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Influence of Motorization and Supermarket-Proliferation on the Prevalence of Type 2 Diabetes in the Inhabitants of a Small Town on Okinawa, Japan
- Source :
- Internal Medicine. 46:1899-1904
- Publication Year :
- 2007
- Publisher :
- Japanese Society of Internal Medicine, 2007.
-
Abstract
- Background Motorization and supermarket-proliferation affect lifestyles. About 15 years ago, Okinawans went to several shops on foot, but now they go to supermarkets by car. The influences of these changes on the prevalence of diabetes are uncertain. Objective and Measurements The influence of motorization and supermarket-proliferation on the prevalence of diabetes was studied in the inhabitants of a town on Okinawa, Japan. Measurements were composed of anthropometry and blood chemistry. Participants were asked where they buy food and daily necessities (several shops or a supermarket) and how they get there (by car or on foot). Design Serial cross-sectional. Participants Inhabitants of the island of Okinawa were studied. Results In 1991, 24% went to several shops and 20% to a supermarket. However, in 2004, only 3.1% went to several shops and 83% to a supermarket. In 1991, 55% went to shopping places on foot and 38% by car. However, in 2004, only 14% went on foot and 76% by car. The prevalence of diabetes in Okinawa increased from 4.7% in 1991 to 8.4% in 2004. The prevalence of diabetes correlated positively with the percent of inhabitants going to supermarkets, and those going there by car. In 1991, the prevalence of type 2 diabetes was 4.7% in men and 4.6% in women; no difference was noted between men and women. In 2004, the prevalence of type 2 diabetes increased to 9.2% in men and to 7.5% in women. The increase in the prevalence of type 2 diabetes from 1991 to 2004 was higher in men than in women. Conclusions About 15 years ago, Okinawans went to shops on foot, but now they go to supermarkets by car. The prevalence of diabetes is increasing. Motorization and supermarket-proliferation are associated with the increases of the prevalence of diabetes. The increase in diabetes prevalence was higher in men than in women.
- Subjects :
- Adult
Blood Glucose
Male
medicine.medical_specialty
education
Poison control
Type 2 diabetes
Body Mass Index
Life Change Events
Japan
Diabetes mellitus
Epidemiology
Prevalence
Internal Medicine
medicine
Food Industry
Humans
Aged
Glycated Hemoglobin
business.industry
food and beverages
General Medicine
Middle Aged
Anthropometry
medicine.disease
Obesity
Cross-Sectional Studies
Diabetes Mellitus, Type 2
Blood chemistry
Female
business
Automobiles
Foot (unit)
Demography
Subjects
Details
- ISSN :
- 13497235 and 09182918
- Volume :
- 46
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....109003d4fedfec10ef9516d9b5d6aea4