Evidence map›Paper›PMID 40481313›Full record

ArticleScientific reports2025

Occupational fall incidence associated with heated tobacco product use and lifestyle behaviors in Japan.

Saki Tsushima, Kazuhiko Watanabe, Sora Hirohashi, Tomohiro Yoshimi, Yoshihisa Fujino, Takahiro Tabuchi, Masayoshi Zaitsu

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Saki Tsushima *Center for Research of the Aging Workforce, University of Occupational and Environmental Health, Japan, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, 807-8555, Fukuoka, Japan.
Kazuhiko Watanabe *Center for Research of the Aging Workforce, University of Occupational and Environmental Health, Japan, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, 807-8555, Fukuoka, Japan.
Sora HirohashiCenter for Research of the Aging Workforce, University of Occupational and Environmental Health, Japan, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, 807-8555, Fukuoka, Japan.
Tomohiro YoshimiCenter for Research of the Aging Workforce, University of Occupational and Environmental Health, Japan, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, 807-8555, Fukuoka, Japan.
Yoshihisa FujinoDepartment of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan, Fukuoka, Japan.
Takahiro TabuchiDepartment of Public Health, Tohoku University, Miyagi, Japan.
Masayoshi ZaitsuCenter for Research of the Aging Workforce, University of Occupational and Environmental Health, Japan, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, 807-8555, Fukuoka, Japan. mzaitsu@med.uoeh-u.ac.jp.

Funding

Japan Society for the Promotion of Science JP22K17401Ministry of Health, Labour and Welfare 23EA1003Ministry of Health, Labour and Welfare 23FA1004UOEH Grant-in-Aid for Collaborative Research between the Institute of Industrial Ecological Sciences and the University Hospital 2022-1
6 · The paper itself

Abstract

This study identifies the association between heated tobacco product (HTP) use and occupational falls, considering lifestyle variables. A nationwide web-based cross-sectional study between September and November 2023 analyzed data from 18,440 workers in Japan (mean age: 43 years; women: 43.9%). The primary outcome was the occupational falls in the past year. The secondary outcome was fall-related fractures. Participants were categorized as those who never used, those who formerly used, and those who currently used tobacco products; the lattermost were further classified according to the product used. Other behavioral factors included alcohol consumption, sleep duration, physical activity, comorbidities, body mass index, hypnotics/anxiolytic use, and sociodemographic variables. Overall, 7.3% participants reported occupational falls, and 2.8% reported fall-related fractures. Occupational fall incidence was higher for those who currently smoked (IR: 1.36, 95% CI: 1.20-1.54), particularly those who exclusively used HTPs (IR: 1.78) and those who used both conventional cigarettes and HTPs (IR: 1.64), than for those who never smoked. Fall-related fractures showed similar trends. Short sleep duration and diabetes were associated with increased fall risk, particularly among younger workers. These findings highlight the significant association between HTP use, lifestyle behaviors, and occupational falls.

Indexed as

Accidental FallsLife StyleTobacco ProductsAdultCross-Sectional StudiesFemaleHumansIncidenceJapanMaleMiddle AgedRisk FactorsBone fracturesHeated tobacco productOccupational fallsSmokingWorkplace

Identifiers

PMID40481313
PMCPMC12144139

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.