㣗⫱ࡼࡿ㣗⾜ືཬࡧព㆑ᛶᕪࡀཬࡰࡍᙳ㡪
᳃ᒣ ୕༓Ụࠊᑠᓥ ⱱ⩏ࠊᰘ⏣ Ύ ឡ▱ᏛἨᏛ
Influence on behavior and awareness after dietary education by gender difference
Michie Moriyama, Sigeyoshi Kojima, Kiyoshi Shibata
࣮࣮࢟࣡ࢻ㸸㣗⫱ dietary education ࠊᛶᕪ gender differenceࠊ㣗ࡲࡿࣇࣈ syokumaru-fiveࠊ
⤥㣗 school lunch
ࡣࡌࡵ
㏆ᖺࠊ⏕ά⩦័Ⓨࡢపᖺ㱋ࡸ㣗⩦័ࡢ
ࢀࡽᚰ㌟ࡢⓎ㐩ཬࡰࡍᙳ㡪ࡀᏛ❺ᮇࡸᛮ
ᮇࡢⱝᖺᒙ࡛ぢࡽࢀࡿሗ࿌ࡀ ࠥከࡃ࡞ࡉࢀࠊ Ꮚࡶᑐࡍࡿ㣗⫱ࡀ┒ࢇ⾜ࢃࢀࡿࡼ࠺࡞
ࡗ࡚࠸ࡿࠋࡋࡋࠊ㣗ࡣ⏕ά⩦័ࡢ୍㒊࡛࠶
ࡾࠊಖㆤ⪅ࡢ♫㝵ᒙࡸ㣗ᑐࡍࡿព㆑ࡀ␗࡞
ࡿࡇࡽࠊಖㆤ⪅ࡢᏛṔࡸ⤒῭࣭♫㝵ᒙࡢ 㐪࠸ࡀ㣗⩦័ࡸᰤ㣴ᦤྲྀ㔞ᙳ㡪ࡋࠊࡉࡽࡣ Ꮚࡶࡢ⫧‶࡞ࡢయᆺࢆጞࡵ⏕ά⩦័ࡢⓎ
ࡲ࡛㛵ࡍࡿࡢ࡛ࡣ࡞࠸ゝ࠺ሗ࿌ࡶࡉ
ࢀ࡚࠸ࡿࠥࠋ
ࡇࡢࡼ࠺࡞ಖㆤ⪅ࡢ⤒῭ⓗ࠶ࡿ࠸ࡣ♫ⓗ࡞
㝵ᒙࡢ㐪࠸ࡼࡿ㣗⩦័ࡢ㐪࠸ࡀ㌟ࡃ๓ࠊ 㣗ᑐࡍࡿṇࡋ࠸▱㆑ࡸ㣗⩦័ࢆᵝࠎ࡞ᐙᗞ⎔
ቃୗ࡛᪥ᖖ⏕άࢆ㏦ࡿᏊࡶ㐩➼ࡋࡃ㌟ࡘ ࡅࡉࡏࡿ᪩ᮇࡽࡢ㣗⫱ࡀᚲせ࡛࠶ࡿࠋࡋࡋࠊ పᖺ㱋ࡢᗂඣ࣭ඣ❺ࡣ㧗Ꮫᖺྠࡌࡼ࠺࡞㣗
⫱ࡢᡭἲࢆ⏝࠸࡚ࡶࠊゝㄒ⬟ຊࡢ㐪࠸ࡽᩥᏐ
ࡸゝⴥࡢ⌮ゎຊࡀపࡃࠊᩍ⫱ࡢຠᯝࢆ㧗Ꮫᖺ
ྠࡌࡼ࠺ᚓࡿࡣ㞴ࡋ࠸⪃࠼ࡽࢀࡿࠋ ࡑࡇ࡛ࠊᮏ◊✲࡛ࡣపᖺ㱋ᒙࡼࡾẖ᪥ࡢ⤥㣗
㣗⫱ࢆཷࡅ࡚ࡁࡓඣ❺ࡑ࠺࡛࡞࠸ඣ❺ࡀࠊ ᖺ㛫ࢆ㐣ࡈࡋࡓᚋ㣗⾜ືࡸព㆑ࡢࡼ࠺
࡞ᕪࡀ⏕ࡌࡿ㣗Ṕἲ㉁ၥ⚊ࢆ⏝࠸᳨࡚ウࡍ
ࡿࢆ┠ⓗࡋࡓࠋపᖺ㱋ᒙᑐࡍࡿ㣗⫱ࡢᡭ ἲࡋ࡚࢟ࣕࣛࢡࢱ࣮ࢆ⏝࠸ࡓࠗ㣗ࡲࡿࣇ
ࣈ࠘ࡼࡿ㣗⫱ ࠥࢆྲྀࡾධࢀࠊ ᖺ⏕ࡽ
ᖺ⏕ẖ᪥ࡢ⤥㣗ࡸᤵᴗࡢ୰࡛㣗⫱ࢆ⾜ࡗ࡚࠸
ࡿ㣗⫱᥎㐍ᰯࢆㄪᰝᑐ㇟ࡋࡓࠋ࢟ࣕࣛࢡࢱ࣮
ࡣࠊࡑࢀࡒࢀ㣗ࣂࣛࣥࢫ࢞ࢻࡢ༊ศࡽ࡞
ࡾࠊࡈ㣤ࡸࣃ࣭ࣥ㯝➼ࡢ㣗ࢆ♧ࡍࠕࡾࡁࡲࡿࠖࠊ 㔝࣭⳯ࡁࡢࡇ࣭࠸ࡶ࣭ᾏ⸴➼ࢆྵࡴࠕ࣋ࢪࡲࡿࠖࠊ
⫗࣭㨶࣭༸࣭㇋➼ࡢࠕࡃࡲࡿࠖࠊ∵ங࣭ங〇 ရ࡛࠶ࡿࠕࡡࡲࡿࠖᯝ≀ࢆ♧ࡍࠕࣇ࣮ࣝࢶࡲ
ࡿࠖࡢ ே࡛࠶ࡿࠋࡑࢀࡒࢀࡢᛶูࠊᏛᖺࠊᛶ ᱁ࠊㄌ⏕᪥ࠊ⾑ᾮᆺࡽ㊃ࠊ≉ᢏ➼ࡶ⤂ࡉ
ࢀ࢟ࣕࣛࢡࢱ࣮ࡀඣ❺ࡓࡕࡼࡾ㌟㏆ឤࡌࡿ
ࡼ࠺≉ᚩࡅࡽࢀ࡚࠸ࡿࠋࢧࢵ࣮࢝ࡀᚓព࡞
ࠕࡃࡲࡿࠖࡸࢫ࣏࣮ࢶ⬟࡞ࠕࡡࡲࡿࠖࡀ
