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The number of prefectural target indicators that match national targets of Health Japan 21 (the second term)

Information on health promotion plans of each prefecture, published by May 31, 2019, was obtained from the website of each local government.(1)

目標項目数が44項目より多い都道府県は、岩手県、栃木県、群馬県、千葉県、神奈川県、山梨県、長野県、静岡県、滋賀県、愛媛県、長崎県、鹿児島県の12県。
目標項目数が38~44項目の都道府県は、北海道、秋田県、富山県、福井県、岐阜県、愛知県、奈良県、和歌山県、山口県、徳島県、福岡県、佐賀県、沖縄県の13道県。
目標項目数が29~37項目の都道府県は、青森県、福島県、茨城県、三重県、大阪府、鳥取県、岡山県、広島県、香川県、熊本県、宮崎県の11府県。
目標項目数が29項目未満の都道府県は、宮城県、山形県、埼玉県、東京都、新潟県、石川県、京都府、兵庫県、島根県、高知県、大分県の11都府県でした。

Best 5 prefectures for the number of target indicators

Prefecture Title of Prefectural Health Promotion Plans The number of indicators
Gunma Spirit prefectural Gunma 21 (the second) 60
Ehime Ehime Health Promotion 21 52
Chiba Healthy Chiba 21 51
Yamanashi Health Yamanashi 21 (the second term) 50
Kagoshima Healthy Kagoshima 21 48

The prefectural targets which were established by all 47 prefectures.

  • Decrease in mean salt intake

    →Salt reduction may be considered as an important indicator, owing to the association with hypertension and the risk of heart diseases(2,3),which is the second prominent cause of mortality in Japan(4).

  • Increase in consumption of vegetables and fruits

    →It has not been achieved yet, although it is a target of Health Japan 21 (the second term). No significant change in consumption of vegetables from 2008 to 2018 in Japanese(5)may be the reason for setting the indicator.

  • Reduction in percentage of individuals who do not take rest through sufficient sleep.

    →It has not been achieved yet, although it is a target of Health Japan 21 (the second term).
    It may be considered as an important indicator, owing to a significant increase in percentage of individuals who do not take rest through sufficient sleep between 2008 and 2018 in Japanese(5).

  • Reduction in percentage of adult smoking rate (quit smoking among smokers who want to quit smoking)

    →The national government enhance the measures to prevent passive smoking and to support smoking cessation, as Japan signed WHO Framework Convention on Tobacco Control in 2004.

  1. Matsumoto M et al. Jpn J Nutr Diet. 2020 78 (3) 121-130
  2. Miura K et al. J Epidemiol. 2010. 20. 524-530.
  3. Umesawa M et al. An J Clin Nutr. 2008. 88. 195-202.
  4. Ministry of Health, Labour and Welfare. Vital Statistics in Japan, 2017.
  5. Ministry of Health, Labour and Welfare. National Health and Nutrition Survey in Japan, 2017.