Quick accomplishment and responsiveness were associated with a lower risk of mortality from cardiovascular disease among Japanese older men: the Japan Collaborative Cohort Study.

Miyu MORIWAKI; Kokoro SHIRAI; Hironori IMANO; Akiko TAMAKOSHI; Ryo KAWASAKI; Hiroyasu ISO

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Quick accomplishment and responsiveness were associated with a lower risk of mortality from cardiovascular disease among Japanese older men: the Japan Collaborative Cohort Study.

Author: Miyu MORIWAKI ¹ ; Kokoro SHIRAI ¹ ; Hironori IMANO ² ; Akiko TAMAKOSHI ³ ; Ryo KAWASAKI ¹ ; Hiroyasu ISO ⁴
Author Information

1. Division of Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine.
2. Department of Public Health, Kindai University Faculty of Medicine.
3. Department of Public Health, Faculty of Medicine, Hokkaido University.
4. Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine.
Publication Type:Journal Article
Keywords: Behavior; Cardiovascular disease; Cohort study; Time management
MeSH: Adult; Aged; Female; Humans; Male; Middle Aged; Cardiovascular Diseases/psychology*; Cohort Studies; Japan/epidemiology*; Proportional Hazards Models; Risk Factors; East Asian People/psychology*
From:Environmental Health and Preventive Medicine 2025;30():15-15
CountryJapan
Language:English
Abstract: BACKGROUND:Quick accomplishment and responsiveness are behaviors related to time management by perceived control of time, such as a positive feeling of using one's time well. In recent years, positive psychological states have been associated with a lower risk of cardiovascular disease (CVD). Thus, we investigated the associations of quick accomplishment and responsiveness with CVD mortality in a large cohort study.
METHODS:The study participants were 75,049 (30,901 men and 44,148 women) aged 40-79 between 1988 and 1990 and followed until the end of 2009. Hazard ratios (HRs) and 95% confidence intervals (CIs) of mortality from CVD according to quick accomplishment, responsiveness, and their combination were calculated after adjustment for potential confounding factors using the Cox proportional hazard model.
RESULTS:Quick accomplishment was associated with a lower risk of CVD mortality in women; a similar but marginally significant association was observed in men; the respective multivariable HR (95%CI) was 0.91 (0.83-0.99) and 0.93 (0.86-1.01). The presence of both quick accomplishment and responsiveness was associated with lower risk in men, which was confined to men aged 60-79; the respective multivariable HR (95%CI) was 0.88 (0.78-0.99) and 0.83 (0.72-0.96).
CONCLUSIONS:Quick accomplishment was associated with a lower risk of CVD mortality. Quick accomplishment and responsiveness combined were inversely associated with CVD mortality risk among older men.