Biomedical subjects

Satoshi Sasaki

Publications and source records attributed to Satoshi Sasaki.

At least 91 records · Page 5Linked to original sources

PubMed2003

Demographics, lifestyles, health characteristics, and dietary intake among dietary supplement users in Japan.

BACKGROUND: The associations between supplement use and certain demographics, lifestyles, health characteristics, and dietary intakes have not been studied in a large population in non-Western societies. The objective of our study was to investigate the association between supplement use and demographics, lifestyles, health characteristics, and dietary intake in a population-based cohort study in Japan. METHODS: Subjects were the 78 531 participants (45-74 years) who completed a self-administered questionnaire in 1995 or 1998 in a 5-year follow-up survey by the Japan Public Health Center-based prospective Study on cancer and cardiovascular disease. The questionnaire included enquiries about supplement use, occupation, height, weight, smoking, alcohol, physical activity, dietary behaviours, working hours, subjective stress, as well as intakes for 138 foods. RESULTS: The supplement users were likely to have formerly smoked or never smoked. Female supplement users were likely to consume alcohol moderately. The prevalence of users was higher in the elderly, the self-employed, those with lower body mass index, greater physical activity, lower frequency of eating prepared food, higher frequency of eating out, and higher stress level in both sexes after mutual adjustment. Mean intakes of energy and nutrients were lower for users than for non-users. CONCLUSION: The demographics, lifestyles, health characteristics, and dietary intakes may need to be adjusted when evaluating the effect of dietary supplements on disease because they can become potential confounding factors.

Aged↗

PubMed2003

Advanced pancreatic ductal cancer: fibrotic focus and beta-catenin expression correlate with outcome.

INTRODUCTION: Many investigators have examined prognostic factors for advanced pancreatic ductal cancer, but it is still difficult to accurately predict the outcome of the disease. AIM: To examine correlation between histopathologic factors and outcome of advanced ductal carcinoma of the pancreas. METHODOLOGY: The subjects were 23 patients who underwent resection of pancreatic ductal cancer classified as stage III according to pTNM classification. Fibrotic focus (which is evidence of intratumoral fibroblast proliferation), tumor size and differentiation, invasion to the portal vein, and immunohistologic expression of E-cadherin and alpha-, beta- andbgr;- and gamma-catenins were evaluated. Correlation between histologic and immunohistologic data and correlation between these data and liver metastasis-free survival and overall survival were assessed by means of the Kaplan-Meier method, the log-rank test, and the Cox proportional hazards regression model (for multivariate analysis). RESULTS: The presence of fibrotic focus correlated with reduced membranous beta-catenin expression. The presence of fibrotic focus, reduced membranous beta-catenin expression, and reduced cytoplasmic alpha-catenin expression were significantly associated with shorter liver metastasis-free survival. The presence of fibrotic focus also significantly correlated with shorter survival and was the only factor significantly associated with survival in multivariate analysis. CONCLUSION: The presence of fibrotic focus and reduced beta-catenin expression closely correlated with poor survival of patients with advanced ductal carcinoma of the pancreas.

Adult↗

PubMed2003

Histological characteristics of tumors in blood vessels play an important role in tumor progression of invasive ductal carcinoma of the breast.

Whether the characteristics of tumor cells in blood vessels play an important role in the tumor progression of invasive ductal carcinoma (IDC) of the breast is not known. The purpose of this study was to investigate the significance of the characteristics of tumor cells in blood vessels in relation to tumor progression in 247 IDC patients with blood vessel invasion, in comparison with well-known histological parameters. Blood vessel tumor embolus dimensions were measured. Nuclear atypia, numbers of mitotic and apoptotic figures, and fibrosis grade of tumor cells in blood vessels were assessed. Cox proportional hazard multivariate analyses showed that >2 mitotic figures in blood vessel tumors significantly increased the hazard rates (HRs) of disease-free survival (P=0.002) and initial distant organ metastasis-free survival (IDOMS) in node-negative IDCs (P=0.005), and the HRs of disease-free survival (DFS, P=0.007) and IDOMS (P=0.015) in node-positive IDCs. Apoptotic figures >2 in blood vessel tumor emboli significantly increased the HR of overall survival (P=0.007) in node-positive IDCs. The present study showed the number of mitotic and apoptotic figures in tumor cells in the blood vessels to play a very important role in the tumor progression of IDCs.