㌟యࢆືࡍࡇࡢᴦࡋࡉࢆㄒࡾࠊࠕ࣋ࢪࡲࡿࠖ
ࡣపᖺ㱋ࡢᏊࡶ㐩ࡀ㔝⳯ࢆ᎘࠺ࡓࡵࠊ࠸ࡘࡶ
᎘ࢃࢀ࡞࠸࠾࠾ࡋ࡚࠸ࡿ࢟ࣕࣛࢡࢱ࣮
ࡋ࡚⨨࡙ࡅࡽࢀ࡚࠾ࡾࠊࠕ࣋ࢪࡲࡿࠖぶ㏆ឤ
ࢆឤࡌࡿ㔝⳯ࡑࡢࡶࡢࡶ᎘ࢃ࡞ࡃ࡞ࡿࡼ࠺
ᕤኵࡀ࡞ࡉࢀ࡚࠸ࡿࠋࡉࡽࠊ㧗Ꮫᖺ࡞ࡿ
⮬ศࡓࡕࡀ࢟ࣕࣛࢡࢱ࣮ᢃࡋ࡚ࠊపᏛᖺࡢඣ
❺ᑐࡋ࡚㣗ࡢษࡉࢆఏ࠼ࡿ❧ሙ࡞ࡿࠋ ࡇࡢࡼ࠺࡞㣗⫱ࢆᑠᏛᰯධᏛࡼࡾཷࡅ⥆ࡅࡓ ඣ❺ࡣ㣗ᑐࡍࡿព㆑ࡸ㣗⾜ືࠊࡢࡼ࠺
ᙳ㡪ࢆཷࡅࡿࢆ᳨ウࡍࡿࡓࡵࠊྠ୍ᕷෆ࡛
ྠࡌ⤥㣗ࢆ㣗ࠊಖㆤ⪅ࡢ⤒῭ᒙࡸ♫㝵ᒙࡀ
ࡁࡃ␗࡞ࡽ࡞࠸㞄᥋ࡍࡿᰯ༊࡛࠶ࡾࠊ≉ู࡞
㣗⫱ࢆཷࡅ࡚࠸࡞࠸ඣ❺ẚ㍑ࡋࡓࠋ ࡉࡽࠊ㧗Ꮫᖺ࡞ࡿⓎ㐩ࡢ㐪࠸ࡽ⏨ዪ ࡢᛶᕪࡀࡣࡗࡁࡾࡋࠊዪᏊඣ❺ࡣ⑭㌟㢪ᮃࡀ
⌧ࢀࡿࡼ࠺࡞ࡿࠋࡑࡢࡓࡵࠊྠࡌ㣗⫱ࢆཷࡅ
࡚ࡶ⏨ዪ࡛㣗ࡢព㆑ࡸ⾜ືఱࡽࡢ㐪࠸ࡀ⏕
ࡌࡿ࠺ࢆ㏣㊧ࡋࠊࡇࡢ㣗⫱ࡢᡭἲࡀຠᯝ
ⓗ࡛࠶ࡿࡘ࠸࡚ࡶ᳨ウࡍࡿࡇࡋࡓࠋ
ᐇ㦂᪉ἲ
1.⿕㦂⪅
ᑠᏛᰯධᏛࡼࡾࠕ㣗ࡲࡿࣇࣈࠖࡼࡿ⊂
⮬ࡢ㣗⫱ࢆ6ᖺ㛫ཷࡅ࡚ࡁࡓឡ▱┴ෆࡢ㣗⫱᥎ 㐍ᰯ㸦௨ୗAᑠᏛᰯ㸧ࡢ6ᖺ⏕ࡘ࠸࡚23ᖺ ᖺᗘ115ྡ24ᖺᗘ 124ྡࡢィ239ྡ6ᖺ 㛫≉ู࡞㣗⫱ࢆཷࡅ࡚࠸࡞࠸ྠᕷෆࡢAᑠᏛᰯ
㞄᥋ࡍࡿ㸦௨ୗBᑠᏛᰯ㸧ࡢ6ᖺ⏕23ᖺᗘ 106ྡཬࡧࠊ24ᖺᗘ75ྡࡢィ181ྡࠊ࡞࠾ࠊ AᑠᏛᰯBᑠᏛᰯࡣ༞ᴗᚋྠ୍ࡢ୰Ꮫᰯධ Ꮫࡍࡿᆅ༊࡛࠶ࡿࠋ
2.ㄪᰝ᪉ἲ
⡆ ᫆ ᆺ ⮬ グ ᘧ 㣗 Ṕ ἲ ㉁ ၥ ⚊ EULHIW\SH VHOIDGPLQLVWHUHGGLHWKLVWRU\%'+4\
ࡼࡿㄪᰝࢆ୧ᖺᗘࡶ ᭶ࡽ ᭶ࡅ
࡚⾜ࡗࡓࠋ
࡞࠾᭷ຠゎ⟅ᩘࡣ᥎㐍ᰯࡀ ྡ⏨Ꮚ ྡࠊ ዪᏊ ྡࠊ୍⯡ᰯࡀ ྡ⏨Ꮚ ྡࠊዪᏊ ྡ࡛࠶ࡗࡓࠋ㌟㛗ࠊయ㔜ࠊ㣗ရཬࡧྛᰤ㣴
⣲ࡢᦤྲྀ㔞ࠊࡉࡽ㌟㛗య㔜ࡢ✚ࡼࡿయ᱁
ྛ㣗ရࡢᦤྲྀ㔞┦㛵㛵ಀࡀ࠶ࡿ࠺ࢆ
⏨ዪู㏣㊧ࡋࡓࠋᚰ㌟ࡢᡂ㛗ࡀⴭࡋ࠸ᖺ㱋ᒙ ࡢඣ❺㣗⫱ࢆ⾜ࡗࡓ㝿⏨ዪࡼࡿ㣗ࡢព
㆑࣭⾜ື≉ᛶࡀࡢࡼ࠺␗࡞ࡿࢆ᳨ウࡋࠊ
ᚋࠊ㣗⫱ࢆ㐍ࡵࡿ㝿ὀពࡍࡿࡁᣦᶆ
࡞ࡿ㡯ࢆᶍ⣴ࡍࡿࡇࡋࡓࠋ
⤖ᯝ࠾ࡼࡧ⪃ᐹ
1.㌟య ᐃ
㸧㌟㛗
Ꮫᰯಖ⤫ィㄪᰝ㸦ᖹᡂ ᖺᗘ㸧ࡢ⤖ᯝ࡛
ࡣᑠᏛ ᖺ⏕ࡢᖹᆒ㌟㛗ࡣ⏨Ꮚࡀ FPࠊዪ Ꮚࡀ FP ࡞ࡗ࡚࠸ࡿࠋ$ ᑠᏛᰯ % ᑠᏛ
ᰯ࡛ࡣ⏨ዪࡶ᭷ព࡞ᕪࡣぢࡽࢀ࡞ࡗࡓࡀࠊ ᖹᆒ್ࡋ࡚ࡣ $ ᑠᏛᰯࡢ᪉ࡀࡸࡸᑠࡉ࠸ゝ
࠺⤖ᯝ࡛࠶ࡗࡓࠋ
