{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T16:57:41Z","timestamp":1790441861471,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,2,13]],"date-time":"2019-02-13T00:00:00Z","timestamp":1550016000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100008040","name":"Kao Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008040","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Obesity"],"published-print":{"date-parts":[[2019,2,13]]},"abstract":"<jats:p><jats:italic>Background and Objectives<\/jats:italic>. The increased prevalence of metabolic syndrome necessitates the establishment of tools for evaluating dietary factors associated with visceral fat accumulation and preventing visceral fat obesity. Here, we aimed to develop a dietary factor assessment tool for evaluating visceral fat accumulation. <jats:italic>Methods<\/jats:italic>. We conducted a dietary habit questionnaire survey and visceral fat measurement by bioelectrical impedance analysis in 11,438 adults (Survey 1) and a dietary habit questionnaire survey and dietary assessment based on 3-day meal records in 579 adults (Survey 2). Dietary habit factors were identified by factor analysis with varimax rotation, and their relationship with visceral fat accumulation and major nutrients were analyzed. <jats:italic>Results<\/jats:italic>. Factor analysis of the dietary habit questionnaire revealed the following five main dietary factors: \u201cAppetite (15 questions),\u201d \u201cHealthy food choice (5 questions),\u201d \u201cSedentary behavior (6 questions),\u201d \u201cCalorie restriction (5 questions),\u201d and \u201cIrregular mealtime (4 questions).\u201d \u201cAppetite\u201d correlated positively with visceral fat accumulation and energy intake mainly from carbohydrate. \u201cHealthy food choice\u201d correlated negatively with visceral fat accumulation and positively with the protein\/fat ratio, dietary fiber\/carbohydrate ratio, and N-3 fatty acid\/fat ratio. Dietary guidance to modify excess energy intake and increase nutritional balance might be effective toward preventing visceral fat accumulation. <jats:italic>Conclusions<\/jats:italic>. The dietary factor assessment tool developed in this study can be used to diagnose problems related to dietary habits and provide guidance for dietary modifications aimed at preventing visceral fat accumulation.<\/jats:p>","DOI":"10.1155\/2019\/9497861","type":"journal-article","created":{"date-parts":[[2019,2,13]],"date-time":"2019-02-13T18:33:04Z","timestamp":1550082784000},"page":"1-10","source":"Crossref","is-referenced-by-count":12,"title":["Development of a Dietary Factor Assessment Tool for Evaluating Associations between Visceral Fat Accumulation and Major Nutrients in Japanese Adults"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1185-7141","authenticated-orcid":true,"given":"Hideto","family":"Takase","sequence":"first","affiliation":[{"name":"Biological Science Research, Kao Corporation, 2-1-3, Bunka, Sumida-ku, Tokyo 131-8501, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Sakane","sequence":"additional","affiliation":[{"name":"Division of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, 1-1, Fukakusamukaihata-cho, Fushimi-ku, Kyoto 612-8555, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshihisa","family":"Morimoto","sequence":"additional","affiliation":[{"name":"Consumer Products\u2013Human Health Care Business, Kao Corporation, 1-14-10, Nihonbashi Kayaba-cho, Chuo-ku, Tokyo 103-8210, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takanobu","family":"Uchida","sequence":"additional","affiliation":[{"name":"Consumer Products\u2013Human Health Care Business, Kao Corporation, 1-14-10, Nihonbashi Kayaba-cho, Chuo-ku, Tokyo 103-8210, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenta","family":"Mori","sequence":"additional","affiliation":[{"name":"Health Care Food Research, Kao Corporation, 2-1-3, Bunka, Sumida-ku, Tokyo 131-8501, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuhiro","family":"Katashima","sequence":"additional","affiliation":[{"name":"Health Care Food Research, Kao Corporation, 2-1-3, Bunka, Sumida-ku, Tokyo 131-8501, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihisa","family":"Katsuragi","sequence":"additional","affiliation":[{"name":"Health Care Food Research, Kao Corporation, 2-1-3, Bunka, Sumida-ku, Tokyo 131-8501, 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