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Dr. Nobutaka Hirooka
Saitama Medical University

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0 Health Literacy
0 Health Promotion
0 Lifestyle
0 Prevention
0 healthy longevity

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Article
Published: 18 May 2021 in Current Psychology
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A strong sense of purpose and satisfaction in life is associated with multiple health benefits. There is also evidence to suggest that social capital predicts better health indicators. While both social capital and purpose and satisfaction in life direct better health, the relationship between social capital and purpose and satisfaction in life in terms of health, remains unclear. A retrospective cohort study was conducted on Japanese health management professionals (N = 4820). We analyzed the cohort’s demographics and reported changes in social capital (social engagement and trust), purpose in life, and life satisfaction using self-reported questionnaires and the Ikigai-9 scale. The cohort was categorized into group 1 (neither changes), group 2 (one changes), and group 3 (both change), based on the number of changes reported in social capital. Purpose in life and life satisfaction scores were then compared among the three groups. The purpose in life score (SD [standard deviation]) for groups 1, 2, and 3 was 30.7 (6.0), 32.5 (5.6), and 35.6 (5.2), respectively. Life satisfaction scores (SD) for groups 1, 2 and 3 were 3.35 (0.8), 3.67 (0.8), and 4.26 (0.7), respectively. We found a statistically significant difference in purpose and satisfaction in life among the three groups (F(2) = 361.4, p < 0.001 and F(2) = 703.9, p < 0.001). Social capital was associated with purpose and satisfaction in life among health-literate professionals. Strengthening social capital may increase individual purpose and satisfaction in life and ultimately yield better health.

ACS Style

Nobutaka Hirooka; Takeru Kusano; Shunsuke Kinoshita; Ryutaro Aoyagi; Kohei Saito; Hidetomo Nakamoto. Does social capital influence purpose in life and life satisfaction among Japanese health-literate professionals? Current Psychology 2021, 1 -6.

AMA Style

Nobutaka Hirooka, Takeru Kusano, Shunsuke Kinoshita, Ryutaro Aoyagi, Kohei Saito, Hidetomo Nakamoto. Does social capital influence purpose in life and life satisfaction among Japanese health-literate professionals? Current Psychology. 2021; ():1-6.

Chicago/Turabian Style

Nobutaka Hirooka; Takeru Kusano; Shunsuke Kinoshita; Ryutaro Aoyagi; Kohei Saito; Hidetomo Nakamoto. 2021. "Does social capital influence purpose in life and life satisfaction among Japanese health-literate professionals?" Current Psychology , no. : 1-6.

Journal article
Published: 29 April 2021 in BMC Public Health
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Background The national health promotion program in the twenty-first century Japan (HJ21) correlates life purpose with disease prevention, facilitating the adoption of healthy lifestyles. However, the influence of clustered healthy lifestyle practices on life purpose, within the context of this national health campaign remains uninvestigated. This study assessed the association between such practices and life purpose, in line with the HJ21. Methods We performed a nationwide cross-sectional survey on certified specialists in health management. Participants’ demographic information, lifestyle, and purpose in life were measured using a validated tool. The cohort was median-split into two groups based on their clustered health-related lifestyle score. The values for health-related lifestyle and purpose were compared between the two groups and the correlation between health-related lifestyle and purpose in life was measured. Results Data from 4820 participants were analyzed. The higher-scoring health-related lifestyle group showed a significantly higher life purpose than the lower group (35.3 vs 31.4; t = 23.6, p < 0.001). There was a significant association between the scores of clustered healthy lifestyle practices and life purpose (r = 0.401, p < 0.001). The higher-scoring health-related lifestyle group achieved a higher life purpose than the lower-scoring group. This association between healthy lifestyle practices and life purpose denotes a positive and linear relationship. Conclusions Our results suggest that individuals who have a better health-related lifestyle gain a higher sense of life purpose. In other words, a healthy lifestyle predicts a purpose in life. Our findings posit that examining the causal relationship between healthy lifestyle and purpose in life may be a more efficient approach toward health promotion.

ACS Style

Nobutaka Hirooka; Takeru Kusano; Shunsuke Kinoshita; Ryutaro Aoyagi; Nakamoto Hidetomo. Association between healthy lifestyle practices and life purpose among a highly health-literate cohort: a cross-sectional study. BMC Public Health 2021, 21, 1 -8.

AMA Style

Nobutaka Hirooka, Takeru Kusano, Shunsuke Kinoshita, Ryutaro Aoyagi, Nakamoto Hidetomo. Association between healthy lifestyle practices and life purpose among a highly health-literate cohort: a cross-sectional study. BMC Public Health. 2021; 21 (1):1-8.

Chicago/Turabian Style

Nobutaka Hirooka; Takeru Kusano; Shunsuke Kinoshita; Ryutaro Aoyagi; Nakamoto Hidetomo. 2021. "Association between healthy lifestyle practices and life purpose among a highly health-literate cohort: a cross-sectional study." BMC Public Health 21, no. 1: 1-8.

