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日本生活方式相关疾病的起源、影响及解决方案

Origin, Impact, and Solutions for Lifestyle-Related Diseases in Japan.

作者信息

Cai David, Yakub Mohsin

机构信息

Medicine, California University of Science and Medicine, Colton, USA.

Medical Education/Physiology, Nutrition, California University of Science and Medicine, Colton, USA.

出版信息

Cureus. 2025 Aug 15;17(8):e90184. doi: 10.7759/cureus.90184. eCollection 2025 Aug.

Abstract

Japan is an archipelago west of the Pacific Ocean, facing decades of dietary and lifestyle westernization and its physiological consequences. Much like many other countries, Japan is tackling the global trend of lifestyle-related problems. This paper aims to discuss the current demographics in Japan and examine the origin and impact of lifestyle-related chronic diseases within the population. This review will highlight the nutritional transition during the country's development and examine the pathogenesis and pathophysiology of lifestyle-related diseases, primarily hypertension and obesity, in the context of traditional practices and cultural shifts. A combination of high salt intake in traditional cuisine and increased fat and sugar consumption from the westernization of the diet contributes to elevated blood pressures and obesity rates in Japan. This paper explores policy-based interventions, such as nutrient taxation and front-of-package labeling (FOPL), and their potential to mitigate these growing health concerns. One strategy is a nutrient tax to reduce the appeal of specific unhealthy products, such as sugar-sweetened beverages. Similarly, targeting alcohol with taxes and stricter regulations on advertising can reduce consumption. FOPL provides clear and concise nutritional information on the front of each product for consumers to make informed purchases. Expansion of blood pressure monitoring can allow patients to take a more proactive role in their own health, and providers can better tailor treatment plans. Increasing physical activity through workplace wellness programs can reduce the risk of chronic diseases and can be especially effective for Japanese office workers who tend to spend a lot of time in sedentary behavior. Collaboration amongst the government, businesses, and healthcare providers will be vital to empowering the general population to make healthy changes.

摘要

日本是位于太平洋西岸的一个群岛国家,正面临着数十年饮食和生活方式西化及其生理后果。与许多其他国家非常相似,日本正在应对与生活方式相关问题的全球趋势。本文旨在讨论日本当前的人口统计数据,并研究该国人口中与生活方式相关的慢性病的起源和影响。这篇综述将突出该国发展过程中的营养转型,并在传统习俗和文化变迁的背景下,研究与生活方式相关疾病(主要是高血压和肥胖症)的发病机制和病理生理学。传统烹饪中高盐摄入以及饮食西化导致脂肪和糖消费增加,共同导致了日本高血压和肥胖率的上升。本文探讨了基于政策的干预措施,如营养税和包装正面标签(FOPL),以及它们缓解这些日益严重的健康问题的潜力。一种策略是征收营养税,以降低特定不健康产品(如含糖饮料)的吸引力。同样,对酒精征税并对广告实施更严格的监管可以减少消费。包装正面标签为消费者在每种产品的正面提供清晰简洁的营养信息,以便他们做出明智的购买决策。扩大血压监测可以让患者在自身健康方面发挥更积极的作用,医疗服务提供者也可以更好地制定个性化的治疗方案。通过职场健康计划增加身体活动可以降低慢性病风险,对于往往长时间久坐的日本上班族尤其有效。政府、企业和医疗服务提供者之间的合作对于促使普通民众做出健康改变至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c38/12433719/0d916320ad51/cureus-0017-00000090184-i01.jpg

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