Lecture 13 : Nourishment study of time Suprachiasmatic nucleus Clock gene Day rhythm Diel rhythm Paraventricular nuclei Pineal body Retina Suprachiasmatic nuclei Spinal code (Thoracic spinal code) intermediolateral Upper cervix sympathetic ganglia 10 healthy customs Proposal from Dr.Breslau (US) Maintenance of proper weight Adequate exercise Non-smoking Adequate drinking Custom of eating breakfast Restrict of meal between meals Adequate sleeping (7-8hours) (Proposal for Japanese) Decreasing salt intake (10g/ a day) Decrease fat intake (Within 25% of the total amount of energy) Nutrient balancing Healthy, Japanese 21 middle evaluation results value Target items (Standard of index) Det erio rati on Increase people maintains proper weight (Ratio of Obesity person) Deter iorati on Steps in usual life Deter iorati on Increase of vegetable intake Deter iorati on (Average intake amount a day) Increase of food full calcium intake(Adult) (Average intake amount a day) Deter iorati on Decrease person don’t eat breakfast(Ratio) Target Value of baseline *40~74 Men MS The middle result value Target value >50% *40~74 Women MS 20% 20’s~60’s obesity men 24.3% 29.0% Less than 15% 20’s~60’s obesity women 25.2% 24.6% Less than 20% 8202 steps 7282 stpes 7575 steps 6821steps 9200 steps 8300 steps Adult 292g/a day 267/日 350g or more Milk, Dairy product 107g/a day 101g/日** 130g or more Beans 76g/a day 65g/日** 100g or more Brightly colored vegetables 98g/a day 89g/日** 120g or more 6.0% 6.2% 0% Men(20-29) 32.9% 34.3% 15% or mor Men(30-39) 20.5% 25.9% Less than 15% Men Women Junior and High school student The Ministry of Health, Labour and Welfare, 17th October 2006 * 8th March 2006 MS=Metabolic syndrome + reserve The annual transition of an undernourished rate of the breakfast deteriorates Each class of sex and age、20 y.o. or more Men (%) (%) 30 Women 30 20-29 20 20 20-29 30-39 10 10 30-39 0 0 1975 1985 1990 1998 2002 year 1975 1985 1990 1998 2002 year Current state of national nourishment (2005) is modified Annual transition of undernourished rate of breakfast The healthy people and nutritional surveillance (2004) Total Menl Women Temporary decrease Rise Undernourished rate of breakfast according to age of man and woman(A lot in one person household) The healthy people and nutritional surveillance (2004) (Undernourished contains only the cake and the tablet) Men Total Single home 20-29 30-39 40-49 50-59 60-69 Above70 women Total Single home 20-29 30-39 40-49 50-59 60-69 Above70 Half of people who eat breakfast every day are the following by 45.0%. From the person and 19 years old to 29 years old who becomes a member of society in April, 2004 Total 全 体 45.0 30.0 Men 男 性 44.0 30.0 女 性 Women 46.0 Living with 親と同居 parents 36.9 everyday 1-2times a week 0 20 40 12.0 16.0 25.8 26.3 10.0 14.0 30.0 56.5 それ以外 Others 15.0 8.0 12.9 18.4 4.8 18.4 3-4times a week Not eat 60 80 100(%) Kellog's Update(2000) is modified Time goes to bed of high school students in Japan, US and China 45 40 Japa n Frequency(%) 35 30 25 US 20 15 Chin a 10 5 re sp on d r2 No Time goes to bed Man and woman small difference (2005.3) af te 2 1- 1 0- -0 23 23 22 - 22 21 - be fo re 21 0 Transition of Japanese sleeping time (The Management and Coordination Agency) ev er y ye a r Shortest in the world Sleeping time Sh or tni ng Meal/ A little thing Meal time Sleeping Men have job Bathing for making Time spends a little thing around myself Women have job Time of average during week that contained weekend on weekday. One scale is the same 20 minutes though the level of the scale is different “Social life basis investigation” (Ministry of Public Management, Home Affairs, Posts and Telecommunications Statistics Bureau *The cross country comparison is the Management and Coordination Agency “ Statistics. "(Jul. 2006) Mortality rate according to healthy custom point according to age class Promised healthy custom point* 7 Healthy life customs ・Maintenance of normal weight ・Moderate exercise ・No smoking ・Drinking of proper quantity ・Custom of breakfast ・Limitation of eating between meals ・Adequate sleep Age when investigating(Men) modified f l a h a d n a s r a e y e n i n r o f e t a r h t a e D Study time except school(including cram school) A small difference between boys and girls 50 After it comes home, half the number of the high school student in Japan is not studied 45 Jap an 35 30 US 25 20 15 Chi na 10 5 re no 4 or m or sp on se e 3.5 3 2.5 2 1.5 1 0. 