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Annual Report 2022

Division of Cohort Research

Norie Sawada, Manami Inoue, Motoki Iwasaki, Ryoko Katagiri, Seitaro Suzuki, Jun Umezawa, Rieko Kanehara, Yoshihisa Miyamoto, Yuri Ishii, Kayo Ohashi, Yasuko Kikuchi, Kumiko Kito, Yingyan Gong, Ren Sato, Utako Murai, Takahiro Mita, Tetsuya Tajima, Shinichiro Shiozawa, Mizuki Hino, Ayako Toyama, Aya Morishita

Introduction

 The Division of Cohort Research aims to (i) create evidence for prevention of non-communicable diseases such as cancer, and (ii) conduct epidemiological research to extend the healthy life expectancy among people living in Japan using a population-based cohorts, domestic and international epidemiological research network framework, and the collaborative epidemiological research network project of the six national centers in Japan (6NCs) for advanced and specialized medicine - National Center Cohort Collaborative for Advancing Population Health (NC-CCAPH).

Research Activities

1.  Using NC-CCAPH as a six national centers (6NC) research network to conduct collaborative epidemiological research on advanced and specialized medical care

 NC-CCAPH is the core research project of the Division of Cohort Research. Initiated in 2017, the project aims to establish 6NC Epidemiological Research Collaboration Platform to conduct pooled analyses and mutual data analyses. As a part of this project, the collaborative analysis platform expanded on a secure cloud workspace and the analysis server was stabilized for smooth collaboration.

 We have established a standardized evaluation criteria for the methodology. Based on this criteria, we have reevaluated the published recommendations on the association between several risk/preventive factors and diseases to extend healthy life expectancy in Japan. We will continue to update the evidence evaluation in 2023. The recommendations modified for the use of general public is being drafted.

2.  Promotion of collaborative research among the six National Centers using ongoing cohort studies in the NCC

 There are four Japan Public Health Center-based Prospective (JPHC) Study and seven JPHC Study for the Next Generation (JPHC-NEXT) collaborative studies that are ongoing or finished. For the JPHC Study, we reported that higher intake of total fruits as well as flavonoid-rich fruits were associated with decreased risk of depressive disorders. We also reported that among men who lived alone and women, having variety in the diet may prevent disabling dementia.

 There are also five ongoing collaborative studies from cohort studies in the NC-CCAPH consortium. We have published the prevalence of family history of cancer in Japan as a pooled project.

3.  JPHC Study / JPHC-NEXT

 We have been conducting follow-up surveys and data analysis for the JPHC Study with 140,000 residents from all over Japan continuously since 1990. Using the JPHC Study, we reported that endoscopic screening may reduce the risk of advanced gastric cancer incidence and mortality. In another study, we found that alcohol consumption was associated with a pancreatic cancer risk among men who had no change in their alcohol-consumption habit over a five-year span. We also reported that heavy smoking (40 pack-years) was associated with an increased risk of renal cell carcinoma.

 The baseline survey for the JPHC-NEXT was completed at the end of 2016, and we started the 5-year follow-up survey in 2016 (Table 1). Using JPHC-NEXT data, we reported that discretionary foods (such as miso soup) contribute the most to sodium (Na) consumption, but non-discretionary intake (such as pickled vegetables) may influence urinary Na excretion. The results suggested that reduction in the use of seasonings at home could be a recommendation to reduce Na consumption.

4.  The conditions and factors of coronavirus infection among National Center staff as a part of Multicenter Observational Study

 As part of a research project supported by the Japan Health Research Promotion Bureau, we are conducting a multicenter observational study of new coronavirus infections (COVID-19) among National Cancer Center staff at Tsukiji Campus. Web questionnaire surveys and blood antibody surveys were administered between June and July 2022 to over 500 participants. We are preparing to conduct a follow-up survey in 2023. There are two ongoing studies using data from the NCC and four studies using harmonized data of national centers.

Table 1. Study areas and results of the baseline, 5- and 10-year follow-up survey in the JPHC for the Next Generation (JPHC-NEXT)
Table 1. Study areas and results of the baseline, 5- and 10-year follow-up survey in the JPHC for the Next Generation (JPHC-NEXT)

Table 1. Study areas and results of the baseline, 5- and 10-year follow-up survey in the JPHC for the Next Generation (JPHC-NEXT)
Table 1. Study areas and results of the baseline, 5- and 10-year follow-up survey in the JPHC for the Next Generation (JPHC-NEXT)

 Future Prospects

 We hope to continue to expand and strengthen research collaboration networks to extend healthy life expectancy among Japanese, promote comprehensive inter-disciplinary disease prevention strategies, and provide scientific evidence to do so.

