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Development and Evaluation of a Beverage that Forms Bubble-Containing Gel in the Stomach

堂本, 隆史 筑波大学 DOI:10.15068/00160471

2020.07.22

概要

In recent years, extension of healthy life expectancy (period in which daily life can be lived without being restricted due to health problems) has become a major issue. In Japan, the difference between average life expectancy and average healthy life expectancy is about 9 years for men and about 12 years for women, and the greater the difference between average life expectancy and average healthy life expectancy, the greater the need for home care and medical care becomes. Closing the gap between the two averages is important from the standpoint of individual well-being, curbing home care and medical expenses, and responding to the decline in the size of the working population and the shortage of care workers.

The Japanese government has launched “Health Japan 21” as a new national health promotion campaign in which the people can take the initiative. Based on the idea of extending healthy life expectancy and reducing health disparities, five basic directions and the goals for each direction were set by the Ministry of Health, Labor and Welfare of Japan (Ministry of Health, Labor and Welfare HP (i)). The goals include items related to obesity, e.g., “Prevention of lifestyle-related diseases” and “Eating habits, exercise, rest, drinking, smoking, improving lifestyle and the social environment related to oral health”, and furthermore, as a target value for the countermeasure against obesity, for example, a numerical value of “less than 28% of obese males (BMI 25 or more) in 20’s to 60’s” is set.

A person with a body mass index (BMI = (weight [kg])/(height [m])2 ) of 25 or more is regarded as “obese”. Fat distribution has recently come to be regarded as important, and visceral-fat-type obesity is a high-risk form of obesity that tends to be accompanied by health problems. Obesity is defined as a medical condition that requires weight loss when a person who has been diagnosed as obese has or is expected to have a health disorder caused by or related to obesity (Miyazaki et al., 2018).

Excessive visceral fat accumulation is a risk factor for lifestyle-related diseases such as hyperglycemia, dyslipidemia, and hypertension due to type 2 diabetes, and it is one of the elements of metabolic syndrome that develops by combining two or more of these diseases. Obesity causes these lifestyle-related diseases, and it exacerbates them. As a result, blood vessels may become brittle or damaged, causing arteriosclerosis and progressing to serious illnesses such as myocardial infarction and stroke. Thus, obesity needs to be prevented in order to extend the healthy life expectancy

In recent years, obesity has been found to cause the various other complications besides lifestyle-related diseases (The Japan Foundation for Aging and Health HP (ii)). Obesity imposes an excessive load on the hip and knee joints that causes osteoarthritis and low back pain. Obesity is a risk factor for breast cancer in postmenopausal women and is a negative prognostic factor for malignant disease. Obesity is also a risk factor for colorectal cancer, and it is a risk factor for a decline in activities of daily living in women.

In order to achieve the numerical targets of “Healthy Japan 21”, the Japanese government has implemented a variety of activities, including the introduction of a new concept of obesity and metabolic syndrome prevention, and efforts to easily adjust the amount of energy in meals. The national government, local governments, and private companies are working on legislation, establishing systems, raising awareness, and implementing measures. For example, local governments cooperate with employee cafeterias to support food environment development, such as the development of healthy menus and the transmission of health information. In addition, companies are recruiting participants in health seminars from among employees who have been advised to obtain specific health guidance (Ministry of Health, Labor and Welfare, Japan HP (iii)).

Thus, great efforts have been made nationwide, and an effective method of preventing obesity is desired.

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