Journal of Community Health

, Volume 37, Issue 2, pp 480–486 | Cite as

Lifestyle Characteristics Assessment of Japanese in Pittsburgh, USA

  • Nobutaka Hirooka
  • Teiichi Takedai
  • Frank D’Amico
Original Paper

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.

Keywords

Japanese in the US Lifestyle Chronic disease Health promotion 

Notes

Acknowledgments

This research was supported by University of Pittsburgh Medical Center Shadyside Competitive Research Fund, the Japanese Academy of Family Medicine (Scholarly Activity Fund), and the Japanese Medical Society of America (Japanese Community Outreach Fund).

Conflict of interest

None of the authors report a conflict of interest.

References

  1. 1.
    Mathers, C. D., Lopez, A. D., & Murray, C. J. L. (2006). The burden of disease and mortality by condition: Data, methods, and results for 2001. In A.D. Lopez, C.D. Mathers, M. Ezzati, D.T. Jamison & C.J.L. Murray (Eds.), Global burden of disease and risk factors (pp. 45–240). Washington, DC: The International Bank for Reconstruction and Development/The World Bank.Google Scholar
  2. 2.
    Mozaffarian, D., Wilson, P. W., & Kannel, W. B. (2008). Beyond established and novel risk factors: Lifestyle risk factors for cardiovascular disease. Circulation, 117, 3031–3038.PubMedCrossRefGoogle Scholar
  3. 3.
    Alwan, A., Armstrong, T., Bettcher, D., et al. (2011). Global status report on noncommunicable diseases: Description of the global burden of NCDs, their risk factors and determinants. Geneva, Switzerland: World Health Organization.Google Scholar
  4. 4.
    Lassetter, J. H., & Callister, L. C. (2009). The impact of migration on the health of voluntary migrants in western societies: A review of the literatures. Journal of Transcultural Nursing, 20, 93–104.PubMedCrossRefGoogle Scholar
  5. 5.
    Frisbie, W. P., Cho, Y., & Hummer, R. A. (2001). Immigration and the health of Asian and Pacific Islander adults in the United States. American Journal of Epidemiology, 153, 372–380.PubMedCrossRefGoogle Scholar
  6. 6.
    Marmot, M. G., Syme, S. L., Kagan, A., Kato, H., & Cohen, J. B. (1975). Belsky. Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii, and California: Prevalence of coronary and hypertensive heart disease and associated risk factors. American Journal of Epidemiology, 102, 514–525.PubMedGoogle Scholar
  7. 7.
    Robertson, T. L., Kato, H., Rhoads, G. G., Kagan, A., Marmont, M. G., Syme, S. L., et al. (1977). Epidemiologic studies of coronary heart disease and stroke in Japanese men living in Japan, Hawaii, and California: Incidence of myocardial infarction and death from coronary heart disease. American Journal of Cardiology, 39, 239–243.PubMedCrossRefGoogle Scholar
  8. 8.
    Tominaga, S. (1985). Cancer incidence in Japanese in Japan, Hawaii, and western United States. National Cancer Institute Monograph, 69, 83–92.PubMedGoogle Scholar
  9. 9.
    Ku, L., & Matani, S. (2001). Left out: Immigrants’ access to health care and insurance. Health Affairs, 20, 247–256.PubMedCrossRefGoogle Scholar
  10. 10.
    Uiters, E., Deville, W., Foets, M., Spreeuwenberg, P., & Groenewegen, P. P. (2009). Differences between immigrant and non-immigrant groups in the use of primary care; a systematic review. BMC Health Services Research, 9, 76.PubMedCrossRefGoogle Scholar
  11. 11.
    Shibaike, N., Utsunomiya, O., Ushiro, S., Takamiya, T., & Ohuchi, A. (2002). 5. Action by Ministry of Health, Labor and Welfare National Health Promotion in the twenty-first century “Health Japan 21”. Internal Medicine, 41, 70–71.PubMedCrossRefGoogle Scholar
