Okamura, Tomonori

写真a

Affiliation

School of Medicine, Department of Preventive Medicine and Public Health (Shinanomachi)

Position

Professor

Related Websites

External Links

Career 【 Display / hide

  • 1988.04

    Ministry of Health and Welfare, Japan

  • 1988.04
    -
    1993.03

    Kochi Prefectural Tosayamada Health Center

  • 1993.04
    -
    2000.02

    Osaka Medical Center for Cancer and Cardiovascular Diseases

  • 2000.03
    -
    2007.07

    Associate Professor, Department of Health Science, Shiga University of Medical Science

  • 2002.10
    -
    2003.08

    Department of Epidemiology and Public Health, Imperial College, London

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Academic Background 【 Display / hide

  • 1988.03

    University of Tsukuba, School of Medicine

    University, Graduated

Academic Degrees 【 Display / hide

  • MD,PhD, University of Tsukuba, Dissertation, 1996.02

Licenses and Qualifications 【 Display / hide

  • 医師免許, 1988.05

  • 日本医師会認定産業医, 1998.09

  • 中央労働災害防止協会 健康度測定研修修了医師, 1999.09

  • 介護支援専門員, 2001.03

  • 日本公衆衛生学会認定専門家, 2011.03

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Research Areas 【 Display / hide

  • Life Science / Hygiene and public health (non-laboratory)

  • Preventive Medicine for cardiovascular disseases

Research Keywords 【 Display / hide

  • Preventive Medicine

  • Epidemiology and Public health

  • Dyslipidemia

  • Health Promotion

  • cardiovascular disease

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Books 【 Display / hide

  • [日本の循環器病とその危険因子の動向] 循環器病予防エビデンスブック

    岡村智教, 医歯薬出版株式会社 , 2020

    Scope: 血清コレステロール値と脂質異常症の動向,,  Contact page: 149-156 Original author: 日本循環器病予防学会監修

  • 【よくわかる】高血圧と循環器病の予防と管理(第二版)

    岡村智教, (株)社会保険研究所, 2020

    Scope: 家族性高コレステロール血症・その他の原発性脂質異常症.,  Contact page: 274-275 Original author: 本高血圧学会,日本循環器病予防学会,日本動脈硬化学会,日本心臓病学会監修

  • 第三期特定健診・特定保健指導ガイド(門脇 孝、津下一代 編)

    Okamura Tomonori, 南山堂、東京, 2018.09

    Scope: 冠動脈疾患(虚血性心疾患)発症予防からみた脂質管理.pp119-127

  • 岸玲子監修、小泉昭夫、馬場園明、今中雄一、武林亨編.NEW予防医学・公衆衛生学.

    Okamura Tomonori, 南江堂、東京, 2018

    Scope: 第2章.疫学と方法, pp64-80

  • 動脈硬化性疾患予防のための脂質異常症治療ガイド2018年版

    Okamura Tomonori, (社)日本動脈硬化学会、東京, 2018

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Papers 【 Display / hide

  • Trends in mortality from major causes and lifestyle factors by per capita prefectural income: Ecological panel data analysis from 1995 to 2016 in Japan

    Nishi N., Kitaoka K., Tran Ngoc Hoang P., Okami Y., Kondo K., Sata M., Kadota A., Nakamura M., Yoshita K., Okamura T., Ojima T., Miura K.

    Preventive Medicine Reports (Preventive Medicine Reports)  35   102348 2023.10

    ISSN  2211-3355

     View Summary

    In Japan, trends in mortality and lifestyle have not been fully investigated according to subnational socioeconomic factors. Forty-seven prefectures (subnational units) were divided into quartiles by annual per capita prefectural income. Age-standardized mortality from all causes, cancer, heart disease, and stroke was averaged by quartile in 1995, 2000, 2005, 2010, and 2015. Data from the National Health and Nutrition Survey were obtained for periods 1 (1995–1997), 2 (1999–2001), 3 (2003–2005), 4 (2007–2009), 5 (2012), and 6 (2016). Body mass index (BMI), the intake of vegetables and salt, the number of steps, and the prevalence of current smoking and drinking for the 40–69-year age range were standardized by 10-year age groups in the 2010 Japanese population and were averaged by quartile. Differences in mortality and lifestyle by year and period, and quartile were tested using a two-way analysis of variance. Mortality decreased in both sexes and mortality in men from all causes, cancer, and stroke differed by quartile, with mortality highest in the first (lowest) quartile. BMI in men and smoking prevalence in women increased, whereas remaining lifestyle factors except for the prevalence of drinking decreased in women. BMI and the number of steps in both sexes and current smoking prevalence in women differed by quartile, with lower quartiles showing a higher BMI and fewer step counts. In conclusion, favorable trends and significant differences in mortality from all causes, cancer, and stroke in men and BMI in women were observed by per capita prefectural income level.