Adult↗

PubMed2003

Significance of nodal metastatic tumor characteristics in nodal metastasis and prognosis of patients with invasive ductal carcinoma of the breast.

There is no study evaluating the significance of nodal metastatic tumor characteristics in tumor progression of invasive ductal carcinomas (IDCs) of the breast. The purpose of this study was to investigate whether nodal metastatic tumor characteristics play an important role in the tumor progression of IDCs. The subjects of this study were 205 IDC patients with nodal metastases. Significant associations with increased numbers of nodal metastases, and patient outcomes were evaluated by multivariate analyses, in comparison with well-known histological parameters. The numbers of lymph nodes with extra-nodal invasion and with extranodal blood vessel tumor emboli, the distance of extra-nodal blood vessel tumor emboli from the nodes, and the nodal tumor dimensions significantly increased the number of nodal metastases in the multivariate analysis (P<0.001). Cox multivariate analyses showed that the parameters which significantly increased hazard rates (HRs) of disease-free survival (DFS), distant organ metastasis (DOM) and overall survival were 6 or more mitotic figures of nodal metastatic tumors (P<0.05). Six or more lymph nodes with extra-nodal invasion, and an extra-nodal blood vessel tumor emboli dimension of >0.6 mm significantly increased the HRs of DFS and DOM in multivariate analyses (P<0.05). The present study demonstrated the important roles of nodal metastatic tumors in the tumor progression of IDCs.

Adult↗

PubMed2003

The effect of 5-year vitamin C supplementation on serum pepsinogen level and Helicobacter pylori infection.

We conducted a population-based, double-blind, randomized controlled trial to examine the effect of vitamin C supplementation on serum pepsinogen (PG) level, Helicobacter pylori (H. pylori ) infection, and cytotoxin-associated gene A (Cag A) status. Subjects aged 40 to 69 years living in one village in Akita prefecture, a high-risk area for gastric cancer in Japan, were recruited through annual health check-up programs. Among 635 subjects diagnosed as having chronic gastritis on the basis of serum PG levels, after excluding ineligible cases, 439 subjects were assigned to one of four groups using a 2 x 2 factorial design (0 or 15 mg/day beta-carotene and 50 or 500 mg/day vitamin C). However, based on the results from two beta-carotene trials in the United States, we discontinued beta-carotene (vitamin C supplementation was continued). Finally, 120 subjects in the low-dose group (vitamin C 50 mg), and 124 subjects in the high-dose group (vitamin C 500 mg) completed the 5-year supplementation. The difference in the change of PGI/II ratio between baseline and after 5-year follow up was statistically significant between the intervention groups among those who completed the supplementation: - 0.25 for the low-dose group and - 0.13 for the high-dose group (P = 0.046). To conclude, vitamin C supplementation may protect against progression of gastric mucosal atrophy.

Administration, Oral↗

PubMed2003

Tumor cells in lymph vessels and lymph nodes closely associated with nodal metastasis by invasive ductal carcinoma of the breast.

