icon fsr

文献詳細

雑誌文献

臨床検査54巻12号

2010年11月発行

文献概要

今月の主題 脳卒中 総論

脳卒中の予防

著者: 中村幸志1 中川秀昭1

所属機関: 1金沢医科大学公衆衛生学

ページ範囲:P.1487 - P.1493

文献購入ページに移動
 脳卒中の危険因子については脳卒中の病型別にみる必要があるものの,高血圧,糖尿病,喫煙,多量飲酒や心房細動は確立された危険因子であり,脂質異常症も危険因子である可能性がある.こういった古典的危険因子は生活習慣と密接な関連があるため,生活習慣の改善によって危険因子を管理・予防し,脳卒中の予防をはかることができる.具体的に言えば,適正な体重,血糖や血清脂質の維持を目標にした適正なエネルギーおよび栄養素の摂取,塩分摂取の制限,野菜や果物の積極的な摂取,有酸素運動,禁煙,適量飲酒やストレス管理などを実践することが脳卒中の予防につながる.

参考文献

1) Arima H, Tanizaki Y, Yonemoto K, et al:Impact of blood pressure levels on different types of stroke:the Hisayama study. J Hypertens 27:2437-2443,2009
2) Ikeda A, Iso H, Yamagishi K, et al:Blood pressure and the risk of stroke, cardiovascular disease, and all-cause mortality among Japanese:the JPHC Study. Am J Hypertens 22:273-280,2009
3) 日本高血圧学会高血圧治療ガイドライン作成委員会:高血圧治療ガイドライン2009.ライフ・サイエンス出版,2009
4) Iso H, Imano H, Kitamura A, et al:Type 2 diabetes and risk of non-embolic ischaemic stroke in Japanese men and women. Diabetologia 47:2137-2144,2004
5) Doi Y, Ninomiya T, Hata J, et al:Impact of glucose tolerance status on development of ischemic stroke and coronary heart disease in a general Japanese population:the Hisayama study. Stroke 41:203-209,2010
6) 日本糖尿病学会:糖尿病治療ガイド2008-2009.文光堂,2008
7) 日本糖尿病学会:糖尿病の分類と診断基準に関する委員会報告.http://www.jds.or.jp/jds or wjp0/uploads/photos/626.pdf(2010年7月2日参照)
8) Sunaga K, Miura K, Naruse Y, et al:Glycated hemoglobin and risk of stroke, ischemic and hemorrhagic, in Japanese men and women. Cerebrovasc Dis 26:310-316,2008
9) Okamura T, Kadowaki T, Hayakawa T, et al:What cause of mortality can we predict by cholesterol screening in the Japanese general population? J Intern Med 253:169-180,2003
10) Imamura T, Doi Y, Arima H, et al:LDL cholesterol and the development of stroke subtypes and coronary heart disease in a general Japanese population:the Hisayama study. Stroke 40:382-388,2009
11) Okamura T, Kokubo Y, Watanabe M, et al:Triglycerides and non-high-density lipoprotein cholesterol and the incidence of cardiovascular disease in an urban Japanese cohort:the Suita study. Atherosclerosis 209:290-294,2010
12) Tanabe N, Iso H, Okada K, et al:Serum total and non-high-density lipoprotein cholesterol and the risk prediction of cardiovascular events―the JALS-ECC―. Circ J 74:1346-1356,2010
13) Soyama Y, Miura K, Morikawa Y, et al:High-density lipoprotein cholesterol and risk of stroke in Japanese men and women:the Oyabe Study. Stroke 34:863-868,2003
14) Noda H, Iso H, Irie F, et al:Low-density lipoprotein cholesterol concentrations and death due to intraparenchymal hemorrhage:the Ibaraki Prefectural Health Study. Circulation 119:2136-2145,2009
15) Mannami T, Iso H, Baba S, et al:Cigarette smoking and risk of stroke and its subtypes among middle-aged Japanese men and women:the JPHC Study Cohort I. Stroke 35:1248-1253,2004
16) Iso H, Date C, Yamamoto A, et al:Smoking cessation and mortality from cardiovascular disease among Japanese men and women:the JACC Study. Am J Epidemiol 161:170-179,2005
17) McGhee SM, Ho SY, Schooling M, et al:Mortality associated with passive smoking in Hong Kong. BMJ 330:287-288,2005
18) Kiyohara Y, Kato I, Iwamoto H, et al:The impact of alcohol and hypertension on stroke incidence in a general Japanese population. The Hisayama Study. Stroke 26:368-372,1995
