We report a plan to improve nutrition and dietary habits, and its implementation during a 7-year period from 1993 to 2000, in a village located in the Aizu area of Fukushima Prefecture. The plan was devised on the basis of information obtained in health and dietary surveys conducted in 1992 and 1993, and nutritional improvement was emphasized under the leadership of a registered dietitian belonging to the local municipal office. The most critical health problems were the high incidences of cerebrovascular disease and gastric cancer, and the nutritional problems focused on were high salt intake, low animal protein intake, and a poorly balanced intake of various nutrients. To improve the villagers' diet from the viewpoint of nutrition, the approach taken was nutritional education aimed mainly at adult females. Some volunteers, known as
shokuseikatsu kaizen suishinin (“promoters of dietary life improvement”), were given lessons and practice in modem dietetics and meal preparation. These personnel have worked as a core to change meal content and dietary habit, and it is interesting to note that this has led to a reduction in death due to cerebrovascular attack. A recent dietary survey of the villagers revealed an interesting gender difference in acceptance of the novel meal patterns, with females showing greater acceptance.
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