[1] Shiga Univ Med Sci, Dept Hlth Sci, Otsu, Shiga 5202192, Japan
[2] Shiga Univ Med Sci, Lifestyle Related Dis Prevent Ctr, Otsu, Shiga 5202192, Japan
[3] Univ Tokyo, Ctr Biomed Eth & Law, Tokyo, Japan
[4] Takashima Gen Hosp, Dept Internal Med, Shiga, Japan
[5] Makino Hosp, Shiga, Japan
[6] Kyoto Womens Univ, Dept Cardiovasc Epidemiol, Kyoto, Japan