$ ᑠᏛᰯࡢ⏨Ꮚࡣᅜᖹᆒࡼࡾ FP ዪᏊࡣ FP ࡁࡃࠊ% ᑠᏛᰯࡢ⏨Ꮚࡣ FP ዪᏊࡣ FP ࡁ࠸ゝ࠺⤖ᯝ࡛࠶ࡗࡓࠋࡋࡋࠊࡇ ࡢ⤫ィㄪᰝࡀẖᖺ ᭶ࡽ ᭶ࡅ࡚ྲྀࡽࢀ
࡚࠾ࡾࠊ୰Ꮫᰯ ᖺ⏕ࡲ࡛ ᖺ㛫࡛ᖹᆒ್ࡀ
⏨Ꮚࡣ FPࠊዪᏊࡣ FP ఙࡧ࡚࠸ࡿࡇࢆ
⪃࠼ࡿᅇࡢㄪᰝࡀ Ꮫᮇ࡛࠶ࡾࠊ ᖺ㛫 ࡢఙࡧࢆ⪃࠼ࡿࠊ$ ᑠᏛᰯࡣ⏨ዪࡶࡸࡸᑠ
࡛ࡣ࡞࠸⪃࠼ࡽࢀࡿࠋ 㸧య㔜
య㔜ࡣ $ ᑠᏛᰯ % ᑠᏛᰯ࡛ࡣ⏨Ꮚ࡛ࡣ᭷ព࡞
ᕪࡣぢࡽࢀ࡞ࡗࡓࡀࠊዪᏊ࡛ࡣ % ᑠᏛᰯࡢ᪉ ࡀ᭷ពS㔜ࡗࡓࠋ
Ꮫᰯಖ⤫ィㄪᰝ⤖ᯝࡢᖹᆒయ㔜࡛࠶ࡿ⏨Ꮚ NJࠊዪᏊ NJ ẚࡿ⏨Ꮚࡣࡕࡽࡢ ᑠᏛᰯ࡛ࡶࡰྠࡌ࡛࠶ࡗࡓࡀࠊዪᏊ࡛ࡣ $ ᑠ Ꮫᰯࡣࡸࡸ㍍ࡃࠊ% ᑠᏛᰯࡣࡸࡸ㔜࠸࠸࠺⤖
ᯝ࡛࠶ࡗࡓࠋ୰Ꮫ୍ᖺࡲ࡛ࡢ1ᖺ㛫࡛⏨Ꮚ5.6kg
ዪᏊ4.3kgቑຍࡋ࡚࠸ࡿࡇ2Ꮫᮇࡢయ㔜
ゝ࠺ࡇࡶ⪃࠼ྜࢃࡏࡿࠊAᑠᏛᰯࠊBᑠ Ꮫᰯࡶయ㔜ࡣᅜᖹᆒࡼࡾࡶ㍍ࡃࠊ≉Aᑠ ᏛᰯࡢዪᏊࡣ≉㍍࠸⪃࠼ࡽࢀࡓࠋ 2.㣗ㄪᰝ
1㸧࢚ࢿࣝࢠ࣮ᦤྲྀ㔞
࢚ࢿࣝࢠ࣮ᦤྲྀ㔞ࡣዪᏊ࡛ࡣ᭷ព࡞ᕪࡣぢࡽ
ࢀ࡞ࡗࡓࡀࠊ⏨Ꮚ࡛ࡣAᑠᏛᰯࡢ᪉ࡀ᭷ព
( p<0.05 )ከࡃᦤྲྀࡋ࡚࠸ࡓࠋࡋࡋࠊ⏨Ꮚࡢయ ᱁ࢆぢࡿయ㔜ࡣࡰ➼㔞࡛ࠊ㌟㛗ࡣAᑠᏛᰯ
ࡢ᪉ࡀᖹᆒ್ࡋ࡚ࡣࡸࡸప࠸ࡇࡽࠊᦤྲྀ
࢚ࢿࣝࢠ࣮ࡀከ࠸ࡶ㛵ࢃࡽࡎࠊయᆺࡋ࡚ᑠ
࡞ࡢࡣᾘ㈝ࡍࡿ࢚ࢿࣝࢠ࣮㔞ࡀAᑠᏛᰯࡢඣ
❺ࡢ᪉ࡀከ࠸ࡢ࡛ࡣ࡞࠸᥎ᐹࡉࢀࡿࠋࡇࢀ
ࡣࠊዪᏊࡢ࢚ࢿࣝࢠ࣮ᦤྲྀ㔞ࡣAᑠᏛᰯࡀ᭷ព
( p<0.05 )ከ࠸ࡶ㛵ࢃࡽࡎࠊ㌟㛗࡛ࡣ᭷ព࡞
ᕪࡀ࡞࠸ࡶࡢࡢᖹᆒ್ࡋ࡚ࡣAᑠᏛᰯࡢ᪉ࡀ పࡃࠊࡉࡽయ㔜࡛ࡶ B ᑠᏛᰯࡢ᪉ࡀ᭷ព
( p<0.05 )㔜࠸ࡇ⪃࠼ྜࢃࡏࡿዪᏊ࡛ࡶ
AᑠᏛᰯࡢᾘ㈝࢚ࢿࣝࢠ࣮ࡀከ࠸ࡢ࡛ࡣ࡞࠸
⪃࠼ࡽࢀࡿࠋ
ࡲࡓࠊ୧ᰯࡢ᥎ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞ࢆぢ࡚ࡳ
ࡿ⏨Ꮚࡢᖹᆒ್ࡣAᑠᏛᰯࡀ2,294kcalᑐࡋ
࡚BᑠᏛᰯࡣ2,304kcalࠊዪᏊ࡛ࡣAᑠᏛᰯࡀ 2,045kcalᑐࡋ࡚BᑠᏛᰯࡣ2,054calࠊ᥎ ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞࡛ࡣ⏨ዪࡶBᑠᏛᰯࡢ᪉ ࡀ㧗ࡃ࡞ࡿഴྥ( p<0.1 )ࡀぢࡽࢀࡓࠋࡋࡋࠊ ᥎ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞ᑐࡍࡿ࢚ࢿࣝࢠ࣮ᦤྲྀ
