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Azusa Fukumoto,
Keiko Asakura,
Kentaro Murakami,
Satoshi Sasaki, Hitomi Okubo,
Naoko Hirota,
Akiko Notsu,
Hidemi Todoriki,
Ayako Miura,
Mitsuru Fukui,
Chigusa Date
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ABSTRACT: Background: Information on within- and between-individual variation in energy and nutrient intake is critical for precisely estimating usual dietary intake; however, data from Japanese populations are limited.Methods: We used dietary records to examine within- and between-individual variation by age and sex in the intake of energy and 31 selected nutrients among Japanese adults. We also calculated the group size required to estimate mean intake for a group and number of days required both to rank individuals within a group and to assess an individual's usual intake, all with appropriate arbitrary precision. A group of Japanese women (younger: 30-49 years, n = 58; older: 50-69 years, n = 63) and men (younger: 30-49 years, n = 54; older: 50-76 years, n = 67) completed dietary records for 4 nonconsecutive days in each season (16 days in total).Results: Coefficients of within-individual variation and between-individual variation were generally larger in the younger group than in the older group and in men as compared with women. The group size required to estimate a group's mean intake, and number of days required to assess an individual's usual intake, were generally larger for the younger group and for men. In general, a longer period was required to rank women and older adults.Conclusions: In a group of Japanese adults, coefficients of within-individual variation and between-individual variation, which were used to estimate the group size and number of records required for adequate dietary assessment, differed by age, sex, and nutrient.
Journal of Epidemiology 04/2013; · 1.86 Impact Factor
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ABSTRACT: There are cadmium-polluted areas in Japan, where farmers may be at risk of renal dysfunction due to cadmium exposure through consumption of home-harvested rice. The aims of this study were to investigate levels of cadmium exposure and accumulation and their renal effects in female farmers residing in cadmium-polluted areas, and to consider the relevance of age to the effects of cadmium. We conducted a cross-sectional study of 1200 women (40-79years old) without symptomatic disorders in two cadmium-polluted areas and one unpolluted area as a control. Rice, blood, and urine samples were collected to measure the cadmium levels, together with urinary levels of α1-microglobulin and β2-microglobulin for renal tubular function. Cadmium levels in rice were significantly higher in the polluted areas than control area. Blood and urinary cadmium levels, along with urinary protein levels, were also significantly higher in the polluted areas, especially among the elder subjects. There was one case of cadmium nephropathy in the polluted areas. Age- and urinary cadmium-specific analysis for all the subjects showed a mild linear dose-response relationship between urinary cadmium and proteins in the younger women, and a steep progress of renal dysfunction over the threshold of urinary cadmium (10μg/g creatinine) in the older women. In conclusion, the aged women in the polluted areas showed high accumulation of cadmium and deterioration of renal function through consumption of rice. Also, the aging process itself appeared to contribute to the different renal effects of cadmium observed in the elderly population.
Environment international 03/2013; 56C:1-9. · 4.79 Impact Factor
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ABSTRACT: The present study aimed to examine the relationship between consumption of meat, fish, and specific types of fatty acids and the prevalence of depressive symptoms during pregnancy in Japan. Study subjects were 1745 pregnant women. Depressive symptoms were defined as present when subjects had a Center for Epidemiologic Studies Depression Scale score of 16 or higher. Information on dietary factors was collected using a self-administered diet history questionnaire. The prevalence of depressive symptoms during pregnancy was 19.3%. Higher intake levels of fish, eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA) were independently associated with a lower prevalence of depressive symptoms during pregnancy: the adjusted odds ratios (ORs) between extreme quartiles (95% confidence intervals [CIs], P for trend) were 0.61 (0.42-0.87, 0.01), 0.66 (0.46-0.95, 0.02) and 0.64 (0.44-0.93, 0.007), respectively. Higher intake levels of total fat and saturated fatty acids were independently related to a higher prevalence of depressive symptoms during pregnancy: the adjusted ORs between extreme quartiles (95% CIs, P for trend) were 1.42 (1.00-2.03, 0.06) and 1.74 (1.22-2.49, 0.001), respectively. There were no significant associations between intake of monounsaturated fatty acids, n-3 polyunsaturated fatty acids (PUFAs), α-linolenic acid, n-6 PUFAs, linoleic acid, arachidonic acid, or cholesterol or the ratio of n-3 to n-6 PUFA intake and depressive symptoms during pregnancy. Intake levels of fish, EPA, and DHA may be inversely associated with depressive symptoms during pregnancy while intake levels of total fat and saturated fatty acids may be positively related to depressive symptoms during pregnancy.
