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        | CHP Center for Health 
          Promotion |  
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                      | Project 
                        PAN (Physical Activity and Nutrition) |   
                      | The Physical Activity and Nutrition (Project PAN) 
                        works to promote healthier lifestyles among people in 
                        their prime or advanced years, seeking to increase physical 
                        activity and improve nutrition in innovative ways.
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                      | TAKE10!® |  |   
                      |  | Activity 
                        up-to-date |  
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                      |  | Luncheon seminar was co-hosted at the 26th Japanese Society of Health Education and Promotion |  
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                      |  | In the 26th Japanese Society of Health Education and Promotion Academic Conference held at Waseda University (Shinjuku-ku, Tokyo), a luncheon seminar "Elderly Health and Health Promotion" was held in collaboration with ILSI and Ajinomoto Co., Ltd.First, Mr. Hisamine Kobayashi of Ajinomoto Co., Ltd. gave a lecture titled 'Protein, and amino acid intake' useful for prevention of Sarcopenia', in which he discussed the prevention of Sarcopenia and Locomotive Syndrome which affects the health of the elderly. Efficient muscle protein synthesis can be improved by ingesting essential amino acids high in leucine content (Amino L 40).
 Next, a lecture titled "Practice of Health Promotion in Region" was given by Ms. Kimura of ILSI Japan. She introduced activities in the region focusing on health promotion. The seminar was successful with standing room only audiences and active discussions. (June 24, 2017)
 
 
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                      |  | "Ishinomaki Take10! ®" A new team started at Ishinomaki Sensyu University. |  
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                      |  |  After the Great East Japan Earthquake, while participating in Professor Yamazaki’s seminar in the Management Department of Ishinomaki Senshu University, ILSI began conducting 'Ishinomaki Take10!' classes, in which mainly students participated. It is its 3rd generation now, and the sense and style of the students are changing little by little. So we have decided to shift from activities focused exercise to food and nutrition.Meanwhile, we received a request from a student volunteer team of reconstruction assistance in faculty of human studies established after the earthquake that they would like to work on Take101. So, in July 2017, we presented a lecture to them on Take10! Their activities started in November 2017 at meeting places in the temporary housing complexes.
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                      |  | Poster presentation at the 76th Annual Meeting of the Japanese Society of Public Health (Kagoshima) |   
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                      |  |  We presented a poster presentation on the appropriateness of food intake frequency score in a long-term care prevention project - comparison with dietary variety score of food intake. Dietary Variety Score of food intake (DVS) counts the amount of 10 food-groups consumed daily (a range from 0 to 10), and  is used as an outcome measure of the Nursing Care Prevention Project, especially for nutrition improvement by local governments. However, we think that focusing on daily intake does not always reflect changes in the subject's eating habits. Therefore, we developed a new index the "Food Intake Frequency Score" (FFS) that is on a scale from 0 to 30 with changes in frequency. In this analysis, we confirmed that there is a high positive correlation between the Dietary Variety Score and f Food Intake Frequency Score (criterion-related validity). In addition, because the Food Intake Frequency Score can give more detailed information on dietary habits, it may be more useful in the Nursing Care Prevention Project. (November 1, 2017)
 
