Relation between obesity and health disorders as revealed by the J-ORBIT clinical information collection system directly linked to electronic medical records (J-ORBIT 1)

IF 3 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Journal of Diabetes Investigation Pub Date : 2025-03-27 DOI:10.1111/jdi.70021

Seiji Nishikage, Yushi Hirota, Yasushi Nakagawa, Masamichi Ishii, Mitsuru Ohsugi, Eiichi Maeda, Kai Yoshimura, Akane Yamamoto, Tomofumi Takayoshi, Takehiro Kato, Daisuke Yabe, Munehide Matsuhisa, Jun Eguchi, Jun Wada, Yukihiro Fujita, Shinji Kume, Hiroshi Maegawa, Kana Miyake, Nobuhiro Shojima, Toshimasa Yamauchi, Koutaro Yokote, Kohjiro Ueki, Kengo Miyo, Wataru Ogawa

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Abstract

Aims/Introduction

Obesity triggers various health disorders, but information on these disorders in real-world settings remains limited. To address this knowledge gap, we developed a database directly linked to electronic medical records (EMRs). We here present the baseline data for this database, designated Japan Obesity Research Based on electronIc healTh Records (J-ORBIT).

Materials and Methods

Individuals with obesity disease diagnosed according to the criteria of the Japan Society for the Study of Obesity were registered in J-ORBIT from seven medical centers in Japan. We analyzed the relationship between body mass index (BMI), clinical characteristics, and the prevalence of obesity-related health disorders in this cohort.

Results

Data were obtained from 1,169 individuals, with a mean (±SD) age of 56.9 ± 15.3 years and a BMI of 31.4 ± 6.1 kg/m². The prevalence of health disorders varied substantially across BMI categories, with a higher BMI being associated with an increased prevalence of hyperuricemia or gout, obstructive sleep apnea syndrome or obesity hypoventilation syndrome, musculoskeletal disorders, and obesity-related kidney disease, as well as with a higher frequency of both a family history of obesity and of a history of childhood obesity. Among individuals with a BMI of ≥25 kg/m², the prevalence of hypertension and dyslipidemia did not increase with BMI, whereas that of glucose intolerance decreased with increasing BMI.

Conclusions

The J-ORBIT system, which collects clinical data in real time directly from EMRs, has the potential to provide insight into obesity and its associated health conditions, thereby contributing to improved care of affected individuals.

Abstract Image

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J-ORBIT与电子病历直接关联的临床信息收集系统（J-ORBIT 1）揭示肥胖与健康障碍的关系

目的/介绍：肥胖引发各种健康障碍，但在现实环境中关于这些疾病的信息仍然有限。为了解决这一知识缺口，我们开发了一个与电子医疗记录（emr）直接关联的数据库。我们在此提供该数据库的基线数据，该数据库名为基于电子健康记录的日本肥胖研究（J-ORBIT）。材料和方法：根据日本肥胖研究协会的标准诊断为肥胖症的个体在J-ORBIT中登记，这些个体来自日本7个医疗中心。我们分析了该队列中体重指数（BMI）、临床特征和肥胖相关健康障碍患病率之间的关系。结果：数据来自1169人，平均（±SD）年龄为56.9±15.3岁，BMI为31.4±6.1 kg/m2。不同BMI类别的健康疾病患病率差异很大，BMI越高，高尿酸血症或痛风、阻塞性睡眠呼吸暂停综合征或肥胖低通气综合征、肌肉骨骼疾病和肥胖相关肾脏疾病的患病率越高，肥胖家族史和儿童期肥胖史的发生率也越高。在BMI≥25 kg/m2的个体中，高血压和血脂异常的患病率不随BMI增加而增加，而葡萄糖耐受不良的患病率随BMI增加而降低。结论：J-ORBIT系统直接从电子病历中实时收集临床数据，有可能为肥胖症及其相关健康状况提供深入了解，从而有助于改善受影响个体的护理。

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来源期刊

Journal of Diabetes Investigation ENDOCRINOLOGY & METABOLISM-

CiteScore

6.50

自引率

9.40%

发文量

218

审稿时长

6-12 weeks

期刊介绍： Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).