Journal of psychiatric research 02/2013; · 3.72 Impact Factor
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ABSTRACT: Dietary habits established in early childhood contribute to lifelong dietary pattern and the development of early risk factors for disease in adulthood. Although a large body of epidemiologic data from Western countries show that the dietary pattern of children is influenced by maternal socio-economic and lifestyle characteristics, information on this topic in non-Western countries is absolutely lacking. The present study identified dietary patterns among infants aged 16-24 months, and then examined the influence of maternal socio-economic and lifestyle characteristics on identified dietary patterns. Subjects were 758 Japanese mother-child pairs. Dietary data of infants were collected from the mothers using a questionnaire. Dietary patterns were extracted from the consumption of 15 foods (times week(-1) ) by cluster analysis. The following two dietary patterns were identified: 'fruits, vegetables and high-protein foods' (n = 483) and 'confectionaries and sweetened beverages' (n = 275) patterns. After adjustment for all other predictors, maternal educational level, number of infants' siblings and maternal dietary patterns were independently associated with dietary patterns of infants. Infants whose mothers had a higher educational level and the 'rice, fish and vegetables' dietary pattern were less likely to belong to the 'confectionaries and sweetened beverages' pattern, whereas infants whose mothers had a higher number of children and the 'wheat product' dietary pattern were more likely to belong to the 'confectionaries and sweetened beverages' than the 'fruits, vegetables and high-protein foods' pattern. In conclusion, the mother's socio-economic position and dietary patterns were associated with the dietary patterns of infants in the Japanese pairs as observed in the Western populations.
Maternal and Child Nutrition 03/2012; · 1.61 Impact Factor
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ABSTRACT: Dietary fat exerts numerous complex effects on proinflammatory and immunologic pathways. Several epidemiological studies have examined the relationships between intake of fatty acids and/or foods high in fat and allergic rhinitis, but have provided conflicting findings. The current cross-sectional study investigated such relationships in Japan.
Study subjects were 1745 pregnant women. The definition of rhinoconjunctivitis was based on criteria from the International Study of Asthma and Allergies in Childhood. Information on dietary factors was collected using a validated self-administered diet history questionnaire. Adjustment was made for age; gestation; region of residence; number of older siblings; number of children; smoking; secondhand smoke exposure at home and at work; family history of asthma, atopic eczema, and allergic rhinitis; household income; education; and body mass index.
The prevalence of rhinoconjunctivitis in the past 12 months was 25.9%. Higher meat intake was significantly associated with an increased prevalence of rhinoconjunctivitis: the adjusted odds ratio between extreme quartiles was 1.71 (95% confidence interval: 1.25-2.35, P for trend = 0.002). No measurable association was found between fish intake and rhinoconjunctivitis. Intake of total fat, saturated fatty acids, monounsaturated fatty acids, n-3 polyunsaturated fatty acids, α-linolenic acid, eicosapentaenoic acid, docosahexaenoic acid, n-6 polyunsaturated fatty acids, linoleic acid, arachidonic acid, and cholesterol and the ratio of n-3 to n-6 polyunsaturated fatty acid intake were not evidently related to the prevalence of rhinoconjunctivitis.
The current results suggest that meat intake may be positively associated with the prevalence of rhinoconjunctivitis in young adult Japanese women.
Nutrition Journal 03/2012; 11:19. · 2.48 Impact Factor
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ABSTRACT: A comprehensive self-administered diet history questionnaire (DHQ: 150-item semi-quantitative questionnaire) and a brief self-administered DHQ (BDHQ: 58-item fixed-portion-type questionnaire) were developed for assessing Japanese diets. We compared the relative validity of nutrient intake derived from DHQ with that from the BDHQ, using semi-weighed 16-day dietary records (DRs) as reference.
