdin E, et al. Economic burden of multimorbidity among older adults: impact on healthcare and societal costs. BMC Health Serv Res 2016; 16: 173.
Wang L, Si L, Cocker F, Palmer AJ, Sanderson K. A Systematic Review of Cost-of-Illness Studies of Multimorbidity. Appl Health Econ Health Policy 2018; 16: 15–29.
Soley-Bori M, Ashworth M, Bisquera A, et al. Impact of multimorbidity on healthcare costs and utilisation: a systematic review of the UK literature. Br J Gen Pract 2021; 71: e39–46.
Kato D, Kawachi I, Saito J, Kondo N. Complex Multimorbidity and Incidence of Long-Term Care Needs in Japan: A Prospective Cohort Study. Int J Environ Res Public Health 2021; 18. DOI:10.3390/ijerph181910523.
Gould CE, O’Hara R, Goldstein MK, Beaudreau SA. Multimorbidity is associated with anxiety in older adults in the Health and Retirement Study. Int J Geriatr Psychiatry 2016; 31: 1105–15.
Read JR, Sharpe L, Modini M, Dear BF. Multimorbidity and depression: A systematic review and meta-analysis. J Affect Disord 2017; 221: 36–46.
Frazier SC. Health outcomes and polypharmacy in elderly individuals: an integrated literature review. J Gerontol Nurs 2005; 31: 4–11.
Jyrkkä J, Enlund H, Korhonen MJ, Sulkava R, Hartikainen S. Polypharmacy Status as an Indicator of Mortality in an Elderly Population. Drug and aging 2009; 26: 1039–48.
Gómez C, Vega-Quiroga S, Bermejo-Pareja F, Medrano MJ, Louis ED, Benito-León J. Polypharmacy in the Elderly: A Marker of Increased Risk of Mortality in a Population-Based Prospective Study (NEDICES). Gerontology 2015; 61: 301–9.
Chang TI, Park H, Kim DW, et al. Polypharmacy, hospitalization, and mortality risk: a nationwide cohort study. Sci Rep 2020; 10: 18964.
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Abe N, Kakamu T, Kumagai T, et al. Polypharmacy at admission prolongs length of hospitalization in gastrointestinal surgery patients. Geriatr Gerontol Int 2020; 20: 1085–90.
Gnjidic D, Hilmer SN, Blyth FM, et al. High-risk prescribing and incidence of frailty among older community-dwelling men. Clin Pharmacol Ther 2012; 91: 521–8.
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第3章 病気のリスクを減らす10の習慣
普段の行動の見直しが、病気のリスクを引き下げる
図⑨出典
Kadomatsu Y, Tsukamoto M, Sasakabe T, et al. A risk score predicting new incidence of hypertension in Japan. J Hum Hypertens 2019; 33: 748–55.
Nanri A, Nakagawa T, Kuwahara K, et al. Correction: Development of Risk Score for Predicting 3-Year Incidence of Type 2 Diabetes: Japan Epidemiology Collaboration on Occupational Health Study. PLoS One 2018; 13: e0199075.
Nanri A, Nakagawa T, Kuwahara K, et al. Development of Risk Score for Predicting 3-Year Incidence of Type 2 Diabetes: Japan Epidemiology Collaboration on Occupational Health Study. PLoS One 2015; 10: e0142779.
Honda T, Chen S, Hata J, et al. Development and Validation of a Risk Prediction Model for Atherosclerotic Cardiovascular Disease in Japanese Adults: The Hisayama Study. J Atheroscler Thromb 2022; 29: 345–61.
Sasazuki S, Inoue M, Iwasaki M, et al. Combined impact of five lifestyle factors and subsequent risk of cancer: The Japan Public Health Center Study. Prev Med (Baltim) 2012; 54: 112–6.
Honda T, Ohara T, Yoshida D, et al. Development of a dementia prediction model for primary care: The Hisayama Study. Alzheimers Dement (Amst) 2021; 13: e12221.
