Cited by 76Effects of Radiation ExposureRadiation Dose and ImagingHealthcare Systems and Public Health

Heart Disease Mortality in the Life Span Study, 1950–2008

Takahashi, Ikuno, Shimizu, Yukiko, Grant, Eric J., Cologne, John, Ozasa, Kotaro, Kodama, Kazunori·2017·Radiation Research

Abstract

Based on the findings from the Radiation Effects Research Foundation's studies of the cohort of Japanese atomic bomb survivors, it has been reported that total-body irradiation at 0.5-1.0 Gy could be responsible for increased rates of mortality from broad-based categories of cardiovascular disease (CVD), i.e., stroke and heart disease. However, CVD consists of various subtypes that have potentially different radiation dose responses, as well as subtype-specific risks that have not been fully evaluated. Potential problems with changes in the coding rules for the International Classification of Diseases (ICD) and the underlying causes and trends in CVD mortality in Japan also need to be considered. The goal of this study was to clarify the radiation risk of subtype-specific heart disease over different time periods. Radiation dose response was examined for mortality from several heart disease subtypes in 86,600 members of the Life Span Study (LSS) cohort during 1950-2008. These subtypes included ischemic heart disease (IHD), valvular heart disease (VHD), hypertensive organ damage (HOD) and heart failure (HF). Individual radiation doses ranged between 0 and 4 Gy. In addition to analyses for the total period, we examined specific periods, 1950-1968, 1969-1980, 1981-1994 and 1995-2008, corresponding to major developments in medical technologies and ICD code revisions. We observed significant positive associations between radiation dose and mortality from heart disease overall in 1…

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Crossref · 10.1667/rr14347.1

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  • Circulatory risks from low dose radiation, including in Russian radiation workers and the LSS, suggest a no threshold dose response model for overall risks with differential results for the various components of the risk.

    “Circulatory risks from low dose radiation including to those in Russian radiation workers (Little et al., 2012) and the LSS (Takahashi et al., 2017) suggest a no threshold dose response model for overall risks with differential results for the various components of the risk.”
  • The meta-analysis of Little et al. did not consider sex differences on RR estimates.

    “however the meta-analysis of Little et al. (Takahashi et al., 2017) did not consider sex differences on RR estimates.”

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Authors
Takahashi, I., Shimizu, Y., Grant, E. J., Cologne, J., Ozasa, K., & Kodama, K.
Affiliations
Radiation Effects Research Foundation (JP)
Corresponding author
Takahashi, Ikuno
Venue
Radiation Research
Published
2017-02-07
Volume
187
Issue
3
Pages
319
ISSN
0033-7587 (ISSN-L)
OpenAlex
W2587088513
Cited by
76
References
4
Citations by year
2026: 5 · 2025: 8 · 2024: 12 · 2023: 7 · 2022: 7 · 2021: 12 · 2020: 4 · 2019: 10 · 2018: 9 · 2017: 2
FWCI
5.24
Type
journal article
Language
en
Open access
closed
Locations
  • Radiation Research (publishedVersion)
  • PubMed (publishedVersion)
  • BioOne Complete (BioOne) (submittedVersion)
Funders
Innovative Research Group Project of the National Natural Science Foundation of China
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Effects of Radiation Exposure
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiation Dose and Imaging
  • Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
Keywords
total body irradiation, atomic bomb survivors, Life Span Study, heart disease mortality, cardiovascular disease, ischemic heart disease, valvular heart disease, hypertensive organ damage, heart failure, radiation dose-response, radiation risk, threshold dose, dose linearity
MeSH terms
Adult, Aged, Aged, 80 and over, Dose-Response Relationship, Radiation, Female, Heart Diseases, Humans, Japan, Male, Middle Aged, Radiation Injuries, Survivors, Risk Adjustment, Nuclear Weapons, Young Adult

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