Ninety-two Japanese women aged 31 to 69 years and 92 Japanese men aged 32 to 76 years completed a 4-nonconsecutive-day DR, a DHQ, and a BDHQ 4 times each (once per season) in 3 areas of Japan (Osaka, Nagano, and Tottori).
No significant differences were seen in estimates of energy-adjusted intakes of 42 selected nutrients (based on the residual method) between the 16-day DRs and the first DHQ (DHQ1) or between the DR and the first BDHQ (BDHQ1) for 18 (43%) and 14 (33%) nutrients, respectively, among women and for 4 (10%) and 21 (50%) nutrients among men. The median (interquartile range) Pearson correlation coefficients with the DR for energy-adjusted intakes of the 42 nutrients were 0.57 (0.50 to 0.64) for the DHQ1 and 0.54 (0.45 to 0.61) for the BDHQ1 in women; in men, the respective values were 0.50 (0.42 to 0.59) and 0.56 (0.41 to 0.63). Similar results were observed for the means of the 4 DHQs and BDHQs.
The DHQ and BDHQ had satisfactory ranking ability for the energy-adjusted intakes of many nutrients among the present Japanese population, although these instruments were satisfactory in estimating mean values for only a small number of nutrients.
Journal of Epidemiology 03/2012; 22(2):151-9. · 1.86 Impact Factor
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ABSTRACT: Evidence on factors associated with misreporting of energy intake is limited, particularly in non-Western populations. We examined the characteristics of under- and over-reporters of energy intake in young Japanese women. Subjects were 3,956 female Japanese dietetic students aged 18-20 y (mean body mass index: 20.9 kg/m(2)). Energy intake was assessed using a comprehensive self-administered diet history questionnaire. Estimated energy requirement was calculated based on self-reported information on age, body height and weight, and physical activity with the use of an equation from the US Dietary Reference Intakes. Under-, acceptable, and over-reporters of energy intake were identified based on the ratio of energy intake to estimated energy requirement, according to whether the individual's ratio was below, within, or above the 95% confidence limits of the expected ratio of 1.0 (<0.70, 0.70-1.30, and >1.30, respectively). Risk of being an under- or over-reporter of energy intake compared to an acceptable reporter was analyzed using multiple logistic regression. The percentage of under-, acceptable, and over-reporters of energy intake was 18.4, 73.1, and 8.4%, respectively. Under-reporting was associated with overweight or obesity, perception that one's own weight was too heavy or light, lower dietary consciousness, active lifestyle, living without family, and living in a city (compared with a metropolitan area). Over-reporting was associated with sedentary lifestyle only. This study of lean young Japanese women showed that energy intake misreporting, particularly under-reporting, was common and differential among populations. Particularly, perceived weight status was associated with under-reporting of energy intake, independent of actual weight status.
Journal of Nutritional Science and Vitaminology 01/2012; 58(4):253-62. · 1.20 Impact Factor
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Hitomi Okubo,
Yoshihiro Miyake,
Satoshi Sasaki,
Keiko Tanaka,
Kentaro Murakami,
Yoshio Hirota,
Hideharu Kanzaki,
Mitsuyoshi Kitada,
Yorihiko Horikoshi,
Osamu Ishiko, [......],
Junichi Iito,
Takuzi Kaneko,
Takao Kamiya,
Hiroyuki Kuribayashi,
Takeshi Taniguchi,
Hideo Takemura,
Yasuhiko Morimoto,
Ichiro Matsunaga,
Hajime Oda,
Yukihiro Ohya
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ABSTRACT: Maternal nutritional status during pregnancy is an important determinant of fetal growth. Although the effects of several nutrients and foods have been well examined, little is known about the relationship of overall maternal diet in pregnancy to fetal growth, particularly in non-Western populations. We prospectively examined the relationship of maternal dietary patterns in pregnancy to neonatal anthropometric measurements at birth and risk of small-for-gestational-age (SGA) birth among 803 Japanese women with live-born, singleton, term deliveries. Maternal diet in pregnancy was assessed using a validated, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups (g/4184 kJ) were extracted by cluster analysis. The following three dietary patterns were identified: the 'meat and eggs' (n 326), 'wheat products', with a relatively high intake of bread, confectioneries and soft drinks (n 303), and 'rice, fish and vegetables' (n 174) patterns. After adjustment for potential confounders, women in the 'wheat products' pattern had infants with the significantly lowest birth weight (P = 0·045) and head circumference (P = 0·036) among those in the three dietary patterns. Compared with women in the 'rice, fish and vegetables' pattern, women in the 'wheat products' pattern had higher odds of having a SGA infant for weight (multivariate OR 5·2, 95 % CI 1·1, 24·4), but this was not the case for birth length or head circumference. These results suggest that a diet high in bread, confectioneries, and soft drinks and low in fish and vegetables during pregnancy might be associated with a small birth weight and an increased risk of having a SGA infant.