習慣① 喫煙ーたばこの煙・蒸気と距離をとる
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Bellamri M, Walmsley SJ, Brown C, et al. DNA Damage and Oxidative Stress of Tobacco Smoke Condensate in Human Bladder Epithelial Cells. Chem Res Toxicol 2022; 35: 1863–80.
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Münzel T, Hahad O, Kuntic M, Keaney JF, Deanfield JE, Daiber A. Effects of tobacco cigarettes, e-cigarettes, and waterpipe smoking on endothelial function and clinical outcomes. Eur Heart J 2020; 41: 4057–70.
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習慣② 体重管理ー「適正な体重&お腹周り」をキープする
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習慣③ 食事ー「食塩を控えた健康的な食」を心がける
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図⑭出典
食品表示法に基づく栄養成分表示のためのガイドライン 第4版令和4年5月消費者庁 https://www.caa.go.jp/policies/policy/food_labeling/nutrient_declearation/business/assets/food_labeling_cms206_20220531_08.pdf(accessed May 28, 2024).
図⑮出典
日本人の食事摂取基準(2020年版). 厚生労働省. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/eiyou/syokuji_kijyun.html(accessed May 28, 2024).
習慣④ 身体活動ー座る時間を減らし、動く時間を増やす
健康づくりのための⾝体活動‧運動ガイド2023 厚⽣労働省https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/undou/index.html(accessed May 28, 2024).
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Millard LAC, Tilling K, Gaunt TR, Carslake D, Lawlor DA. Association of physical activity intensity and bout length with mortality: An observational study of 79,503 UK Biobank participants. PLoS Med 2021; 18: e1003757.
Lavie CJ, Ozemek C, Carbone S, Katzmarzyk PT, Blair SN. Sedentary Behavior, Exercise, and Cardiovascular Health. Circ Res. 2019; 124: 799–815.
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Patel A V, Friedenreich CM, Moore SC, et al. American College of Sports Medicine Roundtable Report on Physical Activity, Sedentary Behavior, and Cancer Prevention and Control. Med Sci Sports Exerc 2019; 51: 2391–402.
Gilchrist SC, Howard VJ, Akinyemiju T, et al. Association of Sedentary Behavior With Cancer Mortality in Middle-aged and Older US Adults. JAMA Oncol 2020; 6: 1210–7.
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McHugh MP, Cosgrave CH. To stretch or not to stretch: the role of stretching in injury prevention and performance. Scand J Med Sci Sports 2010; 20: 169–81.
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図⑯出典
Bauman A, Ainsworth BE, Sallis JF, et al. The descriptive epidemiology of sitting. A 20-country comparison using the International Physical Activity Questionnaire (IPAQ). Am J Prev Med 2011; 41: 228–35.
図⑰出典
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Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med 2020; 54: 1451–62.
習慣⑤ 飲酒ー飲まない、飲んでも、控えめに
健康に配慮した飲酒に関するガイドライン 厚⽣労働省 https://www.mhlw.go.jp/content/12200000/001211974.pdf(accessed May 29, 2024).
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Lin Y, Kikuchi S, Tamakoshi A, et al. Alcohol consumption and mortality among middle-aged and elderly Japanese men and women. Ann Epidemiol 2005; 15: 590–7.
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Zhang C, Qin Y-Y, Chen Q, et al. Alcohol intake and risk of stroke: a dose-response meta-analysis of prospective studies. Int J Cardiol 2014; 174: 669–77.
Ikehara S, Iso H. Alcohol consumption and risks of hypertension and cardiovascular disease in Japanese men and women. Hypertension Research. 2020; 43: 477–81.
Bagnardi V, Rota M, Botteri E, et al. Alcohol consumption and site-specific cancer risk: a comprehensive dose-response meta-analysis. Br J Cancer 2015; 112: 580–93.
