“Paradigm Shift in Nutrition and Diet: Demand-Side Approach and Innovation”
N4G's New Challenge: Bridging Nutrition Divides from Tokyo to France
PMAC Side Event

2024. 1. 23Yasuhisa Shiozaki

The French Nutrition Summit: Leading the Paradigm Shift in Nutrition and Diet
Paradigm Shift●Supply-side judgement➡ Demand-side judgement●Aggregate data

➡ Personal data

Likely Development

Policy Outcomes▼ Personalized solutions innutrition and dietComprehensive individual-level
nutrition solutions (“HumanNutrition”)▼ Comprehensive digital
data on nutrition and diet

▼ Easy monitoring of dataon personalized nutrition➡ Outcome-based evaluationand diet●Quantity expansion▼ Promotion of big data
➡ Quality improvement
analysis andconsolidated analysis●Data silos
with medical and other➡ Data integration
data●Input-based evaluation

Development of flat andinclusive community withdiversity (including disability andallergy challenges)
Human resource development,deployment and management
for nutritional professionals withdiverse skills and understanding
Better governance for
personalized nutrition and diet1

A "nutrition app" that scientifically monitors your nutritional status②①③BasicinformationNew
registration

Nutrition assessment(6）for each age group)

Use: About once every one to three months
Required input time:
About eight minutes for first use
About five minutes for second andsubsequent uses

Dietary habit improvement⑥Advice.

.

⑤④

Dietary intake
frequency survey(21）

Nutrition
evaluation

Use frequency: Input about once every 1 to 3 months
Input first time : Approximately 8 minutes
After the second time: Approximately 5 minutes

Patent pending: Patent application 2020-179476, patent applicant: Ehime University/Kyoto University2"Nutrition app" that calculates nutritional intake based on eating habits and food intake frequency
No.

Question

12345678910111213
14
15

How much staple food do you eat a day?

161718
1920

How are your daily dishes seasoned?

How often do you eat potato dishes?
How often do you eat natto and soybeans?
How often do you eat tofu and soybean-processed products?

How often do you eat eggs?
How often do you eat seafood?
How often do you eat meat?
How often do you eat processed meat and fish products?
How often do you eat vegetables?
How often do you eat fruits?
How often do you eat mushrooms, seaweed, and konnyaku?

How often do you eat almond, peanut, and other nuts?
How often do you eat stir-fried and deep-fried food?
How often do you have milk and yogurt?
How often do you eat pickles, pickled plums, and foods
boiled in sweetened soy sauce?
How often do you eat soup?
How often do you eat confectionery (including pastries)?
How often do you have soft drinks (sports drinks and juice)?

How often do you have alcoholic beverages?

The nutrient intake is calculated from the weekly
or daily intake frequency of each item.

Example: No. 5 (smartphone survey screen)
How often do you eat eggs?
⦿ Every day〇 5 or 6 days a week
〇 3 or 4 days a week
〇 1 or 2 days a week
〇 Rarely eat
How many eggs doyou eat a day intotal?
〇 Half an egg〇 1 egg
⦿ 2 eggs〇 3 or more eggs

Salt content of food① Amounts of food, food groups, averageintake and frequency of intake for Japanesepeople② Calculate the amount of sodium・Frequency of intake: each food/food group:
pickles, pickled plums, tsukudani, soups
・Taste (tendency):light, normal, sweet and salty,
soy sauce salty, salty* Regarding trends in the use of seasonings foreach answer calculated:the National Nutrition
Survey/the National University Hospital/ Nutrition
Department Conference Survey③ Salinity formula:Salt (equivalent amount)
g=Sodium amount (mg) x 2.54/1,0003

Calculation of nutritional intake and suggestions for improvement by using
the “Nutrition App”

Basic
information①register results
Nutritional
assessment

Physicalinformation 7
items②register resultsIntake
frequency byfood group 20
items

Nutritional valueof each foodFrequency factor
by food group③register results
Amount perservingAmount offood intake
each time 20
items

Registration of
intake ofnutritional
supplements
and special
foods

Intake by eachfoodusing a coeﬃcient④register results

Nutritional valueofspecialty foods
Calculated
target nutrients(Automatic or Enter the nutritionalamount recommended by your doctor)≪Results≫
Based on nutritional
evaluation andnutritional intake,determine whether
the intake amount isexcessive or
insufficient comparedto the requirednutritional amount.

Improvement by
individualor family

Nutritional status
risk assessment
Suggestions for
improving eating
habitsReassessment
periodConsult an expert
for Medical/Nursing care4Can be converted into a "nutrition app" with question content and calculation formulas tailoredto each countryʻs food culture, etc. （Example Thailand）（No.

Question1

How much staple food do you eat a day?

2

How often do you eat potato dishes?

3

How often do you eat natto and soybeans?

4

How often do you eat tofu and soybean-processed products?

5

How often do you eat eggs?

6

How often do you eat seafood?

7

How often do you eat meat?

8

How often do you eat processed meat and fish products?

9

How often do you eat vegetables?

10

How often do you eat fruits?

11

How often do you eat mushrooms, seaweed, and konnyaku?

12

How often do you eat almond, peanut, and other nuts?

13

How often do you eat stir-fried and deep-fried food?

14
15

How often do you have milk and yogurt?

16

How are your daily dishes seasoned?

17

How often do you eat soup?

18

How often do you eat confectionery (including pastries)?

1920

How often do you have soft drinks (sports drinks and juice)?

Thailand（Staple food example）①

Khao (rice)②

Khao Niao (glutinous rice)③

Senmi, senrek, senyai, bami (noodles)

How often do you eat pickles, pickled plums, and foods boiled
in sweetened soy sauce?

How often do you have alcoholic beverages?

5Even older people can easily calculate their own nutritional intake using a nutrition app
for behavioral change based on scientific evidence

35people
2.3％■

comprehend■incomprehensible■No answer

1,172people,78.4%

Consult with medical/nursing
facilities, public health centers,
and regional comprehensive
support centers.

1,330people
89.0％

Improve and maintainthemselves or by their family

109people,7.3%

138people,9.2%

130people,8.7%

No answer

130people
8.7％

Figure２ Behavioral change throughthe use of “nutrition apps”

No change

Figure１
Level of understanding of nutritional intake
and nutritional improvement points

Older people in need of care who use outpatient services or in-home services, and elderly people who live
independently in the community (1,862 people)
Period: October 17, 2022 (Monday) to February 12, 2023 (Sunday)
Source： Ministry of Health, Labor and Welfare, Elderly Health Promotion Project, FY2020(Research : NEC Corporation)
Report on Research Project on Nutrition and Dietary Support for Home-based Elderly People using ICT etc.
Partially modified by Yasuhisa Shiozaki Office6