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

Enbo Ma (), Tetsuya Ohira, Seiji Yasumura, Mitsuaki Hosoya, Makoto Miyazaki, Kanako Okazaki, Masanori Nagao, Fumikazu Hayashi, Hironori Nakano, Eri Eguchi, Narumi Funakubo, Michio Shimabukuro, Hirooki Yabe, Masaharu Maeda, Hitoshi Ohto and Kenji Kamiya
Additional contact information
Enbo Ma: Health Promotion Centre, Fukushima Medical University, Fukushima 960-1295, Japan
Tetsuya Ohira: Health Promotion Centre, Fukushima Medical University, Fukushima 960-1295, Japan
Seiji Yasumura: Radiation Medical Science Centre for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
Mitsuaki Hosoya: Health Promotion Centre, Fukushima Medical University, Fukushima 960-1295, Japan
Makoto Miyazaki: Health Promotion Centre, Fukushima Medical University, Fukushima 960-1295, Japan
Kanako Okazaki: Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
Masanori Nagao: Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
Fumikazu Hayashi: Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
Hironori Nakano: Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
Eri Eguchi: Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
Narumi Funakubo: Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan
Michio Shimabukuro: Radiation Medical Science Centre for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
Hirooki Yabe: Radiation Medical Science Centre for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
Masaharu Maeda: Radiation Medical Science Centre for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
Hitoshi Ohto: Radiation Medical Science Centre for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan
Kenji Kamiya: Radiation Medical Science Centre for Fukushima Health Management Survey, Fukushima Medical University, Fukushima 960-1295, Japan

IJERPH, 2022, vol. 19, issue 22, 1-12

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 (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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