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Title: 開発途上地域における糖尿病にみる健康教育の重要性 : インドネシア・パプア州の症例より
Other Titles: Urgent Need for Health Education to the Diabetic Elderly Living in Rapid Developing Remote Areas : A Case Study from Papua, Indonesia
Authors: 木村, 友美  KAKEN_name
石本, 恭子  KAKEN_name
稲村, 哲也  KAKEN_name
陳, 文玲  KAKEN_name
今井, 必生  KAKEN_name
平田, 温  KAKEN_name
葛原, 茂樹  KAKEN_name
瀬口, 春道  KAKEN_name
ガルシア, エヴァ  KAKEN_name
藤澤, 道子  KAKEN_name
松林, 公蔵  KAKEN_name
奥宮, 清人  KAKEN_name
Author's alias: Kimura, Yumi
Ishimoto, Yasuko
Inamura, Tetsuya
Chen, Wenling
Imai, Hissei
Hirata, Yutaka
Kuzuhara, Shigeki
Seguchi, Harumichi
Garcia, Eva
Fujisawa, Michiko
Matsubayashi, Kozo
Okumiya, Kiyohito
Issue Date: 20-Mar-2013
Publisher: 京都大学ヒマラヤ研究会・京都大学ブータン友好プログラム・人間文化研究機構 総合地球環境学研究所「高所プロジェクト」
Journal title: ヒマラヤ学誌 : Himalayan Study Monographs
Volume: 14
Start page: 211
End page: 216
Abstract: The importance of addressing lifestyle disease in remote area has been emphasized along with rapid modernization. In March 2012, medical survey was conducted in Bade, Papua in Indonesia, a town near river with a rapid development of market economy from traditional lifestyle. Through the survey of 119 community-living adults, we revealed 6% of the diabetic participants and 11% of impaired glucose tolerance. We observed drastic dietary shift in staple food (sago to rice) and a strong belief about healthy diet which is the misunderstood thought that rice is the healthiest food. The case involves a 69-year-old woman who was eating only rice with sprinkled sugar (occasionally with fruits) for past 2 years. Blood tests revealed her diabetic state (HbA1c:7.0%), dyslipidemia (HDL-cholesterol, 21mg/dl; LDL-cholesterol, 51mg/dl; triglyceride, 146mg/dl), and anemic state with low hemoglobin concentration:8.4g/dl, due to an iron-deficient diet. Her body mass index was 34kg/m3; height, 157cm; weight, 84kg; waist, 120cm. Nutritional assessment showed her total energy intake was 1907kcal/day, with very low protein intake. The woman's family was relatively rich in this community; therefore, her food choice was related to poor health-related knowledge and not monetary issues. She strongly believed that rice was the only food that could improve her health. Thus, education as well as treatment is very important for lifestyle-related diseases, especially for elderly people in remote areas without adequate information.
DOI: 10.14989/HSM.14.211
Appears in Collections:第14号

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