The British journal of nutrition 09/2011; 107(10):1526-33. · 3.45 Impact Factor
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ABSTRACT: Maternal diet during pregnancy might influence the development of childhood allergic disorders. Aims: This prospective study examined the relationship between maternal dietary patterns during pregnancy and the risk of wheeze and eczema in the offspring aged 16-24 months.
Subjects were 763 mother-child pairs. Data on maternal intake during pregnancy were assessed with a diet history questionnaire. Dietary patterns were derived from factor analysis of 33 predefined food groups. Symptoms of wheeze and eczema were based on criteria of the International Study of Asthma and Allergies in Childhood. Adjustment was made for maternal age, gestation, residential municipality, family income, maternal and paternal education, maternal and paternal history of allergic disorders, changes in maternal diet in pregnancy, season at baseline, maternal smoking during pregnancy, baby's older siblings, sex, birth weight, age at the third survey, household smoking, and breastfeeding duration.
Three dietary patterns were identified: 'healthy', characterized by high intake of green and yellow vegetables, seaweed, mushrooms, white vegetables, pulses, potatoes, fish, sea products, fruit, and shellfish; 'Western', characterized by high intake of vegetable oil, salt-containing seasonings, beef and pork, processed meat, eggs, chicken, and white vegetables; and 'Japanese', characterized by high intake of rice, miso soup, sea products, and fish. There was a tendency for an inverse exposure-response relationship between the maternal Western pattern during pregnancy and the risk of childhood wheeze by crude analysis. After adjustment for the confounding factors under study, the inverse relationship was strengthened: the adjusted OR between extreme quartiles was 0.59 (95% CI: 0.35-0.98, p for trend = 0.02). No such inverse association was observed for childhood eczema. Neither the maternal healthy pattern nor the Japanese pattern during pregnancy was related to childhood wheeze or eczema.
The maternal Western pattern during pregnancy may be preventive against wheeze in the offspring.
Pediatric Allergy and Immunology 05/2011; 22(7):734-41. · 2.46 Impact Factor
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ABSTRACT: To compare the relative validity of food group intakes derived from a comprehensive self-administered diet history questionnaire (DHQ) and a brief-type DHQ (BDHQ) developed for the assessment of Japanese diets during the previous month using semi-weighed dietary records (DR) as a reference method.
Between November 2002 and September 2003, a 4 d DR (covering four non-consecutive days), a DHQ (150-item semi-quantitative questionnaire) and a BDHQ (fifty-eight-item fixed-portion-type questionnaire) were completed four times (once per season) at 3-month intervals.
Three areas in Japan: Osaka, Nagano and Tottori.
Ninety-two Japanese women aged 31-69 years and ninety-two Japanese men aged 32-76 years.
Median food group intakes were estimated well for approximately half of the food groups. No statistically significant differences were noted between a 16 d DR and the first DHQ (DHQ1) or between the DR and the first BDHQ (BDHQ1) in fifteen (44 %) and fifteen (52 %) food items for women and in fourteen (41 %) and sixteen (55 %) food items for men, respectively, indicating that both questionnaires estimated median values reasonably well. Median Spearman's correlation coefficients with the DR were 0·43 (range: -0·09 to 0·77) for DHQ1 and 0·44 (range: 0·14 to 0·82) for BDHQ1 in women, with respective values of 0·44 (range: 0·08 to 0·87) and 0·48 (range: 0·22 to 0·83) in men, indicating reasonable ranking ability. Similar results were observed for mean values of the four DHQ and BDHQ.