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Roerecke M, Shield KD, Higuchi S, et al. Estimates of alcohol-related oesophageal cancer burden in Japan: systematic review and meta-analyses. Bull World Health Organ 2015; 93: 329-338C.
Deng W, Jin L, Zhuo H, Vasiliou V, Zhang Y. Alcohol consumption and risk of stomach cancer: A meta-analysis. Chem Biol Interact 2021; 336: 109365.
Wang Y-T, Gou Y-W, Jin W-W, Xiao M, Fang H-Y. Association between alcohol intake and the risk of pancreatic cancer: a dose-response meta-analysis of cohort studies. BMC Cancer 2016; 16: 212.
Fedirko V, Tramacere I, Bagnardi V, et al. Alcohol drinking and colorectal cancer risk: an overall and dose-response meta-analysis of published studies. Ann Oncol 2011; 22: 1958–72.
Rota M, Pasquali E, Bellocco R, et al. Alcohol drinking and cutaneous melanoma risk: a systematic review and dose-risk meta-analysis. Br J Dermatol 2014; 170: 1021–8.
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Shield KD, Soerjomataram I, Rehm J. Alcohol Use and Breast Cancer: A Critical Review. Alcohol Clin Exp Res. 2016; 40: 1166–81.
Sun Q, Xie W, Wang Y, et al. Alcohol consumption by beverage type and risk of breast cancer: A dose-response meta-analysis of prospective cohort studies. Alcohol and Alcoholism. 2020; 55: 246–53.
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Roerecke M, Vafaei A, Hasan OSM, et al. Alcohol Consumption and Risk of Liver Cirrhosis: A Systematic Review and Meta-Analysis. Am J Gastroenterol 2019; 114: 1574–86.
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Mostofsky E, Chahal HS, Mukamal KJ, Rimm EB, Mittleman MA. Alcohol and Immediate Risk of Cardiovascular Events: A Systematic Review and Dose-Response Meta-Analysis. Circulation 2016; 133: 979–87.
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図⑱出典
⽇本⾷品標準成分表 2020 年版(⼋訂)⽂部科学省 https://www.mext.go.jp/a_menu/syokuhinseibun/mext_01110.html(accessed May 29, 2024).
習慣⑥ 睡眠ー短すぎず、長すぎない良質な眠りを
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Cudney LE, Frey BN, McCabe RE, Green SM. Investigating the relationship between objective measures of sleep and self-report sleep quality in healthy adults: a review. J Clin Sleep Med 2022; 18: 927–36.
Gallicchio L, Kalesan B. Sleep duration and mortality: A systematic review and meta-analysis. J Sleep Res 2009; 18: 148–58.
Cappuccio FP, D’Elia L, Strazzullo P, Miller MA. Sleep duration and all-cause mortality: a systematic review and meta-analysis of prospective studies. Sleep 2010; 33: 585–92.
Yin J, Jin X, Shan Z, et al. Relationship of Sleep Duration With All-Cause Mortality and Cardiovascular Events: A Systematic Review and Dose-Response Meta-Analysis of Prospective Cohort Studies. J Am Heart Assoc 2017; 6. DOI:10.1161/JAHA.117.005947.
Wang C, Bangdiwala SI, Rangarajan S, et al. Association of estimated sleep duration and naps with mortality and cardiovascular events: a study of 116 632 people from 21 countries. Eur Heart J 2019; 40: 1620–9.
Liu TZ, Xu C, Rota M, et al. Sleep duration and risk of all-cause mortality: A flexible, non-linear, meta-regression of 40 prospective cohort studies. Sleep Med Rev. 2017; 32: 28–36.
Krittanawong C, Tunhasiriwet A, Wang Z, et al. Association between short and long sleep durations and cardiovascular outcomes: a systematic review and meta-analysis. Eur Heart J Acute Cardiovasc Care 2019; 8: 762–70.
Qin Y, Liu R, Wang Y, et al. Self-Reported Sleep Characteristics Associated with Cardiovascular Disease Among Older Adults Living in Rural Eastern China: A Population-Based Study. Clin Interv Aging 2022; 17: 811–24.
