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Annual Report 2020

Division of Cohort Research

Shoichiro Tsugane, Manami Inoue, Maiko Fujimori, Motoki Iwasaki, Norie Sawada, Jun Umezawa, Osamu Hemmi, Takuya Imato, Hikaru Ihira, Takahiro Mita, Tetsuya Tajima, Calistus Wilunda, Yuri Ishii, Utako Murai, Yingyan Gong, Ayako Toyama, Ai Nakamura

Introduction

 The Division of Cohort Research aims to create evidence for preventing cancer and other diseases and extending the healthy life expectancy of Japanese people. To this end, we conduct epidemiological research using a population-based cohort study infrastructure (JPHC Study and JPHC-NEXT Study) and a domestic and international epidemiological research network framework, the National Center Cohort Collaborative for Advancing Population Health (NC-CCAPH).

Research activities

1.  National Center Cohort Collaborative for Advancing Population Health (NC-CCAPH) - The collaborative epidemiological research network project of the six national centers (6NC) for advanced and specialized medical care.

 The NC-CCAPH is a core research project of the Division of Cohort Research. This project started in 2017. The main aim of the NC-CCAPH is to establish the 6NC Epidemiological Research Collaboration Platform, which will be used to conduct pooled analyses and mutual data analysis through exchange and cooperation among researchers at the six national centers. As part of this project we have established an analysis platform that offers both onsite and remote access with information security protection. We have also launched a working group to make recommendations to extend the healthy life expectancy of Japanese people, based on evidence for comprehensive disease prevention. The recommendation was publicized in February 2021.

2.  Promotion of collaborative research among 6NCs using ongoing cohort studies in the NCC.

 Using data from the JPHC Study, we have an ongoing study on depression in collaboration with the National Center of Neurology and Psychiatry (NCNP) and two ongoing studies on dementia assessed by the long-term care insurance system in collaboration with the National Center for Geriatrics and Gerontology. In terms of collaborative studies using data from the JPHC-NEXT study, one study proposed by the National Center for Child Health and Development (NCCHD) was accepted by the Journal of Epidemiology. In addition, we newly proposed one research protocol on birth weight, lipid levels, and blood pressure in collaboration with the NCCHD, and have a total of four ongoing studies with the NCCHD.

 Concerning the practical use of electronic medical information in cohort studies, we have collected information on health insurance claims and diagnosis procedure combinations (DPC) in the JPHC-NEXT study. In addition, we discussed the validation study for assessing mental disorders (depression, dementia, etc.) using claims data at the collaborative research meeting, and proposed a research protocol.

 Regarding the collaborative research among six NCs using ongoing cohort studies, three newly proposed studies were approved at the annual meeting and are collecting data.

3.  Japan Public Health Center-based prospective study (JPHC study) / JPHC study for the NEXT generation (JPHC-NEXT)

 Follow-up surveys and data analysis of the Japan Public Health Center-based Prospective study (JPHC study) with 140,000 local residents as participants have been conducted continuously since 1990. In this study, we reported that adherence to a Japanese diet was associated with a decreased risk of all-cause mortality. Additionally, BMI showed statistically significant positive trends for men and meningioma. A baseline survey for the JPHC study for the NEXT generation (JPHC-NEXT) was completed by the end of 2016, and the 5-year follow-up survey started in 2016 (Table 1). To adapt changes in times, we are adding surveys on heat-not-burn tobacco, and we are conducting surveys on lifestyle changes before and after the COVID-19 pandemic.

4.  Multicenter observational study on the conditions and factors of coronavirus infections among National Center Staff in Japan

 As part of a research project supported by the National Advanced Medical Research Center Medical Research Collaboration Promotion Headquarters, we are participating in a multicenter observational study of new coronavirus infections among staff, which started as a support project of (JH). The National Cancer Center conducted a web-based questionnaire/survey and blood antibody survey on new coronavirus infections for Tsukiji campus staff from February to March 2021 and collected data on approximately 450 people. The survey will be continued until 2022.

Future Prospects

 In addition to creating scientific evidence, we will expand and strengthen our research collaboration networks, aiming to extend the healthy life expectancy of Japanese people and promote comprehensive interdisciplinary disease prevention.

