Universal Health Checkups and Risk of Diabetes and Hypertension
Author Information
Author(s): Takeuchi Masato, Shinozaki Tomohiro, Kawakami Koji
Primary Institution: Shizuoka Graduate University of Public Health
Hypothesis
Is Japan’s universal health checkup system associated with primary prevention of obesity-related diseases, including diabetes and hypertension?
Conclusion
The study suggests that a universal health checkup system is associated with a lower risk of incident diabetes and hypertension.
Supporting Evidence
- The risk of incident diabetes or hypertension was 9.8% lower among recipients of the universal health checkup.
- 11.2% of all individuals developed the primary endpoint during the follow-up period.
- The adjusted hazard ratio for the primary outcome was 0.90.
Takeaway
This study found that people who participated in Japan's health checkups were less likely to develop diabetes and high blood pressure.
Methodology
This retrospective cohort study used data from a longitudinal health care database involving checkup history and medical encounter records.
Potential Biases
There is a potential for bias due to differences in health-seeking behaviors between participants and nonparticipants.
Limitations
The study is susceptible to bias associated with residual confounding and potential misclassification of participants.
Participant Demographics
Participants were aged 40 to 74 years, with a median age of 46 years; 62.7% were women.
Statistical Information
P-Value
0.90
Confidence Interval
95% CI, 0.89-0.92
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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