List of papers published in 2022

Journal

1. Tanaka S, Umezawa J, Yamaji T, Abe SK, Hamada A, Kobayashi O, Ushijima T, Inoue M. SARS-CoV-2 Antibody Response to Symptoms Indicative of COVID-19 in a Non-Infected Population in Japan: a Cross-Sectional Study. Japanese journal of infectious diseases, 76:46-54, 2023

2. Mitsutake S, Takahashi Y, Otsuki A, Umezawa J, Yaguchi-Saito A, Saito J, Fujimori M, Shimazu T. Chronic Diseases and Sociodemographic Characteristics Associated With Online Health Information Seeking and Using Social Networking Sites: Nationally Representative Cross-sectional Survey in Japan. Journal of medical Internet research, 25:e44741, 2023

3. Shrestha RM, Inoue Y, Yamamoto S, Fukunaga A, Sampei M, Okubo R, Morisaki N, Ohmagari N, Funaki T, Ishizuka K, Yamaguchi K, Sasaki Y, Takeda K, Miyama T, Kojima M, Nakagawa T, Nishimura K, Ogata S, Umezawa J, Tanaka S, Inoue M, Konishi M, Miyo K, Mizoue T. The association between experience of COVID-19-related discrimination and psychological distress among healthcare workers for six national medical research centers in Japan. Social psychiatry and psychiatric epidemiology, 1-9, 2023

4. Tanaka S, Goto A, Yamagishi K, Iwasaki M, Yamaji T, Shimazu T, Iso H, Muraki I, Yasuda N, Saito I, Kato T, Aoyagi K, Arima K, Sakata K, Tanno K, Inoue M, Sawada N, Tsugane S. Long-term Response of Helicobacter pylori Antibody Titer After Eradication Treatment in Middle-aged Japanese: JPHC-NEXT Study. Journal of epidemiology, 33:1-7, 2023

5. Tanaka K, Sobue T, Zha L, Kitamura T, Sawada N, Iwasaki M, Inoue M, Yamaji T, Tsugane S. Effectiveness of Screening Using Fecal Occult Blood Testing and Colonoscopy on the Risk of Colorectal Cancer: The Japan Public Health Center-based Prospective Study. Journal of epidemiology, 33:91-100, 2023

6. Chei CL, Sawada N, Khankari NK, Iwasaki M, Yamaji T, Cai H, Shimazu T, Inoue M, Shu XO, Zheng W, Tsugane S. Isoflavone and soy food intake and risk of lung cancer in never smokers: report from prospective studies in Japan and China. European journal of nutrition, 62:125-137, 2023

7. Khairan P, Sobue T, Eshak ES, Kitamura T, Iwasaki M, Inoue M, Yamaji T, Iso H, Tsugane S, Sawada N. Sugary drink consumption and the subsequent risk of gastric cancer: The Japan Public Health Center-based Prospective Study. European journal of clinical nutrition, 77:218-225, 2023

8. Hori M, Sawada N, Kito K, Yamaji T, Iwasaki M, Inoue M, Tsugane S. Vegetable and fruit intake and colorectal cancer risk by smoking status in adults: The Japan Public Health Center-based Prospective Study. European journal of clinical nutrition, 77:255-263, 2023

9. Miyamoto Y, Katagiri R, Yamaji T, Inoue M, Goto A, Iwasaki M, Noda M, Tsugane S, Sawada N. Association of chronic kidney disease with total and site-specific cancer incidence in participants of the Japan Public Health Center-based Prospective Study. Nephrology, dialysis, transplantation, 38:1487-1496, 2023

10. Tanaka S, Inoue M, Yamaji T, Iwasaki M, Minami T, Tsugane S, Sawada N. Increased risk of death from pneumonia among cancer survivors: A propensity score-matched cohort analysis. Cancer medicine, 12:6689-6699, 2023

11. Narii N, Kito K, Sobue T, Zha L, Kitamura T, Matsui Y, Matsuda T, Kotemori A, Nakadate M, Iwasaki M, Inoue M, Yamaji T, Tsugane S, Ishihara J, Sawada N. Acrylamide and Glycidamide Hemoglobin Adduct Levels and Breast Cancer Risk in Japanese Women: A Nested Case-Control Study in the JPHC. Cancer epidemiology, biomarkers & prevention, 32:415-421, 2023

12. Ohbe H, Hachiya T, Yamaji T, Nakano S, Miyamoto Y, Sutoh Y, Otsuka-Yamasaki Y, Shimizu A, Yasunaga H, Sawada N, Inoue M, Tsugane S, Iwasaki M. Development and validation of genome-wide polygenic risk scores for predicting breast cancer incidence in Japanese females: a population-based case-cohort study. Breast cancer research and treatment, 197:661-671, 2023

13. Ishii Y, Takachi R, Ishihara J, Yamaji T, Iwasaki M, Inoue M, Tsugane S, Sawada N. Prospective study of dietary changes in cancer survivors for five years including pre- and post- diagnosis compared with those in cancer-free participants. Scientific reports, 13:982, 2023

14. Okada C, Iso H, Yamagishi K, Ikeda A, Umesawa M, Muraki I, Yasuda N, Kato T, Saito I, Arima K, Nishimura T, Tanno K, Sakata K, Goto A, Yamaji T, Iwasaki M, Shimazu T, Inoue M, Sawada N, Tsugane S. Dietary behaviours and related lifestyles according to the presence or absence of skipping breakfast in Japanese adults: the JPHC-NEXT study. Public health nutrition, 26:1230-1237, 2023