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

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

List of papers published in 2020

Journal

1. Kihara T, Yamagishi K, Honda K, Ikeda A, Yatsuya H, Saito I, Kokubo Y, Yamaji T, Shimazu T, Sawada N, Iwasaki M, Iso H, Tsugane S. Apolipoprotein A2 Isoforms in Relation to the Risk of Myocardial Infarction: A Nested Case-Control Analysis in the JPHC Study. J Atheroscler Thromb, 28:483-490, 2021

2. Shirabe R, Saito E, Sawada N, Ishihara J, Takachi R, Abe SK, Shimazu T, Yamaji T, Goto A, Iwasaki M, Inoue M, Tsugane S. Fermented and nonfermented soy foods and the risk of breast cancer in a Japanese population-based cohort study. Cancer Med, 10:757-771, 2021

3. Adachi S, Sawada N, Yuki K, Uchino M, Iwasaki M, Tsubota K, Tsugane S. Intake of Vegetables and Fruits and the Risk of Cataract Incidence in a Japanese Population: The Japan Public Health Center-Based Prospective Study. J Epidemiol, 31:21-29, 2021

4. Zha L, Liu R, Sobue T, Kitamura T, Ishihara J, Kotemori A, Ikeda S, Sawada N, Iwasaki M, Tsugane S, For The Jphc Study Group. Dietary Acrylamide Intake and the Risk of Hematological Malignancies: The Japan Public Health Center-Based Prospective Study. Nutrients, 13:2021

5. Wilunda C, Sawada N, Goto A, Yamaji T, Takachi R, Ishihara J, Mori N, Kotemori A, Iwasaki M, Tsugane S. Associations between changes in fruit and vegetable consumption and weight change in Japanese adults. Eur J Nutr, 60:217-227, 2021

6. Hamazaki K, Matsuoka YJ, Yamaji T, Sawada N, Mimura M, Nozaki S, Shikimoto R, Tsugane S. Plasma phospholipid n-3 polyunsaturated fatty acids and major depressive disorder in Japanese elderly: the Japan Public Health Center-based Prospective Study. Sci Rep, 11:4003, 2021

7. Takeuchi T, Kitamura Y, Sobue T, Utada M, Ozasa K, Sugawara Y, Tsuji I, Hori M, Sawada N, Tsugane S, Koyanagi YN, Ito H, Wang C, Tamakoshi A, Wada K, Nagata C, Shimazu T, Mizoue T, Matsuo K, Naito M, Tanaka K, Inoue M. Impact of reproductive factors on breast cancer incidence: Pooled analysis of nine cohort studies in Japan. Cancer Med, 10:2153-2163, 2021

8. Saito E, Inoue M, Sawada N, Kokubo Y, Yamagishi K, Iso H, Shimazu T, Yamaji T, Iwasaki M, Tsugane S. Risk of stroke in cancer survivors using a propensity score-matched cohort analysis. Sci Rep, 11:5599, 2021

9. Ikeda S, Sobue T, Kitamura T, Ishihara J, Kotemori A, Zha L, Liu R, Sawada N, Iwasaki M, Tsugane S, On Behalf Of The Jphc Study Group. Dietary Acrylamide Intake and the Risks of Renal Cell, Prostate, and Bladder Cancers: A Japan Public Health Center-Based Prospective Study. Nutrients, 13:2021

10. Abe SK, Sawada N, Ishihara J, Takachi R, Mori N, Yamaji T, Shimazu T, Goto A, Iwasaki M, Inoue M, Tsugane S. Comparison between the impact of fermented and unfermented soy intake on the risk of liver cancer: the JPHC Study. Eur J Nutr, 60:1389-1401, 2021

11. Sasaki M, Ito Y, Yamasaki T, Yanagi Y, Gemmy Cheung CM, Motomura K, Kawakami S, Kinoshita T, Yuki K, Hanyuda A, Mimura M, Sawada N, Tsugane S, Tsubota K. Association of Choroidal Thickness with Intermediate Age-Related Macular Degeneration in a Japanese Population. Ophthalmol Retina, 5:528-535, 2021

12. Ota A, Li Y, Yatsuya H, Tanno K, Sakata K, Yamagishi K, Iso H, Yasuda N, Saito I, Kato T, Arima K, Sou Y, Shimazu T, Yamaji T, Goto A, Inoue M, Iwasaki M, Sawada N, Tsugane S. Working cancer survivors' physical and mental characteristics compared to cancer-free workers in Japan: a nationwide general population-based study. J Cancer Surviv, 2021

13. Nozue M, Shimazu T, Charvat H, Mori N, Mutoh M, Sawada N, Iwasaki M, Yamaji T, Inoue M, Kokubo Y, Yamagishi K, Iso H, Tsugane S. Fermented soy products intake and risk of cardiovascular disease and total cancer incidence: The Japan Public Health Center-based Prospective study. Eur J Clin Nutr, 75:954-968, 2021

14. Matsui S, Sobue T, Zha L, Kitamura T, Sawada N, Iwasaki M, Shimazu T, Tsugane S. Long-term antihypertensive drug use and risk of cancer: The Japan Public Health Center-based prospective study. Cancer Sci, 112:1997-2005, 2021

15. Akter S, Mizoue T, Nanri A, Goto A, Noda M, Sawada N, Yamaji T, Iwasaki M, Inoue M, Tsugane S. Low carbohydrate diet and all cause and cause-specific mortality. Clin Nutr, 40:2016-2024, 2021

