Current issues and future direction in diet and nutrition for the prevention of cardiovascular diseases and diabetes mellitus

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  • 成人期（1） 循環器疾患・糖尿病予防対策における食の課題と今後の方向性
  • セイジンキ(1)ジュンカンキ シッカン ・ トウニョウビョウ ヨボウ タイサク ニ オケル ショク ノ カダイ ト コンゴ ノ ホウコウセイ

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Abstract

<p>The risks of stroke, heart diseases, and diabetes mellitus (so-called lifestyle-related diseases or non-communicable diseases) are strongly related to the duration of unhealthy lifestyles from youth. The age-adjusted mortality rate from stroke in Japan was once much higher than that in other countries a half century ago but decreased drastically in recent years because of the improvement in lifestyles and implementation of mass health examination. On the other hand, the health issues change from one era to the next, for example, the prevalence of obesity and diabetes mellitus is increasing due to excessive eating and low physical activity. Since the dietary habits greatly differ according to regions and generations, a continuous monitoring for dietary habits among Japanese people is necessary to execute a PDCA cycle for the improvement of effective control measures against lifestyle-related diseases. The expected decline in mortality rate from cardiovascular diseases due to improvement in several lifestyle factors is estimated in Health Japan 21 (2nd edition) based on the evidence from epidemiological studies. According to the estimation, it is expected that the improvement in dietary habits is largely attributable to the risk reduction. The purpose of this paper is to explain the concept of preventive measures against cardiovascular diseases and diabetes mellitus in Health Japan 21 (2nd edition) particularly from the point of view of nutrition and diet.</p>

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