No studies have ever precisely investigated the mechanism of nodal metastasis based on the histological characteristics of tumor cells in lymph vessels and lymph nodes. The purpose of this study was to investigate whether the histological characteristics of tumor cells in lymph vessels and lymph nodes of 393 patients with invasive ductal carcinoma (IDC) were significantly associated with increased nodal metastasis compared with well known histological characteristics of their primary-invasive tumor cells. Multivariate analyses showed that having a single nodal metastasis was closely dependent on primary-invasive tumor size or distance of lymph vessel tumor emboli from the margin of the primary-invasive tumor (P < 0.05) and that having 2 or more nodal metastases was significantly associated with the histological characteristics of the nodal metastatic tumors independently of the size of the primary-invasive tumor, and the number of nodes with extra-nodal invasion (ENI) significantly increased the relative risk (RR) of 4 or more nodal metastases in IDCs </= 20 mm and > 20 to </= 50 mm in size (P < 0.05). In IDCs > 50 mm in size, number of lymph vessels invaded, severe fibrosis of the stroma of extra-nodal invasive tumors, and distance of ENI from the node significantly increased the RR of 10 or more nodal metastases in the multivariate analysis (P < 0.05). The results of this study strongly suggest that the histological characteristics of tumor cells in lymph nodes and lymph vessels play an important role in nodal metastasis in IDCs of the breast.

Adult↗

PubMed2003

46,XY phenotypic male with focal segmental glomerulosclerosis caused by the WT1 splice site mutation.

OBJECTIVE: Frasier syndrome is characterized by progressive glomerulopathy due to nonspecific focal and segmental glomerulosclerosis (FSGS), 46,XY sex reversal and the development of gonadoblastoma from dysgenetic gonads. Donor splice site heterozygous mutations in intron 9 of the Wilms' tumor gene (WT1) cause this disease. We investigated whether WT1 mutations showed clinical heterogeneity. PATIENTS AND METHODS: A 6-year-old phenotypic boy was diagnosed as having FSGS. His karyotype was 46,XY. Gonadotropin-releasing hormone and human chorionic gonadotropin stimulation tests revealed normal luteinizing hormone, follicle-stimulating hormone and testosterone responses. The other patient was a 7-year-old 46,XY female with FSGS. Prophylactic gonadectomy was performed and gonadoblastoma was found. By polymerase chain reaction and direct sequencing, WT1 was analyzed in these patients. RESULTS AND CONCLUSION: Both patients had IVS9 + 5G-->A in intron 9 of the WT1. Our study indicates a normal 46,XY phenotypic male patient with FSGS. The phenotypic variations of the WT1 splice site mutations are further expanded.

Child↗

PubMed2003

Cruciferous vegetables, mushrooms, and gastrointestinal cancer risks in a multicenter, hospital-based case-control study in Japan.

We assessed the possible association of gastrointestinal cancers with cruciferous vegetables and mushrooms in a multicenter, hospital-based case-control study in an agricultural area of Japan. One hundred forty-nine cases and 287 controls for stomach cancer and 115 cases and 230 controls for colorectal cancer were matched by age, sex, and residential area. In stomach cancer, the protective effect of vegetables (consumption of total vegetable) was obscure, but it became clearer when we examined specific kinds of vegetables. Marginal associations were observed in the group of the highest consumption of Chinese cabbage (odds ratio [OR] = 0.61; 95% confidence interval [CI] = 0.35-1.07), broccoli (OR = 0.60; 95% CI = 0.34-1.08), Hypsizigus marmoreus (Bunashimeji) (OR = 0.57; 95% CI = 0.31-1.04) and Pholita nameko (Nameko) (OR = 0.56; 95% CI = 0.30-1.06). In colorectal cancer, we observed decreased risks from the highest tertile of total vegetables (OR = 0.22; 95% CI = 0.08-0.66) and low-carotene-containing vegetables (OR = 0.28; 95% CI = 0.08-0.77), and inverse associations were observed in the group of the highest consumption of broccoli (OR = 0.18; 95% CI = 0.06-0.58). Although the sample size was limited, subgroup analyses showed that the associations differed with the histopathological subtype. These findings suggest that cruciferous vegetables decrease the risk of both stomach and colorectal cancer, and that mushrooms are associated with a decreased risk of stomach cancer.

Adult↗

PubMed2003

Validity of a self-administered food frequency questionnaire in the 5-year follow-up survey of the JPHC Study Cohort I to assess sodium and potassium intake: comparison with dietary records and 24-hour urinary excretion level.

