Public Health Nutrition (Jan 2024)
Association between consumption of small fish and all-cause mortality among Japanese: the Japan Multi-Institutional Collaborative Cohort Study
- Chinatsu Kasahara,
- Takashi Tamura,
- Kenji Wakai,
- Yudai Tamada,
- Yasufumi Kato,
- Yoko Kubo,
- Rieko Okada,
- Mako Nagayoshi,
- Asahi Hishida,
- Nahomi Imaeda,
- Chiho Goto,
- Jun Otonari,
- Hiroaki Ikezaki,
- Yuichiro Nishida,
- Chisato Shimanoe,
- Isao Oze,
- Yuriko N Koyanagi,
- Yohko Nakamura,
- Miho Kusakabe,
- Daisaku Nishimoto,
- Ippei Shimoshikiryo,
- Sadao Suzuki,
- Miki Watanabe,
- Etsuko Ozaki,
- Chie Omichi,
- Kiyonori Kuriki,
- Naoyuki Takashima,
- Naoko Miyagawa,
- Kokichi Arisawa,
- Sakurako Katsuura-Kamano,
- Kenji Takeuchi,
- Keitaro Matsuo
Affiliations
- Chinatsu Kasahara
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
- Takashi Tamura
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
- Kenji Wakai
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
- Yudai Tamada
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Japan
- Yasufumi Kato
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
- Yoko Kubo
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
- Rieko Okada
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
- Mako Nagayoshi
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan
- Asahi Hishida
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan Department of Public Health, School of Medicine, Aichi Medical University, Nagakute, Japan
- Nahomi Imaeda
- ORCiD
- Department of Nutrition, Faculty of Wellness, Shigakkan University, Obu, Japan Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
- Chiho Goto
- Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan Department of Health and Nutrition, School of Health and Human Life, Nagoya Bunri University, Inazawa, Japan
- Jun Otonari
- Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
- Hiroaki Ikezaki
- Department of General Internal Medicine, Kyushu University Hospital, Fukuoka, Japan Department of Comprehensive General Internal Medicine, Kyushu University Faculty of Medical Sciences, Fukuoka, Japan
- Yuichiro Nishida
- Department of Preventive Medicine, Faculty of Medicine, Saga University, Saga, Japan
- Chisato Shimanoe
- Department of Pharmacy, Saga University Hospital, Saga, Japan
- Isao Oze
- Division of Cancer Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan
- Yuriko N Koyanagi
- Division of Cancer Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan
- Yohko Nakamura
- Cancer Prevention Center, Chiba Cancer Center Research Institute, Chiba, Japan
- Miho Kusakabe
- Cancer Prevention Center, Chiba Cancer Center Research Institute, Chiba, Japan
- Daisaku Nishimoto
- Department of Epidemiology and Preventive Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
- Ippei Shimoshikiryo
- Department of Epidemiology and Preventive Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan Environmental Epidemiology Section, Health and Environmental Risk Division, National Institute for Environmental Studies, Tsukuba, Japan
- Sadao Suzuki
- Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
- Miki Watanabe
- Department of Public Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
- Etsuko Ozaki
- Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan
- Chie Omichi
- Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan Department of Hygiene and Public Health, Osaka Medical and Pharmaceutical University, Takatsuki, Japan
- Kiyonori Kuriki
- Laboratory of Public Health, Division of Nutritional Sciences, School of Food and Nutritional Sciences, University of Shizuoka, Shizuoka, Japan
- Naoyuki Takashima
- Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan Department of Public Health, Shiga University of Medical Science, Otsu, Japan
- Naoko Miyagawa
- Department of Public Health, Shiga University of Medical Science, Otsu, Japan Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan
- Kokichi Arisawa
- Department of Preventive Medicine, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
- Sakurako Katsuura-Kamano
- Department of Preventive Medicine, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
- Kenji Takeuchi
- Department of Preventive Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Japan Division for Regional Community Development, Liaison Center for Innovative Dentistry, Tohoku University Graduate School of Dentistry, Sendai, Japan
- Keitaro Matsuo
- Division of Cancer Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan Department of Cancer Epidemiology, Nagoya University Graduate School of Medicine, Nagoya, Japan
- DOI
- https://doi.org/10.1017/S1368980024000831
- Journal volume & issue
-
Vol. 27
Abstract
Abstract 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 FFQ. The hazard ratio (HR) and 95 % confidence interval (CI) 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 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 2482 deaths including 1495 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 HR (95 % CI) 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 HR (95 % CI) 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.
Keywords