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== Indigenous islanders' diet ==
== Indigenous islanders' diet ==
[[File:Okinawa soba and goya chanpuru.jpg|thumb|The plate to the right is the national dish, gōyā chanpurū, made with bitter melon known as goyain.]]
[[File:Okinawa soba and goya chanpuru.jpg|thumb|The plate to the right is the national dish, gōyā chanpurū, made with bitter melon known as goyain.]]
The traditional diet of the islanders contained [[sweet potato]], green-leafy or root vegetables, and [[soy]] foods, such as [[miso soup]], [[tofu]] or other soy preparations, occasionally served with small amounts of fish, noodles, or lean meats, all cooked with herbs, spices, and oil.<ref name="willcox2014">{{cite journal |vauthors=Willcox DC, Scapagnini G, Willcox BJ |title=Healthy aging diets other than the Mediterranean: a focus on the Okinawan diet |journal=Mechanisms of Ageing and Development |volume=136-137 |issue= |pages=148–62 |date=2014 |pmid=24462788 |pmc=5403516 |doi=10.1016/j.mad.2014.01.002}}</ref> Although the traditional Japanese diet usually includes large quantities of rice, the traditional Okinawa diet consists of smaller quantities of [[rice]]; instead the staple was sweet potato.<ref name=willcox2014/> The Okinawan diet had only 30% of the sugar and 15% of the grains of the average Japanese dietary intake.<ref name=Willcox2007/>
The traditional diet of the islanders contained [[sweet potato]], green-leafy or root vegetables, and [[soy]] foods, such as [[miso soup]], [[tofu]] or other soy preparations, occasionally served with small amounts of fish, noodles, or lean meats, all cooked with herbs, spices, and oil.<ref name="willcox2014">{{cite journal |vauthors=Willcox DC, Scapagnini G, Willcox BJ |title=Healthy aging diets other than the Mediterranean: a focus on the Okinawan diet |journal=Mechanisms of Ageing and Development |volume=136-137 |issue= |pages=148–62 |date=2014 |pmid=24462788 |pmc=5403516 |doi=10.1016/j.mad.2014.01.002}}</ref> Although the traditional Japanese diet usually includes large quantities of rice, the traditional Okinawa diet consisted of smaller quantities of [[rice]]; instead the staple was sweet potato.<ref name="Willcox2007" /><ref name=willcox2014/> The Okinawa diet had only 30% of the sugar and 15% of the grains of the average Japanese dietary intake.<ref name=Willcox2007/>


[[Okinawan cuisine]] consists of smaller meal portions of green and yellow vegetables, fish, relatively smaller amounts of rice compared to mainland Japan, as well as pork, soy and other legumes. The center of the Okinawa diet was the sweet potato. Not only is the potato used but so are the leaves from the plant. The leaves are used often in miso soup. In Okinawa, the bitter melon is called goyain and is served in the national dish, goya champuru.<ref name=":2" />
[[Okinawan cuisine]] consists of smaller meal portions of green and yellow vegetables, fish, relatively smaller amounts of rice compared to mainland Japan, as well as pork, soy and other legumes. The center of the Okinawa diet was the sweet potato. Not only is the potato used but so are the leaves from the plant. The leaves are used often in miso soup. In Okinawa, the bitter melon is called goyain and is served in the national dish, goya champuru.<ref name=":2" />