㔞ࡢ㊊⋡ࡢᖹᆒࢆぢࡿ⏨Ꮚࡣ A ᑠᏛᰯ
94.8%ࠊBᑠᏛᰯ87.1㸣ࠊዪᏊࡣAᑠᏛᰯ90.9%ࠊ
BᑠᏛᰯ85.7%⏨ዪࡶ㣗⫱᥎㐍ᰯࡢ᪉ࡀ᥎
ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞ࡢ㊊⋡ࡀ㧗ࡃ࡞ࡗ࡚࠸ࡓࠋ ࡉࡽࠊྠࡌᏛᖺ࡛ࡶㄌ⏕᭶ࡼࡾᖺ㱋ࡢᖹ ᆒࡀ␗࡞ࡾࠊ᥎ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞ࡢᖹᆒ್ࡀ
␗࡞ࡿࡓࡵࠊಶูᦤྲྀ࢚ࢿࣝࢠ࣮㔞ࡀ᥎ᐃ࢚
ࢿࣝࢠ࣮ᚲせ㔞㊊ࡋ࡚࠸ࡿ⪅ࡢྜࢆㄪࡓࠋ
㊊ࡋ࡚࠸ࡓேᩘࢆయᩘᑐࡍࡿྜ࡛♧ࡍ
ࠊ⏨Ꮚ࡛ࡣAᑠᏛᰯ34.2㸣ࠊBᑠᏛᰯ24.5㸣ࠊ ዪᏊ࡛ࡣAᑠᏛᰯ25.6㸣ࠊBᑠᏛᰯ22.6㸣
ಶࠎࡢ᥎ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞ࢆ㊊ࡋ࡚࠸ࡿே
ᩘ࡛ࡶ㣗⫱᥎㐍ᰯࡢ᪉ࡀ⏨ዪࡶከ࠸࠸࠺⤖
ᯝ࡞ࡗࡓࠋࡲࡓࠊྛᏛᰯ࠾ࡅࡿ㊊⋡ࢆ⏨
ዪ㛫࡛ẚ㍑ࡍࡿ⏨Ꮚࡢ᪉ࡀዪᏊࡼࡾ㊊ࡋ࡚
࠸ࡿྜࡀ㧗࠸ゝ࠺⯆῝࠸⤖ᯝࡶᚓࡽࢀࡓࠋ
2㸧㣗ရᦤྲྀ㔞
ḟ㣗ရࡢᦤྲྀ㔞ࢆయ࠾ࡼࡧ⤥㣗ࡽࢀࡃ
ࡽ࠸ᦤྲྀࡋ࡚࠸ࡿࢆẚ㍑ࡋࠊ᭷ពᕪࡀ⏕ࡌࡓ
ࡶࡢࡢࡳࢆ⾲4ࠥ7♧ࡋࡓࠋ
⏨Ꮚ࡛ࡣࠊ㣗ᮦࡋ࡚㭜⫗ࠊ㇜⫗࣭∵⫗࣭⬡
ࡀࡢࡗࡓ㨶ࠊ⏕㔝⳯㸦ࣞࢱࢫ࣭࢟ࣕ࣋ࢶ㸧ࠊ᰿࣭
ࡪࠊ᰿⳯ࠊࢫࢡ࣮࣒ࣜࠊࢳࢦࡢ㡯┠࡛
AᑠᏛᰯࡢᦤྲྀ㔞ࡀ᭷ពከࡃ࡞ࡗࡓࠋ᰿࡛⳯
᭷ពᕪࡀ⏕ࡌࡓࡀࠊ᰿⳯ࡢ୰࡛ࡶ≉᰿࣭
ࡪࡢ㡯┠ࡘ࠸࡚ࡣᦤྲྀ㔞ࡢ᭷ពᕪࡀ( p<0.001 )
ࡁࡗࡓࠋࡇࢀࡽࡢ㣗ရࡣ⏕άయࡽࡢ㣗 ရ࡛࠶ࡾࠊᏛᰯ⏕ά࠾ࡅࡿ⤥㣗୰ࡢ㣗ရࡣ⏨
Ꮚ࡛ࡣࡕࡽࡢᏛᰯ࡛ࡶ᭷ព࡞ᕪࡣぢࡽࢀ࡞
ࡗࡓࠋ
ࡇࢀࢆ㣗ㄪᰝ࠶ࡿ㉁ၥ㡯┠୰ࡢ⤥㣗ࡢ㣗
᪉࡛ࡳࡿࠊ⤥㣗ࢆṧࡉࡎ㣗ࡲࡍ㸽ゝ
࠺㉁ၥ㡯┠ᑐࡋ࡚ࠊࡈ㣤࣭ࣃࣥࠊ⫗ࠊ㨶ࠊ㔝
⳯ࠊᯝ≀ࠊ∵ஙࡢྛ㣗ရ⩌ᑐࡋ࡚ࠗṤ㣗
࡞࠸࠘ࡽࠗࡼࡃ࠾ࢃࡾࡍࡿ࠘࠸࠺6ẁ㝵 ࡢ㏉⟅ࡘ࠸࡚Ꮫᰯ㛫࡛ࡢᕪࡣぢࡽࢀ࡞ࡗࡓࠋ
ዪᏊ࡛ࡣࠊ⏨Ꮚࡼࡾከࡃࡢ㡯┠࡛᭷ពᕪࡀ⏕
ࡌ ࡓ ࡀ ࠊ ၏ ୍ ࠊ ༸ ࡢ ࡳ B ᑠ Ꮫ ᰯ ࡀ ᭷ ព 㸦 p<0.05 㸧ከࡃᦤྲྀࡋ࡚࠸ࡓࠋ⫗㢮࡛ࡣ㭜⫗
ࡣ⏨Ꮚྠᵝࡢ⤖ᯝ࡛࠶ࡗࡓࡀࠊࢶࢼ⨁ࠊ
⬡ࡀᑡ࡞࠸㨶ࠊ༸ࠊேཧ࣭ࡰࡕࡷࠊࣃࢫࢱ㢮
࡛AᑠᏛᰯࡢᦤྲྀ㔞ࡀ᭷ពከࡃ( p<0.05 )ࠊ
㇜⫗ࡸ∵⫗ࠊ⬡ࡢከ࠸㨶ゝࡗࡓࡕࡽゝ