Liu H, Chen G, Wen J, et al. Association between sleep duration and incidence of type 2 diabetes in China: the REACTION study. Chin Med J (Engl) 2022; 135: 1242–8.
Zhou L, Yu K, Yang L, et al. Sleep duration, midday napping, and sleep quality and incident stroke: The Dongfeng-Tongji cohort. Neurology 2020; 94: e345–56.
Kwok CS, Kontopantelis E, Kuligowski G, et al. Self-Reported Sleep Duration and Quality and Cardiovascular Disease and Mortality: A Dose-Response Meta-Analysis. J Am Heart Assoc 2018; 7: e008552.
Svensson T, Saito E, Svensson AK, et al. Association of Sleep Duration With All- and Major-Cause Mortality Among Adults in Japan, China, Singapore, and Korea. JAMA Netw Open 2021; 4: e2122837.
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Watson NF, Badr MS, Belenky G, et al. Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep 2015; 38: 843–4.
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習慣⑦ 日光対策ー日焼け対策をしつつ、日に当たる
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習慣⑧ 口腔ケアーむし歯・歯周病をできるだけ減らす
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Walsh T, Worthington H V, Glenny A-M, Marinho VC, Jeroncic A. Fluoride toothpastes of different concentrations for preventing dental caries. Cochrane Database Syst Rev 2019; 3: CD007868.
一般社団法人 日本口腔衛生学会, 公益社団法人 日本小児歯科学会, 特定非営利活動法人 日本歯科保存学会, 一般社団法人 日本老年歯科医学会. 4学会合同のフッ化物配合歯磨剤の推奨される利用方法. 2023 https://www.kokuhoken.or.jp/jsdh/news/2023/news_230106.pdf (accessed May 29, 2024).
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図⑲出典
Gonçalves AC de S, Martins MCN, Paula BL de, Weckwerth PH, Franzolin S de OB, Silveira EMV. A new technique for tongue brushing and halitosis reduction: the X technique. J Appl Oral Sci 2019; 27: e20180331.(https://creativecommons.org/licenses/by/4.0/)
習慣⑨ 温度対策ー「気温」を意識して、暮らす
Tansey EA, Johnson CD. Recent advances in thermoregulation. Adv Physiol Educ 2015; 39: 139–48.
Leon LR, Bouchama A. Heat stroke. Compr Physiol 2015; 5: 611–47.
Gauer R, Meyers BK. Heat-Related Illnesses. Am Fam Physician 2019; 99: 482–9.
Fujimoto Y, Matsuyama T, Morita S, et al. Indoor Versus Outdoor Occurrence in Mortality of Accidental Hypothermia in Japan: The J-Point Registry. Ther Hypothermia Temp Manag 2020; 10: 159–64.
Takauji S, Hifumi T, Saijo Y, et al. Accidental hypothermia: Factors related to a prolonged hospital stay – A nationwide observational study in Japan. American Journal of Emergency Medicine 2021; 47: 169–75.
Takauji S, Hifumi T, Saijo Y, et al. Accidental hypothermia: characteristics, outcomes, and prognostic factors-A nationwide observational study in Japan (Hypothermia study 2018 and 2019). Acute medicine & surgery 2021; 8: e694.
Epstein Y, Moran DS. Thermal comfort and the heat stress indices. Ind Health 2006; 44: 388–98.
周辺地域の熱環境改善とは. 環境省 https://www.env.go.jp/air/report/h16-13/02.pdf (accessed May 5, 2023).
Cold exposure and winter mortality from ischaemic heart disease, cerebrovascular disease, respiratory disease, and all causes in warm and cold regions of Europe. The Eurowinter Group. Lancet 1997; 349: 1341–6.
Asseng S, Spänkuch D, Hernandez-Ochoa IM, Laporta J. The upper temperature thresholds of life. Lancet Planet Health 2021; 5: e378–85.