19) Iso H, Baba S, Mannami T, et al:Alcohol consumption and risk of stroke among middle-aged men:the JPHC Study Cohort I. Stroke 35:1124-1129,2004
20) Nakayama T, Date C, Yokoyama T, et al:A 15.5-year follow-up study of stroke in a Japanese provincial city. The Shibata Study. Stroke 28:45-52,1997
21) Tanizaki Y, Kiyohara Y, Kato I, et al:Incidence and risk factors for subtypes of cerebral infarction in a general population:the Hisayama study. Stroke 31:2616-2622,2000
22) メタボリックシンドローム診断基準検討委員会:メタボリックシンドロームの定義と診断基準.日内会誌 94:794-809,2005
23) Ninomiya T, Kubo M, Doi Y, et al:Impact of metabolic syndrome on the development of cardiovascular disease in a general Japanese population:the Hisayama study. Stroke 38:2063-2069,2007
24) Noda H, Iso H, Saito I, et al:The impact of the metabolic syndrome and its components on the incidence of ischemic heart disease and stroke:the Japan public health center-based study. Hypertens Res 32:289-298,2009
25) Hirokawa W, Nakamura K, Sakurai M, et al:Mild metabolic abnormalities, abdominal obesity and the risk of cardiovascular diseases in middle-aged Japanese men. J Atheroscler Thromb 17:934-943,2010
26) Nakamura K, Okamura T, Hayakawa T, et al:Electrocardiogram screening for left high R-wave predicts cardiovascular death in a Japanese community-based population:NIPPON DATA90. Hypertens Res 29:353-360,2006
27) 日本腎臓学会:CKD診療ガイド2009.東京医学社,2009
28) Irie F, Iso H, Sairenchi T, et al:The relationships of proteinuria, serum creatinine, glomerular filtration rate with cardiovascular disease mortality in Japanese general population. Kidney Int 69:1264-1271,2006
29) Ninomiya T, Kiyohara Y, Tokuda Y, et al:Impact of kidney disease and blood pressure on the development of cardiovascular disease:an overview from the Japan Arteriosclerosis Longitudinal Study. Circulation 118:2694-2701,2008
30) Matsuo S, Imai E, Horio M, et al:Revised equations for estimated GFR from serum creatinine in Japan. Am J Kidney Dis 53:982-992,2009
31) Kitamura A, Iso H, Imano H, et al:Carotid intima-media thickness and plaque characteristics as a risk factor for stroke in Japanese elderly men. Stroke 35:2788-2794,2004
32) 日本動脈硬化学会:動脈硬化性疾患予防のための脂質異常症治療ガイド2008年版.協和企画,2008
33) 厚生労働省:平成20年国民健康・栄養調査.http://www.mhlw.go.jp/houdou/2009/11/dl/h1109-1b.pdf(2010年7月2日参照)
34) Nakamura K, Okamura T, Hayakawa T, et al:The proportion of individuals with obesity-induced hypertension among total hypertensives in a general Japanese population:NIPPON DATA80, 90. Eur J Epidemiol 22:691-698,2007
35) 肥満症治療ガイドライン作成委員会:肥満症治療ガイドライン2006.肥満研究 12(臨増),2006
36) Ueshima H, Stamler J, Elliott P, et al:Food omega-3 fatty acid intake of individuals (total, linolenic acid, long-chain) and their blood pressure:INTERMAP study. Hypertension 50:313-319,2007
37) 吉池信男,田中平三:生活指導-一般的生活指導.循環器疾患の予防・管理・治療マニュアル(日本循環器管理研究協議会,編集).保健同人社,pp150-165,2003
38) 中村正和,大島明,増居志津子:個別健康教育 禁煙サポートマニュアル(改訂版).法研,2002
39) Iso H, Date C, Yamamoto A, et al:Perceived mental stress and mortality from cardiovascular disease among Japanese men and women:the Japan Collaborative Cohort Study for Evaluation of Cancer Risk Sponsored by Monbusho (JACC Study). Circulation 106:1229-1236,2002

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1367

印刷版ISSN:0485-1420

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?