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Article

Development of a Japanese Healthy Diet Index: The Fukushima Health Management Survey 2011

by
Enbo Ma
1,2,*,
Tetsuya Ohira
1,2,3,
Seiji Yasumura
3,4,
Mitsuaki Hosoya
1,3,5,
Makoto Miyazaki
1,
Kanako Okazaki
2,3,6,
Masanori Nagao
2,3,
Fumikazu Hayashi
2,3,
Hironori Nakano
2,3,
Eri Eguchi
2,
Narumi Funakubo
2,
Michio Shimabukuro
3,7,
Hirooki Yabe
3,8,
Masaharu Maeda
3,9,
Hitoshi Ohto
3 and
Kenji Kamiya
3,10
1
Health Promotion Centre, Fukushima Medical University, Fukushima 960-1295, Japan
2
Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
3
Radiation Medical Science Centre for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
4
Department of Public Health, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
5
Department of Paediatrician, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
6
Department of Physical Therapy, Fukushima Medical University School of Medical Sciences, Fukushima 960-8516, Japan
7
Department of Diabetes, Endocrinology, and Metabolism, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
8
Department of Neuropsychiatry, Fukushima Medical University School of Medicine, Fukushima 960–1295, Japan
9
Department of Disaster Psychiatry, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
10
Research Institute for Radiation Biology and Medicine, Hiroshima University, Hiroshima 734-8553, Japan
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(22), 14858; https://doi.org/10.3390/ijerph192214858
Submission received: 31 October 2022 / Accepted: 3 November 2022 / Published: 11 November 2022
(This article belongs to the Special Issue Nutritional Adequacy and Health Outcome)
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Abstract

A novel healthy diet index for dietary quality can be used to assess food intake. After the Great East Japan Earthquake in 2011, the Fukushima Health Management Survey collected dietary data using a short-form food frequency questionnaire (FFQ). The current study included eligible participants (n = 64,909) aged 16–84 years who answered the FFQ in 2011. The year- and sex-specific dietary patterns were determined via principal component analysis. Based on the typical Japanese, juice/dairy, and meat patterns, healthy diet index (HDI) scores were assigned for food items, resulting in Spearman’s correlation coefficients of 0.730, −0.227, and −0.257, respectively. The mean (standard deviation) of the HDI scores (range: 1–18) were 9.89 (2.68) in men and 9.96 (2.58) in women. Older individuals, women, nonsmokers, those in good health and with regular physical exercise, and those who did not transfer residences had a high HDI score. In the confirmatory analysis, the adjusted odds ratio (95% confidence interval) of the highest vs. the lowest quartiles of HDI scores was 0.87 (0.80, 0.94) for overweight, 0.89 (0.81, 0.97) for large waist circumference, and 0.73 (0.66, 0.80) for dyslipidemia. The HDI score obtained using the FFQ can be applied to evaluate dietary profiles.
Keywords: healthy diet index; dietary pattern; food frequency questionnaire; Fukushima health management survey healthy diet index; dietary pattern; food frequency questionnaire; Fukushima health management survey

Share and Cite

MDPI and ACS Style

Ma, E.; Ohira, T.; Yasumura, S.; Hosoya, M.; Miyazaki, M.; Okazaki, K.; Nagao, M.; Hayashi, F.; Nakano, H.; Eguchi, E.; et al. Development of a Japanese Healthy Diet Index: The Fukushima Health Management Survey 2011. Int. J. Environ. Res. Public Health 2022, 19, 14858. https://doi.org/10.3390/ijerph192214858

AMA Style

Ma E, Ohira T, Yasumura S, Hosoya M, Miyazaki M, Okazaki K, Nagao M, Hayashi F, Nakano H, Eguchi E, et al. Development of a Japanese Healthy Diet Index: The Fukushima Health Management Survey 2011. International Journal of Environmental Research and Public Health. 2022; 19(22):14858. https://doi.org/10.3390/ijerph192214858

Chicago/Turabian Style

Ma, Enbo, Tetsuya Ohira, Seiji Yasumura, Mitsuaki Hosoya, Makoto Miyazaki, Kanako Okazaki, Masanori Nagao, Fumikazu Hayashi, Hironori Nakano, Eri Eguchi, and et al. 2022. "Development of a Japanese Healthy Diet Index: The Fukushima Health Management Survey 2011" International Journal of Environmental Research and Public Health 19, no. 22: 14858. https://doi.org/10.3390/ijerph192214858

APA Style

Ma, E., Ohira, T., Yasumura, S., Hosoya, M., Miyazaki, M., Okazaki, K., Nagao, M., Hayashi, F., Nakano, H., Eguchi, E., Funakubo, N., Shimabukuro, M., Yabe, H., Maeda, M., Ohto, H., & Kamiya, K. (2022). Development of a Japanese Healthy Diet Index: The Fukushima Health Management Survey 2011. International Journal of Environmental Research and Public Health, 19(22), 14858. https://doi.org/10.3390/ijerph192214858

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