 
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                      |  | The 13th year of "Sumida Take10!" was successfully implemented. |   
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                      |  |  This year, we used 3 venues, including a new venue the Sumida Ward General Gymnasium, and held 8 courses (4 months). Since this project covers only the first participants, we also support the establishment of voluntary circles for those who have completed the course to continue Take10!. Six circles whose group names were made up of the name of the place or the origin of formation such as "YY Take10!", "Nadeshiko Take10!", "Tachibana Take10!", "Nanatsuboshi Take10!", "Sunflower Take10!", and "Sky Take10!" have been formed so far. (November 29, 2017) |  
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                      |  | Achievements 
                        to date |   
                      |  | The first intervention study 
                        was conducted with 1,418 elderly in Nangai village, Akita 
                        Prefecture from July 2002 for one year. This study showed 
                        that TAKE10!® for the 
                        elderly can effectively be introduced to local communities 
                        and can improve regular physical exercise practices and 
                        dieting habits, maintain muscle strength and improve physiological 
                        functions. The result of the study was reported at the 
                        Annual Meeting of Japanese Society of Public Health in 
                        2004. Three national newspapers and eight local newspapers 
                        covered the study. More than 9,000 inquiries have been 
                        received, including inquiries from local government offices 
                        and organizations, and more than 25,000 copies of the 
                        booklets have been sold. DVD and cooking booklets (both 
                        in Japanese only) also can be available from the TAKE10!® 
                        website, http://take10.jp/chapter5.html#item01. 
                        The "Sumida TAKE10!®" program was started by Sumida 
                        Ward Government of Tokyo in October 2005, and more than 
                        1,100 elderly people have taken part in the program over 
                        eleven years. The program was conducted at four to six 
                        sites and included lecture sessions on the program and 
                        physical exercise practices. This is also designed as 
                        an intervention study and the results have consistently 
                        been reported at the annual meeting of Japanese Society 
                        of Public Health. Particularly, the results of the 2005 
                        Sumida TAKE10!® intervention 
                        study was published in the international journal "BMC 
                        Geriatrics". http://www.biomedcentral.com/1471-2318/13/8. 
                        Having receiving mandates from local governments all over 
                        Japan, social welfare councils, Silver Human Resources 
                        Centers, and some volunteer groups, we have trained TAKE10!® 
                        peer leaders and supporters. TAKE10!® 
                        programs are continuously being implemented in many regions 
                        around Japan. |   
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                      |  | Intervention 
                        studies using the TAKE10!® handbook |   
                      |  | Community-based 
                        intervention study 【Akita】 (2002-2003) Partner: Tokyo Metropolitan Institute of Gerontology
 
 
  
 An intervention study was conducted using 1,400 
                        elderly recidents of Nangai village, Akita Prefecture 
                        for one year starting in July 2002. The study proved that 
                        TAKE10!® for the elderly can effectively be introduced 
                        to local communities and can improve regular physical 
                        exercise practices and dietary habits, maintain muscle 
                        strength and improve physiological functions. The result 
                        of the study was reported at the Annual meeting of the 
                        Japanese Society of Public Health in November 2004. Three 
                        national newspapers and eight local newspapers covered 
                        the study. More than 10,000 inquiries have been received, 
                        including inquiries from local government offices and 
                        organizations, and more than 25,000 copies of the handbooks 
                        have been sold. Many lecture sessions by ILSI Japan CHP 
                        have been conducted. Lectures have also been given in 
                        Tokyo, Kanagawa, Aomori, Yamagata, Nagano, Gifu, Aichi, 
                        and Fukuoka.
 
 The 
                        summary is available in English (1).
 
 
 Sumida 
                        TAKE10!® 【Tokyo】 (2005-2006, the first year)
 Partner: The Sumida Ward Office
 
 A cross over study was conducted with 170 elderly 
                        people to evaluate the effect of the Sumida TAKE10!® 
                        program. The program began with a seminar "Nutrition 
                        for the Elderly" and then the participants learned 
                        proper dietary habits and exercise using the TAKE10!® 
                        handbook in a series of training sessions (5) organized 
                        every two weeks. As a result, dietary variety scores increased 
                        significantly and physical exercise habits improved (2). 
                        Furthermore, we found that physical exercise habits were 
                        sustained even at six months and one year following completion 
                        of the program (3).
 
 
 TAKE10!® for correspondence 
                        model 【Hokkaido】 (2008)
 Partner: Sapporo Medical University
 
 In December 2008, ILSI Japan CHP and Sapporo Medical University, 
                        Hokkaido undertook a joint study to verify the effectiveness 
                        of the correspondence version of the "TAKE10!® 
                        Program". As it is quite difficult for the elderly 
                        in rural areas or areas with heavy snow-fall to meet together 
                        and participate in health promotion programs, the development 
                        of alternative methods is necessary. About 130 elderly 
                        participants over 70-years-old from 3 districts (Toyako-cho, 
                        Makkari-village and Hidaka-cho) participated in this study. 
                        Results of this study related to physical exercise showed 
                        significant improvements in "normal walking speed" 
                        and in the "timed up & go test" among participants 
                        who frequently engage in physical exercise (4). 
                        Results related to dietary habits found significant improvements 
                        in the frequencies of intake of foods from the 10 main 
                        food groups in the Japanese diet (5).
 