===Food proportions===
Between a sample from Okinawa where life expectancies at birth and 65 were the longest in Japan, and a sample from [[Akita Prefecture]] where the life expectancies were much shorter, intakes of calcium, and vitamins A, B1, B2, and C, and the proportion of energy from proteins and fats were significantly higher in Okinawa than in Akita; conversely, intake of salt was lower in Okinawa than in Akita.<ref>{{cite journal |pmid=1407826 | volume=8 | issue=2–3 | title=Nutrition for the Japanese elderly. | year=1992 | journal=Nutr Health | pages=165–75 | doi=10.1177/026010609200800312| last1=Shibata | first1=H. | last2=Nagai | first2=H. | last3=Haga | first3=H. | last4=Yasumura | first4=S. | last5=Suzuki | first5=T. | last6=Suyama | first6=Y. | s2cid=22303096 }}</ref>
The dietary intake of Okinawans compared to other Japanese circa 1950 shows that Okinawans consumed: fewer total calories (1785 vs. 2068), less polyunsaturated fat (4.8% of calories vs. 8%), less rice (154g vs. 328g), significantly less wheat, barley and other grains (38g vs. 153g), less sugars (3g vs. 8g), more legumes (71g vs. 55g), significantly less fish (15g vs. 62g), significantly less meat and poultry (3g vs. 11g), less eggs (1g vs. 7g), less dairy (<1g vs. 8g), much more sweet potatoes (849g vs. 66g), less other potatoes (2g vs. 47g), less fruit (<1g vs. 44g), and no pickled vegetables (0g vs. 42g).<ref name="Willcox2007" /> As proportions of total caloric intake, foods in the traditional Okinawa diet included sweet potato (69%), rice (12%), other grains (7%), legumes including soy (6%), green and yellow vegetables (3%), refined oils (2%), fish (1%) and seaweed, meat (mostly pork), refined sugars, potato, egg, nuts and seeds, dairy and fruit (all <1%).<ref name="Willcox2007" /> Specifically, the Okinawans circa 1950 ate sweet potatoes for 849 grams of the total 1262 grams of food that they consumed, which constituted 69% of their total daily calories.<ref name="Willcox2007" />


The traditional Okinawan diet as described above was widely practiced on the islands until about the 1960s.<ref name="Willcox2007" /> Since then, dietary practices shifted towards Western and Japanese patterns, with fat intake rising from about 6% to 27% of total caloric intake and the sweet potato being supplanted with rice and bread.<ref name="Willcox2009">{{cite journal|title=The Okinawan Diet: Health Implications of a Low-Calorie, Nutrient-Dense, Antioxidant-Rich Dietary Pattern Low in Glycemic Load|url=http://www.jacn.org/content/28/4_Supplement_1/500S.long|author=D. Craig Willcox|journal=Journal of the American College of Nutrition|year=2009|display-authors=etal|doi=10.1080/07315724.2009.10718117|pmid=20234038|volume=28|pages=500S–516S|s2cid=2520190|access-date=2011-11-14|archive-url=https://web.archive.org/web/20120111002501/http://www.jacn.org/content/28/4_Supplement_1/500S.long|archive-date=2012-01-11|url-status=dead}}</ref>
The small quantity of pork consumption per person (only 3g per day) in Okinawa was still larger than that of the Japanese national average. For example, the quantity of pork consumption per person a year in Okinawa in 1979 was {{convert|7.9|kg|lb|abbr=on}} which exceeded by about 50% that of the Japanese national average.<ref>[http://ci.nii.ac.jp/naid/110000220190/en ''Economic Structure of Local, Regional and National Hog Markets in the Self-Sufficient Region-Okinawa's Case'']</ref> The pig's feet, ears, and stomach were considered healthy everyday foodstuffs.<ref>{{cite journal|url=http://211.76.170.15/server/APJCN/Volume10/vol10.2/Sho.pdf |title=History and characteristics of Okinawan longevity food |author=Hiroko Sho |journal=Asia Pacific J Clin Nutr |year=2001 |doi=10.1046/j.1440-6047.2001.00235.x |volume=10 |issue=2 |pages=159–164 |url-status=dead |archive-url=https://web.archive.org/web/20120113035029/http://211.76.170.15/server/APJCN/Volume10/vol10.2/Sho.pdf |archive-date=January 13, 2012 |pmid=11710358}}</ref>


Another low-calorie staple in Okinawa was seaweed, particularly, konbu or [[kombu]].<ref name=":2" /> This plant, like much of the greenery from the island, is rich in protein, amino acids and minerals such as iodine. Another seaweed commonly eaten was [[wakame]], which is rich in minerals like iodine, magnesium and calcium. Seaweed and tofu in one form or other were eaten on a daily basis.<ref name=":1">{{Cite journal|last=Sho|first=H.|date=2001-01-01|title=History and characteristics of Okinawan longevity food|journal=Asia Pacific Journal of Clinical Nutrition|volume=10|issue=2|pages=159–164|issn=0964-7058|pmid=11710358|doi=10.1046/j.1440-6047.2001.00235.x}}</ref>
The dietary intake of Okinawans compared to other Japanese circa 1950 shows that Okinawans consumed: fewer total calories (1785 vs. 2068), less polyunsaturated fat (4.8% of calories vs. 8%), less rice (154g vs. 328g), significantly less wheat, barley and other grains (38g vs. 153g), less sugars (3g vs. 8g), more legumes (71g vs. 55g), significantly less fish (15g vs. 62g), significantly less meat and poultry (3g vs. 11g), less eggs (1g vs. 7g), less dairy (<1g vs. 8g), much more sweet potatoes (849g vs. 66g), less other potatoes (2g vs. 47g), less fruit (<1g vs. 44g), and no pickled vegetables (0g vs. 42g).<ref name="Willcox2007" /> In short, the Okinawans circa 1950 ate sweet potatoes for 849 grams of the 1262 grams of food that they consumed, which constituted 69% of their total calories.<ref name="Willcox2007" />