  12. 12.
    Ministry of Health and Welfare. (2009). The National Nutrition Survey in Japan, 2006. Tokyo, Japan: Daiichi Shuppan (in Japanese).Google Scholar
  13. 13.
    Ueshima, H., Okayama, A., Saitoh, S., et al. for the INTERLIPID Research Group. (2003). Differences in cardiovascular disease risk factors between Japanese in Japan and Japanese-Americans in Hawaii; The INTERLIPID study. Journal of Human Hypertens, 17, 631–639.Google Scholar
  14. 14.
  15. 15.
    Blair, S. N., Goodyear, N. N., Gibson, L. W., & Cooper, K. H. (1984). Physical fitness and incidence of hypertension in healthy normotensive men and women. JAMA, 252(4), 487–490.PubMedCrossRefGoogle Scholar
  16. 16.
    Halbert, J. A., Silagy, C. A., Finucane, P., Withers, R. T., & Hamdorf, P. A. (1999). Exercise training and blood lipids in hyperlipidemic and normolipidemic adults: A meta-analysis of randomized, controlled trials. European Journal of Clinical Nutrition, 53, 514–522.PubMedCrossRefGoogle Scholar
  17. 17.
    Knowler, W. C., Barrett-Connor, E., Fowler, S. E., et al. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346(6), 393–403.PubMedCrossRefGoogle Scholar
  18. 18.
    Gammon, M. D., & John, E. M. (1993). Recent etiologic hypotheses concerning breast cancer. Epidemiologic Reviews, 15(1), 163–168.PubMedGoogle Scholar
  19. 19.
    Thune, I., & Furberg, A. (2001). Physical activity and cancer risk: Dose-response and cancer, all sites and site-specific. Medicine and Science in Sports and Exercise, 33(6), S530–S550.PubMedCrossRefGoogle Scholar
  20. 20.
    Lawlor, D. A., & Hopker, S. W. (2001). The effectiveness of exercise as an intervention in the management of depression: Systematic review and meta-regression analysis of randomised controlled trials. British Medical Journal, 322, 1–8.CrossRefGoogle Scholar
  21. 21.
    Kato, S., Doi, Y., Tsutsui, S., & Makino, M. (2004). Job Stress among Japan overseas cooperation volunteers- using the brief job stress questionnaire. Sangyo Eiseigaku ZasShi, 46, 191–200.PubMedCrossRefGoogle Scholar
  22. 22.
    Lassetter, J. H., & Callister, L. C. (2009). The impact of migration on the health of voluntary migrants in western society. Journal of Translational Nursing, 20, 93–104.CrossRefGoogle Scholar
  23. 23.
    Li, H. Z., & Browne, A. J. (2000). Defining mental illness and accessing mental health services: Perspectives of Asian Canadian s. Canadian Journal of Community Mental Health, 19, 143–159.PubMedGoogle Scholar
  24. 24.
    Winham, D. M. (2009). Culturally tailored food and CVD prevention. American Journal of Lifestyle Medicine, 3(1), 64S–68S.PubMedCrossRefGoogle Scholar
  25. 25.
    Puska, P. (2002). Successful prevention of noncommunicable diseases: 25 year experiences with North Kaleria Project in Finland. Public Health Medicine, 4, 5–7.Google Scholar
  26. 26.
    Papadakis, S., et al. (2008). Population-level interventions for coronary heart disease prevention: What have we learned since the North Karelia project? Current Opinion in Cardiology, 23, 452–461.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Nobutaka Hirooka
    • 1
  • Teiichi Takedai
    • 2
  • Frank D’Amico
    • 3
  1. 1.Faculty Development Fellowship, UPMC ShadysideUniversity of Pittsburgh Family MedicinePittsburghUSA
  2. 2.Shadyside Family Medicine ResidencyUniversity of Pittsburgh Medical CenterPittsburghUSA
  3. 3.Faculty Development FellowshipUniversity of Pittsburgh Family MedicinePittsburghUSA

Personalised recommendations