- 著者
- Miki Matsumoto Kanako Yamauchi Misa Tanaka Tadahiro Kato
- 出版者
- The Japanese Association of School Health
- 雑誌
- School Health (ISSN:18802400)
- 巻号頁・発行日
- vol.3, pp.1-6, 2007 (Released:2019-06-08)
- 参考文献数
- 12
A 14-years-old schoolgirl having suffered from anorexia nervosa for a year was referred to our counseling room by her family doctor. She was admitted to the hospital suffering from weakness, fatigue, and amenorrhea as a result of marked weight loss over a six-month period. She was a high achiever who pushed herself to excel in every facet of school life, falling short only in her social relationships. She put pressure on herself to excel in every academic subject and was worn out, leaving little time for friends, and ultimately leading to social isolation. The constant pressure led to anorexia. Using role-plays based on KiKi's Delivery Service (KDS) scripts (Hayao Miyazaki animated movie, "Majo no takkyuubin"), we helped her discover her personal style and develop her interpersonal social skills. Our role-play model proved to be a successful treatment for anorexia nervosa and we recommend these methods for patients with anorexia nervosa needing a more developed sense of identity.
- 著者
- Yoko Watanabe Isao Saito Ikuyo Henmi Kana Yoshimura Hirotatsu Maruyama Kanako Yamauchi Tatsuhiro Matsuo Tadahiro Kato Takeshi Tanigawa Taro Kishida Yasuhiko Asada
- 出版者
- THE JAPANESE ASSOCIATION OF RURAL MEDICINE
- 雑誌
- Journal of Rural Medicine (ISSN:1880487X)
- 巻号頁・発行日
- pp.2887, (Released:2014-06-17)
- 被引用文献数
- 47 67
Objectives: Despite the fact that the total energy intake of Japanese people has decreased, the percentage of obese people has increased. This suggests that the timing of meals is related to obesity. The purpose of the study was to investigate the relationship between the timing of meals and obesity, based on analyses of physical measurements, serum biochemical markers, nutrient intake, and lifestyle factors in the context of Chrononutrition.Participants and Methods: We analyzed data derived from 766 residents of Toon City (286 males and 480 females) aged 30 to 79 years who underwent detailed medical examinations between 2011 and 2013. These medical examinations included. (1) physical measurements (waist circumference, blood pressure, etc.); (2) serum biochemical markers (total cholesterol, etc.); (3) a detailed questionnaire concerning lifestyle factors such as family structure and daily habits (22 issues), exercise and eating habits (28 issues), alcohol intake and smoking habits; (4) a food frequency questionnaire based on food groups (FFQg);and (5) a questionnaire concerning the times at which meals and snacks are consumed.Results: The values for body mass index (BMI) and waist circumference were higher for participants who ate dinner less than three hours before bedtime (<3-h group) than those who ate more than three hours before bedtime (>3-h group). The Chi-square test showed that there was a significant difference in eating habits, e.g., eating snacks, eating snacks at night, having dinner after 8 p.m., and having dinner after 9 p.m., between the <3-h group and the >3-h group. Multiple linear regression analysis showed that skipping breakfast significantly influenced both waist circumference (β = 5.271) and BMI (β = 1.440) and that eating dinner <3-h before going to bed only influenced BMI (β = 0.581).Conclusion: Skipping breakfast had a greater influence on both waist circumference and BMI than eating dinner <3-h before going to bed.