Evidence map›Paper›PMID 39928142›Full record

ArticleJournal of gastroenterology2025

Age distribution and risk factors for Barrett's esophagus by sex at health check-up settings in Japan.

Sho Fukuda, Kenta Watanabe, Dai Kubota, Nobutake Yamamichi, Yu Takahashi, Yoshitaka Watanabe, Kyoichi Adachi, Norihisa Ishimura, Tomoyuki Koike, Hideyuki Sugawara and 17 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Sho FukudaDepartment of Gastroenterology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
Kenta WatanabeDepartment of Gastroenterology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
Dai KubotaNext-Generation Endoscopic Computer Vision, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Nobutake YamamichiCenter for Epidemiology and Preventive Medicine, The University of Tokyo Hospital, Tokyo, Japan.
Yu TakahashiDepartment of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yoshitaka WatanabeDepartment of Gastroenterology, Kameda Medical Center Makuhari, Chiba, Chiba, Japan.
Kyoichi AdachiHealth Center, Shimane Environment and Health Public Corporation, Matsue, Shimane, Japan.
Norihisa IshimuraSecond Department of Internal Medicine, Shimane University Faculty of Medicine, Izumo, Shimane, Japan.
Tomoyuki KoikeDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
Hideyuki SugawaraDivision of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Miyagi, Japan.
Kiyotaka AsanumaCancer Detection Center, Miyagi Cancer Society, Sendai, Miyagi, Japan.
Yasuhiko AbeDivision of Endoscopy, Yamagata University Hospital, Yamagata, Yamagata, Japan.
Takashi KonDepartment of Gastroenterology, Yamagata Saisei Hospital, Yamagata, Yamagata, Japan.
Eikichi IharaDepartment of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Fukuoka, Japan.
Kazuhiro HaraguchiDepartment of Gastroenterology, Harasanshin Hospital, Fukuoka, Fukuoka, Japan.
Yoshihiro OtsukaDepartment of Gastroenterology, Harasanshin Hospital, Fukuoka, Fukuoka, Japan.
Rie YoshimuraMedical Treatment Corporate Foundation Group Hakuaikai Medical Checkup Center Wellness, Fukuoka, Fukuoka, Japan.
Yugo IwayaDepartment of Gastroenterology, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Takuma OkamuraDepartment of Gastroenterology, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Noriaki ManabeDivision of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan.
Akira HoriuchiDigestive Disease Center, Showa Inan General Hospital, Komagane, Nagano, Japan.
Mio MatsumotoDepartment of Gastroenterology, Sapporo Medical Center, NTT EC, Sapporo, Hokkaido, Japan.
Kengo OnochiDepartment of Gastroenterology, Omagari Kosei Medical Center, Omagari, Akita, Japan.
So TakahashiDepartment of Gastroenterology, Yuri Kumiai General Hospital, Yurihonjo, Akita, Japan.
Tatsuki YoshidaDepartment of Gastroenterology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
Yosuke ShimodairaDepartment of Gastroenterology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan.
Katsunori IijimaDepartment of Gastroenterology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita, Akita, 010-8543, Japan. kiijima@med.akita-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the high prevalence of esophageal adenocarcinoma and Barrett's esophagus (BE), a precancerous lesion, among males, it is important to understand the characteristics of BE by sex to develop an effective endoscopic surveillance program in Japan. The present study examined the age distribution and risk factors for BE in the Japanese health check-up cohort by sex.

methodsThe data set at baseline of our preceding multicenter study, comprising a total of 33,478 individuals who underwent upper endoscopic screening at 17 health check-up institutes across Japan, was utilized. BE and long-segment BE (LSBE) were defined as a columnar-lined esophagus ≥ 1 cm and ≥ 3 cm, respectively. Logistic regression analyses were performed to ascertain the factors associated with BE.

resultsBE was relatively common (10-20%) across all 10-year age groups in men and women. Although the prevalence of LSBE was rare (0.2%), it began to increase at younger ages in men. In the multivariable analysis of the male cohort, while body mass index (BMI) was negatively associated with BE with an adjusted odds ratio (95% confidence interval) of 0.84 (0.74-0.95), waist circumference (WC) was positively associated with 1.26 (1.13-1.41). Furthermore, this association was more pronounced in LSBE. In contrast, no such association was observed between BMI or WC and BE in women.

conclusionThe nationwide Japanese multicenter study yielded insights into the age distribution of BE in the Japanese population. Furthermore, our findings indicate that a low BMI/high WC represents a significant risk factor for BE in the Japanese male population.

Indexed as

Barrett EsophagusAdenocarcinomaAdultAgedAge DistributionAge FactorsBody Mass IndexCohort StudiesEsophageal NeoplasmsFemaleHumansJapanLogistic ModelsMaleMiddle AgedPrevalenceAgeBarrett’s esophagusBody mass indexSexWaist circumference

Identifiers

PMID39928142
PMCPMC12176911

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.