5 0 0 Frequency(%) 40 Study time Japan youth research institute, “Learning consideration and daily life of high school students”, Available from <http://www1.odn.ne.jp/youth-study/reserch/2005/shukei.pdf>, (accessed 2007-12-11) Ratio where the youth in Japan feels lack of sleep (Japanese Society of School Health : Health condition surveillance business report of child in 1992 fiscal year and student) (%) 60 Boys Girls 50 40 30 20 10 0 Total 3,4th grade 5,6th grade Junior high High school Administering of glucose and the traffic accident Breakfast activates the brain and prevents the accident 6 Keul, J. et al. Akt. Ernaehr. 7:7-14 (1982) Rate of accident (Relative ) * value 5 対照 Contrast *Driving mis-overindex calculated with driving simulator 4 (Fahrfehlerfaktor) is Accurate original xpression 3 2 The glucose administration グルコース投与 1 0 35 70 110 (km) If breakfast is not taken, it is easy to get in a traffic accident. If the glucose is given, concentration is kept. Correlation of breakfast intake and result (It is an object as for the Jichiidai life of all dormitory system). (位) 100 Have breakfast 朝食摂取者 Undernourished 朝食欠食者 breakfast 80 Average lank 60 The character, knowledge, and the skill after it educates methodically become preeminent though the deviation value of the solitary island and the remote rural area coming from person is lower than that of National Universities 40 20 0 1978 1979 Yasuo KAGAWA et al, 「Nourishment intake, serum lipid, and academic grade of student in breakfasting undernourished and dormitory」, 『The journal of Japanese nutrition』, 38(6), 1980.11 p.283-94 It is a correct answer rate of each subject whether have breakfast Junior high school Average correct answer rate(%) have breakfast? Japanese Absolutely 81.5 Society 73.3 80.5 Mathematics 67.7 71.9 Science 75.4 69.6 66.1 English 68.3 73.9 Mostly 76.8 66.4 60.0 63.1 68.1 Don’t often 73.5 62.2 54.8 59.0 63.1 72.8 Don’t 71.9 61.7 60.9 54.1 53.0 58.8 58.5 62.3 61.1 Tokyo Educational committee, ”Analysis about result 『Attitude survey about learning』”, Available from <http://www.kyoiku.metro.tokyo.jp/press/pr060608s/c_bunseki.pdf>, (accessed 2007-12-11) It is a correct answer rate of each subject whether have breakfast Elementary School have breakfast? Absolutely Japanese 80.5 Society 82.9 79.6 Arithmetic 77.6 82.0 Science 77.4 76.5 76.5 Mostly 74.5 77.0 70.5 71.9 Don’t often 71.3 73.5 66.4 68.7 70.6 Don’t 69.0 72.5 69.9 65.6 63.5 68.3 67.0 Tokyo Educational committee, ”Analysis about result 『Attitude survey about learning』”, Available from <http://www.kyoiku.metro.tokyo.jp/press/pr060608s/c_bunseki.pdf>, (accessed 2007-12-11) It is a correct answer rate of each subject whether have breakfast National, educational science laboratory survey (Ministry of Education, Culture, Sports, Science and Technology , 2004) everyday usually Not often Not at all, or very often A breakfast undernourished child is low scholastic attainments of about 20% in all subjects 5th 8th Japanese 5th Society 8th 5th 8th Mathematics 5th Science 8th 8th English Breakfasting undernourished is harmful in the physical education Number of turns of 20-meter shuttle runs according to breakfast intake situation Girls The Ministry of Education, Culture, Sports, Science and Technology physical strength moving ability investigation result , 2005 Number of return (caution):Breakfast in "Eat every day" group , saying that "Eat“. "Do not eat" is "Do not sometimes eat" person and "Do not eat every day" person‘ s crowds as for breakfast eat Don’t eat Girls (Smilar result as boys) (6-17 y.o) Ratio of child who goes to bed after ten o'clock(%) 1 years And 6 months 2 years 3 years 4 years 5 years 1980 25 29 22 13 10 1990 38 41 36 23 17 2000 55 59 52 39 40 From Japanese infant health society "Health infant degree investigation report" Does child's brain how be done and become a human brain? ① The nervous system that increases revitalization at time (Come to be able to distinguish day and night) until months of four after one's birth chiefly develops the forebrain limbic system, and is necessary for a mother-child dyad, an environmental adaptation, the storage function, and the right and left of large brain function differentiation. A healthy motherchild dyad is necessary for the character ② The nervous system that increases revitalization to the first stage of the infant period (The catnap becomes one time from two times) for four months is necessary for the union field's in which it takes part in the acknowledgment function integration