15. Abe SK, Ihira H, Minami T, Imatoh T, Inoue Y, Tsutsumimoto K, Kobayashi N, Kashima R, Konishi M, Doi T, Teramoto M, Kabe I, Lee S, Watanabe M, Dohi S, Sakai Y, Nishita Y, Morisaki N, Tachimori H, Kokubo Y, Yamaji T, Shimada H, Mizoue T, Sawada N, Tsugane S, Iwasaki M, Inoue M. Prevalence of family history of cancer in the NC-CCAPH consortium of Japan. Scientific reports, 13:3128, 2023

16. Shimizu Y, Sawada N, Ihira H, Abe SK, Inoue M, Yasuda N, Yamagishi K, Iwasaki M, Tsugane S. Alcohol consumption from midlife and risk of disabling dementia in a large population-based cohort study in Japan. International journal of geriatric psychiatry, 38:e5896, 2023

17. Manandhar Shrestha R, Mizoue T, Islam Z, Kawakatsu Y, Ito H, Wada K, Nagata C, Zha L, Kitamura T, Sakata R, Kimura T, Sugawara Y, Tsuji I, Sato R, Sawada N, Tsugane S, Lin Y, Oze I, Abe SK, Inoue M. Adult height and risk of colorectal cancer: a pooled analysis of ten population-based cohort studies in Japan. Journal of epidemiology, 2023

18. Kanehara R, Katagiri R, Goto A, Yamaji T, Sawada N, Iwasaki M, Inoue M, Tsugane S. Sugar intake and colorectal cancer risk: A prospective Japanese cohort study. Cancer science, 114:2584-2595, 2023

19. Yamagiwa Y, Tanaka K, Matsuo K, Wada K, Lin Y, Sugawara Y, Mizoue T, Sawada N, Takimoto H, Ito H, Kitamura T, Sakata R, Kimura T, Tanaka S, Inoue M. Response to antiviral therapy for chronic hepatitis C and risk of hepatocellular carcinoma occurrence in Japan: a systematic review and meta-analysis of observational studies. Scientific reports, 13:3445, 2023

20. Shimomura Y, Sobue T, Zha L, Kitamura T, Iwasaki M, Inoue M, Yamaji T, Tsugane S, Sawada N. Association between meat, fish, and fatty acid intake and incidence of acute myeloid leukemia and myelodysplastic syndrome: the Japan Public Health Center-based Prospective Study. Environmental health and preventive medicine, 28:19, 2023

21. Yamagiwa Y, Tanaka K, Matsuo K, Wada K, Lin Y, Sugawara Y, Mizoue T, Sawada N, Takimoto H, Ito H, Kitamura T, Sakata R, Kimura T, Tanaka S, Inoue M. Author Correction: Response to antiviral therapy for chronic hepatitis C and risk of hepatocellular carcinoma occurrence in Japan: a systematic review and meta-analysis of observational studies. Scientific reports, 13:3899, 2023

22. Ge S, Zha L, Sobue T, Kitamura T, Iso H, Ishihara J, Kito K, Iwasaki M, Inoue M, Yamaji T, Tsugane S, Sawada N. Associations between dairy intake and mortality due to all-cause and cardiovascular disease: the Japan Public Health Center-based prospective study. European journal of nutrition, 2023

23. Saito I, Yamagishi K, Kokubo Y, Yatsuya H, Iso H, Sawada N, Inoue M, Tsugane S. Impact of Cardiovascular Disease on the Death Certificate Diagnosis of Heart Failure, Ischemic Heart Disease, and Cerebrovascular Disease - The Japan Public Health Center-Based Prospective Study. Circulation journal, 2023

24. Fujiwara N, Shimada N, Nojima M, Ariyoshi K, Sawada N, Iwasaki M, Tsugane S. Exploratory Research on Determinants of Place of Death in a Large-scale Cohort Study: The JPHC Study. Journal of epidemiology, 33:120-126, 2023

25. Kanehara R, Goto A, Goto M, Takahashi T, Iwasaki M, Noda M, Ihira H, Tsugane S, Sawada N. Validation Study of Diabetes Definitions Using Japanese Diagnosis Procedure Combination Data Among Hospitalized Patients. Journal of epidemiology, 33:165-169, 2023

26. Ogawa F, Takachi R, Ishihara J, Yamagishi M, Maruya S, Ishii Y, Kito K, Nakamura K, Tanaka J, Yamaji T, Iso H, Iwasaki M, Tsugane S, Sawada N. Dietary sodium sources according to four 3-d weighed food records and their association with multiple 24-h urinary excretions among middle-aged and elderly Japanese participants in rural areas. The British journal of nutrition, 129:1955-1963, 2023

