栄養や生活習慣病の治療に関する社会通念上の常識とエビデンスについて--国の予算が破綻しない健康づくりに向けて Difference between common sense and evidence concerning nutritional therapy and medical treatment of lifestyle disease: aiming at the health care that a national budget of Japan doesn't fail
There is a remark voluntarily said for the nutritional therapy and treatment from the employee when the health is guided as an industrial physician. For instance, the person who has high blood pressure says,"It is necessary to cut back on salt", the person of obesity says,"it is the overeating. it is necessary to refrain from fat.", the person with hyperlipidemia says,"it refrains from fat, and botanical fat is better than animal fat". The person with a high blood sugar says,"it is necessary to do the meal limitation. It is necessary to refrain from the calorie. The person with osteoporosis says,"You should take a lot of milks". These are thought as common sense. In addition, if a high blood sugar doesn't fall even if the nutritional therapy is done, it is said,"It is necessary to go to the hospital, and to get the medicine". This time, it is in the examination whether common sense concerning such a nutritional therapy and the lifestyle disease treatment has established as a really clear evidence or the common sense is correct. Conclusion 1) It turned out that the effect of lowering was the blood pressure larger for slimness, and taking a lot of included DASH food such as potassium and to reduce salinity. 2) It has been understood that taking the high-carbohydrate diet from foods with low-calorie content and the high fat chow causes obesity. Moreover, it was thought that it was an obesity factor to eat fast, and to eat supper late. 3) It was clarified that the trans fatty acid improved the risk of the heart disease. 4) At total cholesterol count 240-259mg/dL(160-180 in case of LDL-cholesterol mg/dL), a total mortality rate was the lowest, and it was clarified that you should refrain from the active intervention of the drug therapy. 5) The diabetic is a cause due to mineral shortages such as chrome and manganese. As for the cause of severe complication of the diabetic, not the one that caused in hyperglycemia but the possibility of causing in the execution of the drug therapy of the diabetic was suggested. 6) It was clarified that the cause of osteoporosis and the fracture was too intakes of milk and meat.
- 活水論文集 健康生活学部編
活水論文集 健康生活学部編 54, 13-34, 2011-03