In terms of food intake estimates, both the DHQ and the BDHQ showed reasonable validity.
Public Health Nutrition 04/2011; 14(7):1200-11. · 2.17 Impact Factor
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ABSTRACT: To examine the adequacy and inadequacy of dietary patterns in pregnant women for which information is absolutely lacking.
Diet was assessed by a validated, self-administered diet history questionnaire (DHQ). Dietary patterns were extracted from the intake of thirty-three food groups (g/4184 kJ (1000 kcal)), which were summarized from 147 foods assessed with the DHQ, by cluster analysis. Nutritional inadequacy for selected twenty nutrients in each dietary pattern was examined using the reference values given in the Dietary Reference Intakes (DRI) for Japanese as the temporal gold standard.
Japan.
Nine hundred and ninety-seven pregnant Japanese women aged 18-43 years.
The three dietary patterns identified were labelled as 'meat and eggs' (n 423), 'wheat products' (n 371) and 'rice, fish and vegetables' (n 203). The 'rice, fish and vegetables' pattern characterized by high intake of rice, vegetables, potatoes, pulses, fruits, seaweed, fish and miso soup showed significantly the lowest prevalence of inadequate intake for fifteen nutrients and significantly the highest prevalence of inadequate sodium intake. In contrast, the 'wheat products' pattern characterized by high intake of bread, noodles, confectioneries and soft drinks showed the highest prevalence of inadequate intake for fourteen nutrients. The median number of nutrients not meeting the DRI as a marker of overall nutritional inadequacy was eight in the 'rice, fish and vegetables' pattern. It was significantly lower at ten in the 'meat and eggs' and eleven in the 'wheat products' patterns (P<0.001).
In pregnant Japanese women, the dietary pattern high in rice, fish, vegetables, fruit and some others showed a better profile of nutritional adequacy except for sodium.
Public Health Nutrition 04/2011; 14(4):611-21. · 2.17 Impact Factor
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ABSTRACT: Although fish and meat may exert opposing influences on chronic disease, information on the balance of intake between fish and meat to overall diet quality is limited, particularly in Japanese, who have a much higher fish intake than Western populations. The objective of this cross-sectional study was to test the hypothesis that intake balance between fish and meat is associated with food and nutrient intakes in young Japanese women. The subjects were 3716 Japanese dietetic students aged 18 to 20 years. Diet was assessed by a validated, self-administered diet history questionnaire. The dietary ratio of fish to meat was calculated from fish and meat intakes as a temporal indicator of overall intake balance. The ratio of fish to meat intake was associated positively with intakes of vegetables, fruits, pulses, dairy products, and alcohol, and negatively with those of energy-containing beverages and fat and oils. At the nutrient level, the ratio of fish to meat intake was associated negatively with intakes of energy, total fat, saturated fatty acids, n-6 polyunsaturated fatty acids, vitamin B(1), and zinc, and positively with those of protein, n-3 polyunsaturated fatty acids, dietary fiber, and key vitamins and minerals. After limiting analysis to nutrients derived from foods other than fish and meat, the ratio of fish to meat intake was positively associated with intakes of almost all vitamins and minerals examined. In conclusion, women who consumed more fish than meat (ratio >1) tended to choose more favorable food groups that included higher amounts of vegetables and fruits, resulting in a better profile of nutrient intake patterns.
Nutrition research (New York, N.Y.) 03/2011; 31(3):169-77. · 1.20 Impact Factor
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ABSTRACT: How human chronotype is correlated to nutrient and food-group intakes and dietary behavior remains to be elucidated. We cross-sectionally examined the association between the midpoint of sleep and these dietary variables in young Japanese women. A calculated halfway point between bedtime and rise time was used as midpoint of sleep.
The subjects were 3304 female Japanese dietetics students aged 18-20years from 53 institutions in Japan. Dietary intake during the previous month was assessed by a validated, self-administered diet history questionnaire. The midpoint of sleep was calculated using self-reported bedtimes and rise times.