16. Katagiri R, Goto A, Shimazu T, Yamaji T, Sawada N, Iwasaki M, Inoue M, Tsugane S. Dietary fiber intake and risk of gastric cancer: The Japan Public Health Center-based prospective study. Int J Cancer, 148:2664-2673, 2021

17. Suzuki S, Goto A, Nakatochi M, Narita A, Yamaji T, Sawada N, Katagiri R, Iwagami M, Hanyuda A, Hachiya T, Sutoh Y, Oze I, Koyanagi YN, Kasugai Y, Taniyama Y, Ito H, Ikezaki H, Nishida Y, Tamura T, Mikami H, Takezaki T, Suzuki S, Ozaki E, Kuriki K, Takashima N, Arisawa K, Takeuchi K, Tanno K, Shimizu A, Tamiya G, Hozawa A, Kinoshita K, Wakai K, Sasaki M, Yamamoto M, Matsuo K, Tsugane S, Iwasaki M. Body mass index and colorectal cancer risk: A Mendelian randomization study. Cancer Sci, 112:1579-1588, 2021

18. Matsuyama S, Sawada N, Tomata Y, Zhang S, Goto A, Yamaji T, Iwasaki M, Inoue M, Tsuji I, Tsugane S. Association between adherence to the Japanese diet and all-cause and cause-specific mortality: the Japan Public Health Center-based Prospective Study. Eur J Nutr, 60:1327-1336, 2021

19. Leung CY, Abe SK, Sawada N, Ishihara J, Takachi R, Yamaji T, Iwasaki M, Hashizume M, Inoue M, Tsugane S. Sugary Drink Consumption and Subsequent Colorectal Cancer Risk: The Japan Public Health Center-Based Prospective Cohort Study. Cancer Epidemiol Biomarkers Prev, 30:782-788, 2021

20. Iwase M, Matsuo K, Koyanagi YNY, Ito H, Tamakoshi A, Wang C, Utada M, Ozasa K, Sugawara Y, Tsuji I, Sawada N, Tanaka S, Nagata C, Kitamura Y, Shimazu T, Mizoue T, Naito M, Tanaka K, Inoue M. Alcohol consumption and breast cancer risk in Japan: A pooled analysis of eight population-based cohort studies. Int J Cancer, 148:2736-2747, 2021

21. Akter S, Islam Z, Mizoue T, Sawada N, Ihira H, Tsugane S, Koyanagi YN, Ito H, Wang C, Tamakoshi A, Wada K, Nagata C, Tanaka K, Kitamura Y, Utada M, Ozasa K, Sugawara Y, Tsuji I, Shimazu T, Matsuo K, Naito M, Tanaka K, Inoue M. Smoking and colorectal cancer: A pooled analysis of 10 population-based cohort studies in Japan. Int J Cancer, 148:654-664, 2021

22. Yang JJ, Yu D, Shu XO, Freedman ND, Wen W, Rahman S, Abe SK, Saito E, Gupta PC, He J, Tsugane S, Gao YT, Xiang YB, Yuan JM, Tomata Y, Tsuji I, Sugawara Y, Matsuo K, Ahn YO, Park SK, Chen Y, Pan WH, Pednekar M, Gu D, Sawada N, Cai H, Li HL, Koh WP, Wang R, Zhang S, Kanemura S, Ito H, Shin MH, Wu PE, Yoo KY, Ahsan H, Chia KS, Boffetta P, Inoue M, Kang D, Potter JD, Zheng W. Quantifying the association of low-intensity and late initiation of tobacco smoking with total and cause-specific mortality in Asia. Tob Control, 30:328-335, 2021

23. van den Brandt PA, Ziegler RG, Wang M, Hou T, Li R, Adami HO, Agnoli C, Bernstein L, Buring JE, Chen Y, Connor AE, Eliassen AH, Genkinger JM, Gierach G, Giles GG, Goodman GG, Håkansson N, Krogh V, Le Marchand L, Lee IM, Liao LM, Martinez ME, Miller AB, Milne RL, Neuhouser ML, Patel AV, Prizment A, Robien K, Rohan TE, Sawada N, Schouten LJ, Sinha R, Stolzenberg-Solomon RZ, Teras LR, Tsugane S, Visvanathan K, Weiderpass E, White KK, Willett WC, Wolk A, Zeleniuch-Jacquotte A, Smith-Warner SA. Body size and weight change over adulthood and risk of breast cancer by menopausal and hormone receptor status: a pooled analysis of 20 prospective cohort studies. Eur J Epidemiol, 36:37-55, 2021