࠺⬡⫫ศࡢከ࠸㣗ရ࡛ࡣᕪࡣぢࡽࢀ࡞ࡗࡓࠋ ࡋࡋࠊ⤥㣗ࡢ㡯┠࡛ࡣ୍⯡ࡢ㣗ရࡢ㡯┠ࡼࡾ
ᩘࡀከࡃ㇋⭉࣭Ἔᥭࡆࠊ࠸ࡶࠊ⥳㯤Ⰽ㔝⳯ࠊ࢟
ࣕ࣋ࢶࠊேཧ࣭ࡰࡕࡷࠊ᰿࣭ࡪࠊ᰿⳯ࠊ ࢺ࣐ࢺࠊࡁࡢࡇࠊᾏ⸴ࠊࣃࣥࠊ࠺ࢇࠊࣃࢫࢱ 㢮ࠊࡵࡋࠊࡳࡑỒࡢ 15 㡯┠࡛ᦤྲྀ㔞᭷ព࡞
ᕪ( p<0.01 )ࡀぢࡽࢀࡓࠋయࡢ㣗ရ⤥㣗ࡢ㣗 ရ㡯┠࡛ࡣ⤥㣗࡛ᕪࡀぢࡽࢀࡓ㣗ရ㢮ࡣࢇ
ࡀ㔝⳯㢮࡛࠶ࡾࠊࢱࣥࣃࢡ※࡞ࡿࡶࡢࡣᙉ
࠸࡚ゝ࠼ࡤ㇋⭉࣭Ἔᥭࡆ࡛࠶ࡿࡀࠊ㇋⭉ࡶ㇋
ࡽ࡛ࡁ࡚࠾ࡾࠊ⤥㣗ࡢ㡯┠ࡔࡅࢆぢࡿ㔝⳯
㢮ࣃࣥࡸࡵࡋ➼ࡢ㣗ࡀ༙ࢆ༨ࡵ࡚࠸ࡿࠋ ዪᏊࡢ㣗᪉ࢆࡳࡿ⤥㣗ࡢ㣗ရ㡯┠࡛ࡣࡈ 㣤࣭ࣃࣥࡢ㡯┠࡛ࠗṤ㣗࡞࠸࠘⟅࠼ࡓࡶ
ࡢࡀAᑠᏛᰯ࡛ࡣ0%ᑐࡋ࡚ࠊBᑠᏛᰯ࡛ࡣ 1.2㸣ࠊ༙ࠗศṧࡍ࠘ࡀAᑠᏛᰯ1.7%ࠊBᑠᏛ
ᰯ10.7%ࠊࠗᑡࡋṧࡍ࠘ࡀAᑠᏛᰯ 13.7%ࠊB ᑠ Ꮫ ᰯ 21.4% 㣗 ࡢ 㣗 ᪉ ᭷ ព ࡞ ( p<0.01 )ᕪࡀ⏕ࡌࡓࠋࡲࡓࠊ୍⯡Ꮚࡶࡀ᎘
࠺㔝⳯ࡢ㡯┠࡛ࡶࠗṤ㣗࡞࠸࠘⟅࠼ࡓࡶ
ࡢࡀAᑠᏛᰯ࡛ࡣ0%ᑐࡋ࡚ࠊBᑠᏛᰯ࡛ࡣ 3.6%ࠊ༙ࠗศṧࡍ࠘ࡀAᑠᏛᰯ1.7%ࠊBᑠᏛᰯ
6.0%ࠊࠗᑡࡋṧࡍ࡛࠘ࡣAᑠᏛᰯ14.5%ࠊBᑠ
Ꮫᰯ21.4%࠸࠺ࡼ࠺㔝⳯ࡢ㣗᪉6ẁ㝵࡛
ࡶ᭷ព࡞ᕪ( p<0.05 )ࡀぢࡽࢀࡓࠋ
ࡇࡢࡼ࠺⤥㣗ࡢ㣗ရ⩌࡛ࡢ㣗᪉ࡣ⏨Ꮚ࡛
ࡣᕪࡀぢࡽࢀ࡞ࡗࡓࡀࠊዪᏊ࡛ࡣ᭷ពᕪࡀぢ
ࡽࢀࡓࡇࡽࠊዪᏊ㣗ရᦤྲྀ㔞ࡢ⤖ᯝ࠾
࠸࡚⤥㣗ࡢ㣗ရ㡯┠ᩘከࡃ᭷ពᕪࡀ⏕ࡌ࡚ࡁ
ࡓࡶࡢ⪃࠼ࡽࢀࡿࠋ
㏆ᖺࡢ࣓ࢹ➼ࡼࡾᗣ㣗ရࡣ⨾ᐜࡔ ࡅ࡛࡞ࡃᡭ㍍ࢲ࢚ࢵࢺฟ᮶ࡿᐉఏࡋ࡚࠸
ࡿၟရࡀᩘከࡃฟᅇࡗ࡚࠾ࡾࠊࢺࢡ࣍ࡸᶵ⬟ᛶ 㣗ရᒓࡉ࡞࠸୍⯡ࡢ㣗ရࡀ࠶ࡓࡶࢲ࢚ࢵ
ࢺຠᯝࡀ࠶ࡿࡼ࠺ᢅࢃࢀ࡚࠸ࡿࠋࡇࡢࡼ࠺
࡞㢼₻ࡀᗈࡲࡿ୰ࠊ⑭㌟ᚿྥࡣపᖺ㱋ࡋ࡚࠾
ࡾࠊᑠᏛ⏕ࡀࠗࢲ࢚ࢵࢺ࠘࠸࠺ゝⴥࢆཱྀ
ࡋ࡚ࠊࣥࢱ࣮ࢿࢵࢺࡸᏊࡶྠኈࡢᦠᖏ㟁ヰ
࡛ࡢࡸࡾྲྀࡾࡢ୰࡛ࡶᙜࡓࡾ๓ぢཷࡅࡽࢀࡿࠋ
ᅇࡢㄪᰝᑐ㇟ࡣᑠᏛᰯ㸴ᖺ⏕ࡢඣ❺࡛࠶ࡾࠊ ࡇࡢᖺ㱋ࡢዪᏊඣ❺࡛ࡣࠊ⮬ศࡢయᆺࢆẼࡋ
࡚㣗ࡿ㔞ࢆῶࡽࡍࡓࡵࠊ⤥㣗ࢆṧࡍ⾜Ⅽࡶࡋ ࡤࡋࡤぢࡽࢀࡿ࠸࠺ࠋࡇ࠺ࡋࡓዪᏊඣ❺ࡢࢲ
࢚ࢵࢺ⾜Ⅽࡣᢸ௵ᩍᖌࡔࡅࡢᡭవࡿࡶከ ࡃࠊࡁࡕࢇࡋࡓ㣗⫱ࢆపᏛᖺࡽࡍࡀ᭱
㔜せㄢ㢟࡞ࡗ࡚࠸ࡿࠋᅇࡢ㣗⫱᥎㐍ᰯ࡛࠶
ࡿAᑠᏛᰯ࡛ࡣ㣗࡛࠶ࡿࡈ㣤࣭ࣃࣥࢆࠗṤ
㣗࡞࠸࠘ࡋࡓඣ❺ࡣぢࡽࢀࡎࠊ㣗ࢆᢤࡃ
ࡼ࠺࡞㐣⃭࡞ࢲ࢚ࢵࢺࢆ⾜ࡗ࡚࠸ࡿඣ❺ࡣぢ
ཷࡅࡽࢀ࡞ࡗࡓࠋࡲࡓࠊ㔝⳯ࡣࡑࡢ⊂≉࡞ⱞ