27. Hanyuda A, Goto A, Nakatochi M, Sutoh Y, Narita A, Nakano S, Katagiri R, Wakai K, Takashima N, Koyama T, Arisawa K, Imoto I, Momozawa Y, Tanno K, Shimizu A, Hozawa A, Kinoshita K, Yamaji T, Sawada N, Iwagami M, Yuki K, Tsubota K, Negishi K, Matsuo K, Yamamoto M, Sasaki M, Tsugane S, Iwasaki M. Association Between Glycemic Traits and Primary Open-Angle Glaucoma: A Mendelian Randomization Study in the Japanese Population. American journal of ophthalmology, 245:193-201, 2023

28. Fernandez-Rozadilla C, Timofeeva M, Chen Z, Law P, Thomas M, Schmit S, Díez-Obrero V, Hsu L, Fernandez-Tajes J, Palles C, Sherwood K, Briggs S, Svinti V, Donnelly K, Farrington S, Blackmur J, Vaughan-Shaw P, Shu XO, Long J, Cai Q, Guo X, Lu Y, Broderick P, Studd J, Huyghe J, Harrison T, Conti D, Dampier C, Devall M, Schumacher F, Melas M, Rennert G, Obón-Santacana M, Martín-Sánchez V, Moratalla-Navarro F, Oh JH, Kim J, Jee SH, Jung KJ, Kweon SS, Shin MH, Shin A, Ahn YO, Kim DH, Oze I, Wen W, Matsuo K, Matsuda K, Tanikawa C, Ren Z, Gao YT, Jia WH, Hopper J, Jenkins M, Win AK, Pai R, Figueiredo J, Haile R, Gallinger S, Woods M, Newcomb P, Duggan D, Cheadle J, Kaplan R, Maughan T, Kerr R, Kerr D, Kirac I, Böhm J, Mecklin LP, Jousilahti P, Knekt P, Aaltonen L, Rissanen H, Pukkala E, Eriksson J, Cajuso T, Hänninen U, Kondelin J, Palin K, Tanskanen T, Renkonen-Sinisalo L, Zanke B, Männistö S, Albanes D, Weinstein S, Ruiz-Narvaez E, Palmer J, Buchanan D, Platz E, Visvanathan K, Ulrich C, Siegel E, Brezina S, Gsur A, Campbell P, Chang-Claude J, Hoffmeister M, Brenner H, Slattery M, Potter J, Tsilidis K, Schulze M, Gunter M, Murphy N, Castells A, Castellví-Bel S, Moreira L, Arndt V, Shcherbina A, Stern M, Pardamean B, Bishop T, Giles G, Southey M, Idos G, McDonnell K, Abu-Ful Z, Greenson J, Shulman K, Lejbkowicz F, Offit K, Su YR, Steinfelder R, Keku T, van Guelpen B, Hudson T, Hampel H, Pearlman R, Berndt S, Hayes R, Martinez ME, Thomas S, Corley D, Pharoah P, Larsson S, Yen Y, Lenz HJ, White E, Li L, Doheny K, Pugh E, Shelford T, Chan A, Cruz-Correa M, Lindblom A, Hunter D, Joshi A, Schafmayer C, Scacheri P, Kundaje A, Nickerson D, Schoen R, Hampe J, Stadler Z, Vodicka P, Vodickova L, Vymetalkova V, Papadopoulos N, Edlund C, Gauderman W, Thomas D, Shibata D, Toland A, Markowitz S, Kim A, Chanock S, van Duijnhoven F, Feskens E, Sakoda L, Gago-Dominguez M, Wolk A, Naccarati A, Pardini B, FitzGerald L, Lee SC, Ogino S, Bien S, Kooperberg C, Li C, Lin Y, Prentice R, Qu C, Bézieau S, Tangen C, Mardis E, Yamaji T, Sawada N, I. Deciphering colorectal cancer genetics through multi-omic analysis of 100,204 cases and 154,587 controls of European and east Asian ancestries. Nature genetics, 55:89-99, 2023

29. Katagiri R, Goto A, Nakano S, Nakatochi M, Koyanagi YN, Iwagami M, Hanyuda A, Yamaji T, Sawada N, Nakamura Y, Nakamura S, Kuriki K, Suzuki S, Imoto I, Momozawa Y, Oze I, Ito H, Tsugane S, Wakai K, Matsuo K, Iwasaki M. Association of 25-hydroxyvitamin D with risk of overall and colorectal cancer among Japanese using a Mendelian randomization approach. Scientific reports, 13:2384, 2023

30. Iwasaki M, Itoh H, Sawada N, Tsugane S. Exposure to environmental chemicals and cancer risk: epidemiological evidence from Japanese studies. Genes and environment , 45:10, 2023

31. Yasukawa T, Sasaki M, Motomura K, Yuki K, Kurihara T, Tomita Y, Mori K, Ozawa N, Ozawa Y, Yamagishi K, Hanyuda A, Sawada N, Tsubota K, Tsugane S, Iso H. Association Between Fatty Acid Intakes and Age-Related Macular Degeneration in a Japanese Population: JPHC-NEXT Eye Study. Translational vision science & technology, 12:3, 2023