24. Platonova K, Kitamura K, Watanabe Y, Takachi R, Saito T, Kabasawa K, Takahashi A, Kobayashi R, Oshiki R, Solovev A, Iki M, Tsugane S, Sasaki A, Yamazaki O, Watanabe K, Nakamura K. Dietary calcium and vitamin K are associated with osteoporotic fracture risk in middle-aged and elderly Japanese women, but not men: the Murakami Cohort Study. Br J Nutr, 125:319-328, 2021

25. Nozaki S, Sawada N, Matsuoka YJ, Shikimoto R, Mimura M, Tsugane S. Association Between Dietary Fish and PUFA Intake in Midlife and Dementia in Later Life: The JPHC Saku Mental Health Study. J Alzheimers Dis, 79:1091-1104, 2021

26. Aketa N, Uchino M, Kawashima M, Uchino Y, Yuki K, Ozawa Y, Sasaki M, Yamagishi K, Sawada N, Tsugane S, Tsubota K, Iso H. Myopia, corneal endothelial cell density and morphology in a Japanese population-based cross-sectional study: the JPHC-NEXT Eye Study. Sci Rep, 11:6366, 2021

27. Kisanuki K, Muraki I, Yamagishi K, Kokubo Y, Saito I, Yatsuya H, Sawada N, Iso H, Tsugane S. Weight change during middle age and risk of stroke and coronary heart disease: The Japan Public Health Center-based Prospective Study. Atherosclerosis, 322:67-73, 2021

28. Yatsuya H, Tsugane S. What constitutes healthiness of Washoku or Japanese diet? Eur J Clin Nutr, 75:863-864, 2021

29. Tsugane S. Why has Japan become the world's most long-lived country: insights from a food and nutrition perspective. Eur J Clin Nutr, 75:921-928, 2021

30. Murai U, Yamagishi K, Kishida R, Iso H. Impact of seaweed intake on health. Eur J Clin Nutr, 75:877-889, 2021

31. Gao Q, Dong JY, Cui R, Muraki I, Yamagishi K, Sawada N, Iso H, Tsugane S. Consumption of flavonoid-rich fruits, flavonoids from fruits and stroke risk: a prospective cohort study. Br J Nutr, 1-8, 2021

32. Iwasaki M, Budhathoki S, Yamaji T, Tanaka-Mizuno S, Kuchiba A, Sawada N, Goto A, Shimazu T, Inoue M, Tsugane S. Inclusion of a gene-environment interaction between alcohol consumption and the aldehyde dehydrogenase 2 genotype in a risk prediction model for upper aerodigestive tract cancer in Japanese men. Cancer Sci, 111:3835-3844, 2020

33. Ishigaki K, Akiyama M, Kanai M, Takahashi A, Kawakami E, Sugishita H, Sakaue S, Matoba N, Low SK, Okada Y, Terao C, Amariuta T, Gazal S, Kochi Y, Horikoshi M, Suzuki K, Ito K, Koyama S, Ozaki K, Niida S, Sakata Y, Sakata Y, Kohno T, Shiraishi K, Momozawa Y, Hirata M, Matsuda K, Ikeda M, Iwata N, Ikegawa S, Kou I, Tanaka T, Nakagawa H, Suzuki A, Hirota T, Tamari M, Chayama K, Miki D, Mori M, Nagayama S, Daigo Y, Miki Y, Katagiri T, Ogawa O, Obara W, Ito H, Yoshida T, Imoto I, Takahashi T, Tanikawa C, Suzuki T, Sinozaki N, Minami S, Yamaguchi H, Asai S, Takahashi Y, Yamaji K, Takahashi K, Fujioka T, Takata R, Yanai H, Masumoto A, Koretsune Y, Kutsumi H, Higashiyama M, Murayama S, Minegishi N, Suzuki K, Tanno K, Shimizu A, Yamaji T, Iwasaki M, Sawada N, Uemura H, Tanaka K, Naito M, Sasaki M, Wakai K, Tsugane S, Yamamoto M, Yamamoto K, Murakami Y, Nakamura Y, Raychaudhuri S, Inazawa J, Yamauchi T, Kadowaki T, Kubo M, Kamatani Y. Large-scale genome-wide association study in a Japanese population identifies novel susceptibility loci across different diseases. Nat Genet, 52:669-679, 2020