ࡳࡀᏊࡶࡢぬྜࢃࡎࠊ᎘ࢃࢀࡿࡇࡀከ
࠸ࡀࠊࡇࡕࡽࡶ㣗⫱᥎㐍ᰯ࡛ࡣࠗṤ㣗࡞࠸࠘
⟅࠼ࡓࡶࡢࡀ࠸࡞ࡗࡓࡇࡽࠊ㔝⳯ࢆᑡ ࡋ࡛ࡶ㣗ࡼ࠺ࡍࡿດຊࢆࡋ࡚࠸ࡿࡢ࡛ࡣ࡞
࠸⪃࠼ࡽࢀࡓࠋ 3㸧ᰤ㣴⣲ูᦤྲྀ㔞
⏨ዪูᰤ㣴⣲ᦤྲྀ㔞࡛ẚ㍑ࡋࠊ᭷ពᕪࡀฟࡌ ࡓࡶࡢࢆ⾲6ࠊ7♧ࡋࡓࠋ
⏨Ꮚࡢᰤ㣴⣲ࡢᦤྲྀ㔞ࡣࠊ᭷ពᕪࡢ⏕ࡌࡓࡍ
࡚ࡢ㡯┠࡛AᑠᏛᰯࡢ᪉ࡀBᑠᏛᰯࡼࡾከ࠸
ゝ࠺⤖ᯝ࡞ࡗࡓࠋ୕ᰤ㣴⣲࡛࠶ࡿࢱࣥࣃࢡ
㉁ࠊ⬡㉁ࡣ᭷ព( p<0.05 )ከࡃࠊⅣỈ≀࡛ࡣ ከ࠸ഴྥ( p<0.1 )ࡀࡳࡽࢀࡓࠋ୰࡛ࡶࢱࣥࣃࢡ
㉁⬡㉁࡛ࡣື≀ᛶࡢࡶࡢࢆ᭷ពከࡃᦤྲྀࡋ
࡚࠾ࡾࠊࡇࢀࡣ㣗ရࡢᦤྲྀ㔞࡛㭜⫗ࡸ㇜⫗࣭∵
⫗ࠊ⬡ࡢࡢࡗࡓ㨶ࡀBᑠᏛᰯࡼࡾ᭷ពከࡗ ࡓࡇࡽࡇࡢࡼ࠺࡞⤖ᯝ࡞ࡗࡓࡶࡢ⪃࠼
ࡽࢀࡿࠋ࣑ࢿ࡛ࣛࣝࡣ⅊ศࠊࢼࢺ࣒ࣜ࢘ࠊ࢝ࣜ
࣒࢘ࠊ࢝ࣝࢩ࣒࢘ࠊ࣐ࢢࢿࢩ࣒࢘ࠊࣜࣥࠊ㕲ࠊ ள㖄ࠊ㖡ࡢ9✀࡛᭷ព( p<0.05 )ࠊ࣐࡛ࣥ࢞ࣥ
ࡣഴྥࡋ࡚( p<0.1 )AᑠᏛᰯࡢᦤྲྀ㔞ࡀከࡃ
࡞ࡗࡓࠋ
ࡲࡓࠊࣅࢱ࣑࡛ࣥࡣࣞࢳࣀ࣮ࣝࠊȘ—ࢺࢥࣇ
࢙࣮ࣟࣝࠊࣅࢱ࣑ࣥ B1ࠊࣅࢱ࣑ࣥ B2ࠊࢼ
ࢩࣥࠊࣅࢱ࣑ࣥB6ࠊࣅࢱ࣑ࣥB12ࠊⴥ㓟ࠊࣃࣥ
ࢺࢸࣥ㓟ࠊࣅࢱ࣑ࣥCࡢ10✀㢮ຍ࠼ࠊࣉࣟ
ࣅ ࢱ ࣑ ࣥ ࡛ ࠶ ࡿ ș—࢝ ࣟ ࢸ ࣥ ࡛ ᭷ ព ( p<0.05 )ࠊࣅࢱ࣑ࣥDࠊ࠾ࡼࡧࣅࢱ࣑ࣥK࡛ ࡣഴྥ( p<0.1 )ࡋ࡚AᑠᏛᰯࡀከࡃᦤྲྀࡋ࡚
࠸ࡓࠋࡑࡢ㣬⬡⫫㓟ࠊ୍౯㣬⬡⫫㓟ࠊ
⥲㣗≀⧄⥔ࠊ㣗ሷࡢ㡯┠࡛᭷ព ( p<0.05 )ࠊ ከ ౯ 㣬 ⬡ ⫫ 㓟 ࢥ ࣞ ࢫ ࢸ ࣟ ࣮ ࣝ ࡀ ഴ ྥ ( p<0.1 )ࡋ࡚AᑠᏛᰯࡢ᪉ࡀከࡗࡓࠋ
ዪᏊࡢᰤ㣴⣲ᦤྲྀ㔞ࡣ㣗ရᦤྲྀ㔞ࡣ␗࡞ࡾࠊ ࡍ࡚AᑠᏛᰯࡢ᪉ࡀከࡗࡓࡀࠊ⏨Ꮚࡼࡾࡶ
᭷ពᕪࡢ⏕ࡌࡓ㡯┠ࡣᑡ࡞ࡃࠊ୕ᰤ㣴⣲࡛ࡣ
ື≀ᛶࢱࣥࣃࢡ㉁( p<0.05 )ࡢࡳ࡛࠶ࡾࠊࢱࣥࣃ
ࢡ㉁ື≀ᛶ⬡㉁࡛ࡣഴྥ( p<0.1 )ࡋ࡚Aᑠ Ꮫᰯࡢᦤྲྀ㔞ࡀከࡗࡓࠋ࣑ࢿ࡛ࣛࣝࡣ࢝ࣝࢩ
࣒࢘ࠊ࣐ࢢࢿࢩ࣒࢘ࠊࣜࣥࠊள㖄ࡘ࠸࡚ࡣከ
࠸ഴྥࡀ( p<0.1 )ࡀぢࡽࢀࠊࣅࢱ࣑࡛ࣥࡣࣅࢱ
࣑ࣥDࠊࢼࢩࣥࠊࣅࢱ࣑ࣥB6ࠊࣉࣟࣅࢱ࣑
ࣥࡢș—࢝ࣟࢸ࡛ࣥࡣ᭷ព( p<0.05 )ࠊࣅࢱ࣑
ࣥB12ࠊࣃࣥࢺࢸࣥ㓟ࡣഴྥࡋ࡚( p<0.1 )Aᑠ Ꮫᰯࡢᦤྲྀ㔞ࡀከࡗࡓࠋ
㣗ရᦤྲྀ㔞ᰤ㣴⣲ᦤྲྀ㔞࡛᭷ពᕪࡀ⏕ࡌࡓ 㡯┠ࢆぢࡿࠊ㣗ရᦤྲྀ㔞࡛ࡣዪᏊࡀࠊᰤ㣴⣲
