Research Article
Modification of Micronutrient Intake for Prevention of Gout in Japanese People in 2022: 2024 Update
Takashi Koguchi*
Issue:
Volume 13, Issue 1, February 2025
Pages:
1-27
Received:
17 December 2024
Accepted:
30 December 2024
Published:
17 January 2025
DOI:
10.11648/j.ajhr.20251301.11
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Abstract: The number of gout patients of Japanese people increased 5.12-fold from 1986 to 2022 (1986: 0.255 million; 2022: 1.306 million). The aim of this article is to suggest what micronutrient intake is important for the prevention of gout in Japanese people in 2022 referencing the results of clinical research reported. The author used the data of the Comprehensive Survey of Living Conditions in Japan for the number of gout patients (1986-2022) and the data of the National Health and Nutrition Survey in Japan (1946-2022) for the intake of micronutrients. Micronutrient intake of Japanese people in 2022 were compared with those in 2019. The relationship between the number of gout patients and micronutrient intake in Japanese people was examined. The daily intake of micronutrients of Japanese people in 2022 were evaluated using Dietary Reference Intakes. The daily intake of vitamin E, vitamin K, and pantothenic acid of Japanese people in 2022 were higher compared to those in 2019, respectively. Whereas the daily intake of vitamin A, vitamin D, vitamin B2, niacin, vitamin B6, folate, vitamin B12, vitamin C, sodium, salt, calcium, potassium, magnesium, phosphorus, iron, copper, and zinc of Japanese people in 2022 were lower compared to those in 2019. The daily intake of vitamin B1 of Japanese people in 2022 was the same as that in 2019. The daily intake of vitamin A, vitamin D, vitamin E, vitamin B1, vitamin B2, folate, vitamin B12, vitamin C, salt, calcium, iron, and copper were negatively correlated with the number of gout patients, respectively. The daily niacin intake was positively correlated with the number of gout patients. Modification of micronutrient intake for the prevention of gout in Japanese people (especially adults) in 2022 is suggested as follows: limiting or decreasing intake of sodium and salt; decreasing intake of niacin; decreasing or pay attention to not to excessive intake of vitamin K, pantothenic acid, vitamin B12, phosphorus, and copper; increase intake of vitamin A, vitamin D, vitamin E, vitamin B1, vitamin B6, folate, calcium, potassium, and magnesium; increase intake of vitamin B2 in Japanese men (aged 15-59 years) and women (aged 15-49 years), vitamin C in Japanese men (aged 20-59 years) and women (aged 20-49 years), iron in Japanese men (aged 20-59 years) and women (aged 20-69 years, ≥ 75 years), and zinc in Japanese men (aged ≥ 20 years) and women (aged 20-69 years, aged ≥ 80 years).
Abstract: The number of gout patients of Japanese people increased 5.12-fold from 1986 to 2022 (1986: 0.255 million; 2022: 1.306 million). The aim of this article is to suggest what micronutrient intake is important for the prevention of gout in Japanese people in 2022 referencing the results of clinical research reported. The author used the data of the Com...
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Research Article
Evaluating Feasibility and Effectiveness of Implementing Cross-Country Mhealth Interventions in Sub-Saharan Africa
Ogweno Stephen*,
Harrison Roger,
Murithi Bernard,
Otieno Bonface
Issue:
Volume 13, Issue 1, February 2025
Pages:
28-42
Received:
21 December 2024
Accepted:
5 January 2025
Published:
22 January 2025
DOI:
10.11648/j.ajhr.20251301.12
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Abstract: Non-communicable diseases (NCDs) pose a significant public health challenge in Sub-Saharan Africa, where traditional healthcare systems in Sub-Saharan Africa often grapple with limited infrastructure, healthcare worker shortages, and accessibility challenges. Mobile health (mHealth) interventions have emerged as promising tools to enhance health promotion and literacy, providing innovative solutions to these challenges. This study evaluates the feasibility and effectiveness of cross-country mHealth interventions through a secondary analysis of the NCD 365 project, which utilized outcome data from January to December 2020. A multi-stage sampling technique was employed to select participants from five countries, and data were collected via an online Google form. The analysis focused on platform usage, literacy distribution, and the relationship between health literacy levels and the platforms used. Descriptive statistics and the Kruskal-Wallis test were used to evaluate the data. Results indicated that WhatsApp was the most widely used platform in four of the five countries, while Twitter predominated in Uganda. Adjusted literacy levels varied slightly, with Kenya and Nigeria showing higher levels compared to Cameroon, Zimbabwe, and Uganda. Gender differences in literacy were minimal, with males displaying marginally higher literacy scores. The Kruskal-Wallis test revealed no significant differences in literacy levels across platforms or countries, reinforcing the feasibility and effectiveness of cross-country mHealth interventions. These findings suggest that initiatives like the NCD 365 project can effectively promote health literacy and healthcare delivery across diverse settings in Sub-Saharan Africa. While regional differences in platform preferences exist, the overall success of the project highlights the potential for scalable and adaptable mHealth strategies. Future research should focus on the long-term impacts and platform-specific effectiveness to further optimize mHealth interventions.
Abstract: Non-communicable diseases (NCDs) pose a significant public health challenge in Sub-Saharan Africa, where traditional healthcare systems in Sub-Saharan Africa often grapple with limited infrastructure, healthcare worker shortages, and accessibility challenges. Mobile health (mHealth) interventions have emerged as promising tools to enhance health pr...
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