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Published in: Environmental Health and Preventive Medicine 1/2018

Open Access 01-12-2018 | Study Protocol

The Murakami Cohort Study of vitamin D for the prevention of musculoskeletal and other age-related diseases: a study protocol

Authors: Kazutoshi Nakamura, Ribeka Takachi, Kaori Kitamura, Toshiko Saito, Ryosaku Kobayashi, Rieko Oshiki, Yumi Watanabe, Keiko Kabasawa, Akemi Takahashi, Shoichiro Tsugane, Masayuki Iki, Ayako Sasaki, Osamu Yamazaki

Published in: Environmental Health and Preventive Medicine | Issue 1/2018

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Abstract

Background

Age-related musculoskeletal diseases are becoming increasingly burdensome in terms of both individual quality of life and medical cost. We intended to establish a large population-based cohort study to determine environmental, lifestyle, and genetic risk factors of musculoskeletal and other age-related diseases, and to clarify the association between vitamin D status and such diseases.

Methods

We targeted 34,802 residents aged 40–74 years living in areas of northern Niigata Prefecture, including Sekikawa Village, Awashimaura Village, and Murakami City (Murakami region). The baseline questionnaire survey, conducted between 2011 and 2013, queried respondents on their lifestyle and environmental factors (predictors), and self-reported outcomes. Plasma 25-hydroxyvitamin D (25[OH]D) concentration, an indicator of vitamin D status, was determined with the Liaison® 25OH Vitamin D Total Assay. The primary outcome of this study was osteoporotic fracture; other outcomes included age-related diseases including knee osteoarthritis, perception of chronic pain, dementia, and long-term care insurance use. Mean ages of men and women were 59.2 (SD = 9.3, N = 6907) and 59.0 (SD = 9.3, N = 7457) years, respectively. From the blood samples provided by 3710 men and 4787 women, mean 25(OH)D concentrations were 56.5 (SD = 18.4) nmol/L (22.6 ng/mL) and 45.4 (SD = 16.5) nmol/L (18.2 ng/mL), respectively.