We compared the intake levels of sodium and potassium assessed with a self-administered semi-quantitative food frequency questionnaire (FFQ) used in a 5-year follow-up survey of the JPHC study and 28-day dietary record (DR), and the corresponding two 24-hour urinary excretion levels (32 men and 57 women) in 3-areas, i.e., Ninohe, Yokote, and Saku Public Health Center areas. The Spearman rank correlation coefficients between dietary sodium assessed with FFQ and the urinary excretion for crude values were 0.24 and -0.10 in men and women, respectively. After adjusting for energy and creatinine, the sodium correlation coefficients were 0.35 and 0.25 in men and women, respectively. The correlation coefficients for crude potassium values were 0.18 and -0.13 in men and women, respectively. After adjusting for energy and creatinine, the potassium correlation coefficients were 0.48 and 0.18 in men and women, respectively in conclusion, a weak correlation was observed both for sodium and potassium after energy and creatinine adjustment in men, whereas no meaningful correlation was observed in women.

Diet Records↗

PubMed2003

Validity of a self-administered food frequency questionnaire used in the 5-year follow-up survey of the JPHC Study Cohort I to assess dietary fiber intake: comparison with dietary records.

We examined the validity of a food frequency questionnaire (FFQ) used in the 5-year follow-up survey of the JPHC study for estimation of dietary fiber intake by comparing the intake estimated with dietary records (DR). We developed a food composition table for dietary fiber for the food items included in the FFQ using a substitution method. The Spearman correlation coefficients were slightly higher in crude values (0.48-0.51 in men, 0.40-0.45 in women) than in energy-adjusted values (0.43-0.44 in men, 0.36-0.40 in women). The correlation coefficients of food group-specific dietary fiber (crude) were 0.26 and 0.27 for vegetables, and 0.62 and 0.49 for fruits in men and women, respectively. The mean intakes assessed with the FFQ and DR were not statistically different either for water-soluble or -insoluble fiber in both men and women. However, the fruit fiber assessed with FFQ was significantly over- and the vegetable fiber was underestimated compared with those assessed with DRs. The FFQ can be used for ranking individuals for dietary fiber intakes in epidemiologic studies, despite the difficulty in estimating mean intake.

Analysis of Variance↗

PubMed2003

Reproducibility of a self-administered food frequency questionnaire used in the 5-year follow-up survey of the JPHC Study Cohort I to assess food and nutrient intake.

We examined the reproducibility of a self-administered semiquantitative food frequency questionnaire (FFQ) used in the 5-year follow-up survey for the Japan Public Health Center-based prospective Study on cancer and cardiovascular diseases (JPHC Study) to estimate nutrient and food intake by using repeated FFQs at a 1-year interval in 101 men and 108 women. Between energy and each of 32 nutrients, the correlation coefficients in crude values varied from 0.41 for vitamin B12 to 0.83 for alcohol (median=0.59) in men and 0.52 for alpha-carotene to 0.77 for iron (median=0.67) in women. In 21 food groups, it varied from 0.42 for seasonings and spices to 0.80 for pickled vegetables (median=0.61) in men and 0.45 for seasonings and spices and 0.74 for pulses, milks, and pickled vegetables (median=0.63) in women. The correlation coefficients for the energy-adjusted values (medians were 0.49 and 0.50 for nutrients and 0.50 and 0.49 for food groups in men and women, respectively) were somewhat lower than for the crude values. The difference in mean intakes between the two FFQs was less than 10% in most of the nutrient and food groups. The results suggest that the reproducibility of the FFQ used for the JPHC study was moderate to high in most of the nutrient and food groups.

Diet Surveys↗

PubMed2003

Validity and reproducibility of a self-administered food frequency questionnaire used in the baseline survey of the JPHC Study Cohort I.