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                      |  | Long-Term elder care prevention 
                        project commissioned by local governments |   
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 Sumida TAKE10!® 【Tokyo】 
                          (2005-2006, the eighth year)Partner: The Sumida Ward Office
 
 Since October 2005, a program to reduce nursing care 
                          called, Sumida TAKE10!®, has been implemented for 
                          elderly in general and elderly certified by the secondary 
                          prevention program in Sumida-ku, Tokyo. Every year, 
                          ILSI Japan CHP holds a seminar called "Nutrition 
                          for the Elderly" and 30 training sessions (five 
                          training sessions at six sites) using the TAKE10!® 
                          handbook. Under this program, ILSI Japan CHP staff provide 
                          direct guidance to the participants at each site. The 
                          training sessions consist of explanations on how to 
                          use the TAKE10!® check sheet (frequencies of main 
                          10 food groups in Japanese diet), and instruction on 
                          exercise habits and oral care. Furthermore, since 2007, 
                          we have also organized follow-up classes for elderly 
                          who have completed the basic classes. Each year, TAKE10!® 
                          classes gather more than 100 elderly for the main classes 
                          and more than 200 elderly for the follow-up classes, 
                          with a total of more than 900 elderly participating 
                          in the classes. We evaluated the effectiveness of this 
                          program using a questionnaire survey as well as before 
                          and after physical fitness measurements. The results 
                          show improvements in dietary habits, exercise habits 
                          and physical strength. We also observed a secondary 
                          effects, such as improved social interaction.
 
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                      |  | Training of TAKE10!® peer-leaders
 
 In order to respond to more requests from local 
                        governments, ILSI Japan is developing another TAKE10!® 
                        model utilizing local government personnel and voluntary 
                        groups consisting of local residents.
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                      |  | Tsuwano TAKE10!® 【Shimane】 (2007〜 on-going)
 Partner: Tsuwano Town Silver Human Resource Center
 
 In connection with a Ministry of Health, Labor and 
                        Welfare promoted care service volunteer system, Tsuwano 
                        Town asked ILSI Japan CHP to conduct a TAKE10!® peer-leaders 
                        training program for "nursing care prevention" 
                        for members of the Tsuwano Town Silver Human Resource 
                        Center. As a result of this training, twenty three members 
                        qualified to be "TAKE10!® peer-leaders" 
                        who will start local health care classes using the "TAKE10!®" 
                        handbook. Tsuwano TAKE10!® is expected to be one of 
                        the models used for promoting the TAKE10!® program.
 
 
 Masuda TAKE10!® 【Shimane】 
                        (2008〜 on-going)
 Partner: Mashuda City Silver Human Resource Center
 
 Since 2008, ILSI Japan CHP has accepted a commission from 
                        the City of Masuda to provide a "TAKE10!® peer-leaders 
                        training program" for "Masuda Silver Human Resource 
                        Center" members. Consequently, fifteen new "TAKE10!® 
                        peer-leaders" were born. Recently, "TAKE10!® 
                        peer-leaders" has held more than eighty nursing care 
                        prevention classes in local communities at the request 
                        of local community organizations. We expect that utilizing 
                        local, active elderly people as human resources for nursing 
                        care prevention can be an effective model for improving 
                        health in an aging society.
 
 
 Nishiki TAKE10!® 【Yamaguchi】 (2010〜 on-going)
 Partner: Iwakuni City Council of Social Welfare
 
 
  
 ILSI CHP Japan undertook a "TAKE10!® peer-leaders 
                        training program" sponsored by the Iwakuni City Council 
                        of Social Welfare and is conducting it in Nishiki-cho, 
                        Iwakuni City, Yamaguchi Prefecture. Twenty-three people 
                        who will be in charge of local initiatives for nursing 
                        care prevention have qualified as "TAKE10!® peer-leaders". 
                        As this group of people includes social workers and welfare 
                        workers who are most familiar with and responsible for 
                        elderly people living alone in local communities, great 
                        results can be expected from future community-based services 
                        and activities initiated by them.
 
