本研究目的在於調查日本國人飲食行為與肥胖是否受到飲食指南認知所影響。研究對象為1558位曾經參與過社會研究的日本成年人(平均年齡40.2±12.2歲)。於2007年11月透過網路而做的橫斷型調查,以電子郵件邀請可能參與的研究對象,連結至執行調查的網路位址,填寫網路問卷。根據日本21世紀健 康促進指引(Health Japan 21)及食物平衡指南,測度飲食指南認知度及飲食知識、態度及行為的得分。參與者自我提供的身體質量指數與腰圍用來評估肥胖程度。利用路徑分析(path analysis)探討飲食指南認知度、飲食知識、態度及行為得分與肥胖的關係。路徑分析結果顯示,飲食指南認知度與身體質量指數及腰圍有相關,且是透過飲食行為表現。此外也發現,飲食知識與態度是飲食指南認知與飲食行為關聯性的中介者。這些結果顯示,倡導日本飲食指南為有利的策略,可鼓勵日本國民健康的飲食及預防肥胖。
The purpose of the present study was to investigate the influence of awareness of the Japanese Food Guide Spinning Top on eating behavior and obesity in Japan. Participants were 1,558 Japanese male and female adults (40.2±12.2 years) who had been registered with a social research company. The cross-sectional questionnaire survey was conducted via the Internet in November 2007. Potential respondents were invited to complete the survey via e-mail, which contained a link to the survey Uniform Resource Locator (URL). The measures were awareness of the Japanese Food Guide Spinning Top, eating knowledge scores, eating attitude scores, and eating behaviors scores, according to the recommendations of the Health Japan 21 and the Food Balance Guide Spinning Top. Obesity was assessed by self-reported body mass index (BMI) and waist circumference. The relationships between awareness of the Japanese Food Guide Spinning Top, eating knowledge scores, eating attitude scores, eating behavior scores, and obesity were analyzed using path analysis. Path analysis revealed that awareness of the Japanese Food Guide Spinning Top was associated with BMI and waist circumference via eating behavior scores. In addition, eating knowledge scores and eating attitude scores were mediators of the association between awareness of the Japanese Food Guide Spinning Top and eating behavior scores. These results suggest that promotion of the Japanese Food Guide Spinning Top would be a useful strategy to encourage healthy eating and prevent obesity in the Japanese population.