Cited by 140Atrial Fibrillation Management and OutcomesAcute Ischemic Stroke ManagementCardiovascular Health and Risk Factors

Prevalence of Atrial Fibrillation in Community-Dwelling Japanese Aged 40 Years or Older in Japan Analysis of 41,436 Non-Employee Residents in Kurashiki-City

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Iguchi, Yasuyuki, Kimura, Kazumi, Aoki, Junya, Kobayashi, Kazuto, Terasawa, Yuka, Sakai, Kenichiro, Shibazaki, Kensaku·2008·Circulation Journal

Abstract

BACKGROUND: A community-based study was conducted to estimate the prevalence of atrial fibrillation (AF) in Japanese adults aged >or=40 years in Kurashiki-city and to examine associated risk factors. METHODS AND RESULTS: Adult residents (>or=40-year-old) were examined in the Kurashiki-city Annual Medical Survey (KAMS) provided by the Kurashiki-city Public Health Center from May to December 2006. KAMS consisted of medical interviews, physical examination, blood testing and electrocardiography to assess the presence of AF. All participants were divided into AF and non-AF groups, their clinical characteristics compared, and the risk factors associated with AF investigated. Of 246,246 adult residents, 41,436 (age: 72.1+/-11.3 years; 13,963 men) underwent the KAMS. Estimated overall prevalence of AF was 1.6%. Multivariate analysis demonstrated that AF was independently associated with cardiac disease (odds ratio (OR), 9.00; 95% confidence interval (CI), 7.65-10.6; p<0.001), chronic kidney disease (OR, 1.76; 95%CI, 1.49-2.07; p<0.001), male sex (OR, 1.59; 95%CI, 1.34-1.85; p<0.001), and diabetes mellitus (OR, 1.46; 95%CI, 1.20-1.78; p<0.001). Hypercholesterolemia was highly associated with the absence of AF (OR, 0.54; 95%CI, 0.45-0.64, p<0.001). CONCLUSIONS: Prevalence of AF in Japan is approximately 1.6%, lower than that in Western populations. Male sex, and cardiac and chronic kidney diseases are associated with the presence of AF.

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Authors
Iguchi, Y., Kimura, K., Aoki, J., Kobayashi, K., Terasawa, Y., Sakai, K., & Shibazaki, K.
Affiliations
Kawasaki Medical School (JP)
Venue
Circulation Journal
Published
2008
Volume
72
Issue
6
Pages
909-913
ISSN
  • 1346-9843 (ISSN-L)
  • 1347-4820
OpenAlex
W1997761054
Cited by
140
References
20
Citations by year
2026: 1 · 2025: 7 · 2024: 5 · 2023: 5 · 2022: 8 · 2021: 7 · 2020: 12 · 2019: 12 · 2018: 13 · 2017: 9 · 2016: 13 · 2015: 5 · 2014: 10 · 2013: 5 · 2012: 12
FWCI
3.88
Type
journal article
Language
en
Open access
Locations
  • Circulation Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords
atrial fibrillation, prevalence, risk factors, community-dwelling adults, Japanese population, chronic kidney disease, diabetes mellitus, heart disease, hypercholesterolemia, sex differences, Kurashiki
MeSH terms
Adult, Aged, Aged, 80 and over, Atrial Fibrillation, Diabetes Mellitus, Employment, Female, Humans, Hyperlipidemias, Hypertension, Japan, Liver Diseases, Male, Middle Aged, Risk Factors, Smoking, Urban Population, Prevalence, Multivariate Analysis, Age Distribution, Sex Distribution, Asian People, Renal Insufficiency, Chronic

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