Discussion

Follow-up surveys are planned every 5 years for 15 years, and incident cases of our targeted diseases will be followed at hospitals and clinics in and nearby the cohort area. We anticipate that we will be able to clarify the association between vitamin D status and multiple disease outcomes in a Japanese population.
Literature
1.
go back to reference Health, Labour and Welfare Statistics Association. Kokumin-Eisei-no-Doko. Tokyo: Health, Labour and Welfare Statistics Association; 2017. (in Japanese). Health, Labour and Welfare Statistics Association. Kokumin-Eisei-no-Doko. Tokyo: Health, Labour and Welfare Statistics Association; 2017. (in Japanese).
2.
go back to reference Fayaz A, Croft P, Langford RM, Donaldson LJ, Jones GT. Prevalence of chronic pain in the UK: a systematic review and meta-analysis of population studies. BMJ Open. 2016;6:e010364.CrossRefPubMedPubMedCentral Fayaz A, Croft P, Langford RM, Donaldson LJ, Jones GT. Prevalence of chronic pain in the UK: a systematic review and meta-analysis of population studies. BMJ Open. 2016;6:e010364.CrossRefPubMedPubMedCentral
3.
go back to reference Harada A, Matsui Y, Takemura M, Ito Z, Wakao N, Ota T. Cost-utility analysis of osteoporosis. Jpn J Geriat. 2005;42:596–608. (in Japanese)CrossRef Harada A, Matsui Y, Takemura M, Ito Z, Wakao N, Ota T. Cost-utility analysis of osteoporosis. Jpn J Geriat. 2005;42:596–608. (in Japanese)CrossRef
4.
go back to reference Eastell R, Riggs BL. Vitamin D and osteoporosis. In: Feldman D, Pike JW, Glorieux FH, editors. Vitamin D, vol. 2. 2nd ed. Burlington: Elsevier Academic Press; 2005. p. 1101–20.CrossRef Eastell R, Riggs BL. Vitamin D and osteoporosis. In: Feldman D, Pike JW, Glorieux FH, editors. Vitamin D, vol. 2. 2nd ed. Burlington: Elsevier Academic Press; 2005. p. 1101–20.CrossRef
5.
go back to reference Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr. 2008;87:1080S–6S.CrossRefPubMed Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr. 2008;87:1080S–6S.CrossRefPubMed
6.
go back to reference Sommer I, Griebler U, Kien C, Auer S, Klerings I, Hammer R, et al. Vitamin D deficiency as a risk factor for dementia: a systematic review and meta-analysis. BMC Geriatr. 2017;17:16.CrossRefPubMedPubMedCentral Sommer I, Griebler U, Kien C, Auer S, Klerings I, Hammer R, et al. Vitamin D deficiency as a risk factor for dementia: a systematic review and meta-analysis. BMC Geriatr. 2017;17:16.CrossRefPubMedPubMedCentral
7.
go back to reference Mithal A, Wahl DA, Bonjour JP, Burckhardt P, Dawson-Hughes B, Eisman JA, et al. Global vitamin D status and determinants of hypovitaminosis D. Osteoporos Int. 2009;20:1807–20.CrossRefPubMed Mithal A, Wahl DA, Bonjour JP, Burckhardt P, Dawson-Hughes B, Eisman JA, et al. Global vitamin D status and determinants of hypovitaminosis D. Osteoporos Int. 2009;20:1807–20.CrossRefPubMed
8.
go back to reference Nakamura K, Saito T, Oyama M, Oshiki R, Kobayashi R, Nishiwaki T, et al. Vitamin D sufficiency is associated with low incidence of limb and vertebral fractures in community-dwelling elderly Japanese women: the Muramatsu Study. Osteoporos Int. 2011;22:97–103.CrossRefPubMed Nakamura K, Saito T, Oyama M, Oshiki R, Kobayashi R, Nishiwaki T, et al. Vitamin D sufficiency is associated with low incidence of limb and vertebral fractures in community-dwelling elderly Japanese women: the Muramatsu Study. Osteoporos Int. 2011;22:97–103.CrossRefPubMed
9.
go back to reference Nakamura K, Tsugawa N, Saito T, Ishikawa M, Tsuchiya Y, Hyodo K, et al. Vitamin D status, bone mass, and bone metabolism in home-dwelling postmenopausal Japanese women: Yokogoshi Study. Bone. 2008;42:271–7.CrossRefPubMed Nakamura K, Tsugawa N, Saito T, Ishikawa M, Tsuchiya Y, Hyodo K, et al. Vitamin D status, bone mass, and bone metabolism in home-dwelling postmenopausal Japanese women: Yokogoshi Study. Bone. 2008;42:271–7.CrossRefPubMed
10.
go back to reference Nakamura K, Nashimoto M, Hori Y, Yamamoto M. Serum 25-hydroxyvitamin D concentrations and related dietary factors in peri- and postmenopausal Japanese women. Am J Clin Nutr. 2000;71:1161–5.CrossRefPubMed Nakamura K, Nashimoto M, Hori Y, Yamamoto M. Serum 25-hydroxyvitamin D concentrations and related dietary factors in peri- and postmenopausal Japanese women. Am J Clin Nutr. 2000;71:1161–5.CrossRefPubMed
11.