32. Nanri A, Mizoue T, Goto A, Noda M, Sawada N, Tsugane S. Vitamin D intake and all-cause and cause-specific mortality in Japanese men and women: the Japan Public Health Center-based prospective study. European journal of epidemiology, 38:291-300, 2023

33. Ogawa T, Takahashi H, Saito H, Sagawa M, Aoki D, Matsuda K, Nakayama T, Kasahara Y, Kato K, Saitoh E, Morisada T, Saika K, Sawada N, Matsumura Y, Sobue T. Novel Algorithm for the Estimation of Cancer Incidence Using Claims Data in Japan: A Feasibility Study. JCO global oncology, 9:e2200222, 2023

34. Li SY, Yoshida Y, Kubota M, Zhang BS, Matsutani T, Ito M, Yajima S, Yoshida K, Mine S, Machida T, Hayashi A, Takemoto M, Yokote K, Ohno M, Nishi E, Kitamura K, Kamitsukasa I, Takizawa H, Sata M, Yamagishi K, Iso H, Sawada N, Tsugane S, Iwase K, Shimada H, Iwadate Y, Hiwasa T. Utility of atherosclerosis-associated serum antibodies against colony-stimulating factor 2 in predicting the onset of acute ischemic stroke and prognosis of colorectal cancer. Frontiers in cardiovascular medicine, 10:1042272, 2023

35. Miki T, Nanri A, Mizoue T, Goto A, Noda M, Sawada N, Tsugane S. Association of body mass index and weight change with pneumonia mortality in a Japanese population: Japan Public Health Center-based Prospective Study. International journal of obesity (2005), 47:479-486, 2023

36. Takata Y, Yang JJ, Yu D, Smith-Warner SA, Blot WJ, White E, Robien K, Prizment A, Wu K, Sawada N, Lan Q, Park Y, Gao YT, Cai Q, Song M, Zhang X, Pan K, Agudo A, Panico S, Liao LM, Tsugane S, Chlebowski RT, Nøst TH, Schulze MB, Johannson M, Zheng W, Shu XO. Calcium Intake and Lung Cancer Risk: A Pooled Analysis of 12 Prospective Cohort Studies. The Journal of nutrition, S0022-3166(23)35478-6, 2023

37. Kanehara R, Goto A, Watanabe T, Inoue K, Taguri M, Kobayashi S, Imai K, Saito E, Katanoda K, Iwasaki M, Ohashi K, Noda M, Higashi T. Association between diabetes and adjuvant chemotherapy implementation in patients with stage III colorectal cancer. Journal of diabetes investigation, 13:1771-1778, 2022

38. Yamamoto S, Tanaka A, Ohmagari N, Yamaguchi K, Ishitsuka K, Morisaki N, Kojima M, Nishikimi A, Tokuda H, Inoue M, Tanaka S, Umezawa J, Okubo R, Nishimura K, Konishi M, Miyo K, Mizoue T. Use of heated tobacco products, moderate alcohol drinking, and anti-SARS-CoV-2 IgG antibody titers after BNT162b2 vaccination among Japanese healthcare workers. Preventive medicine, 161:107123, 2022

39. Ogawa K, Morisaki N, Piedvache A, Nagata C, Sago H, Urayama KY, Arima K, Nishimura T, Sakata K, Tanno K, Yamagishi K, Iso H, Yasuda N, Kato T, Saito I, Goto A, Shimazu T, Yamaji T, Iwasaki M, Inoue M, Sawada N, Tsugane S. Association Between Birth Weight and Risk of Pregnancy-Induced Hypertension and Gestational Diabetes in Japanese Women: JPHC-NEXT Study. Journal of epidemiology, 32:168-173, 2022

40. Cui R, Iso H, Eshak ES, Maruyama K, Ishihara J, Takachi R, Sawada N, Tsugane S. Non-alcoholic beverages intake and risk of CVD among Japanese men and women: the Japan Public Health Center study. The British journal of nutrition, 127:1742-1749, 2022

41. Shin S, Lee JE, Loftfield E, Shu XO, Abe SK, Rahman MS, Saito E, Islam MR, Tsugane S, Sawada N, Tsuji I, Kanemura S, Sugawara Y, Tomata Y, Sadakane A, Ozasa K, Oze I, Ito H, Shin MH, Ahn YO, Park SK, Shin A, Xiang YB, Cai H, Koh WP, Yuan JM, Yoo KY, Chia KS, Boffetta P, Ahsan H, Zheng W, Inoue M, Kang D, Potter JD, Matsuo K, Qiao YL, Rothman N, Sinha R. Coffee and tea consumption and mortality from all causes, cardiovascular disease and cancer: a pooled analysis of prospective studies from the Asia Cohort Consortium. International journal of epidemiology, 51:626-640, 2022

42. Inoue-Choi M, Freedman ND, Saito E, Tanaka S, Hirabayashi M, Sawada N, Tsugane S, Usui Y, Ito H, Wang C, Tamakoshi A, Takeuchi T, Kitamura Y, Utada M, Ozasa K, Sugawara Y, Tsuji I, Wada K, Nagata C, Shimazu T, Mizoue T, Matsuo K, Naito M, Tanaka K, Katanoda K, Inoue M. Low-intensity cigarette smoking and mortality risks: a pooled analysis of prospective cohort studies in Japan. International journal of epidemiology, 51:1276-1290, 2022