developing. It is disorder of the day of parents' rhythm and a personality aberration ③ The nervous system that increases revitalization at the latter term under the expectation (The catnap is reduced and become the sleep of two compatibilities day and night) is infant necessary for the society and motivation‘s developing through a misfortune movement system large brain radical fixed nucleus → Anti-social behavior Masaya SEGAWA, “How Child brain becomes adult brain” 『Genetics』, 58(3), 2004.5 p.58-65 Child's mental health and eating habits 男 boys 女girls Average score of lifestyle いじめている Bully 38.0 36.0 A 34.2 33.8 B 29.9 29.1 C 0 10 20 A 10.3 B 0.0 3.2 B 11.2 0.8 1.2 % 50 点 40 17.0 0 10 I have the teacher I can consult 相談できる先生がいる A 24.1 B 10.2 C 11.3 D 11.3 11.9 E 0.0 0 26.8 A 0.0 15.8 30 40 50 % 6.5 0 20 40 10.1 38.1 47.6 80.3 80.5 E 30 % 0 20 40 60 80 100 % 8.4 11.2 B 17.8 D 60 16.1 13.8 A 16.3 C 17.0 88.5 66.0 Dimly ぼんやりする 7.4 B 20 E 40.4 20 73.2 37.6 Dizziness めまいがする 3.5 10 38.1 27.8 D 12.4 E 30 24.2 C 5.0 D 22.6 24.1 E 25.8 A 0.0 3.4 C 26.6 26.9 D Burns soon すぐカッとする 80 C 19.8 22.2 D 21.6 18.8 E 100 % 66.0 0 20 40 60 75.0 80 % Change in time after it eats and the inside of the body in method of supplying sugar Hour) Fat when having meal The sugar of excessive Amino acids becomes fat Hour) muscle Lipid organization Speed of glucose consumption Protein resolution Lactic acid Gastrointestinal absorption sugar Material of sugar Amino acid Glycerol hour) Fat acid (7g/h) Hour) Amount of liver glycogen mobilization Newborn amount ofLiver, liver Kidney newborn, blood sugar Blood sugar decrease Ketone body newborn Hour) Hormonal secretion Fatty acid Hour) of struggle Blood sugar Long term storing for Blood sugar half a day storing Sugar in food hour Meal time Use of sugar, Organ period Whole body hour hour hour period hour period Whole body (The liver, the muscle, and tallow are excluded) Brain uses glucose only day day day period Brain, Renal medulla day period Brain (Speed decrease) (Glucose + Ketone body) Yasuo KAGAWA. “Easy nourishment study” KAGAWA Nutrition publishing, 2006, p.56 It eats the mental health score high (By health) breakfast Ratio of person who did not eat %) ( breakfast 20.0 High a little high a little low Low 15.8 14.2 12.5 12.0 11.8 9.9 10.0 8.2 5.2 4.9 5.1 10.6 9.6 7.1 7.1 4.5 2.4 0.0 8th grade boy 8gh grade girl 10th grade boy 10th grade girl Relation investigation of actual conditions of state of mental health and lifestyle (The Ministry of Education, Culture, Sports, Science and Technology, 2006) Comparison of heat production generated by meal by meal pattern 60 50 (kcal) ごはん食+ごはん食 Rice meal + rice meal Meal occurs heat and is manure p<0.1 Undernourished + rice meal 欠食+ごはん食2食 High fat meal + high fat meal 高脂肪食+高脂肪食 40 30 Undernourished 欠食+高脂肪食2食 + high fat meal 2 times p<0.001 20 10 0 Morning 午前 Afternoon 午後 Total 合計 Toshio MORIYA at al, 「Report of rice eating concerned about basic data collect, 2005」, Available from <http://morichan.jinkan.kyoto-u.ac.jp/general/rice2.pdf>, (accessed 2007-12-11) The blood sugar normalizes when breakfast is increased and supper is decreased. The type life at Japanese night is one cause of a diabetic increase. Lecture before and after and change of breakfast and supper in energy T test Before lecture A year later Before lecture, a year later Breakfast energy Before lecture, a year later Supper energy Kayoko ADACHI “Method of guiding handy nourishment in insulin non-dependency diabetic and examination at guidance continuance” 『Nourishment study magazine』, 56(3), 1998.6 p.156-170 Change in 朝食、昼食後の血糖値の変化 blood sugar level after breakfast and lunch 160.0 Blood Sugar value 朝食後の血糖値 after breakfast mg/100mL 140.0 In case of person had breakfast. Blood Sugar value after lunch 朝食を摂食した人の 昼食後の血糖値 In case of person don’t 朝食を欠食した人の have breakfast. Blood Sugar value after lunch 昼食後の血糖値 120.0 100.0 80.0 60.0 0 50 100 Minutes 分 150 200 Breakfast when you take lunch with feeding The blood sugar goes up suddenly, and it causes obesity and the diabetic Hata at al, “Effectiveness that breakfast undernourished cause influence the change of blood sugar value after lunch”, 『Bulletin of Kagawa nutrition university』, 34, 2003.12 p.33-9 Even if breakfast is taken, the quality is a problem: The breakfast where the main dish, the side dish, and soup become complete is 9% Meal pattern seen from staple food, main dish, side dish, and the combination (%) Number where staple food and side dish become complete Unknown Main dish Staple food Side dish Breakfast Breakfast Undernourished Soup Unknown Main dish Staple food Side dish Soup Supper Supper Undernourished The insulin elevation of the rice is less than that of bread, and the neutral fat is less an increase The amount of the glucidic of the breakfast is bread, rice, and 79g. Bread It confirms it to ten testees by the crossover Insulin Rice 30 minutes After breakfast Exercise 50%VO2 by Ergometer Before meal Time (minute) Ishii, K. et al. “A rice diet is associated with less fat synthesis/accumulation than a bread diet before exercise therapy” J Nutr Sci Vitaminol (Tokyo). 