Late midpoint of sleep was significantly negatively associated with the percentage of energy from protein and carbohydrates, and the energy-adjusted intake of cholesterol, potassium, calcium, magnesium, iron, zinc, vitamin A, vitamin D, thiamin, riboflavin, vitamin B(6), folate, rice, vegetables, pulses, eggs, and milk and milk products. It was also significantly positively associated with the percentage of energy from alcohol and fat, and the energy-adjusted intake of noodles, confections, fat and oil, and meat. Furthermore, subjects with a later midpoint of sleep tended to begin meals later, eat for a longer time, skip meals more frequently, and watch TV at meals, not only at breakfast but also at lunch and dinner.
The midpoint of sleep is significantly associated with dietary intake of certain nutrients and foods and other dietary behaviors in young Japanese women. This finding may contribute to consider the relationships between chronotype and dietary intakes and behaviors.
Sleep Medicine 02/2011; 12(3):289-94. · 3.40 Impact Factor
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ABSTRACT: Although several nutrients and foods are suggested to be preventive against postpartum depression, all previous studies have primarily focused on single nutrients or foods. In contrast, studies on dietary patterns, namely the measurement of overall diet by considering the cumulative effects of nutrient, may provide new insights into the influence of diet on postpartum depression. We prospectively examined the association between dietary patterns during pregnancy and the risk of postpartum depression among 865 Japanese women. Diet was assessed with a validated, self-administered diet history questionnaire. Dietary patterns from thirty-three predefined food groups (energy-adjusted food (g/d)) were extracted by factor analysis. Postpartum depression was defined as present when the subjects had an Edinburgh Postnatal Depression Scale score of ≥ 9 at 2-9 months postpartum. A total of 121 women (14·0 %) were classified as having postpartum depression. Three dietary patterns were identified: 'Healthy', 'Western' and 'Japanese' patterns. After adjustment for potential confounders, neither the 'Healthy' nor the 'Japanese' pattern was related to the risk of postpartum depression. Compared with the first quartile of the 'Western' pattern, only the second quartile was independently related to a decreased risk of postpartum depression (multivariate OR 0·52, 95 % CI 0·30, 0·93), although no evident exposure-response associations were observed (P for trend = 0·36). The present study failed to substantiate clear associations between dietary patterns and the risk of postpartum depression. Further studies with more accurate measurements are warranted to confirm the relationship between dietary patterns and the risk of postpartum depression.
The British journal of nutrition 12/2010; 105(8):1251-7. · 3.45 Impact Factor
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ABSTRACT: Although dietary pattern approaches derived from dietary assessment questionnaires are widely used, only a few studies in Western countries have reported the validity of this approach. We examined the relative validity of dietary patterns derived from a self-administered diet history questionnaire (DHQ) among Japanese adults.
The DHQ, assessing diet during the preceding month, and 4 d dietary records (DR) were collected in each season over one year. To derive dietary patterns, 145 food items in the DHQ and 1259 in the DR were classified into thirty-three predefined food groups, and entered into a factor analysis.
Three areas in Japan; Osaka (urban), Nagano (rural inland) and Tottori (rural coastal).
A total of ninety-two Japanese women and ninety-two Japanese men aged 31-76 years.
We identified three dietary patterns ('healthy', 'Western' and 'Japanese traditional') in women and two ('healthy' and 'Western') in men, which showed a relatively similar direction and magnitude of factor loadings of food groups across the first and mean of four DHQ (DHQ1 and mDHQ, respectively) and 16 d DR. The Pearson correlation coefficients between DHQ1 and 16 d DR for the healthy, Western and Japanese traditional patterns in women were 0.57, 0.36 and 0.44, and for the healthy and Western patterns in men were 0.62 and 0.56, respectively. When mDHQ was examined, the correlation coefficients improved for women (0.45-0.69).
Dietary patterns derived from the DHQ could be used for epidemiological studies as surrogates of those derived from DR.