Research article
Published: 19 April 2021 in Asia Pacific Journal of Public Health
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To improve health among the population and reduce the societal burden of care and health-related costs in a rapidly aging environment, the Japanese government launched the “National Health Promotion Program in the 21st Century” (HJ21), which contains goals concerning areas such as lifestyle behavior and the use of preventive medicine. While health care personnel are responsible for guiding others’ health choices, they may not maintain healthy lifestyles themselves. Whether these individuals are meeting the HJ21 goals has not yet been examined. This study aims to determine whether certified specialists in health management are meeting such goals, and to compare their performance with the national average. This is a cross-sectional survey study. Study participants, sourced from all prefectures in Japan, were specialists certified in health management. We measured data concerning demographic information, lifestyle (physical activity, nutrition, diet, sleep, rest, smoking, and alcohol use), and the use of preventive medicine. The study participants exhibited many characteristics of high health literacy. They had an overall healthy lifestyle and met most of the HJ21 goals of healthy lifestyle, and a high proportion underwent health maintenance examinations and cancer screenings. These practices and behaviors maybe associated with high health literacy and social engagement activities.

ACS Style

Nobutaka Hirooka; Takeshi Sano; Reiko Yasumura; Yuji Maeyama; Nakamoto Hidetomo. Do Japan’s Health Care Personnel Meet the Personal Health Goals of the “National Health Promotion Program”? Asia Pacific Journal of Public Health 2021, 1 .

AMA Style

Nobutaka Hirooka, Takeshi Sano, Reiko Yasumura, Yuji Maeyama, Nakamoto Hidetomo. Do Japan’s Health Care Personnel Meet the Personal Health Goals of the “National Health Promotion Program”? Asia Pacific Journal of Public Health. 2021; ():1.

Chicago/Turabian Style

Nobutaka Hirooka; Takeshi Sano; Reiko Yasumura; Yuji Maeyama; Nakamoto Hidetomo. 2021. "Do Japan’s Health Care Personnel Meet the Personal Health Goals of the “National Health Promotion Program”?" Asia Pacific Journal of Public Health , no. : 1.

Journal article
Published: 05 February 2021 in Clinical Medicine & Research
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Objective: Designing an efficient management strategy for aspiration is of high priority in our aging society because of its high incidence. We evaluated the prognostic value of both the A-DROP (age, dehydration, respiratory, disorientation, and pressure) and the modified A-DROP scoring systems (adding respiratory rate and comorbidity to A-DROP) in patients with aspiration pneumonia.

ACS Style

Nobutaka Hirooka; Tomohiro Nakayama; Takehito Kobayashi; Hidetomo Nakamoto. Predictive Value of the Pneumonia Severity Score on Mortality due to Aspiration Pneumonia. Clinical Medicine & Research 2021, 19, 47 -53.

AMA Style

Nobutaka Hirooka, Tomohiro Nakayama, Takehito Kobayashi, Hidetomo Nakamoto. Predictive Value of the Pneumonia Severity Score on Mortality due to Aspiration Pneumonia. Clinical Medicine & Research. 2021; 19 (2):47-53.

Chicago/Turabian Style

Nobutaka Hirooka; Tomohiro Nakayama; Takehito Kobayashi; Hidetomo Nakamoto. 2021. "Predictive Value of the Pneumonia Severity Score on Mortality due to Aspiration Pneumonia." Clinical Medicine & Research 19, no. 2: 47-53.

Journal article
Published: 29 November 2020 in International Journal of Environmental Research and Public Health
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A growing number of studies have revealed the association between health-related lifestyle habits and purpose in life. However, the mechanism linking the two has not been adequately understood. This study aims to examine the effect of changes in health-related lifestyle habits on purpose in life. A retrospective cohort study was conducted on certified professional specialists of health management. We analyzed the cohort’s demographic information, health-related lifestyle behaviors, reported changes in health-related lifestyle habits (exercise, diet, sleep, and other habits), and purpose in life using a validated tool (Ikigai-9). The cohort was divided into four groups based on the number of reported changes in health-related lifestyles. The purpose in life score was compared among the four groups with and without adjusting for lifestyle. In total, there were 4820 participants. The means (and SD) of the Ikigai-9 score for groups 1, 2, 3, and 4 were 31.4 (6.6), 32.2 (5.6), 32.8 (5.8), and 34.9 (5.4), respectively. There was a statistically significant difference in the Ikigai-9 score among the groups. Healthier changes in lifestyle habits increased perceptions of purpose in life. Both purpose in life and health-related lifestyle habits might be the target factors for disease prevention and health promotion.