51(5), 2005, 349-54 paraventricular nucleus Corpus pineale Awaking of brain by light Sleep happens by the melatonin that goes out of the corpus pineale Eyeball Retina Rhythm of day that clock gene of suprachiasmatic nucleus makes Suprachiasmatic nucleus Spinal cord (thoracic spinal cord) Alternative ganglion Middle lateral nuclei Yasuo KAGAWA, “Recommendation of breakfast. Renew ed.” KAGAWA Nutrition publishing, 2007, p.127 Oscillation mechanism of day of by the main clock gene rhythm Action obstruction Clock One day cycle Increase and decrease of density of Per and Cry Bmal1 Per and Cry are pendulums that increase and decrease at the cycle of a day (vibration) Clock Per Appearance promotion in E-box Cry Correction of position of needle of clock with light in morning and breakfast Bmal1 E Box Clock E box activation of hundreds of kinds of metabolic enzyme gene The vicissitude is controlled at the cycle of a day Bmal1 E Box Obesity by disorder Lifestyle disease 「Clock gene」featuring, 『Weekly walk of medicine』, 216(3), 2006.1 p.199-242 Yasuo KAGAWA. “Easy nourishment study” KAGAWA Nutrition publishing, 2006, p.174 Rhythm formation mechanism of day of of tip clock Center Clock Sun Autonomic nerve system Internal secretion system Breakfast Tip Clock Influence of restricted feeding on tip clock -2 Free feeding 1 ・・・ 0 -1 Fast Restricted feeding (5:00-9:00) Center Clock Tip Clock 14 (days) Corpus pineale that rules sleep Rhythm of day that clock gene of suprachiasmatic nucleus makes Melatonin secretion of pineal gland It happens in the evening Sleeping The TheUnited UnitedStates Statesstarted startedthe theschool schoolbreakfast breakfastin inall allstates statesfor forthe the energies energiesimprovement improvementof ofthe thepeople. people.School Schoolchild's child'shealth healthenhancement enhancement and the improvement and a delinquency decrease in the academic and the improvement and a delinquency decrease in the academicgrade grade are confirmed in detail every year are confirmed in detail every year Lecture on Tim Johnson senator in school breakfast symposium To overcome the global competition, we should have the educated productive manpower. The school child's education is necessary for that. Meal for national power improvement The school breakfast is one of the best methods of Promotion and education in the school child in the United States Remarks to the Symposium on Breakfast and Learning in Children Senator Tim Johnson Meals for Achievement April 22, 1999 However, for the United States to compete effectively in the world, we must have an educated and productive workforce. In order to have an educated and productive workforce, We must prepare our children to learn. In order to prepare our children to learn, they must be well nourished, and that begins with a good breakfast. School breakfast is one of our nation’s best tools for the advancement of our schoolchildren. http://www.fns.usda.gov/cnd/Breakfast/Symposium/Johnson.htm How to learn the Breakfast custom :Empowerment • • • • • The teachers should esteem breakfast undernourished person's idea. Why is it?. Independence support. A necessary knowledge and skill for self management are given. Morning sunlight. Early going to bed and rise. The serious person of the truancy etc. is a development pediatrics department etc. and the tertiary care is necessary. Setting A possible target. An undernourished person takes the responsibility for the result. When it is possible to achieve it by one step, it praises and the selfeffect feeling is improved. The cause is discovered if there is a trouble of the breakfast intake and it searches for the evasion method. Making to the activity to the custom is important in continuation in daily life. Especially, the family's cooperation is indispensable to child's breakfast
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