 
 Edogawa TAKE10!® 【Tokyo】 (2011〜 
                        on-going)
 Partner: The Non Profit Organization "kokuminnkennkoukaigi"
 
 ILSI Japan was commissioned by kokuminnkennkoukaigi 
                        to organize a "TAKE10!® peer-leaders training 
                        program" for elderly people who completed the lectures 
                        on nursing care prevention in Edogawa-Sougou-Jinsei-Daigaku. 
                        Consequently, nine qualified as "TAKE10!® peer-leaders".
 
 
 Development of a TAKE10!® peer-leaders instruction 
                        package
 ILSI Japan CHP developed a manual package for leaders 
                        of local authorities and TAKE10!® peer-leaders in 
                        order to smoothly organize TAKE10!® classes using 
                        the TAKE10!® handbook. The package contains a leaders 
                        manual, a DVD for exercise, reference materials, food 
                        package samples, posters and a TAKE10!® handbook.
 
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                      |  | Promotion 
                        of TAKE10!® in collaboration with universities and 
                        institutions |   
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                      |  | Senboku Newtown Project 
                        【Osaka】 (2011〜 on-going)
 Partner: Graduate School of Human Life Science, Osaka 
                        City University
 
 With the aim of regenerating the community so that people 
                        can live healthier and more comfortable lives, a "Senboku 
                        Hottokenai Network" was organized to utilize 
                        community human and material resources. For example, the 
                        plan includes meal delivery services by elderly people, 
                        restaurants operated by people with disabilities, operation 
                        of shared facilities that utilize vacant stores, operation 
                        of reformed prefecture housing with elderly support. ILSI 
                        Japan CHP considers TAKE10!® to be a useful tool for 
                        the "Diet and Health Support Program", and organized 
                        TAKE10!® classes. In support of this program, Prof. 
                        Aoki, Graduate School of Human Life Science, Osaka City 
                        University is investigating the effect of a nursing care 
                        prevention program which includes meals prepared at shared 
                        facilities and TAKE10!® exercise.
 
 
 "TAKE10!® for the Elderly" in Vietnam 【Vietnam】 
                        (2011〜 on-going)
 Partner: National Institute of Nutrition, Vietnam
 Vietnam Public Health Association (VPHA)
 
 Although Vietnam has only just entered an era of societal 
                        aging, it is predicted that Vietnamese society will age 
                        even more rapidly than Japanese society. Therefore, they 
                        are considering measures to take early action, which include 
                        drawing on Japanese experiences. ILSI Japan CHP assists 
                        the VPHA in developing a Vietnamese version of TAKE10!®.
 
 
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                      |  | Promotion 
                        of TAKE10!® program through publications and seminars |   
                      |  | Publications |   
                      
                      
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                           As part of the TAKE10!® Program, we prepared 
                            our cookbook by focusing on the following points: 
                            1) large font printing, 2) inclusion of many photographs 
                            to visually display recipes, and 3) efforts to encourage 
                            people to try cooking new dishes. (We appreciate the 
                            research grant from J-Milk and the technical support 
                            of the professors and the cooking laboratory of the 
                            Tokyo Dietitian Academy.)  |   
                      |  |  
                        "TAKE 10!® DVD Basics and 
                        Advanced (Only in Japanese) |   
                      