WHO Housing and health guidelines. 2018 https://www.who.int/publications/i/item/9789241550376 (accessed May 29, 2024).
Asseng S, Spänkuch D, Hernandez-Ochoa IM, Laporta J. The upper temperature thresholds of life. Lancet Planet Health 2021; 5: e378–85.
Malik A, Bongers C, McBain B, et al. The potential for indoor fans to change air conditioning use while maintaining human thermal comfort during hot weather: an analysis of energy demand and associated greenhouse gas emissions. Lancet Planet Health 2022; 6: e301–9.
Morris NB, Jay O, Flouris AD, et al. Sustainable solutions to mitigate occupational heat strain – an umbrella review of physiological effects and global health perspectives. Environ Health 2020; 19: 95.
Périard JD, Travers GJS, Racinais S, Sawka MN. Cardiovascular adaptations supporting human exercise-heat acclimation. Auton Neurosci 2016; 196: 52–62.
Adams WM, Hosokawa Y, Casa DJ, et al. Roundtable on Preseason Heat Safety in Secondary School Athletics: Heat Acclimatization. J Athl Train 2021; 56: 352–61.
熱中症環境保健マニュアル 2022. 環境省. 2022; published online March. https://www.wbgt.env.go.jp/heatillness_manual.php (accessed May 29, 2024).
職場における熱中症予防対策マニュアル. 2021 https://www.mhlw.go.jp/content/11200000/000636115.pdf (accessed May 29, 2024).
夏季のイベントにおける熱中症対策ガイドライン2020. 環境省. 2020; published online March. https://www.wbgt.env.go.jp/pdf/gline/heatillness_guideline_full.pdf (accessed May 29, 2024).
Castellani JW, Young AJ. Human physiological responses to cold exposure: Acute responses and acclimatization to prolonged exposure. Auton Neurosci 2016; 196: 63–74.
Yurkevicius BR, Alba BK, Seeley AD, Castellani JW. Human cold habituation: Physiology, timeline, and modifiers. Temperature (Austin) 2022; 9: 122–57.
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COOLBIZ. 環境省. https://ondankataisaku.env.go.jp/coolchoice/coolbiz/ (accessed May 29, 2024).
WARMBIZ. 環境省 https://ondankataisaku.env.go.jp/coolchoice/warmbiz/ (accessed May 29, 2024).
建築物における衛生的環境の確保に関する法律施行規則(昭和四十六年厚生省令第二号)https://elaws.e-gov.go.jp/document?lawid=346M50000100002_20231227_505M60000100165 (accessed May 29, 2024).
熱中症特別警戒情報(熱中症特別警戒アラート)・熱中症警戒情報(熱中症警戒アラート) 環境省 https://www.wbgt.env.go.jp/alert.php(accessed May 29, 2024).
日本スポーツ協会『スポーツ活動中の熱中症予防ガイドブック 第5版 https://www.japan-sports.or.jp/Portals/0/data/supoken/doc/heatstroke/heatstroke_0531.pdf(accessed May 29, 2024).
日常生活における熱中症予防指針 Ver.4 日本生気象学会 https://seikishou.jp/cms/wp-content/uploads/20220523-v4.pdf(accessed May 29, 2024).
習慣⑩ 予防接種ー状況に応じて、接種を考える
Ozisik L, Tanriover MD, Rigby S, Unal S. ADVICE for a healthier life: Adult Vaccination Campaign in Europe. Eur J Intern Med. 2016; 33: 14–20.
Brenzel L, Wolfson LJ, Fox-Rushby J, Miller M, Halsey NA. Vaccine-preventable Diseases. 2006.
予防接種情報 予防接種に関する基本的な計画. 厚生労働省. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/kihonteki_keikaku/index.html (accessed May 29, 2024).
予防接種法(昭和二十三年法律第六十八号). https://elaws.e-gov.go.jp/document?lawid=323AC0000000068 (accessed May 29, 2024).