Okinawans ate three grams total of meat including pork and poultry — per day, substantially less than the 11-gram average of Japanese as a whole in 1950.<ref name="Willcox2007" /> In 1979 after many years of Westernization, the quantity of pork consumption per person a year in Okinawa was {{convert|7.9|kg|lb|abbr=on}}, exceeding by about 50% that of the Japanese national average.<ref>[http://ci.nii.ac.jp/naid/110000220190/en ''Economic Structure of Local, Regional and National Hog Markets in the Self-Sufficient Region-Okinawa's Case'']</ref> The pig's feet, ears, and stomach were considered as everyday foodstuffs.<ref>{{cite journal|url=http://211.76.170.15/server/APJCN/Volume10/vol10.2/Sho.pdf |title=History and characteristics of Okinawan longevity food |author=Hiroko Sho |journal=Asia Pacific J Clin Nutr |year=2001 |doi=10.1046/j.1440-6047.2001.00235.x |volume=10 |issue=2 |pages=159–164 |url-status=dead |archive-url=https://web.archive.org/web/20120113035029/http://211.76.170.15/server/APJCN/Volume10/vol10.2/Sho.pdf |archive-date=January 13, 2012 |pmid=11710358}}</ref>
The traditional Okinawan diet as described above was widely practiced on the islands until about the 1960s.<ref name="Willcox2007" /> Since then, dietary practices have been shifting towards Western and Japanese patterns, with fat intake rising from about 6% to 27% of total caloric intake and the sweet potato being supplanted with rice and bread.<ref name="Willcox2009">{{cite journal|title=The Okinawan Diet: Health Implications of a Low-Calorie, Nutrient-Dense, Antioxidant-Rich Dietary Pattern Low in Glycemic Load|url=http://www.jacn.org/content/28/4_Supplement_1/500S.long|author=D. Craig Willcox|journal=Journal of the American College of Nutrition|year=2009|display-authors=etal|doi=10.1080/07315724.2009.10718117|pmid=20234038|volume=28|pages=500S–516S|s2cid=2520190|access-date=2011-11-14|archive-url=https://web.archive.org/web/20120111002501/http://www.jacn.org/content/28/4_Supplement_1/500S.long|archive-date=2012-01-11|url-status=dead}}</ref> This shifting trend has also coincided with a decrease in longevity, where Okinawans now have a lower life expectancy than the Japanese average.<ref name=":3"/>

Another low-calorie staple in Okinawa was seaweed, particularly, konbu or [[kombu]].<ref name=":2" /> This plant, like much of the greenery from the island, is rich in protein, amino acids and minerals such as iodine. Another seaweed commonly eaten is [[wakame]]. Like konbu, wakame is rich in minerals like iodine, magnesium and calcium. Seaweed and tofu in one form or other are eaten on a daily basis.<ref name=":1">{{Cite journal|last=Sho|first=H.|date=2001-01-01|title=History and characteristics of Okinawan longevity food|journal=Asia Pacific Journal of Clinical Nutrition|volume=10|issue=2|pages=159–164|issn=0964-7058|pmid=11710358|doi=10.1046/j.1440-6047.2001.00235.x}}</ref>


===Potential effects===
===Potential effects===
In addition to their relative longevity, islanders were noted for their low mortality from cardiovascular disease and certain types of cancers. One study compared age-adjusted mortality of Okinawans versus Americans and found that, during 1995, an average Okinawan was 8 times less likely to die from coronary heart disease, 7 times less likely to die from prostate cancer, 6.5 times less likely to die from breast cancer, and 2.5 times less likely to die from colon cancer than an average American of the same age.<ref name="Willcox2007" />
In addition to their relative longevity identified in the mid-20th century, islanders were noted for their low mortality from [[cardiovascular disease]] and certain types of [[cancer]]s. One study compared age-adjusted mortality of Okinawans versus Americans and found that, during 1995, an average Okinawan was 8 times less likely to die from [[coronary artery disease]], 7 times less likely to die from [[prostate cancer]], 6.5 times less likely to die from [[breast cancer]], and 2.5 times less likely to die from [[colon cancer]] than an average American of the same age.<ref name="Willcox2007" /> In the 21st century, the shifting dietary trend coincided with a decrease in longevity, where Okinawans actually developed a lower life expectancy than the Japanese average.<ref name=":3"/>