  • Smoking is associated with impaired long-term quality of life in elderly people: a 22-year cohort study in NIPPON-DATA 90.

    Liu Y, Okamura T, Hirata A, Sato Y, Hayakawa T, Kadota A, Kondo K, Ohkubo T, Miura K, Okayama A, Ueshima H

    Journal of epidemiology  2023.09

    ISSN  0917-5040

  • Alcohol Consumption and Cerebral Small- and Large-Vessel Diseases: A Mendelian Randomization Analysis.

    Hisamatsu T, Tabara Y, Kadota A, Torii S, Kondo K, Yano Y, Shiino A, Nozaki K, Okamura T, Ueshima H, Miura K, SESSA Research Group

    Journal of atherosclerosis and thrombosis  2023.08

    ISSN  1340-3478

  • Marital status, household size, and lifestyle changes during the first COVID-19 pandemic: NIPPON DATA2010

    Abe M., Arima H., Satoh A., Okuda N., Taniguchi H., Nishi N., Higashiyama A., Suzuki H., Kadota A., Ohkubo T., Ueshima H., Miura K., Okayama A., Saitoh S., Sakata K., Hozawa A., Nakamura Y., Okamura T., Murakami Y., Ojima T., Nakagawa H., Kita Y., Nakamura Y., Miyamatsu N., Hayakawa T., Yoshita K., Miyamoto Y., Watanabe M., Takashima N., Fujiyoshi A., Kodama K., Kasagi F., Kiyohara Y., Ninomiya T.

    PLoS ONE (PLoS ONE)  18 ( 3 March )  2023.03

     View Summary

    Stay-at-home strategies taken during the COVID-19 pandemic changed our lifestyle drastically. Although marital status and household size are important social determinants of health that affect lifestyle, their impacts on lifestyle during the pandemic are still unclear. We aimed to evaluate the association between marital status, household size, and lifestyle changes during the first pandemic in Japan. Questionnaire surveys on lifestyle changes from before to during the first COVID-19 pandemic were conducted on October 2020 in Japan. Classified into age groups, multivariable logistic regression analysis was performed to examine the combined association of marital status and household size on lifestyle, adjusted for potential confounders including socioeconomic factors. In our prospective cohort study, 1928 participants were included. Among older participants, the singles living alone were likely to perceive more unhealthy lifestyle changes (45.8%), compared with the married (33.2%), and significantly associated with at least one unhealthy change [adjusted odds ratio (OR): 1.81, 95% confidence interval (CI): 1, 18-2.78], mainly due to decreased physical activity and increased alcohol consumption. Meanwhile, the younger participants showed no significant association between marital status, household size, and unhealthy changes, while those living alone had 2.87 times higher odds of weight gain (≥ 3 kg) than the married (adjusted OR: 2.87, 95% CI: 0.96-8.54) during the pandemic. Our findings suggest that older singles living alone are potentially vulnerable subgroups to drastic social changes which warrant special attention to prevent adverse health outcomes and additional burden on health systems in the following future.

  • [Determinants of salt taste threshold among urban residents: the KOBE study].

    Wakako M, Sata M, Kubota Y, Nishida Y, Kubo S, Higashiyama A, Hirata T, Kadota A, Hirata A, Miyazaki J, Kawahara M, Kuwabara K, Sugiyama D, Miyamatsu N, Miyamoto Y, Okamura T

    [Nihon koshu eisei zasshi] Japanese journal of public health 70 ( 5 ) 300 - 310 2023.02

    ISSN  0546-1766

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Papers, etc., Registered in KOARA 【 Display / hide

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Reviews, Commentaries, etc. 【 Display / hide

  • Serum modified high-density lipoprotein and risk of atherosclerotic cardiovascular disease in a Japanese community-based nested case-control study

    Sata M., Kakino A., Hirata A., Iida M., Usami Y., Harada S., Fujita Y., Kohsaka S., Izawa Y., Sawano M., Oki K., Sugiyama D., Takahashi S., Takebayashi T., Sawamura T., Okamura T.

    European Journal of Preventive Cardiology (European Journal of Preventive Cardiology)  29 ( 5 ) E193 - E195 2022.03

    ISSN  20474873

  • Erratum: Development of a cardiovascular disease risk prediction model using the suita study, a population-based prospective cohort study in Japan (Journal of Atherosclerosis and Thrombosis, (2020) 27, 11, (1160-1175), 10.5551/jat.48843)

    Nakai M., Watanabe M., Kokubo Y., Nishimura K., Higashiyama A., Takegami M., Nakao Y.M., Okamura T., Miyamoto Y.

