[1] Univ Tokyo, Sch Med, Dept Internal Med, Bunkyo Ku, Tokyo 113, Japan
[2] Asahi Life Fdn, Inst Adult Dis, Shinjuku Ku, Tokyo, Japan
[3] Tohoku Univ, Dept Internal Med, Aoba Ku, Sendai, Miyagi 980, Japan
[4] Saitama Med Sch, Dept Internal Med 4, Moroyama, Saitama, Japan
[5] Univ Tsukuba, Inst Clin Med, Dept Internal Med, Div Endocrinol & Metab, Tsukuba, Ibaraki 305, Japan