ᦤྲྀ㔞࡛ࡣ⏨Ꮚ࡛ከࡃࡢ㡯┠ᕪࡀ⏕ࡌࡿゝ
࠺㏫㌿⌧㇟ࡀぢࡽࢀࡓࠋࡑࡢཎᅉࡋ࡚⪃࠼ࡽ
ࢀࡿࡢࡣࠊዪᏊࡢ㣗ရᦤྲྀ㔞࡛᭷ពᕪࡀ⏕ࡌࡓ 㡯┠ࡢከࡃࡣ⤥㣗୰ࡢ㣗ရ࡛࠶ࡗࡓࡇࡀ⪃࠼
ࡽࢀࡿࠋ⤥㣗୰ࡢ㣗ရ㡯┠ࢆᢤ࠸ࡓ㣗ရᦤྲྀ㔞
ࢆぢࡿዪᏊࡣ6㡯┠࡞ࡾࠊ⏨Ꮚࡢ8㡯┠ࡼ
ࡾᑡ࡞ࡃ࡞ࡗ࡚࠸ࡿࠋ⤥㣗ࡣ୍㐌㛫ࡢ㣗ࡢ࠺
ࡕ5᪥࡛࠶ࡾࠊࡉࡽኟఇࡳࡸఇࡳ➼࡛Ꮫᰯ
ࡀఇᬤ୰ࡣᐙᗞ࡛ࡢ㣗࡞ࡿࡓࡵࠊ୍ᖺ㣗
ࢆࡍࡿᅇᩘࡽ⪃࠼ࡿ⤥㣗ࡢ༨ࡵࡿẚ⋡ࡣ
1ࠥ2⛬ᗘ࡞ࡿࠋࡑࡢࡓࡵࠊዪᏊࡢ⤥㣗୰ࡢ 㣗ရᦤྲྀ㔞ࡣᑠᏛᰯ㛫࡛᭷ព࡞ᕪࡀ⏕ࡌࡓࡶ
ࢃࡽࡎࠊᰤ㣴⣲ᦤྲྀ㔞⟬ࡍࡿ࠶ࡲࡾ
ᕪࡀከࡃࡢ㡯┠࡛⌧ࢀ࡞ࡗࡓ⪃࠼ࡽࢀࡿࠋ
ᛮᮇࡉࡋࡿዪᏊ࡛ࡣࠊ♫ഴྥࡋ࡚
࠶ࡆࡽࢀࡿࡼ࠺ࠊᵝࠎ࡞࣓ࢹ࡛⤂ࡉࢀ
࡚࠸ࡿࢲ࢚ࢵࢺ㣗ရ࡞ᙳ㡪ࡉࢀ⑭㌟ᚿྥ
ࡀ⏕ࡌࠊ⤥㣗ࢆṧࡍඣ❺ࡀ⌧ࢀࡿᮇ࡛࠶ࡿࠋ ࡋࡋࠊAᑠᏛᰯࡢඣ❺ࡣ6ᖺ㛫ࢆ㏻ࡋ࡚㣗⫱
ࢆཷࡅ࡚ࡁࡓࡇࡼࡾࠊㄗࡗࡓሗࢆ㬼࿐ࡳ
ࡋ࡚⤥㣗ࡸ㣗ࢆṧࡍඣ❺ࡣṤ࠸࡞࠸ࡢ࡛
ࡣ࡞࠸⪃࠼ࡽࢀࡓࠋ 4㸧య᱁㣗ရᦤྲྀ㔞ࡢ㛵㐃ᛶ
ࡇࡢࡼ࠺Ꮫᰯ㛫࡛㣗ရࡢᦤྲྀ㔞ᕪࡀ⏕ࡌࡓ
ࡶ㛵ࢃࡽࡎࠊඣ❺ࡢయ᱁ࡣᕪࡀ࡞ࡗࡓࡇ
ࡽࠊᐇ㝿㣗ရᦤྲྀ㔞ࡀయ᱁ࡢࡼ࠺࡞ᙳ 㡪ࢆ࠼࡚࠸ࡿࢆㄪࡿࡓࡵࠊ㣗ရᦤྲྀ㔞
య᱁ࡢ┦㛵ಀᩘࢆㄪࡓࡶࡢࡀࠊ⾲ 8ࠊ9࡛࠶
ࡿࠋ
⏨ዪࡶAᑠᏛᰯ࡛ࡣࡍ࡚ࡢ㣗ရ㡯┠ࡢᦤ
ྲྀ㔞య᱁ࡢ㛫┦㛵ᛶࡣぢࡽࢀࡎࠊBᑠᏛᰯ
࡛ࡢࡳ┦㛵㛵ಀࡀぢࡽࢀࡓࠋ
BᑠᏛᰯࡢ⏨Ꮚ࡛ࡣ⤥㣗ࡢ㣗ရ㡯┠7㡯┠
య᱁ࡢ㛫┦㛵㛵ಀࡀぢࡽࢀࡓࠋ㣗ရࡢෆᐜࢆ
ぢࡿࣃࣥࠊ࠺ࢇࠊࣃࢫࢱ㢮ࠊࡵࡋ㣗
࡞ࡿ㣗ရࡀṤ࡛࠶ࡾࠊ⫗ࡸ㨶➼࡛⳯࠶ࡾࠊ
୍⯡㌟యࢆసࡿゝࢃࢀ࡚࠸ࡿࢱࣥࣃࢡ㉁ࢆ
ከࡃྵࡴ㣗ရ࡛ࡣ┦㛵ᛶࡀぢࡽࢀ࡞ࡗࡓࠋ య᱁ࡋ࡚ᢅࢃࢀࡓᩘ್ࡣ㌟㛗య㔜ࡢ✚࡛
࠶ࡾࠊ㌟㛗ࡀኚ㧗࠸ࠊ࠶ࡿ࠸ࡣయ㔜ࡀ㔜࠸ඣ
❺ࡣయ᱁ࡀⰋ࠸ศ㢮ࡉࢀࡿࠋ୍⯡㌟యࡢ
ࡁ࠸⏨Ꮚඣ❺ࡣ⤥㣗ࡢ㣗ࢆ㣗ࡿ㔞ࡀከ࠸
⪃࠼ࡽࢀࠊBᑠᏛᰯࡢ⤖ᯝࡣ୍⯡ⓗ࡞㣗⾜ື
⪃࠼ࡽࢀࡿࠋࡋࡋࠊ㣗⫱᥎㐍ᰯ࡛ࡣయ᱁ࡢ
ࡁࡉ㛵ಀ࡞ࡃ⤥㣗ࢆṧࡉࡎ㣗ࡿ࡞㣗
ᑐࡍࡿព㆑ࡀ␗࡞ࡿࡓࡵࠊࡇࡢࡼ࠺࡞⤖ᯝ࡞
ࡗࡓ⪃࠼ࡽࢀࡿࠋ
ࡲࡓࠊBᑠᏛᰯࡢዪᏊ࡛┦㛵ᛶࡀぢࡽࢀࡓ17 㡯┠ࡢ࠺ࡕ 15 㡯┠ࡀ⤥㣗୰ࡢ㣗ရ㡯┠࡛࠶ࡗ ࡓࠋ୍⯡య᱁ࡢⰋ࠸ඣ❺ࡣ⤥㣗ࢆྵࡵࠊᮅኤ ࡢ㣗࡛ࡶ㣗ࡿ㔞ࡀከ࠸ࡢࡣᙜ↛࡛࠶ࡿࠋࡋ
ࡋࠊ㣗⫱ࢆ㸴ᖺ㛫ཷࡅ࡚ࡁࡓAᑠᏛᰯࡢඣ❺ ࡣయ᱁㛵ಀ࡞ࡃ⤥㣗ࢆṧࡉࡎ㣗ࡿ⩦័ࡀࡘ