Public Health Nutrition 07/2010; 13(7):1080-9. · 2.17 Impact Factor
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Mai Yamada,
Satoshi Sasaki,
Kentaro Murakami,
Yoshiko Takahashi, Hitomi Okubo,
Naoko Hirota,
Akiko Notsu,
Hidemi Todoriki,
Ayako Miura,
Mitsuru Fukui,
Chigusa Date
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ABSTRACT: Previous studies in Western populations have linked caffeine intake with health status. While detailed dietary assessment studies in these populations have shown that the main contributors to caffeine intake are coffee and tea, the wide consumption of Japanese and Chinese teas in Japan suggests that sources of intake in Japan may differ from those in Western populations. Among these teas, moreover, caffeine content varies widely among the different forms consumed (brewed, canned or bottled), suggesting the need for detailed dietary assessment in estimating intake in Japanese populations. Here, because a caffeine composition database or data obtained from detailed dietary assessment have not been available, we developed a database for caffeine content in Japanese foods and beverages, and then used it to estimate intake in a Japanese population.
The caffeine food composition database was developed using analytic values from the literature, 16 d weighed diet records were collected, and caffeine intake was estimated from the 16 d weighed diet records.
Four areas in Japan, Osaka (Osaka City), Okinawa (Ginowan City), Nagano (Matsumoto City) and Tottori (Kurayoshi City), between November 2002 and September 2003.
Two hundred and thirty Japanese adults aged 30-69 years.
Mean caffeine intake was 256.2 mg/d for women and 268.3 mg/d for men. The major contributors to intake were Japanese and Chinese teas and coffee (47 % each). Caffeine intake above 400 mg/d, suggested in reviews to possibly have negative health effects, was seen in 11 % of women and 15 % of men.
In this Japanese population, caffeine intake was comparable to the estimated values reported in Western populations.
Public Health Nutrition 05/2010; 13(5):663-72. · 2.17 Impact Factor
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ABSTRACT: The recommended daily intake of fruits in Japan is 200 g, but average actual intake is much lower. We examined associations between self-reported fruit availability at home and fruit-related eating behavior among sixth-grade schoolchildren in Sakado City, Saitama Prefecture, Japan.
As part of a larger study of school children in Sakado City, 659 sixth-grade from all 13 primary schools in the city completed a survey in their classroom in October 2007 (valid respondent rate 92%). Dietary intake over the previous 1-month period was assessed with a brief, self-administered diet history questionnaires for 10-year-olds. A second questionnaire also assessed health, dietary knowledge, attitudes and behaviors, and perceived food availability at home. Children reported fruit availability at home using the four options of always, often, sometimes, or never. Associations between fruit availability at home and fruit-related eating behaviors were statistically tested, including perception of the importance of and self-efficacy in eating fruits for health as well as the frequency of eating fruit by children and their family, with all analyses conducted separately by gender.
Mean fruit intake was the highest among those children who reported that fruits were always available at home (boys 54 g/1,000 kcal, girls 65 g/1,000 kcal), followed by those reporting availability as often (31 g/1,000 kcal, 37 g/1,000 kcal), sometimes (16 g/1,000 kcal, 13 g/1,000 kcal), or never (9 g/1,000 kcal, 12 g/1,000 kcal). Availability was positively associated with intake (P for trend < 0.001). Additionally, it was positively associated with childrens' perception of the importance of eating fruit for better health (boys only, P < 0.001), self-efficacy in eating more fruit (P < 0.001), and the family frequency of eating fruit (P < 0.001).
These findings suggest that fruit availability at home is a significant factor in fruit-related eating behavior, consistent with results of similar studies in western countries.
[Nippon kōshū eisei zasshi] Japanese journal of public health 03/2010; 57(3):175-83.
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Mai Yamada,
Satoshi Sasaki,
Kentaro Murakami,
Yoshiko Takahashi, Hitomi Okubo,
Naoko Hirota,
Akiko Notsu,
Hidemi Todoriki,
Ayako Miura,
Mitsuru Fukui,
Chigusa Date
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ABSTRACT: The Standard Tables of Food Composition in Japan do not include information on trans fatty acids. Previous studies estimating trans fatty acid intake among Japanese have limitations regarding the databases utilized and diet assessment methodologies. We developed a comprehensive database of trans fatty acid food composition, and used this database to estimate intake among a Japanese population.
The database was developed using analytic values from the literature and nutrient analysis software encompassing foods in the US, as well as values estimated from recipes or nutrient compositions. We collected 16-day diet records from 225 adults aged 30 to 69 years living in 4 areas of Japan. Trans fatty acid intake was estimated based on the database and the 16-day diet records.