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                              This DVD offers a basic understanding of TAKE10!® 
                              by explaining the dietary habits recommended in 
                              the TAKE10!® Program. It also offers new physical 
                              activities for use as entertainment for those who 
                              have been practicing TAKE10!® for several years 
                              already. This DVD is suitable not only to be watched 
                              in the home, but also by groups such as gatherings 
                              of neighborhood elderly groups, public welfare service 
                              organized exercise classes at community centers, 
                              or health care programs in nursing homes. ("TAKE10!® 
                              DVD Advanced" was sponsored in part by Coca-Cola 
                              (Japan) Co., Ltd., 2009)  |   
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                      |  | Seminars (2011) |   
                      |  | February | Sumida ward, Tokyo |   
                      |  | June | Setagaya ward, Tokyo |   
                      |  | October | Setagaya ward, Tokyo |   
                      |  | November | Edogawa-Sougou-Jinsei-Daigaku, Tokyo |   
                      |  | November | Sumida ward, Tokyo |   
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                      |  | Conference 
                          presentations (2011) |   
                      |  | October | The Japanese Society of Public 
                        Health Annual Meeting, Akita |   
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                      |  | Seminars (2010) |   
                      |  | March | Sumida ward, Tokyo |   
                      |  | June | Edogawa-Sougou-Jinsei-Daigaku, Tokyo |   
                      |  | September | The Japanese Society of Nutrition and Dietetics 
                        Symposium, Tokyo |   
                      |  | November | Shinagawa ward, Tokyo |   
                      |  | November | Edogawa-Sougou-Jinsei-Daigaku, Tokyo |   
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                      |  | Conference 
                          presentations (2010) |   
                      |  | October | The Japanese Society of Public Health Annual 
                        Meeting, Tokyo |   
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                      |  | Newspapers, 
                          magazines, TV (2010) |   
                      |  | April | NHK TV program, "Tameshite Gatten" |   
                      |  | June | The Daily Yomiuri |   
                      |  | July | The Nikkei Weekly |   
                      |  | August | NHK TV program Morning News |   
                      |  | September | Magazine NHK "Tameshite Gatten" |   
                      |  | October | Magazine Momo |   
                      |  | November | Magazine Healthcare restaurant |   
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                      |  | Publications |   
                      | 
                           
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                            | 1 |  | Shu 
                              Kumagai, Community-directed Intervention Trial to 
                              Prevent Disabilities with  Advancing Aging for the 
                              Functionally Competent Community-living Senior Citizens 
                              - Effects of TAKE10!® Program Comprised Exercise 
                              and Nutrition on the Muscle Strength and Nutritional 
                              Status, ILSI No.81, 2005. |   
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                            | 2 |  | Kimura 
                              et. al., Poster presentation, Japanese Society 
                              of Public Health Annual Meeting, Toyama, October 
                              2006. |   
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                            | 3 |  | Kimura 
                              et. al, Poster presentation, Japanese Society 
                              of Public Health Annual Meeting, Fukuoka, October 
                              2008. |   
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                            | 4 |  | Furuna 
                              et. al, The influence of frequency of intervention 
                              via mail on physical and social function - Examination 
                              in community-dwelling older adults living in rural 
                              are of northern Japan, Journal of Society for Applied 
                              Gerontology - Japan, Vol 5 (1), 2011. |   
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                            | 5 |  | Kimura 
                              et. al, Poster presentation, Japanese Society 
                              of Public Health Annual Meeting, Tokyo, October 
                              2010. |  |   
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                      |  | Donors 
                        and supporting organizations  
                        (Alphabetic order) |   
                      |  | The programs of ILSI CHP Japan 
                        have been supported by donations from the public and private 
                        sector. ILSI CHP Japan very much appreciates the generous 
                        contributions. |   
                      |  |  
                          Ajinomoto Co., Inc. Kao Corporation
 Suntory Holdings Limited
 J-milk (Japan Dairy Association)
 Nichirei Corporation
 Coca-Cola (Japan) Co., Ltd.
 Nestle Japan Ltd.
 Meiji Co., Ltd.
 
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                      |  | Scientific 
                        advisors |   
                      |  |  
                          Prof. Shuichi Kimura, Professor Emeritus, Tohoku 
                            University Prof. Shu Kumagai, Faculty of Health Sciences,
 University of Human Arts and Sciences
 Dr. Takao Suzuki, Director, Research Institute,
 National Center for Geriatrics and Gerontology
 Prof. Taketo Furuna, Department of Physical Therapy,
 School of Health Sciences, Sapporo Medical University
 
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          | (July 2018) |  | 
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