34. Lin Y, Nakatochi M, Hosono Y, Ito H, Kamatani Y, Inoko A, Sakamoto H, Kinoshita F, Kobayashi Y, Ishii H, Ozaka M, Sasaki T, Matsuyama M, Sasahira N, Morimoto M, Kobayashi S, Fukushima T, Ueno M, Ohkawa S, Egawa N, Kuruma S, Mori M, Nakao H, Adachi Y, Okuda M, Osaki T, Kamiya S, Wang C, Hara K, Shimizu Y, Miyamoto T, Hayashi Y, Ebi H, Kohmoto T, Imoto I, Kasugai Y, Murakami Y, Akiyama M, Ishigaki K, Matsuda K, Hirata M, Shimada K, Okusaka T, Kawaguchi T, Takahashi M, Watanabe Y, Kuriki K, Kadota A, Okada R, Mikami H, Takezaki T, Suzuki S, Yamaji T, Iwasaki M, Sawada N, Goto A, Kinoshita K, Fuse N, Katsuoka F, Shimizu A, Nishizuka SS, Tanno K, Suzuki K, Okada Y, Horikoshi M, Yamauchi T, Kadowaki T, Yu H, Zhong J, Amundadottir LT, Doki Y, Ishii H, Eguchi H, Bogumil D, Haiman CA, Le Marchand L, Mori M, Risch H, Setiawan VW, Tsugane S, Wakai K, Yoshida T, Matsuda F, Kubo M, Kikuchi S, Matsuo K. Genome-wide association meta-analysis identifies GP2 gene risk variants for pancreatic cancer. Nat Commun, 11:3175, 2020

35. Cho H, Budhathoki S, Kanehara R, Goto A, Yamaji T, Kakugawa Y, Saito Y, Matsuda T, Iwasaki M, Tsugane S. Association between dietary sugar intake and colorectal adenoma among cancer screening examinees in Japan. Cancer Sci, 111:3862-3872, 2020

36. Katagiri R, Goto A, Sawada N, Yamaji T, Iwasaki M, Noda M, Iso H, Tsugane S. Dietary fiber intake and total and cause-specific mortality: the Japan Public Health Center-based prospective study. Am J Clin Nutr, 111:1027-1035, 2020

37. Hanyuda A, Sawada N, Yuki K, Uchino M, Ozawa Y, Sasaki M, Yamagishi K, Iso H, Tsubota K, Tsugane S. Relationships of diabetes and hyperglycaemia with intraocular pressure in a Japanese population: the JPHC-NEXT Eye Study. Sci Rep, 10:5355, 2020

38. Yamazaki C, Goto A, Iwasaki M, Sawada N, Oba S, Noda M, Iso H, Koyama H, Tsugane S. Body mass index and mortality among middle-aged Japanese individuals with diagnosed diabetes: The Japan Public Health Center-based prospective study (JPHC study). Diabetes Res Clin Pract, 164:108198, 2020

39. Yamagiwa Y, Sawada N, Shimazu T, Yamaji T, Goto A, Takachi R, Ishihara J, Iwasaki M, Inoue M, Tsugane S. Soy Food Intake and Pancreatic Cancer Risk: The Japan Public Health Center-based Prospective Study. Cancer Epidemiol Biomarkers Prev, 29:1214-1221, 2020

40. Matsunaga H, Ito K, Akiyama M, Takahashi A, Koyama S, Nomura S, Ieki H, Ozaki K, Onouchi Y, Sakaue S, Suna S, Ogishima S, Yamamoto M, Hozawa A, Satoh M, Sasaki M, Yamaji T, Sawada N, Iwasaki M, Tsugane S, Tanaka K, Arisawa K, Ikezaki H, Takashima N, Naito M, Wakai K, Tanaka H, Sakata Y, Morita H, Sakata Y, Matsuda K, Murakami Y, Akazawa H, Kubo M, Kamatani Y, Komuro I. Transethnic Meta-Analysis of Genome-Wide Association Studies Identifies Three New Loci and Characterizes Population-Specific Differences for Coronary Artery Disease. Circ Genom Precis Med, 13:e002670, 2020

41. Hidaka A, Sawada N, Svensson T, Goto A, Yamaji T, Shimazu T, Iwasaki M, Inoue M, Tsugane S. Family history of cancer and subsequent risk of cancer: A large-scale population-based prospective study in Japan. Int J Cancer, 147:331-337, 2020

42. Zha L, Sobue T, Kitamura T, Kitamura Y, Ishihara J, Kotemori A, Liu R, Ikeda S, Sawada N, Iwasaki M, Tsugane S, Jphc Study Group FT. Dietary Acrylamide Intake and the Risk of Liver Cancer: The Japan Public Health Center-Based Prospective Study. Nutrients, 12:2020

43. Liu R, Zha L, Sobue T, Kitamura T, Ishihara J, Kotemori A, Ikeda S, Sawada N, Iwasaki M, Tsugane S. Dietary Acrylamide Intake and Risk of Lung Cancer: The Japan Public Health Center Based Prospective Study. Nutrients, 12:2020

44. Charvat H, Shimazu T, Inoue M, Iwasaki M, Sawada N, Yamaji T, Tsugane S. Estimation of the performance of a risk prediction model for gastric cancer occurrence in Japan: Evidence from a small external population. Cancer Epidemiol, 67:101766, 2020