図⑳出典
予防接種情報. 厚生労働省. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/kenkou/kekkaku-kansenshou/yobou-sesshu/index.html (accessed May 29, 2024).
麻しんに関する特定感染症予防指針, 平成31年4月19日一部改正・適用. 厚生労働省, 2019 https://www.mhlw.go.jp/content/000503060.pdf (accessed May 29, 2024).
風しんに関する特定感染症予防指針, 平成29年12月21日一部改正・平成30年1月1日適用. 厚生労働省, 2017 https://www.mhlw.go.jp/file/06-Seisakujouhou-10900000-Kenkoukyoku/0000186690.pdf (accessed May 29, 2024).
日本脳炎ワクチンに関するQ&A, 平成28年3月改訂版. 厚生労働省, 2016 https://www.mhlw.go.jp/bunya/kenkou/kekkaku-kansenshou21/dl/nouen_qa.pdf (accessed May 29, 2024).
日本小児科学会が推奨する予防接種スケジュール. 日本小児科学会. https://www.jpeds.or.jp/modules/activity/index.php?content_id=138 (accessed May 29, 2024).
日本小児科学会の「知っておきたいワクチン情報」(日本版Vaccine information statement(VIS)). 日本小児科学会. https://www.jpeds.or.jp/modules/activity/index.php?content_id=263 (accessed May 29, 2024).
赤ちゃんとお母さんの感染予防対策5ヶ条について. 2013年5月29日改訂 日本周産期・新生児医学会, 日本小児科学会, 日本産科婦人科学会, 日本産婦人科医会. https://www.jspnm.com/topics/data/topics20130515%EF%BC%A1.pdf (accessed May 29, 2024).
日本産科婦人科学会, 日本産婦人科医会, editors. 産婦人科診療ガイドラインー産科編 2020. 日本産婦人科学会事務局, 2020 https://www.jsog.or.jp/activity/pdf/gl_sanka_2020.pdf (accessed May 29, 2024).
砂川 富正, 河上 祥一, 神谷 元, 八幡裕一郎, 小林 祐介, 土橋 酉紀. 妊婦における百日咳含有ワクチン接種の知識・態度と ワクチン接種行動に関する研究報告書. https://mhlw-grants.niph.go.jp/system/files/2016/162111/201617016A_upload/201617016A0016.pdf (accessed May 29, 2024).
海外渡航のためのワクチン(予防接種). 厚生労働省検疫所FORTH. https://www.forth.go.jp/moreinfo/topics/useful_vaccination.html (accessed May 29, 2024).
第14回厚生科学審議会予防接種・ワクチン分科会予防接種基本方針部会ワクチン評価に関する小委員会 議事録. 厚生労働省. https://www.mhlw.go.jp/stf/newpage_08371.html (accessed May 29, 2024).
厚生科学審議会 予防接種・ワクチン分科会 予防接種基本方針部会, ワクチン評価に関する小委員会. 百日咳による乳児の重症化予防を目的とした、百日せきワクチンを含む混合ワクチンの接種開始時期の前倒しについての議論のとりまとめ . 2022 https://www.mhlw.go.jp/stf/newpage_28145.html (accessed May 29, 2024).
医療関係者のためのワクチンガイドライン第3版 一般社団法人 日本環境感染学会 http://www.kankyokansen.org/uploads/uploads/files/jsipc/vaccine-guideline_03(3).pdf(accessed May 29, 2024).
10の習慣がもたらす「付加価値」とは
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Feng Z, Cramm JM, Nieboer AP. A healthy diet and physical activity are important to promote healthy ageing among older Chinese people. J Int Med Res 2019; 47: 6061–81.
Janssen I, Clarke AE, Carson V, et al. A systematic review of compositional data analysis studies examining associations between sleep, sedentary behaviour, and physical activity with health outcomes in adults. Appl Physiol Nutr Metab 2020; 45: S248–57.
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「10の習慣」にも限界はある。でもー
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