    Journal of Atherosclerosis and Thrombosis (Journal of Atherosclerosis and Thrombosis)  28 ( 3 )  2021

    ISSN  13403478

     View Summary

    Incorrect Since CVD risk increases with age, categories for age were based on 10-year intervals up to age 60 years and 5-year intervals thereafter. Diabetes mellitus (DM) is defined as having a fasting blood glucose level of ≥ 126 mg/dL, currently using anti-diabetic medication, or both. Cigarette smoking was dichotomized as current versus other. Low-density lipoprotein cholesterol (LDL-C) was calculated using the Friedewald equation . Non-HDL-C was calculated by subtracting HDL-C from TG. If the TG level was greater than 400 mg/dL, we set the value as missing (n =96). Correct Since CVD risk increases with age, categories for age were based on 10-year intervals up to age 60 years and 5-year intervals thereafter. Diabetes mellitus (DM) is defined as having a fasting blood glucose level of ≥ 126 mg/dL, currently using anti-diabetic medication, or both. Cigarette smoking was dichotomized as current versus other. Low-density lipoprotein cholesterol (LDL-C) was calculated using the Friedewald equation . Non-HDL-C was calculated by subtracting HDL-C from TC. If the TG level was greater than 400 mg/dL, we set the value as missing (n=96). 27) 27)

  • Guidelines on the clinical evaluation of medicinal products for treatment of dyslipidemia

    Yamashita S., Masuda D., Akishita M., Arai H., Asada Y., Dobashi K., Egashira K., Harada-Shiba M., Hirata K., Ishibashi S., Kajinami K., Kinoshita M., Kozaki K., Kuzuya M., Ogura M., Okamura T., Sato K., Shimano H., Tsukamoto K., Yokode M., Yokote K., Yoshida M.

    Journal of Atherosclerosis and Thrombosis (Journal of Atherosclerosis and Thrombosis)  27 ( 11 ) 1246 - 1254 2020

    ISSN  13403478

  • Statin intolerance clinical guide 2018

    Kajinami K., Tsukamoto K., Koba S., Inoue I., Yamakawa M., Suzuki S., Hamano T., Saito H., Saito Y., Masuda S., Nakayama T., Okamura T., Yamashita S., Kagawa T., Kaneyama J., Kuriyama A., Tanaka R., Hirata A.

    Journal of Atherosclerosis and Thrombosis (Journal of Atherosclerosis and Thrombosis)  27 ( 4 ) 375 - 396 2020

    ISSN  13403478

  • 日本における脂質と動脈硬化性疾患の関連-疫学研究のエビデンス-.

    平田匠、岡村智教.

    Medical Practice  36 ( 1 ) 40 - 44 2019

    Article, review, commentary, editorial, etc. (scientific journal), Joint Work

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Presentations 【 Display / hide

  • Clinical scores for atherosclerotic risk stratification in adults: strengths and limitations.

    Okamura T.

    WHF with National Member Session 7: International Atherosclerosis Society together with World Heart Federation. Japanese Circulation Society (JCS) together with World Congress of Cardiology (WCC) 2021. (Yokohama, Kanagawa) , 

    2021.03

    Symposium, workshop panel (nominated)

  • 脳卒中・循環器病対策基本法による循環器病予防のこれから.

    岡村智教.

    シンポジウム.第56回日本循環器病予防学会., 

    2020.12

    Symposium, workshop panel (nominated)

  • 脳卒中の早期受診・予防のための市民啓発の取り組み:地域介入の試み.

    岡村 智教.

    第 34 回日本神経救急学会学術集会., 

    2020.11

    Oral presentation (invited, special)

  • EPOCH-JAPAN(Evidence for Cardiovascular Prevention from Observational Cohorts in Japan)から見た循環器疾患死亡の生涯リスク.

    岡村智教.

    シンポジウム.第52回日本動脈硬化学会総会., 

    2020.07

    Symposium, workshop panel (nominated)

  • 脳卒中・循環器病の一次予防対策の現状と今後の課題.

    岡村智教.

    バイエル「心血管予防」スポンサードセミナー.第五回JCVA(日本心血管協会)学術集会, 

    2020.06

    Symposium, workshop panel (nominated)

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Research Projects of Competitive Funds, etc. 【 Display / hide

  • 変性リポ蛋白を含む脂質プロフィールと脳・心血管疾患の関連、その規定要因の解明(基盤研究A 21H04854)

    2021.04
    -
    Present

    日本学術振興会, Research grant, Principal investigator

  • 健康診査・保健指導における検診項目等の必要性、妥当性の検証、及び地域における検診実施体制の検討のための研究(厚生労働科学研究 19FA1008)