Overall, the diet leads to little weight gain with age, low BMI throughout life, and low risk from age-related disease.<ref name="Willcox2007" /> No ingredients or foods of any kind have ever been scientifically shown to possess antiaging properties.<ref>{{Cite journal|last1=Niwano|first1=Yoshimi|last2=Beppu|first2=Fumiaki|last3=Shimada|first3=Taichi|last4=Kyan|first4=Rika|last5=Yasura|first5=Kazumasa|last6=Tamaki|first6=Minori|last7=Nishino|first7=Michinori|last8=Midorikawa|first8=Yoshiyuki|last9=Hamada|first9=Hiroki|display-authors=3|date=2008-12-07|title=Extensive Screening for Plant Foodstuffs in Okinawa, Japan with Anti-Obese Activity on Adipocytes In Vitro|journal=Plant Foods for Human Nutrition|language=en|volume=64|issue=1|pages=6–10|doi=10.1007/s11130-008-0102-z|pmid=19067171|s2cid=1937911|issn=0921-9668}}</ref>
Overall, the traditional Okinawa diet led to little weight gain with age, low [[body mass index]] throughout life, and low risk from age-related disease.<ref name="Willcox2007" /> No ingredients or foods of any kind have been scientifically shown to possess antiaging properties.<ref>{{Cite journal|last1=Niwano|first1=Yoshimi|last2=Beppu|first2=Fumiaki|last3=Shimada|first3=Taichi|last4=Kyan|first4=Rika|last5=Yasura|first5=Kazumasa|last6=Tamaki|first6=Minori|last7=Nishino|first7=Michinori|last8=Midorikawa|first8=Yoshiyuki|last9=Hamada|first9=Hiroki|display-authors=3|date=2008-12-07|title=Extensive Screening for Plant Foodstuffs in Okinawa, Japan with Anti-Obese Activity on Adipocytes In Vitro|journal=Plant Foods for Human Nutrition|language=en|volume=64|issue=1|pages=6–10|doi=10.1007/s11130-008-0102-z|pmid=19067171|s2cid=1937911|issn=0921-9668}}</ref>


== Research ==
== Research ==

Revision as of 16:44, 25 March 2023

Okinawa is seen on the bottom left-hand side of the map of Japan.

The Okinawa diet describes the traditional dietary practices of indigenous people of the Ryukyu Islands (belonging to Japan), which were believed to have contributed to their relative longevity over a period of study in the 20th century.[1]

Relative longevity

As assessed over 1949 to 1998, people from the Ryukyu Islands (of which Okinawa is the largest) had a life expectancy among the highest in the world (83.8 years vs. 78.9 years in the United States),[2] although the male life expectancy rank among Japanese prefectures plummeted in the 21st century.[3]

Okinawa had the longest life expectancy in all prefectures of Japan for almost 30 years prior to 2000.[4] The relative life expectancy of Okinawans has since declined, due to many factors including westernization.[3][5] In 2000, Okinawa dropped in its ranking for longevity advantage for men to 26th out of 47 within the prefectures of Japan.

In 2015, Japan had the highest life expectancy of any country: 90 years for women and for men, 84 years.[6]

Although there are myriad factors that could account for differences in life expectancy, calorie restriction and regular physical activity were deemed as prominent factors.[2] People have promoted the "Okinawa diet", believing it to be nutritionally dense yet low in calories, but it is unlikely that the diet alone could explain high life expectancy among seniors on Okinawa in the 20th century.[7]

Indigenous islanders' diet

The plate to the right is the national dish, gōyā chanpurū, made with bitter melon known as goyain.

