Kishida, Rie https://orcid.org/0009-0004-4961-7500
Yamagishi, Kazumasa https://orcid.org/0000-0003-3301-5519
Maruyama, Koutatsu https://orcid.org/0000-0002-7862-7693
Ikeda, Ai
Sata, Mizuki
Tanaka, Mari
Okada, Chika
Kubota, Yasuhiko
Hayama-Terada, Mina
Shimizu, Yuji
Muraki, Isao https://orcid.org/0000-0003-0058-7721
Umesawa, Mitsumasa
Imano, Hironori
Sankai, Tomoko
Okada, Takeo
Kitamura, Akihiko
Kiyama, Masahiko https://orcid.org/0000-0003-2635-6059
Iso, Hiroyasu
Article History
Received: 17 January 2024
Revised: 25 June 2025
Accepted: 8 September 2025
First Online: 25 September 2025
Competing interests
: The authors declare no competing interests.
: The institutional review boards of the Osaka Institute of Public Health (No. 2409-02), Kindai University (No. R04-255), Osaka University (No. 14285-13), and University of Tsukuba (No. 2047-1) approved the study procedure. This study conformed to the principles of the Declaration of Helsinki. Informed consent was obtained from community leaders. Based on the nature of the study as a secondary use of data initially obtained for public health practice on cardiovascular disease prevention within the local community, individual consent was not required for the analysis. In compliance with relevant guidelines and regulations, the participants were retrospectively allowed to opt out of the analysis. If participants did not decline participation in this study, their consent for data usage was assumed.