45. Aversa J, Song M, Shimazu T, Inoue M, Charvat H, Yamaji T, Sawada N, Pfeiffer RM, Karimi P, Dawsey SM, Rabkin CS, Tsugane S, Camargo MC. Prediagnostic circulating inflammation biomarkers and esophageal squamous cell carcinoma: A case-cohort study in Japan. Int J Cancer, 147:686-691, 2020

46. Van Alsten SC, Rabkin CS, Sawada N, Shimazu T, Charvat H, Yamaji T, Inoue M, Kemp TJ, Pinto LA, Camargo MC, Tsugane S, Song M. Metabolic Syndrome, Physical Activity, and Inflammation: A Cross-Sectional Analysis of 110 Circulating Biomarkers in Japanese Adults. Cancer Epidemiol Biomarkers Prev, 29:1639-1646, 2020

47. Khankari NK, Yang JJ, Sawada N, Wen W, Yamaji T, Gao J, Goto A, Li HL, Iwasaki M, Yang G, Shimazu T, Xiang YB, Inoue M, Shu XO, Tsugane S, Zheng W. Soy Intake and Colorectal Cancer Risk: Results from a Pooled Analysis of Prospective Cohort Studies Conducted in China and Japan. J Nutr, 150:2442-2450, 2020

48. Honjo K, Iso H, Ikeda A, Yamagishi K, Saito I, Kato T, Yasuda N, Aoyagi K, Arima K, Sakata K, Tanno K, Inoue M, Iwasaki M, Shimazu T, Goto A, Yamaji T, Sawada N, Tsugane S. Cross-Sectional Association Between Employment Status and Self-Rated Health Among Middle-Aged Japanese Women: The Influence of Socioeconomic Conditions and Work-Life Conflict. J Epidemiol, 30:396-403, 2020

49. Sawada N, Iwasaki M, Yamaji T, Shimazu T, Inoue M, Tsugane S. Soy and isoflavone consumption and subsequent risk of prostate cancer mortality: the Japan Public Health Center-based Prospective Study. Int J Epidemiol, 49:1553-1561, 2020

50. Ogawa T, Sawada N, Iwasaki M, Budhathoki S, Yamaji T, Shimazu T, Narita Y, Tsugane S. Body mass index and height in relation to brain tumor risk in a Japanese population. Ann Epidemiol, 51:1-6, 2020

51. Koyama S, Ito K, Terao C, Akiyama M, Horikoshi M, Momozawa Y, Matsunaga H, Ieki H, Ozaki K, Onouchi Y, Takahashi A, Nomura S, Morita H, Akazawa H, Kim C, Seo JS, Higasa K, Iwasaki M, Yamaji T, Sawada N, Tsugane S, Koyama T, Ikezaki H, Takashima N, Tanaka K, Arisawa K, Kuriki K, Naito M, Wakai K, Suna S, Sakata Y, Sato H, Hori M, Sakata Y, Matsuda K, Murakami Y, Aburatani H, Kubo M, Matsuda F, Kamatani Y, Komuro I. Population-specific and trans-ancestry genome-wide analyses identify distinct and shared genetic risk loci for coronary artery disease. Nat Genet, 52:1169-1177, 2020

52. Kito K, Ishihara J, Kotemori A, Zha L, Liu R, Sawada N, Iwasaki M, Sobue T, Tsugane S. Dietary Acrylamide Intake and the Risk of Pancreatic Cancer: The Japan Public Health Center-Based Prospective Study. Nutrients, 12:2020

53. Cai H, Sobue T, Kitamura T, Sawada N, Iwasaki M, Shimazu T, Tsugane S. Epidemiology of nonmelanoma skin cancer in Japan: Occupational type, lifestyle, and family history of cancer. Cancer Sci, 111:4257-4265, 2020

54. Saito E, Tang X, Abe SK, Sawada N, Ishihara J, Takachi R, Iso H, Shimazu T, Yamaji T, Iwasaki M, Inoue M, Tsugane S. Association between meat intake and mortality due to all-cause and major causes of death in a Japanese population. PLoS One, 15:e0244007, 2020

55. Cai H, Sobue T, Kitamura T, Ishihara J, Sawada N, Iwasaki M, Shimazu T, Tsugane S. Association between meat and saturated fatty acid intake and lung cancer risk: The Japan Public Health Center-based prospective study. Int J Cancer, 147:3019-3028, 2020

56. Ono A, Inoue M, Sawada N, Saito E, Yamaji T, Shimazu T, Goto A, Iwasaki M, Tsugane S. Impact of alcohol drinking on cancer risk with consideration of flushing response: The Japan Public Health Center-based Prospective Study Cohort (JPHC study). Prev Med, 133:106026, 2020