The traditional diet of the islanders contained sweet potato, green-leafy or root vegetables, and soy foods, such as miso soup, tofu or other soy preparations, occasionally served with small amounts of fish, noodles, or lean meats, all cooked with herbs, spices, and oil.[8] Although the traditional Japanese diet usually includes large quantities of rice, the traditional Okinawa diet consisted of smaller quantities of rice; instead the staple was sweet potato.[2][8] The Okinawa diet had only 30% of the sugar and 15% of the grains of the average Japanese dietary intake.[2]

Okinawan cuisine consists of smaller meal portions of green and yellow vegetables, fish, relatively smaller amounts of rice compared to mainland Japan, as well as pork, soy and other legumes. The center of the Okinawa diet was the sweet potato. Not only is the potato used but so are the leaves from the plant. The leaves are used often in miso soup. In Okinawa, the bitter melon is called goyain and is served in the national dish, goya champuru.[6]

Food proportions

The dietary intake of Okinawans compared to other Japanese circa 1950 shows that Okinawans consumed: fewer total calories (1785 vs. 2068), less polyunsaturated fat (4.8% of calories vs. 8%), less rice (154g vs. 328g), significantly less wheat, barley and other grains (38g vs. 153g), less sugars (3g vs. 8g), more legumes (71g vs. 55g), significantly less fish (15g vs. 62g), significantly less meat and poultry (3g vs. 11g), less eggs (1g vs. 7g), less dairy (<1g vs. 8g), much more sweet potatoes (849g vs. 66g), less other potatoes (2g vs. 47g), less fruit (<1g vs. 44g), and no pickled vegetables (0g vs. 42g).[2] As proportions of total caloric intake, foods in the traditional Okinawa diet included sweet potato (69%), rice (12%), other grains (7%), legumes including soy (6%), green and yellow vegetables (3%), refined oils (2%), fish (1%) and seaweed, meat (mostly pork), refined sugars, potato, egg, nuts and seeds, dairy and fruit (all <1%).[2] Specifically, the Okinawans circa 1950 ate sweet potatoes for 849 grams of the total 1262 grams of food that they consumed, which constituted 69% of their total daily calories.[2]

The traditional Okinawan diet as described above was widely practiced on the islands until about the 1960s.[2] Since then, dietary practices shifted towards Western and Japanese patterns, with fat intake rising from about 6% to 27% of total caloric intake and the sweet potato being supplanted with rice and bread.[9]

Another low-calorie staple in Okinawa was seaweed, particularly, konbu or kombu.[6] This plant, like much of the greenery from the island, is rich in protein, amino acids and minerals such as iodine. Another seaweed commonly eaten was wakame, which is rich in minerals like iodine, magnesium and calcium. Seaweed and tofu in one form or other were eaten on a daily basis.[10]

Okinawans ate three grams total of meat — including pork and poultry — per day, substantially less than the 11-gram average of Japanese as a whole in 1950.[2] In 1979 after many years of Westernization, the quantity of pork consumption per person a year in Okinawa was 7.9 kg (17 lb), exceeding by about 50% that of the Japanese national average.[11] The pig's feet, ears, and stomach were considered as everyday foodstuffs.[12]

Potential effects

In addition to their relative longevity identified in the mid-20th century, islanders were noted for their low mortality from cardiovascular disease and certain types of cancers. One study compared age-adjusted mortality of Okinawans versus Americans and found that, during 1995, an average Okinawan was 8 times less likely to die from coronary artery disease, 7 times less likely to die from prostate cancer, 6.5 times less likely to die from breast cancer, and 2.5 times less likely to die from colon cancer than an average American of the same age.[2] In the 21st century, the shifting dietary trend coincided with a decrease in longevity, where Okinawans actually developed a lower life expectancy than the Japanese average.[5]

Overall, the traditional Okinawa diet led to little weight gain with age, low body mass index throughout life, and low risk from age-related disease.[2] No ingredients or foods of any kind have been scientifically shown to possess antiaging properties.[13]

Research

In the 1972 Japan National Nutrition Survey, it was determined that Okinawan adults consumed 83% of what Japanese adults did and that Okinawan children consumed 62% of what Japanese children consumed.[2] Since the early 2000s, the difference in life expectancy between Okinawan and mainland Japanese decreased, possibly due to westernization and erosion of the traditional diet.[3] The spread of primarily American fast-food chains was linked with an increase in cardiovascular diseases, much like the ones noted in Japanese migrants to the United States.[5]

Culture and customs

Okinawa and Japan have food-centered cultures. Festivities often include food or are food-based. Moreover, the food in Japan tends to be seasonal, fresh and raw. Portion sizes are small and meals are brought out in stages that starts with appetizers, many main courses including sashimi (raw fish) and suimono (soup), sweets and tea.[14] Since food culture is linked to ancestral traditions, the food culture and presentation is preserved, passing low-calorie food from generation to generation.[10]