We examined the validity and reproducibility of a 44-item food frequency questionnaire used in a baseline survey of the Japan Public Health Center-Based Prospective Study Cohort I conducted in February 1990. Subjects were 94 men and 107 women selected on a voluntary basis among respondents to the baseline survey. Four or five years after the baseline survey, they provided four 7-day diet records during a 1-year period, and then responded to the same questionnaire a second time. The median (range) for energy-adjusted correlation coefficients between 30 nutrients measured by the questionnaire and the diet records was 0.36 (0.06-0.81) for men and 0.37 (0.11-0.52) for women. The median correlation (range) for 17 food groups was 0.30 (0.08-0.75) for men and 0.28 (0.08-0.46) for women. The median correlation (range) for energy-adjusted correlation coefficients between the two questionnaires was 0.24 (0.04-0.69) for men and 0.50 (0.27-0.60) for women for the nutrients, and 0.34 (0.15-0.63) for men and 0.48 (0.18-0.55) for women for the food groups, respectively. The results indicate that this brief food frequency questionnaire provides reasonably valid and reproducible measures of consumption for many nutrients and food groups, and is useful for examining the association between diet and health in the Japanese population.

Diet Records↗

PubMed2003

Self-administered food frequency questionnaire used in the 5-year follow-up survey of the JPHC Study: questionnaire structure, computation algorithms, and area-based mean intake.

In this section we described the structure of the self-administered semiquantitative food frequency questionnaire used in the 5-year follow-up survey of the JPHC study, the computation algorithms, and the area-based mean intakes of nutrients and food groups in the subjects of the validation study. The FFQ consists of five sections: 1) semiquantitative frequency questions for rice and miso (fermented soybean paste)-soup, 2) those for alcoholic beverages, 3) those for vitamin supplements, 4) those for foods and beverages, and 5) questions on dietary and cooking behaviors. From the questions, intakes of nutrients and foods by food groups were computed. Although most of them were computed from the frequency and relative portion size indicated in the replies, together with the fixed portion size, a seasonal coefficient was added in the computation of vegetables and fruits. Only frequency of intake and fixed portion size were used for computation of beverages. Sugar and cream added in coffee and tea were computed from the frequency of coffee and tea intake. The intakes of cooking oil, cooking salt (sodium), and salt in noodle-soup were estimated from the questions of relative preference of oil, salt, and noodle-soup.

Algorithms↗

PubMed2003

Validity and reproducibility of a self-administered food frequency questionnaire in the JPHC Study Cohort II: study design, participant profile and results in comparison with Cohort I.

The objective of this study was to evaluate the validity and reproducibility of a self-administered food frequency questionnaire (FFQ) to estimate nutrient and food intake in the subjects of the Japan Public Health Center-based prospective Study on Cancer and Cardiovascular Diseases (JPHC Study Cohort II). The FFQ was originally developed to estimate intake in the JPHC Study Cohort I. A total of 392 subjects were recruited from the entire cohort participants in the 6 areas of Cohort II on a voluntary basis. The subjects completed the FFQ used for the 5-year follow-up survey twice at approximately a 1-year interval. Seven-day dietary records (DR) and blood samples were collected 4 times at 3-month intervals over a year. Daily nutrient and food intakes from FFQ and DR were estimated. The Spearman correlation coefficients for estimated intakes were calculated between FFQ and DR for validity, and between 2 identical FFQs for reproducibility. Correlation coefficients for the validity ranged from 0.09 to 0.82 among various nutrients and food groups. The correlation coefficients for most of the nutrients and food groups were improved to a level comparable to that of Cohort I by energy-adjustment. Correlation coefficients for reproducibility ranged from 0.42 to 0.82, similar to those of Cohort I.

Diet Records↗

PubMed2003

Validity and reproducibility of the self-administered food frequency questionnaire in the JPHC Study Cohort I: study design, conduct and participant profiles.