57. Saito I, Yamagishi K, Kokubo Y, Yatsuya H, Iso H, Sawada N, Inoue M, Tsugane S. Non-High-Density Lipoprotein Cholesterol and Risk of Stroke Subtypes and Coronary Heart Disease: The Japan Public Health Center-Based Prospective (JPHC) Study. J Atheroscler Thromb, 27:363-374, 2020

58. Kikuchi H, Inoue S, Odagiri Y, Ihira H, Inoue M, Sawada N, Noda M, Tsugane S. Intensity-specific validity and reliability of the Japan Public Health Center-based prospective study-physical activity questionnaire. Prev Med Rep, 20:101169, 2020

59. Oba S, Goto A, Mizoue T, Inoue M, Sawada N, Noda M, Tsugane S. Passive smoking and type 2 diabetes among never-smoking women: The Japan Public Health Center-based Prospective Study. J Diabetes Investig, 11:1352-1358, 2020

60. Hemmi O, Nomura Y, Konishi H, Kakizoe T, Inoue M. Impact of reduced smoking rates on lung cancer screening programs in Japan. Jpn J Clin Oncol, 50:1126-1132, 2020

61. Zhu J, Smith-Warner SA, Yu D, Zhang X, Blot WJ, Xiang YB, Sinha R, Park Y, Tsugane S, White E, Koh WP, Park SK, Sawada N, Kanemura S, Sugawara Y, Tsuji I, Robien K, Tomata Y, Yoo KY, Kim J, Yuan JM, Gao YT, Rothman N, Lazovich D, Abe SK, Rahman MS, Loftfield E, Takata Y, Li X, Lee JE, Saito E, Freedman ND, Inoue M, Lan Q, Willett WC, Zheng W, Shu XO. Associations of coffee and tea consumption with lung cancer risk. Int J Cancer, 2020

62. Solovev A, Watanabe Y, Kitamura K, Takahashi A, Kobayashi R, Saito T, Takachi R, Kabasawa K, Oshiki R, Platonova K, Tsugane S, Iki M, Sasaki A, Yamazaki O, Watanabe K, Nakamura K. Total physical activity and risk of chronic low back and knee pain in middle-aged and elderly Japanese people: The Murakami cohort study. Eur J Pain, 24:863-872, 2020

63. Shah SC, Boffetta P, Johnson KC, Hu J, Palli D, Ferraroni M, Tsugane S, Hamada GS, Hidaka A, Zaridze D, Maximovich D, Vioque J, Navarrete-Munoz EM, Zhang ZF, Mu L, Boccia S, Pastorino R, Kurtz RC, Rota M, Bonzi R, Negri E, La Vecchia C, Pelucchi C, Hashim D. Occupational exposures and odds of gastric cancer: a StoP project consortium pooled analysis. Int J Epidemiol, 49:422-434, 2020

64. Kabasawa K, Tanaka J, Nakamura K, Ito Y, Yoshida K, Takachi R, Sawada N, Tsugane S, Narita I. Study Design and Baseline Profiles of Participants in the Uonuma CKD Cohort Study in Niigata, Japan. J Epidemiol, 30:170-176, 2020

65. Yamamoto J, Ishihara J, Kotemori A, Yoshizaki T, Goto A, Mizoue T, Noda M, Sawada N, Tsugane S. Association Between Okinawan Vegetables Consumption and Risk of Type 2 Diabetes in Japanese Communities: The JPHC Study. J Epidemiol, 30:227-235, 2020

66. Ukai T, Iso H, Yamagishi K, Saito I, Kokubo Y, Yatsuya H, Muraki I, Eshak ES, Sawada N, Tsugane S. Habitual tub bathing and risks of incident coronary heart disease and stroke. Heart, 106:732-737, 2020

67. Tsugane S. [Digestive system cancer:annual trends and associations with life-style factors]. Nihon Shokakibyo Gakkai Zasshi, 117:359-364, 2020

68. Ferro A, Rosato V, Rota M, Costa AR, Morais S, Pelucchi C, Johnson KC, Hu J, Palli D, Ferraroni M, Zhang ZF, Bonzi R, Yu GP, Peleteiro B, López-Carrillo L, Tsugane S, Hamada GS, Hidaka A, Zaridze D, Maximovitch D, Vioque J, Navarrete-Munoz EM, Aragonés N, Martín V, Hernández-Ramírez RU, Bertuccio P, Ward MH, Malekzadeh R, Pourfarzi F, Mu L, López-Cervantes M, Persiani R, Kurtz RC, Lagiou A, Lagiou P, Boffetta P, Boccia S, Negri E, Camargo MC, Curado MP, La Vecchia C, Lunet N. Meat intake and risk of gastric cancer in the Stomach cancer Pooling (StoP) project. Int J Cancer, 147:45-55, 2020