See also

References

  1. ^ Hiroko Sho (2001). "History and characteristics of Okinawan longevity food" (PDF). Asia Pacific J Clin Nutr. 10 (2): 159–164. doi:10.1046/j.1440-6047.2001.00235.x. PMID 11710358. Archived from the original (PDF) on January 13, 2012.
  2. ^ a b c d e f g h i j k l Willcox BJ, Willcox DC, Todoriki H, Fujiyoshi A, Yano K, He Q, Curb JD, Suzuki M (October 2007). "Caloric restriction, the traditional Okinawan diet, and healthy aging: the diet of the world's longest-lived people and its potential impact on morbidity and life span". Annals of the New York Academy of Sciences. 1114: 434–55. doi:10.1196/annals.1396.037. PMID 17986602.
  3. ^ a b c Onishi, Norimitsu (April 4, 2004). "Love of U.S. food shortening Okinawans' lives / Life expectancy among islands' young men takes a big dive". Hearst Communications, Inc. The New York Times. Retrieved 2010-12-02.
  4. ^ Hokama, Tomiko; Binns, Colin (2008-10-01). "Declining longevity advantage and low birthweight in Okinawa". Asia-Pacific Journal of Public Health. 20 Suppl: 95–101. ISSN 1010-5395. PMID 19533867.
  5. ^ a b c Gavrilova, Natalia S.; Gavrilov, Leonid A. (2012). "Comments on Dietary Restriction, Okinawa Diet and Longevity". Gerontology. 58 (3): 221–223. doi:10.1159/000329894. PMC 3362219. PMID 21893946.
  6. ^ a b c Buettner, Dan (2015). The Blue Zones Solution: Eating and Living Like the World's Healthiest People. National Geographic. ISBN 978-1426211928 – via The Huffington Post.
  7. ^ "Japan Has The Highest Life Expectancy Of Any Major Country. Why? - NBC News". NBC News. 2014-06-13. Retrieved 2016-10-30.
  8. ^ a b Willcox DC, Scapagnini G, Willcox BJ (2014). "Healthy aging diets other than the Mediterranean: a focus on the Okinawan diet". Mechanisms of Ageing and Development. 136–137: 148–62. doi:10.1016/j.mad.2014.01.002. PMC 5403516. PMID 24462788.
  9. ^ D. Craig Willcox; et al. (2009). "The Okinawan Diet: Health Implications of a Low-Calorie, Nutrient-Dense, Antioxidant-Rich Dietary Pattern Low in Glycemic Load". Journal of the American College of Nutrition. 28: 500S–516S. doi:10.1080/07315724.2009.10718117. PMID 20234038. S2CID 2520190. Archived from the original on 2012-01-11. Retrieved 2011-11-14.
  10. ^ a b Sho, H. (2001-01-01). "History and characteristics of Okinawan longevity food". Asia Pacific Journal of Clinical Nutrition. 10 (2): 159–164. doi:10.1046/j.1440-6047.2001.00235.x. ISSN 0964-7058. PMID 11710358.
  11. ^ Economic Structure of Local, Regional and National Hog Markets in the Self-Sufficient Region-Okinawa's Case
  12. ^ Hiroko Sho (2001). "History and characteristics of Okinawan longevity food" (PDF). Asia Pacific J Clin Nutr. 10 (2): 159–164. doi:10.1046/j.1440-6047.2001.00235.x. PMID 11710358. Archived from the original (PDF) on January 13, 2012.
  13. ^ Niwano, Yoshimi; Beppu, Fumiaki; Shimada, Taichi; et al. (2008-12-07). "Extensive Screening for Plant Foodstuffs in Okinawa, Japan with Anti-Obese Activity on Adipocytes In Vitro". Plant Foods for Human Nutrition. 64 (1): 6–10. doi:10.1007/s11130-008-0102-z. ISSN 0921-9668. PMID 19067171. S2CID 1937911.
  14. ^ "Japanese Food Culture" (PDF). Web Japan. Ministry of Foreign Affairs of Japan. Retrieved 2016-10-30.

Bibliography

  • Albala, Ken, ed. (2011). Food cultures of the world encyclopedia. Santa Barbara, Calif.: Greenwood. ISBN 9780313376276.