go back to reference Tsugane S, Sawada N. The JPHC study: design and some findings on the typical Japanese diet. Jpn J Clin Oncol. 2014;44:777–82.CrossRefPubMed Tsugane S, Sawada N. The JPHC study: design and some findings on the typical Japanese diet. Jpn J Clin Oncol. 2014;44:777–82.CrossRefPubMed
13.
go back to reference Yokoyama Y, Takachi R, Ishihara J, Ishii Y, Sasazuki S, Sawada N, et al. Validity of short and long self-administered food frequency questionnaires in ranking dietary intake in middle-aged and elderly Japanese in the Japan Public Health Center-Based Prospective Study for the Next Generation (JPHC-NEXT) protocol area. J Epidemiol. 2016;26:420–32.CrossRefPubMed Yokoyama Y, Takachi R, Ishihara J, Ishii Y, Sasazuki S, Sawada N, et al. Validity of short and long self-administered food frequency questionnaires in ranking dietary intake in middle-aged and elderly Japanese in the Japan Public Health Center-Based Prospective Study for the Next Generation (JPHC-NEXT) protocol area. J Epidemiol. 2016;26:420–32.CrossRefPubMed
14.
go back to reference Ware JE, Gandek B, IQOLA project group. The SF-36 health survey: development and use in mental health research and IQOLA project. Int J Ment Health 1994;23:49–73. Ware JE, Gandek B, IQOLA project group. The SF-36 health survey: development and use in mental health research and IQOLA project. Int J Ment Health 1994;23:49–73.
15.
go back to reference Fukuhara S, Bito S, Green J, Hsiao A, Kurokawa K. Translation, adaptation, and validation of the SF-36 Health Survey for use in Japan. J Clin Epidemiol. 1998;51:1037–44.CrossRefPubMed Fukuhara S, Bito S, Green J, Hsiao A, Kurokawa K. Translation, adaptation, and validation of the SF-36 Health Survey for use in Japan. J Clin Epidemiol. 1998;51:1037–44.CrossRefPubMed
16.
go back to reference Marcus R, Dempster DW, Bouxsein ML. The nature of osteoporosis. In: Marcus R, Feldman D, Dempster DW, Luckey M, Cauley JA, editors. Osteoporosis, vol. 1. 4th ed. Oxford: Academic Press; 2013. p. 21–30.CrossRef Marcus R, Dempster DW, Bouxsein ML. The nature of osteoporosis. In: Marcus R, Feldman D, Dempster DW, Luckey M, Cauley JA, editors. Osteoporosis, vol. 1. 4th ed. Oxford: Academic Press; 2013. p. 21–30.CrossRef
17.
go back to reference Eriksen J, Ekholm O, Sjøgren P, Rasmussen NK. Development of and recovery from long-term pain. A 6-year follow-up study of a cross-section of the adult Danish population. Pain. 2004;108:154–62.CrossRefPubMed Eriksen J, Ekholm O, Sjøgren P, Rasmussen NK. Development of and recovery from long-term pain. A 6-year follow-up study of a cross-section of the adult Danish population. Pain. 2004;108:154–62.CrossRefPubMed
18.
go back to reference Fujiwara S, Kasagi F, Yamada M, Kodama K. Risk factors for hip fracture in a Japanese cohort. J Bone Miner Res. 1997;12:998–1004.CrossRefPubMed Fujiwara S, Kasagi F, Yamada M, Kodama K. Risk factors for hip fracture in a Japanese cohort. J Bone Miner Res. 1997;12:998–1004.CrossRefPubMed
19.
go back to reference Johansson H, Kanis JA, Odén A, McCloskey E, Chapurlat RD, Christiansen C, et al. A meta-analysis of the association of fracture risk and body mass index in women. J Bone Miner Res. 2014;29:223–33.CrossRefPubMed Johansson H, Kanis JA, Odén A, McCloskey E, Chapurlat RD, Christiansen C, et al. A meta-analysis of the association of fracture risk and body mass index in women. J Bone Miner Res. 2014;29:223–33.CrossRefPubMed
20.
go back to reference Papaioannou A, Joseph L, Ioannidis G, Berger C, Anastassiades T, Brown JP, et al. Risk factors associated with incident clinical vertebral and nonvertebral fractures in postmenopausal women: the Canadian Multicentre Osteoporosis Study (CaMos). Osteoporos Int. 2005;16:568–78.CrossRefPubMed Papaioannou A, Joseph L, Ioannidis G, Berger C, Anastassiades T, Brown JP, et al. Risk factors associated with incident clinical vertebral and nonvertebral fractures in postmenopausal women: the Canadian Multicentre Osteoporosis Study (CaMos). Osteoporos Int. 2005;16:568–78.CrossRefPubMed
21.
go back to reference Khaw KT, Reeve J, Luben R, Bingham S, Welch A, Wareham N, et al. Prediction of total and hip fracture risk in men and women by quantitative ultrasound of the calcaneus: EPIC-Norfolk prospective population study. Lancet. 2004;363:197–202.CrossRefPubMed Khaw KT, Reeve J, Luben R, Bingham S, Welch A, Wareham N, et al. Prediction of total and hip fracture risk in men and women by quantitative ultrasound of the calcaneus: EPIC-Norfolk prospective population study. Lancet. 2004;363:197–202.CrossRefPubMed