Two kinds of food frequency questionnaire (FFQ)s were used in the baseline and 5-year follow-up survey of the Japan Public Health Center-based prospective Study on Cancer and Cardiovascular Diseases (JPHC Study Cohort I), a prospective follow-up study with 50,000 population. The former (FFQ00) was a 44-item FFQ without standard portions/units and the latter (FFQ05) was a 138-item FFQ with standard portions/units. To validate these FFQs, a 7-day dietary record (DR) survey with blood and urine collection was conducted in four seasons in the Ninohe (Iwate), Yokote (Akita) and Saku (Nagano) Public Health Center (PHC) areas, and in two seasons in the Ishikawa (Okinawa) PHC area. Another FFQ00 and FFQ05 have also been employed at a one-year interval to measure reproducibility. A total of 102 men and 113 women provided complete 28-day DRs (14 days for Okinawa) and then filled out both FFQs after three or six months. A total of 92 men and 104 women provided blood twice, and 37 men and 65 women provided 24-hour urine twice. The data from these surveys have been used to measure the validity and reproducibility of the estimated food groups and nutrient intake by each FFQ.

Biomarkers↗

PubMed2003

Food and nutrient intakes assessed with dietary records for the validation study of a self-administered food frequency questionnaire in JPHC Study Cohort I.

We present here the survey methods and basic results of dietary records which were used as reference values in the present validation study of a self-administered food frequency questionnaire (FFQ) for the 5-year follow-up survey of the JPHC study. A semi-weighed dietary record was kept for four seven consecutive days in each of the four seasons in 3 areas, i.e., Iwate, Akita, and Nagano, and for seven consecutive days in both winter and summer in Okinawa. The mean intakes were significantly different between areas for some nutrients and food groups. A significant seasonal difference in the mean intakes was also observed in some nutrients such as carotene and vitamin C, and in some food groups such as potatoes, vegetables, and fruits in both sexes, and alcoholic beverages in men and milks in women (p<0.001).

Analysis of Variance↗

PubMed2003

Validity of the self-administered food frequency questionnaire used in the 5-year follow-up survey of the JPHC Study Cohort I: comparison with dietary records for main nutrients.

We examined the validity of energy and 16 nutrient intake measurements from a self-administered food frequency questionnaire (FFQ) used in the 5-year follow-up survey of the JPHC study using 28- or 14-day dietary records (DR) as the gold standard. The median (range) correlation coefficients between 16 nutrients measured by FFQ and DR were 0.52 (0.31-0.81) for men and 0.41 (0.22-0.56) for women. The median (range) for energy-adjusted correlation coefficients was 0.40 (0.22-0.82) for men and 0.39 (0.15-0.48) for women. With further adjustment for area, it was 0.41 and 0.35, respectively. The mean percentage of classification into the same categories between the two methods was 33% in men and 30% in women. Only 2% of subjects were classified into the extreme opposite categories. In conclusion, the results suggest that the FFQ can be used in the JPHC Study Cohort I to rank individuals according to the intakes for most of the nutrients examined.

Diet Records↗

PubMed2003

Validity of a self-administered food frequency questionnaire used in the 5-year follow-up survey of the JPHC Study Cohort I: comparison with dietary records for food groups.

We examined the validity of food intake measurements from a self-administered food frequency questionnaire (FFQ) used in the 5-year follow-up survey of the JPHC study using 28- or 14-day dietary records (DR) as the gold standard. The median (range) correlation coefficients between a 19-food group measured by FFQ and DR were 0.42 (0.13-0.76) for men and 0.41 (0.02-0.75) for women. The median (range) for energy-adjusted correlation coefficients was 0.38 (0.08-0.76) for men and 0.32 (0.06-0.66) for women. The mean percentage of classification into the same categories between the two methods was 30% in men and 31% in women. Only 2% in men and 3% in women of subjects were classified into the extreme opposite categories. When we adjusted for area, the median correlation coefficients were decreased in crude intakes (0.34 in men and 0.28 in women), whereas no remarkable change was observed in energy-adjusted intakes (0.33 in men and 0.29 in women). In conclusion, the results suggest that the FFQ can be used in the JPHC study cohort I to rank individuals according to the intakes for most of the food groups examined. But intake levels both at population and individual levels were difficult to estimate.

Diet Records↗