43. Shrestha RM, Mizoue T, Sawada N, Matsuo K, Wada K, Tanaka K, Lin Y, Sugawara Y, Takimoto H, Kimura T, Ito H, Kitamura T, Sakata R, Tanaka S, Inoue M. Adult height in relation to the risk of colorectal cancer among the Japanese population: an evaluation based on systematic review and meta-analysis. Japanese journal of clinical oncology, 52:322-330, 2022

44. Lee S, Jang J, Abe SK, Rahman S, Saito E, Islam R, Gupta PC, Sawada N, Tamakoshi A, Shu XO, Koh WP, Sadakane A, Tsuji I, Kim J, Oze I, Nagata C, You SL, Shin MH, Pednekar MS, Tsugane S, Cai H, Yuan JM, Wen W, Ozasa K, Matsuyama S, Kanemura S, Shin A, Ito H, Wada K, Sugawara Y, Chen CJ, Ahn YO, Chen Y, Ahsan H, Boffetta P, Chia KS, Matsuo K, Qiao YL, Rothman N, Zheng W, Inoue M, Kang D, Park SK. Association between body mass index and oesophageal cancer mortality: a pooled analysis of prospective cohort studies with >800 000 individuals in the Asia Cohort Consortium. International journal of epidemiology, 51:1190-1203, 2022

45. Narii N, Sobue T, Zha L, Kitamura T, Sawada N, Iwasaki M, Inoue M, Yamaji T, Tsugane S. Vegetable and fruit intake and the risk of bladder cancer: Japan Public Health Center-based prospective study. British journal of cancer, 126:1647-1658, 2022

46. Hose Y, Ishihara J, Kotemori A, Nakadate M, Maruya S, Tanaka J, Yatsuya H, Aoyama A, Chiang C, Konta T, Kayama T, Ueno Y, Inoue M, Sawada N, Tsugane S, Takachi R. Applicability of a web-based 24-hour dietary recall tool for Japanese populations in large-scale epidemiological studies. Journal of epidemiology, 2022

47. Cai H, Sobue T, Kitamura T, Ishihara J, Murai U, Sawada N, Iwasaki M, Yamaji T, Inoue M, Tsugane S. Dietary fibre intake is associated with reduced risk of lung cancer: a Japan public health centre-based prospective study (JPHC). International journal of epidemiology, 51:1142-1152, 2022

48. Kabeya Y, Goto A, Kato M, Takahashi Y, Isogawa A, Matsushita Y, Mizoue T, Inoue M, Sawada N, Kadowaki T, Tsugane S, Noda M. Cross-sectional associations between the types/amounts of beverages consumed and the glycemia status: The Japan Public Health Center-based Prospective Diabetes study. Metabolism open, 14:100185, 2022

49. Matsumura T, Muraki I, Ikeda A, Yamagishi K, Shirai K, Yasuda N, Sawada N, Inoue M, Iso H, Brunner EJ, Tsugane S. Hobby engagement and risk of disabling dementia. Journal of epidemiology, 2022

50. Wilunda C, Abe SK, Svensson T, Sawada N, Tsugane S, Wada K, Nagata C, Kimura T, Tamakoshi A, Sugawara Y, Tsuji I, Ito H, Kitamura T, Sakata R, Mizoue T, Matsuo K, Tanaka K, Lin Y, Inoue M. Sleep duration and risk of cancer incidence and mortality: A pooled analysis of six population-based cohorts in Japan. International journal of cancer, 151:1068-1080, 2022

51. Leung CY, Huang HL, Abe SK, Saito E, Islam MR, Rahman MS, Ikeda A, Sawada N, Tamakoshi A, Gao YT, Koh WP, Shu XO, Sakata R, Tsuji I, Kim J, Park SK, Nagata C, You SL, Yuan JM, Shin MH, Pan WH, Tsugane S, Kimura T, Wen W, Cai H, Ozasa K, Matsuyama S, Kanemura S, Sugawara Y, Shin A, Wada K, Chen CJ, Wang R, Ahn YO, Ahsan H, Boffetta P, Chia KS, Matsuo K, Qiao YL, Rothman N, Zheng W, Kang D, Inoue M. Association of Marital Status With Total and Cause-Specific Mortality in Asia. JAMA network open, 5:e2214181, 2022

52. Shimomura Y, Sobue T, Zha L, Kitamura T, Iwasaki M, Inoue M, Yamaji T, Tsugane S, Sawada N. Association between Meat, Fish, and Fatty Acid Intake and Non-Hodgkin Lymphoma Incidence: The Japan Public Health Center-Based Prospective Study. The Journal of nutrition, 152:1895-1906, 2022