ACS Style

Shunsuke Kinoshita; Nobutaka Hirooka; Takeru Kusano; Kohei Saito; Hidetomo Nakamoto. Does Improvement in Health-Related Lifestyle Habits Increase Purpose in Life among a Health Literate Cohort? International Journal of Environmental Research and Public Health 2020, 17, 8878 .

AMA Style

Shunsuke Kinoshita, Nobutaka Hirooka, Takeru Kusano, Kohei Saito, Hidetomo Nakamoto. Does Improvement in Health-Related Lifestyle Habits Increase Purpose in Life among a Health Literate Cohort? International Journal of Environmental Research and Public Health. 2020; 17 (23):8878.

Chicago/Turabian Style

Shunsuke Kinoshita; Nobutaka Hirooka; Takeru Kusano; Kohei Saito; Hidetomo Nakamoto. 2020. "Does Improvement in Health-Related Lifestyle Habits Increase Purpose in Life among a Health Literate Cohort?" International Journal of Environmental Research and Public Health 17, no. 23: 8878.

Preprint content
Published: 18 December 2019
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Background: In Japan, where the population is aging particularly rapidly, “healthy aging” is being advocated as a means of addressing the potential societal burdens caused by older adults’ need for nursing care and the high associated health-care costs. To improve healthy aging among the population, the Japanese government has launched the “National Health Promotion in the 21st Century” (HJ21), which contains goals concerning areas such as lifestyle behavior and use of preventive medicine. Low health literacy is associated with many health-related issues; however, whether individuals with high health literacy are meeting the HJ21 goals has not yet been examined. This study aims to determine whether a cohort with high health literacy are meeting such goals, and to compare the cohort’s performance with the national average. Methods: This is a cross-sectional survey study. Study participants, sourced from all prefectures in Japan, were professional specialists in health management certified by the Japanese Association of Preventive Medicine for Adult Disease. We measured data concerning the cohort’s demographic information, health perception, lifestyle (including physical activity) and use of preventive medicine. Results: The cohort showed many characteristics of high health literacy. The cohort had an overall healthy lifestyle and met most of the HJ21 goals; in particular, a high proportion underwent health-maintenance exams and cancer screenings. Conclusions: The high health literacy cohort showed a healthy lifestyle. Compared to the national average, a higher proportion of the cohort met the HJ21 goals and received preventive medicine.

ACS Style

Nobutaka Hirooka; Takeshi Sano; Reiko Yasumura; Yuji Maeyama; Hidetomo Nakamoto. Examination of a nationwide cohort of individuals with high health literacy in terms of their health-related lifestyles and attainment of the goals of the “National Health Promotion in the 21st Century” Program. 2019, 1 .

AMA Style

Nobutaka Hirooka, Takeshi Sano, Reiko Yasumura, Yuji Maeyama, Hidetomo Nakamoto. Examination of a nationwide cohort of individuals with high health literacy in terms of their health-related lifestyles and attainment of the goals of the “National Health Promotion in the 21st Century” Program. . 2019; ():1.

Chicago/Turabian Style

Nobutaka Hirooka; Takeshi Sano; Reiko Yasumura; Yuji Maeyama; Hidetomo Nakamoto. 2019. "Examination of a nationwide cohort of individuals with high health literacy in terms of their health-related lifestyles and attainment of the goals of the “National Health Promotion in the 21st Century” Program." , no. : 1.

Journal article
Published: 13 August 2019 in Journal of General and Family Medicine
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Japan Primary Care Association has launched an international session at annual conference since 2012. Longitudinal characteristics of the presentations were investigated. Abstracts of the session were analyzed regarding type of presentation (oral/poster), category (research/clinical case/activity/review), and presenters' geographical location. The numbers of oral and poster presentations significantly increased. The most frequent presentation was research with cross-sectional survey. Majority of presentations were clinical and less educational research, most of which were by Japanese. The numbers of presentations in the international session increased, but the session should be used more rigorously to enhance primary care.

ACS Style

Nobutaka Hirooka; Nobutaro Ban; the Japan Primary Care Association International Affairs Committee. Preliminary study: Descriptive analysis of longitudinal data on the international session of the Japan Primary Care Association annual conference, 2012-2018. Journal of General and Family Medicine 2019, 20, 257 -259.

AMA Style

Nobutaka Hirooka, Nobutaro Ban, the Japan Primary Care Association International Affairs Committee. Preliminary study: Descriptive analysis of longitudinal data on the international session of the Japan Primary Care Association annual conference, 2012-2018. Journal of General and Family Medicine. 2019; 20 (6):257-259.

Chicago/Turabian Style

Nobutaka Hirooka; Nobutaro Ban; the Japan Primary Care Association International Affairs Committee. 2019. "Preliminary study: Descriptive analysis of longitudinal data on the international session of the Japan Primary Care Association annual conference, 2012-2018." Journal of General and Family Medicine 20, no. 6: 257-259.