Download Diet & Serum Lipids in Japan: Overview of Fat Intake & Cholesterol Changes and more Slides Public Health in PDF only on Docsity! Recent trends in diet and serum lipids level in Japan Learning objectives To learn the uniqueness of the trends in mortality from cardiovascular disease in Japan To learn the trends in fat intake and levels of serum cholesterol in Japan To learn some unique features of diet style in Japan 300 200 100 0 JP NHK USSR NZ SCOT FRA N SING CHN USA AUS T E&W ITY CA N FI N JP N NZ FRAN SP N USSR CHN SING H K US A AUS T CAN FI N ITY SCOT 750 500 250 0 JPN USSR SP NFRAN CHN CAN NOR SIN G H K NZ SCOT ITY FI N AUS T USA 240 160 80 0 MEN 0 200 400 600 800 1000 JPN-SHIGA CHN-BEI SPA-CAT SWI-VAF ITA-FRI FRA-LIL SWI-TIC GER-EGE BEL-GHE AUS-PER YUG-NOS RUS-MOI NEZ-AUC LTU-KAU CZE-CZE USA-STA DEN-GLO ICE-ICE POL-WAR SWE-NSW CAN-HAL UNK-BEL FIN-KUO Incidence per 100,000 population. WOMEN 0 200 400 600 800 1000 JPN-SHIGA SPA-CAT CHN-BEI ITA-FRI FRA-LIL GER-EGE BEL-GHE YUG-NOS LTU-KAU CZE-CZE SWE-GOT ICE-ICE AUS-PER RUS-MOI SWE-NSW NEZ-AUC FIN-KUO CAN-HAL USA-STA DEN-GLO POL-WAR UNK-BEL Incidence per 100,000 population. Click for larger pictureClick for larger picture 5 4 3 2 1 0 0 150 200 250 300 350 Serum total cholesterol (mg/dl) Konishi NIPPON DATA80,14-year Kodama Kitamura Fukuda Co ro na ry H ea rt D is . ( Re la tiv e Ri sk ) MRFIT 100 NIPPON DATA80,Men NIPPON DAT 80 Women NIPPON DATA 80 19-year follow-up Men & Women Slowing down of declining trend in mortality from ischemic heart disease in Tokyo and Osaka Okayama A, et al. Am J Epidemiol, 2001. Click for larger picture Changes in Energy Percent from Fat, Protein and Carbohydrate Intake per Capita National Nutrition Survey in Japan, 1975-97 0 10 20 30 40 50 60 70 1975 1980 1985 1990 1995 1997 Pe rc en t Carbohydrate Protein Fat22.3% 26.6% 57.4% 16.0% 63.1% Fat Energy Percent per Capita per Day, Men, by Age Group in 1998, Japan, Excluding alcohol energy, National Nutrition Survey 0 5 10 15 20 25 30 35 ??? ??? ??? ??? ??? ??? ??? age E ne rg y fro m F at (% ) 15-19 20-29 30-39 40-49 50-59 60-69 70- 0 40 80 120 160 15-19 20-29 30-39 40-49 50-50 60-69 70- Age g/ da y/ C ap ita Milk and Dairy Products Meats Fish and Shellfish 9 Change in BMI of Men, National Nutrition Survey in Japan 21 22 23 24 30-30 40-49 50-59 60-69 70- B od y M as s I nd ex 1980 1990 2000 210 220 230 240 250 Start 2 Mon. 4 Mon. 6 Mon. Se ru m to ta l c ho le st er ol (m g/ dl ) Lifestyle modi. Control P<0.05 6 Mon. later 8mg/dl diff. Reduction of serum total cholesterol by lifestyle modification 197 hypercholesterolemia, Randomized controlled study Ueshima H, Okayama A. Education for cholesterol lowering, Hoken Dojin Change in Daily Salt Consumption per Capita in Japan, National Nutrition Survey, 1975-1997 11.0 11.5 12.0 12.5 13.0 13.5 14.0 1975 1980 1985 1990 1995 1997 (g) Summary (1) 1. Fat intake increased in Japan and the proportion of fat in the diet in young generation became 30 %. 2. Serum total cholesterol level increased during 1980- 90 but did not change in the past 10 years. This is explained by slowdown of the increase in fat intake. 3. The difference in serum total cholesterol level between the USA and Japan became 5-10mg/dl in age 30-40 years. In contrast, there was still large difference in that of the elderly people. Summary (2) 4. The large difference in coronary heart disease between Japan and the USA is explained in part by the difference in serum total cholesterol level. 5. Other risk factors including HDL-cholesterol, fibrinogen, and alcohol and fish intake may also contribute to the difference in coronary heart disease between the USA and Japan.