69. Jang J, Wang T, Cai H, Ye F, Murphy G, Shimazu T, Taylor PR, Qiao YL, Yoo KY, Jee SH, Kim J, Chen SC, Abnet CC, Tsugane S, Zheng W, Shu XO, Pawlita M, Park SK, Epplein M. The U-shaped association between body mass index and gastric cancer risk in the Helicobacter pylori Biomarker Cohort Consortium: A nested case-control study from eight East Asian cohort studies. Int J Cancer, 147:777-784, 2020

70. Ueno M, Shimazu T, Sawada N, Tsugane S, Kawaguchi Y. Validity of Self-Reported Periodontitis in Japanese Adults: The Japan Public Health Center-Based Prospective Study for the Next-Generation Oral Health Study. Asia Pac J Public Health, 32:346-353, 2020

71. Teras LR, Patel AV, Wang M, Yaun SS, Anderson K, Brathwaite R, Caan BJ, Chen Y, Connor AE, Eliassen AH, Gapstur SM, Gaudet MM, Genkinger JM, Giles GG, Lee IM, Milne RL, Robien K, Sawada N, Sesso HD, Stampfer MJ, Tamimi RM, Thomson CA, Tsugane S, Visvanathan K, Willett WC, Zeleniuch-Jacquotte A, Smith-Warner SA. Sustained Weight Loss and Risk of Breast Cancer in Women 50 Years and Older: A Pooled Analysis of Prospective Data. J Natl Cancer Inst, 112:929-937, 2020

72. Hori M, Saito E, Katanoda K, Tsugane S. Estimation of lifetime cumulative mortality risk of lung cancer by smoking status in Japan. Jpn J Clin Oncol, 50:1218-1224, 2020

73. Nakamura K, Kitamura K, Watanabe Y, Saito T, Takahashi A, Kobayashi R, Oshiki R, Kabasawa K, Takachi R, Tsugane S, Iki M, Sasaki A, Watanabe K. Predictors of decline in vitamin D status in middle-aged and elderly individuals: a 5-year follow-up study. Br J Nutr, 124:729-735, 2020

74. Jackson SS, Adami HO, Andreotti G, Beane-Freeman LE, de González AB, Buring JE, Fraser GE, Freedman ND, Gapstur SM, Gierach G, Giles GG, Grodstein F, Hartge P, Jenab M, Kirsh V, Knutsen SF, Lan Q, Larsson SC, Lee IM, Lee MH, Liao LM, Milne RL, Monroe KR, Neuhouser ML, O'Brien KM, Petrick JL, Purdue MP, Rohan TE, Sandin S, Sandler DP, Sawada N, Shadyab AH, Simon TG, Sinha R, Stolzenberg-Solomon R, Tsugane S, Weiderpass E, Wolk A, Yang HI, Zheng W, McGlynn KA, Campbell PT, Koshiol J. Associations between reproductive factors and biliary tract cancers in women from the Biliary Tract Cancers Pooling Project. J Hepatol, 73:863-872, 2020

75. Yang Y, Dong JY, Cui R, Muraki I, Yamagishi K, Sawada N, Iso H, Tsugane S. Consumption of flavonoid-rich fruits and risk of CHD: a prospective cohort study. Br J Nutr, 124:952-959, 2020

76. Arafa A, Eshak ES, Iso H, Shirai K, Muraki I, Sawada N, Tsugane S. Urinary Stones and Risk of Coronary Heart Disease and Stroke: the Japan Public Health Center-Based Prospective Study. J Atheroscler Thromb, 27:1208-1215, 2020

77. Ferro A, Costa AR, Morais S, Bertuccio P, Rota M, Pelucchi C, Hu J, Johnson KC, Zhang ZF, Palli D, Ferraroni M, Yu GP, Bonzi R, Peleteiro B, López-Carrillo L, Tsugane S, Hamada GS, Hidaka A, Malekzadeh R, Zaridze D, Maximovich D, Vioque J, Navarrete-Muñoz EM, Alguacil J, Castaño-Vinyals G, Wolk A, Håkansson N, Hernández-Ramírez RU, Pakseresht M, Ward MH, Pourfarzi F, Mu L, López-Cervantes M, Persiani R, Kurtz RC, Lagiou A, Lagiou P, Boffetta P, Boccia S, Negri E, Camargo MC, Curado MP, La Vecchia C, Lunet N. Fruits and vegetables intake and gastric cancer risk: A pooled analysis within the Stomach cancer Pooling Project. Int J Cancer, 147:3090-3101, 2020

Book

1. Yamaji T, Tsugane S. Epidemiology of Esophageal Squamous Cell Carcinoma. In: Ando, N (ed), Esophageal Squamous Cell Carcinoma, Tokyo, Springer Japan, pp 1-13, 2020