Study on factors of body image in Japanese and Vietnamese adolescents.

Over-concern about thinness, especially among young girls including adolescents, is common in Japan. Behind the problem, there is a complicated social phenomenon and an effective strategy is not known yet. In this study, we tried to find a clue by comparing body image between two countries which have different social backgrounds. Subjects were Japanese and Vietnamese junior high school students from 12 to 15 y old. Three schools each and 1-2 classes from each grade were randomly selected to involve 374 (boys 196, girls 178) and 714 (boys 352, girls 362), respectively, in Japan and Vietnam. Height and weight of subjects were measured and their satisfaction about their body shape and experience with dieting were asked by a questionnaire. Questions about their body image concerning their desire, liking of the opposite sex, own liking and health were answered by marking silhouettes. About 60% of Japanese thought that obese (silhouette 9) is unhealthy, while about 85% of Vietnamese thought that thinness (silhouette 1) is unhealthy. Most of the Japanese girls overestimated their body weight and were dissatisfied with their body shape and 78.3% wanted to lose weight. About 30% of them experienced weight loss including 2.8% of the low BMI students. Vietnamese girls also had similar tendencies in their desire about their body image as the Japanese but they were less serious. The girls in both countries preferred the thinner body image to the healthy body image and thought that boys liked the thinner body image. Japanese boys were mostly satisfied with their body shape; however, about half (46%) of the Vietnamese boys wanted a bigger and more muscular body image. In conclusion, the biggest problem with body image was the over-concern about thinness of the Japanese girls, which was based on their own misconception. Therefore, as the strategy to correct their body image, education about good health and also information about the boys' favorite body image are recommended.

Establishment and issues of new educational system by nutrition teachers.

The Japanese school lunch system, which has over 100 y of history, has gained world attention for its well-developed and steady system, healthy Japanese-style menus including rice, and educational programs utilizing the school lunch system. Meanwhile, risk factors of health among students have been continuously worsening for the past dozen years or so. Therefore, Japan had hastened to develop better educational programs utilizing the school lunch and nutritional teachers. Under such circumstances, the Japanese Diet passed a bill to amend the School Education Law (hereinafter called the Amendment) which includes the establishment of an educational system by nutrition teachers in May, 2004. This system will be enforced in April, 2005. This system by nutrition teachers in Japan is well organized in both the legal and administrative senses and is attracting domestic and international attention as an example of an educational measure to improve the dietary life of students. The reason for this article in English is the additional intention of enlightening other countries by showing the political promotion problems of educational administration agencies, educational contents of nutrition teachers and some issues of the new educational system by nutrition teachers.

Overweight is associated with allergy in school children of Taiwan and Vietnam but not Japan.

We collected information concerning diagnosed allergy from 2027 school children in Japan, Taiwan and Vietnam. Children were classified according to the age and sex-specific body mass index (BMI) per-age as indicator of weight status. Logistic regression was performed to examine the relationship between percentiles of BMI-per-age and allergy. Compared with children at the lowest percentile group Taiwanese children at > 85th percentile group showed a tendency toward higher risk of allergy (OR = 1.79, 95% CI 0.98 to 3.27; p = 0.060). When children with rhino-conjunctivitis were excluded from the analysis the association reached statistical significance (OR = 2.89, 95% CI 1.08 to 7.75; p = 0.035). Vietnamese children at > 85th percentile group showed a significantly higher risk of allergy (OR = 2.34, 95% CI 1.06 to 5.17; p = 0.035). This association was not observed when children with atopic dermatitis or food allergy were excluded from the analysis, although a tendency toward increased risk of allergy at BMI-per-age > 85th percentile remained. Our study sample of Japanese school children showed no association between being overweight and allergy.