53. Sahashi Y, Goto A, Takachi R, Ishihara J, Kito K, Kanehara R, Yamaji T, Iwasaki M, Inoue M, Shoichiro T, Sawada N. Inverse Association between Fruit and Vegetable Intake and All-Cause Mortality: Japan Public Health Center-Based Prospective Study. The Journal of nutrition, 152:2245-2254, 2022

54. Murai U, Sawada N, Charvat H, Inoue M, Yasuda N, Yamagishi K, Tsugane S. Soy product intake and risk of incident disabling dementia: the JPHC Disabling Dementia Study. European journal of nutrition, 61:4045-4057, 2022

55. Jang J, Lee S, Ko KP, Abe SK, Rahman MS, Saito E, Islam MR, Sawada N, Shu XO, Koh WP, Sadakane A, Tsuji I, Kim J, Oze I, Nagata C, Tsugane S, Cai H, Yuan JM, Gao YT, Ozasa K, Matsuyama S, Kanemura S, Shin A, Ito H, Wada K, Sugawara Y, Chen Y, Ahsan H, Boffetta P, Chia KS, Matsuo K, Qiao YL, Rothman N, Zheng W, Inoue M, Kang D, Park SK. Association between Body Mass Index and Risk of Gastric Cancer by Anatomic and Histologic Subtypes in Over 500,000 East and Southeast Asian Cohort Participants. Cancer epidemiology, biomarkers & prevention, 31:1727-1734, 2022

56. Miyamoto Y, Nakano S, Ihira H, Yamaji T, Katagiri R, Sawada N, Inoue M, Tsugane S, Iwasaki M. Association of Plasma Iron Status with Subsequent Risk of Total and Site-Specific Cancer: A Large Case-Cohort Study within JPHC Study. Cancer prevention research (Philadelphia, Pa.), 15:669-678, 2022

57. Mori N, Murphy N, Sawada N, Achaintre D, Yamaji T, Scalbert A, Iwasaki M, Inoue M, Gunter MJ, Tsugane S. Prediagnostic plasma polyphenol concentrations and colon cancer risk: The JPHC nested case-control study. Clinical nutrition (Edinburgh, Scotland), 41:1950-1960, 2022

58. Narii N, Sobue T, Zha L, Kitamura T, Iwasaki M, Inoue M, Yamaji T, Tsugane S, Sawada N. Effectiveness of endoscopic screening for gastric cancer: The Japan Public Health Center-based Prospective Study. Cancer science, 113:3922-3931, 2022

59. Okita Y, Sobue T, Zha L, Kitamura T, Iwasaki M, Inoue M, Yamaji T, Tsugane S, Sawada N. Association Between Alcohol Consumption and Risk of Pancreatic Cancer: The Japan Public Health Center-Based Prospective Study. Cancer epidemiology, biomarkers & prevention, 31:2011-2019, 2022

60. Nakano S, Yamaji T, Katagiri R, Sawada N, Inoue M, Tsugane S, Iwasaki M. p53 Arg72Pro polymorphism, adiposity status, and cancer risk: Two case-cohorts within a Japanese prospective study. Cancer science, 113:4385-4393, 2022

61. Chen Y, Abe SK, Inoue M, Yamaji T, Iwasaki M, Nomura S, Hashizume M, Tsugane S, Sawada N. Green tea and coffee consumption and risk of kidney cancer in Japanese adults. Scientific reports, 12:20274, 2022

62. Kanehara R, Goto A, Sawada N, Mizoue T, Noda M, Hida A, Iwasaki M, Tsugane S. Association between sugar and starch intakes and type 2 diabetes risk in middle-aged adults in a prospective cohort study. European journal of clinical nutrition, 76:746-755, 2022

63. Ihira H, Goto A, Yamagishi K, Iso H, Iwasaki M, Sawada N, Tsugane S. Validity of claims data for identifying cancer incidence in the Japan public health center-based prospective study for the next generation. Pharmacoepidemiology and drug safety, 31:972-982, 2022

64. Matsuno T, Takachi R, Ishihara J, Ishii Y, Kito K, Maruya S, Nakamura K, Tanaka J, Yamagishi K, Yamaji T, Iso H, Iwasaki M, Tsugane S, Sawada N. Validity of the Food Frequency Questionnaire-Estimated Intakes of Sodium, Potassium, and Sodium-to-Potassium Ratio for Screening at a Point of Absolute Intake among Middle-Aged and Older Japanese Adults. Nutrients, 14:2594, 2022

65. Iwagami M, Goto A, Katagiri R, Sutoh Y, Koyanagi YN, Nakatochi M, Nakano S, Hanyuda A, Narita A, Shimizu A, Tanno K, Hozawa A, Kinoshita K, Oze I, Ito H, Yamaji T, Sawada N, Nakamura Y, Nakamura S, Kuriki K, Suzuki S, Hishida A, Kasugai Y, Imoto I, Suzuki M, Momozawa Y, Takeuchi K, Yamamoto M, Sasaki M, Matsuo K, Tsugane S, Wakai K, Iwasaki M. Blood Lipids and the Risk of Colorectal Cancer: Mendelian Randomization Analyses in the Japanese Consortium of Genetic Epidemiology Studies. Cancer prevention research (Philadelphia, Pa.), 15:827-836, 2022