    2019.04
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    Present

    厚生労働省, 厚生労働科学研究費補助金, Research grant, Principal investigator

  • 生涯にわたる循環器疾患の個人リスクおよび集団のリスク評価ツールの開発を目的とした大規模コホート統合研究(厚生労働科学研究 H29-循環器等-一般-003)

    2017.04
    -
    2020.03

    厚生労働省, 厚生労働科学研究費補助金, Research grant, Principal investigator

  • 脂質異常症の質的な評価と動脈硬化性疾患の関連についての地域疫学研究(基盤研究B 16H05249)

    2016.04
    -
    2021.03

    日本学術振興会, Research grant, Principal investigator

  • 循環器疾患における集団間の健康格差の実態把握とその対策を目的とした大規模コホート共同研究(厚生労働科学研究 H26-循環器等(生習)-一般​-001)

    2014.04
    -
    2017.03

    厚生労働省, Research grant, Principal investigator

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Works 【 Display / hide

  • 生活習慣病予防のエビデンス(全24回)

    Okamura Tomonori

    2010.04
    -
    2012.03

    Other, Single

Awards 【 Display / hide

  • 日本動脈硬化学会五島雄一郎賞

    Okamura Tomonori, 2013.07, 日本動脈硬化学会, A series of community-based cohort studies concerning the relationship between dyslipidemia and cardiovascular disease in Japanese populations

    Type of Award: Award from Japanese society, conference, symposium, etc.

  • 日本疫学会奨励賞

    Okamura Tomonori, 2009.01, 日本疫学会, 日本人を対象とした脂質異常症の疫学研究

    Type of Award: Award from Japanese society, conference, symposium, etc.

  • 日本公衆衛生学会奨励賞

    Okamura Tomonori, 2002.10, 日本公衆衛生学会, 老人保健事業を中心とした地域保健対策の評価と推進に関する研究

    Type of Award: Award from Japanese society, conference, symposium, etc.

  • 厚生統計研究奨励賞

    Okamura Tomonori, 1998.12, 厚生統計協会, 循環器検診所見と高齢者(65~74歳)の生命予後、活動能力の関連についての追跡研究

    Type of Award: Award from publisher, newspaper, foundation, etc.

Other 【 Display / hide

  •  View Details

    先端医療センターコホート研究チーム チームリーダー

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    国立循環器病研究センター 客員部長

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    滋賀医科大学 客員教授

 

Courses Taught 【 Display / hide

  • PUBLIC HEALTH 2 (ADVANCED)

    2023

  • PUBLIC HEALTH 1 (BASIC)

    2023

  • PUBLIC HEALTH

    2023

  • PREVENTIVE MEDICINE AND PUBLIC HEALTH: SEMINAR

    2023

  • PREVENTIVE MEDICINE AND PUBLIC HEALTH: PRACTICE

    2023

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Courses Previously Taught 【 Display / hide

  • Public Health

    Keio University

    2018.04
    -
    2019.03

    Autumn Semester, Lecture, Within own faculty, 110people

  • 公衆衛生学

    Keio University

    2015.04
    -
    2016.03

    Autumn Semester, Lecture, Within own faculty

  • 公衆衛生学

    Keio University

    2014.04
    -
    2015.03

    Autumn Semester, Lecture, Within own faculty

  • 公衆衛生学

    Keio University

    2013.04
    -
    2014.03

    Autumn Semester, Lecture, Within own faculty

  • 公衆衛生学

    Keio University

    2012.04
    -
    2013.03

    Autumn Semester, Lecture, Within own faculty

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Social Activities 【 Display / hide

  • 全国健康保険協会 理事(保健担当)

    2017.10
    -
    Present
  • 健康保険組合連合会 データヘルス計画推進会議委員

    2014.05
    -
    2017.03

Memberships in Academic Societies 【 Display / hide

  • Japan Atherosclerosis Society

     
  • Japan Epidemiological Association

     
  • Japanese Medical Society of Alcohol and Drug Studies

     
  • The Japanese Association for Cerebro-cardiovascular Disease Control(JACD), 

    2022.07
    -
    Present
  • Japanese Society of Public Health, 

    2021.10
    -
    Present

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Committee Experiences 【 Display / hide

  • 2022.04
    -
    Present

    健康増進に係る科学的な知見を踏まえた技術的事項に関するワーキング・グループ主査, 厚生労働省

  • 2021.12
    -
    Present

    第4期特定健診・特定保健指導の見直しに関する検討会座長代理, 厚生労働省

  • 2021.10
    -
    Present

    健康管理システム等標準化検討会座長, 厚生労働省

  • 2020.04
    -
    Present

    健康・医療・介護情報利活用検討会 健診等情報利活用ワーキンググループ, 厚生労働省

  • 2015.02
    -
    Present

    厚生科学審議会臨時委員(地域保健健康増進栄養部会), 厚生労働省

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