農村における生活習慣病の臨床疫学的研究　　年齢別にみた食品摂取状況と健診成績の関連性について

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  • Clinical and Epidemiological Studies of Lifestyle-induced Health Problems in Rural Area. Relationships between Dietary Habits and Results of Health Checkups.
  • ノウソン ニ オケル セイカツ シュウカンビョウ ノ リンショウエキガクテキ ケンキュウ ネンレイ ベツ ニ ミタ ショクヒン セッシュ ジョウキョウ ト ケンシン セイセキ ノ カンレンセイ ニ ツイテ
  • Relationships between Dietary Habits and Results of Health Checkups
  • 年齢別にみた食品摂取状況と健診成績の関連性について

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Personal lifestyles constitute one of the strategic frontiers of preventive medicine. We carried out a survey of eating habits of people in three rural communities in the southern part of Akita Prefecture, where fundamental health screening programs have been implemented regularly. Differences in eating habits between men and women and between age groups were found. The health status of the examinees was judged by using data on blood pressure, obesity and lipid levels measured at the latest health checkup.<BR>To find a correlation between eating habits and physical health status, the frequency of illness was examined according to the number of times of eating various kinds of food. It was found that with age, people take in fish and shellfish, cow's milk, beans, vegetables, Japanese confections and soup more frequently and eat less meat. The incidence of hypertension varied by age and sex, but was higher in those who eat less soup, pickles and milk. Likewise, abnormally high levels of total serum cholesterol were found in women who eat meat, eggs and greasy food less than twice a week. It was thought that those hypertensives and those with high cholesterol values are cuttingdown on their intake of those foods of their own accord. Therefore, we would like to point out that, in the secondary prevention setting, physicians and other health care providers should know in advance whether their patients are putting themselves on a restricted diet or not.<BR>When the average serum lipid values were examined according to the number of times of eating meat or fish and shellfish per day, it was found that men aged 70 years or above who eat those foods more than once every day have high HDL cholesterol values and that these values significantly vary depending on the kind of meat. These findings suggested that persons of advanced age who eat well and who are not particular about their food are full of vitality. This could serve as an important point in the care of the aged with serum lipid abnormalities.<BR>A study of evacuation and its relation to vegetable intake showed that the less the frequency of bowel movements, the smaller the amount of vegetable intake. There was a significant difference in the frequency of evacuation between vegetable eaters and those who do not consume an adequate amount of fiber.

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