66. Yoshizaki T, Ishihara J, Kotemori A, Kokubo Y, Saito I, Yatsuya H, Yamagishi K, Sawada N, Iwasaki M, Iso H, Tsugane S. Association between irregular daily routine and risk of incident stroke and coronary heart disease in a large Japanese population. Scientific reports, 12:15750, 2022

67. Yasukawa T, Hanyuda A, Yamagishi K, Yuki K, Uchino M, Ozawa Y, Sasaki M, Tsubota K, Sawada N, Negishi K, Tsugane S, Iso H. Relationship between blood pressure and intraocular pressure in the JPHC-NEXT eye study. Scientific reports, 12:17493, 2022

68. Katagiri R, Tabuchi T, Katanoda K. Socioeconomic and sociodemographic factors associated with food expense insufficiency during the COVID-19 pandemic in Japan. PloS one, 17:e0279266, 2022

69. Ogawa K, Shirai K, Nozaki S, Shikimoto R, Sawada N, Mimura M, Iso H, Tsugane S. The association between midlife living arrangement and psychiatrist-diagnosed depression in later life: who among your family members reduces the risk of depression? Translational psychiatry, 12:156, 2022

70. Watts EL, Perez-Cornago A, Fensom GK, Smith-Byrne K, Noor U, Andrews CD, Gunter MJ, Holmes MV, Martin RM, Tsilidis KK, Albanes D, Barricarte A, Bueno-de-Mesquita B, Chen C, Cohn BA, Dimou NL, Ferrucci L, Flicker L, Freedman ND, Giles GG, Giovannucci EL, Goodman GE, Haiman CA, Hankey GJ, Huang J, Huang WY, Hurwitz LM, Kaaks R, Knekt P, Kubo T, Langseth H, Laughlin G, Le Marchand L, Luostarinen T, MacInnis RJ, Mäenpää HO, Männistö S, Metter EJ, Mikami K, Mucci LA, Olsen AW, Ozasa K, Palli D, Penney KL, Platz EA, Rissanen H, Sawada N, Schenk JM, Stattin P, Tamakoshi A, Thysell E, Tsai CJ, Tsugane S, Vatten L, Weiderpass E, Weinstein SJ, Wilkens LR, Yeap BB, Allen NE, Key TJ, Travis RC. Circulating free testosterone and risk of aggressive prostate cancer: Prospective and Mendelian randomisation analyses in international consortia. International journal of cancer, 151:1033-1046, 2022

71. Fukuchi K, Osawa I, Satake S, Ito H, Shibata J, Dohi E, Kasugai D, Miyamoto Y, Ohbe H, Tamoto M, Yamada N, Yoshikawa K, Goto T. The Contribution of Chest X-Ray to Predict Extubation Failure in Mechanically Ventilated Patients Using Machine Learning-Based Algorithms. Critical care explorations, 4:e0718, 2022

72. Kobayashi Y, Yamagishi K, Muraki I, Kokubo Y, Saito I, Yatsuya H, Iso H, Tsugane S, Sawada N. Secondhand smoke and the risk of incident cardiovascular disease among never-smoking women. Preventive medicine, 162:107145, 2022

73. Kabasawa K, Takachi R, Nakamura K, Sawada N, Tsugane S, Ito Y, Tanaka J, Narita I, Matsushita K. Associations of Urinary and Dietary Sodium-To-Potassium Ratios with Albuminuria in Community-Dwelling Japanese Adults: A Cross-Sectional Study. Kidney & blood pressure research, 47:576-585, 2022

74. Narita Z, Nozaki S, Shikimoto R, Hori H, Kim Y, Mimura M, Tsugane S, Sawada N. Association between vegetable, fruit, and flavonoid-rich fruit consumption in midlife and major depressive disorder in later life: the JPHC Saku Mental Health Study. Translational psychiatry, 12:412, 2022

75. Shikimoto R, Nozaki S, Sawada N, Shimizu Y, Svensson T, Nakagawa A, Mimura M, Tsugane S. Coping in Mid- to Late Life and Risk of Mild Cognitive Impairment Subtypes and Dementia: A JPHC Saku Mental Health Study. Journal of Alzheimer’s disease, 90:1085-1101, 2022

76. Kito K, Yamamoto J, Kotemori A, Nakadate M, Maruyama K, Miyazaki S, Okada C, Ishihara J, Tsugane S, Sawada N. Validity and reproducibility of the intake of trans-fatty acids estimated using a FFQ and characteristics of trans-fatty acid intake of the Japanese population: the JPHC FFQ Validation Study. The British journal of nutrition, 1-9, 2022

77. Svensson T, Sawada N, Mimura M, Nozaki S, Shikimoto R, Tsugane S. Midlife intake of the isoflavone genistein and soy, and the risk of late-life cognitive impairment: the JPHC Saku Mental Health Study. Journal of epidemiology, 2021