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美国匹兹堡日本人生活方式特征评估。

Lifestyle characteristics assessment of Japanese in Pittsburgh, USA.

机构信息

UPMC Shadyside, University of Pittsburgh Family Medicine, 5215 Centre Avenue, Pittsburgh, PA 15232, USA.

出版信息

J Community Health. 2012 Apr;37(2):480-6. doi: 10.1007/s10900-011-9467-2.

Abstract

Lifestyle-related chronic diseases such as cancer and cardiovascular disease are the greatest public health concerns. Evidence shows Japanese immigrants to a westernized environment have higher incidence of lifestyle-related diseases. However, little is known about lifestyle characteristics related to chronic diseases for Japanese in a westernized environment. This study is examining the gap in lifestyle by comparing the lifestyle prevalence for Japanese in the US with the Japanese National Data (the National Health and Nutrition Survey in Japan, J-NHANS) as well as the Japan National Health Promotion in the twenty-first Century (HJ21) goals. Japanese adults were surveyed in Pittsburgh, USA, regarding their lifestyle (e.g., diet, exercise, smoking, stress, alcohol, and oral hygiene). The prevalence was compared with J-NHANS and HJ21 goals. Ninety-three responded (response rate; 97.9%). Japanese men (n = 38) and women (n = 55) in Pittsburgh smoke less than Japanese in Japan (P < 0.001 for both genders). Japanese in Pittsburgh perform less physical activity in daily life and have lower prevalence of walking more than 1 h per day (P < 0.001 for both genders). Japanese women in Pittsburgh have significantly higher prevalence of stress than in Japan (P = 0.004). Japanese men in Pittsburgh do not reach HJ21 goal in weight management, BMI, use of medicine or alcohol to sleep, and sleep quality. Japanese women in Pittsburgh do not reach HJ21 goal in weight management and sleep quality. In conclusion, healthy lifestyle promotion including exercise and physical activity intervention for Japanese living in a westernized environment is warranted.

摘要

与生活方式相关的慢性病,如癌症和心血管疾病,是最大的公共卫生关注点。有证据表明,移居到西化环境中的日本移民患与生活方式相关的疾病的发病率更高。然而,对于生活在西化环境中的日本人与慢性病相关的生活方式特征,我们知之甚少。本研究通过比较生活方式在美国的日本人和日本国民数据(日本国民健康和营养调查,J-NHANS)以及日本 21 世纪健康促进计划(HJ21)目标,来研究生活方式方面的差距。在美国匹兹堡,对日本成年人的生活方式(如饮食、锻炼、吸烟、压力、饮酒和口腔卫生)进行了调查。将其流行率与 J-NHANS 和 HJ21 目标进行了比较。93 人(应答率为 97.9%)做出了回应。匹兹堡的日本男性(n=38)和女性(n=55)的吸烟量均少于日本的日本人(男性和女性均 P<0.001)。匹兹堡的日本人与日本人相比,在日常生活中进行的体力活动较少,每天步行 1 小时以上的比例较低(男性和女性均 P<0.001)。匹兹堡的日本女性的压力显著高于日本的女性(P=0.004)。匹兹堡的日本男性在体重管理、BMI、用药或饮酒助眠以及睡眠质量方面没有达到 HJ21 的目标。匹兹堡的日本女性在体重管理和睡眠质量方面没有达到 HJ21 的目标。总之,需要为生活在西化环境中的日本人提供包括锻炼和体力活动干预在内的健康生活方式促进措施。

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