22.
go back to reference Schott AM, Cormier C, Hans D, Favier F, Hausherr E, Dargent-Molina P, et al. How hip and whole-body bone mineral density predict hip fracture in elderly women: the EPIDOS Prospective Study. Osteoporos Int. 1998;8:247–54.CrossRefPubMed Schott AM, Cormier C, Hans D, Favier F, Hausherr E, Dargent-Molina P, et al. How hip and whole-body bone mineral density predict hip fracture in elderly women: the EPIDOS Prospective Study. Osteoporos Int. 1998;8:247–54.CrossRefPubMed
23.
go back to reference Honkanen R, Tuppurainen M, Kröger H, Alhava E, Saarikoski S. Relationships between risk factors and fractures differ by type of fracture: a population-based study of 12,192 perimenopausal women. Osteoporos Int. 1998;8:25–31.CrossRefPubMed Honkanen R, Tuppurainen M, Kröger H, Alhava E, Saarikoski S. Relationships between risk factors and fractures differ by type of fracture: a population-based study of 12,192 perimenopausal women. Osteoporos Int. 1998;8:25–31.CrossRefPubMed
24.
go back to reference Bagger YZ, Tankó LB, Alexandersen P, Hansen HB, Qin G, Christiansen C. The long-term predictive value of bone mineral density measurements for fracture risk is independent of the site of measurement and the age at diagnosis: results from the Prospective Epidemiological Risk Factors study. Osteoporos Int. 2006;17:471–7.CrossRefPubMed Bagger YZ, Tankó LB, Alexandersen P, Hansen HB, Qin G, Christiansen C. The long-term predictive value of bone mineral density measurements for fracture risk is independent of the site of measurement and the age at diagnosis: results from the Prospective Epidemiological Risk Factors study. Osteoporos Int. 2006;17:471–7.CrossRefPubMed
25.
go back to reference Hofman A, van Duijn CM, Franco OH, Ikram MA, Janssen HL, Klaver CC, et al. The Rotterdam Study: 2012 objectives and design update. Eur J Epidemiol. 2011;26:657–86.CrossRefPubMedPubMedCentral Hofman A, van Duijn CM, Franco OH, Ikram MA, Janssen HL, Klaver CC, et al. The Rotterdam Study: 2012 objectives and design update. Eur J Epidemiol. 2011;26:657–86.CrossRefPubMedPubMedCentral
26.
go back to reference Cummings SR, Nevitt MC, Browner WS, Stone K, Fox KM, Ensrud KE, et al. Risk factors for hip fracture in white women. Study of Osteoporotic Fractures Research Group. N Engl J Med. 1995;332:767–73.CrossRefPubMed Cummings SR, Nevitt MC, Browner WS, Stone K, Fox KM, Ensrud KE, et al. Risk factors for hip fracture in white women. Study of Osteoporotic Fractures Research Group. N Engl J Med. 1995;332:767–73.CrossRefPubMed
27.
go back to reference Iki M, Fujita Y, Tamaki J, Kouda K, Yura A, Kadowaki E, et al. Design and baseline characteristics of a prospective cohort study for determinants of osteoporotic fracture in community-dwelling elderly Japanese men: the Fujiwara-kyo osteoporosis risk in men (FORMEN) study. BMC Musculoskelet Disord. 2009;10:165.CrossRefPubMedPubMedCentral Iki M, Fujita Y, Tamaki J, Kouda K, Yura A, Kadowaki E, et al. Design and baseline characteristics of a prospective cohort study for determinants of osteoporotic fracture in community-dwelling elderly Japanese men: the Fujiwara-kyo osteoporosis risk in men (FORMEN) study. BMC Musculoskelet Disord. 2009;10:165.CrossRefPubMedPubMedCentral
28.
go back to reference Yamazaki O. Evaluation of a trial of setting region for secondary medical care area based on the utilization for three major diseases in Niigata Prefecture. Niigata Med J. 2009;123:160–9. (in Japanese) Yamazaki O. Evaluation of a trial of setting region for secondary medical care area based on the utilization for three major diseases in Niigata Prefecture. Niigata Med J. 2009;123:160–9. (in Japanese)
Metadata
Title
The Murakami Cohort Study of vitamin D for the prevention of musculoskeletal and other age-related diseases: a study protocol
Authors
Kazutoshi Nakamura
Ribeka Takachi
Kaori Kitamura
Toshiko Saito
Ryosaku Kobayashi
Rieko Oshiki
Yumi Watanabe
Keiko Kabasawa
Akemi Takahashi
Shoichiro Tsugane
Masayuki Iki
Ayako Sasaki
Osamu Yamazaki
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2018
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-018-0715-2

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