Mean total fat and trans fatty acid intake was 56.9 g/day (27.7% total energy) and 1.7 g/day (0.8% total energy), respectively, for women and 66.8 g/day (25.5% total energy) and 1.7 g/day (0.7% total energy) for men. Trans fatty acid intake accounted for greater than 1% of total energy intake, which is the maximum recommended according to the World Health Organization, in 24.4% of women and 5.7% of men, and was particularly high among women living in urban areas and those aged 30-49 years. The largest contributors to trans fatty acid intake were confectionaries in women and fats and oils in men.
Although mean trans fatty acid intake was below the maximum recommended intake of the World Health Organization, intake among subgroups was of concern. Further public health efforts to reduce trans fatty acid intake should be encouraged.
Journal of Epidemiology 01/2010; 20(2):119-27. · 1.86 Impact Factor
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ABSTRACT: Information on nutritional adequacy and inadequacy of dietary patterns is useful when making practical dietary recommendations. We examined nutritional inadequacy of dietary patterns among 3756 Japanese female dietetic students aged 18-20 years. Diet was assessed with a validated self-administered diet history questionnaire (DHQ). Dietary patterns were determined from intakes of 33 food groups summarized from 147 foods assessed with DHQ, by cluster analysis. Nutritional inadequacy for the selected 21 nutrients in each dietary pattern was examined using the reference values given in the Dietary Reference Intakes for the Japanese (DRIs) as the gold standard. Four dietary patterns identified were labeled 'fish and vegetables' (n=697), 'meat and eggs' (n=1008), 'rice' (n=1041), and 'bread and confectionaries' (n=1010) patterns. The 'fish and vegetables' pattern, characterized by high intakes of vegetables, potatoes, pulses, fruits, fish, and dairy products, showed significantly the lowest percentage of subjects with inadequate intakes for 15 nutrients, except for the highest prevalence in sodium. In contrast, 'bread and confectionaries' pattern, characterized by high intakes of bread, confectionaries, and soft drinks, showed the highest prevalence of inadequate intakes for nine nutrients. The median number of nutrients not meeting the DRIs as a marker of overall nutritional inadequacy was five in 'fish and vegetables' pattern. It was significantly lower than nine both in 'meat and eggs' and 'rice', and 10 in 'bread and confectionaries' patterns (p<0.001). A dietary pattern high in vegetables, fruits, fish, and some others showed better profile of nutritional adequacy except for sodium in young Japanese women.
Asia Pacific Journal of Clinical Nutrition 01/2010; 19(4):555-63. · 1.13 Impact Factor
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ABSTRACT: An increasing number of studies conducted in Western countries have shown that living in a socioeconomically disadvantaged neighborhood is associated with unfavorable dietary intake patterns and an unfavorable health status. However, information on such neighborhood socioeconomic differences in diet and health among different cultural settings, including Japan, is absolutely lacking. This cross-sectional study examined the association of neighborhood socioeconomic status (SES) with dietary intake and body mass index (BMI) in a group of young Japanese women.
Subjects were 3892 female Japanese dietetic students 18-20 y of age from 53 institutions, residing in 1033 municipalities in 47 prefectures in Japan. Neighborhood SES index was defined by seven municipal-level variables, namely unemployment, household overcrowding, poverty, education, income, home ownership, and vulnerable groups, with an increasing index signifying increasing neighborhood socioeconomic disadvantage. Dietary intake was estimated using a validated, comprehensive self-administered diet history questionnaire. BMI was computed from self-reported body weight and height.
Neighborhood SES index was not materially associated with most of the dietary variables. However, neighborhood SES index was positively associated with BMI, with significance (P for trend=0.020). This significant association remained after adjustment for potential confounding or mediating factors including household SES, dietary, other lifestyle, and geographic factors (P for trend=0.037).
Although no material association was seen between neighborhood SES and dietary intake, increasing neighborhood socioeconomic disadvantage was independently associated with increasing BMI in a group of young Japanese women.
Nutrition 05/2009; 25(7-8):745-52. · 3.03 Impact Factor