ArticleScientific reports2017
No modifying effect of education level on the association between lifestyle behaviors and cardiovascular mortality: the Japan Collaborative Cohort Study.
Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- The influence of socioeconomic status on the association between unhealthy lifestyle factors and adverse health outcomes: a systematic review.Wellcome open research · 2023Pooled it
- Combined lifestyle factors, incident cancer, and cancer mortality: a systematic review and meta-analysis of prospective cohort studies.British journal of cancer · 2020Pooled it
- Article
- Association between sleep duration and CVD mortality: a prospective cohort study based on middle-aged and elderly chest pain patients.BMC cardiovascular disorders · 2025Article
- The Longitudinal Relationship between Educational Level and Arterial Stiffness: The Toon Health Study.Journal of atherosclerosis and thrombosis · 2025Article
- Association of socioeconomic status and life's essential 8 with cardiovascular diseases and all-cause mortality in north China: Kailuan study.BMC public health · 2024Article
- Review
- Analysis of the influence of educational level on the nutritional status and lifestyle habits of the young Spanish population.Frontiers in public health · 2024Observational
- Diet and Lifestyle in the Spanish Population and Their Relationship with Sociodemographic Variables: A Descriptive Study.Foods (Basel, Switzerland) · 2023Article
- Dietary Acid Load Was Positively Associated with the Risk of Hip Fracture in Elderly Adults.Nutrients · 2022Article
- Super-additive associations between parity and education level on mortality from cardiovascular disease and other causes: the Japan Collaborative Cohort Study.BMC women's health · 2022Article
- The Effect of CKD on Associations between Lifestyle Factors and All-cause, Cancer, and Cardiovascular Mortality: A Population-based Cohort Study.Internal medicine (Tokyo, Japan) · 2021Article
- Article
- Associations of healthy lifestyle and socioeconomic status with mortality and incident cardiovascular disease: two prospective cohort studies.BMJ (Clinical research ed.) · 2021Article
- Urinary sodium-to-potassium ratio and body mass index in relation to high blood pressure in a national health survey in Chile.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Healthy Lifestyles Associated With Socioeconomic Determinants in the Older Adult Population.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We examined the effect of education level on the association between healthy lifestyle behaviors and cardiovascular mortality in the Japanese population. A total of 42,647 community-based men and women aged 40-79 years were enrolled at baseline (1988-1990), followed through 2009. The components of the healthy lifestyle score included the intake of fruits, fish, and milk; body mass index; exercise; avoidance of smoking; moderate alcohol intake; and moderate sleep duration. During the 19.3 years of follow-up, 8,314 all-cause and 2,377 total cardiovascular mortality cases were noted. Inverse associations were observed between healthy lifestyle scores and total cardiovascular disease (CVD) for both the lower and higher education level groups. Multivariable hazard ratios (95% confidence interval) for CVD mortality from the highest to the lowest healthy lifestyle scores, and the population attributable fraction (95% CIs) without healthy lifestyle scores of 7-8 were 0.51 (0.33-0.52) and 42% (24-58%), and 0.38 (0.27-0.47) and 55% (36-69%) for the higher and lower education levels, respectively. Our findings suggest that the association between higher CVD mortality and lower education level can be explained by the individuals' lower adherence to a healthy lifestyle; hence, lifestyle modification would be beneficial for the prevention of cardiovascular mortality, irrespective of the education level.
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