࠸࡚࠾ࡾࠊAᑠᏛᰯࡢ⤥㣗ṧ㔞ࡀṤ࡞࠸
࠸࠺ࡽ⤥㣗ࡢྛ㣗ရࡢᦤྲྀ㔞య᱁ࡢ㛫
┦㛵㛵ಀࡀ⏨ዪࡶ࡞ࡗࡓࠊ࠸࠺⤖ᯝ
ࡘ࡞ࡀࡗࡓࡶࡢ⪃࠼ࡽࢀࡿࠋ
᥎ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞ࢆ㊊ࡋ࡚࠸ࡿඣ❺ࡢ
㌟㛗య㔜ࢆࡑࢀࡒࢀࡢᑠᏛᰯ࡛ẚ㍑ࡋࡓࡶࡢ ࡀḟࡢ⾲1011࡛࠶ࡿࠋ
᥎ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞ࡢ㊊⪅ᩘࡣࠊࡕࡽࡢ ᑠᏛᰯ࡛ࡶከࡃࡣ࡞ࡗࡓࡓࡵࠊᑠᏛᰯ㛫࡛ࡢ
᳨ᐃࡣᕪࡀ⏕ࡌࡃ࠸⪃࠼ࡽࢀࡓࠋ㌟㛗ࢆぢ
ࡿࠊ⏨ዪࡶ㣗⫱᥎㐍ᰯ࡛࠶ࡿAᑠᏛᰯࡢඣ
❺ࡀⱝᖸࠊᖹᆒ್ࡣ㧗ࡃ࡞ࡗ࡚࠸ࡓࠋࡋࡋࠊ ᥎ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞ࡢ㊊⪅ࡢ㌟㛗యࡢ
㌟㛗ࡢᖹᆒ್㸦⾲1㸧ࢆẚ㍑ࡍࡿAᑠᏛᰯ࡛
ࡣ⏨ᏊࡣࡰྠࡌࠊዪᏊࡣ㊊⪅ࡢ᪉ࡀࡸࡸ㧗 ࡃ࡞ࡗ࡚࠸ࡿࡀࠊBᑠᏛᰯ࡛ࡣ⏨ዪࡶ㊊⪅
ࡢ᪉ࡀపࡃࠊ≉ዪᏊඣ❺ࡢ㌟㛗ࡣ㊊⪅࡛ᖹ ᆒ್3cmపࡃ࡞ࡗ࡚࠸ࡓࠋ
ྠᵝయ㔜ࢆẚ㍑ࡍࡿࠊ᥎ᐃ࢚ࢿࣝࢠ࣮ᚲ せ㔞ࡢ㊊⪅ࡢయ㔜ࡢ᪉ࡣࡕࡽࡢᑠᏛᰯ࡛ࡶ
⏨ዪࡶయࡢᖹᆒ್㸦⾲ 2㸧ࡼࡾࡶ㍍ࡃ࡞ࡿ
ഴྥࡀぢࡽࢀࡓࠋࡑࡢഴྥࡣ≉AᑠᏛᰯࡢዪ Ꮚぢࡽࢀࠊ⏨Ꮚ࡛ࡣయࡢᖹᆒ್㊊⪅ࡢ ᖹᆒ್ࡣ1kgෆ࡛࠶ࡗࡓࡢᑐࡋ࡚ࠊᖹᆒࡋ࡚
3kg㍍ࡃ࡞ࡗ࡚࠸ࡓࠋඣ❺࡛࠶ࡿࡓࡵࠊ㌟㛗
య㔜ࢆẚ㍑ࡍࡿࡓࡵ࣮ࣟࣞࣝᣦᩘ⟬ࡋ࡚
ẚ㍑ࢆࡍࡿࠊAᑠᏛᰯ࡛ࡣయࡢᖹᆒ್ࡀ⏨
Ꮚ120.0ࠊዪᏊ116.3ᑐࡋ᥎ᐃ࢚ࢿࣝࢠ࣮ᚲ せ㔞㊊⪅ࡣ⏨Ꮚ117.4ࠊዪᏊ111.1㊊⪅
ࡢ᪉ࡀ㌟㛗ᑐࡍࡿయ㔜ࡀ㍍࠸ഴྥࡀぢࡽࢀࡓࠋ
୍᪉ࠊBᑠᏛᰯ࡛ࡣయࡢᖹᆒ್ࡀ⏨Ꮚ122.4ࠊ ዪᏊ119.0ᑐࡋࠊ㊊⪅ࡢᖹᆒ್ࡣ⏨Ꮚ118.7ࠊ
ዪᏊ 122.1 ⏨Ꮚ࡛ࡣ㊊⪅ࡢ᪉ࡀࡸࡸపࡃࠊ
ዪᏊ࡛ࡣࡸࡸ㧗ࡃ࡞ࡿ࠸࠺⤖ᯝ࡞ࡗࡓࠋࣟ
࣮ࣞࣝᣦᩘ࡛Ꮫᰯ㛫ࢆẚ㍑ࡍࡿయ࠾ࡼࡧ᥎ ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞㊊⪅࡛ࡣዪᏊ࡛AᑠᏛᰯ
ࡢ᪉ࡀࡕࡽࡶప࠸ഴྥࡀぢࡽࢀࡓࠋ࣮ࣟࣞࣝ
ᣦᩘࡽぢࡿAᑠᏛᰯࡢዪᏊࡣయ࡛116.3
ᶆ‽್ෆ࡛ࡶࡁࢃࡵ࡚ప࠸ᩘ್࡞ࡗ࡚࠾ࡾࠊ
㊊⪅ࡣ111ࡸࡏẼศ㢮ࡉࢀࡿࠋࡋࡋࠊ
ᦤྲྀ࢚ࢿࣝࢠ࣮ࡽぢࡿࢲ࢚ࢵࢺ࡞࡛⤥
㣗ࢆṧࡋ࡚ࡣ࠾ࡽࡎࠊࡕࡽゝ࠼ࡤBᑠᏛ
ᰯࡢዪᏊඣ❺ࡼࡾ࢚ࢿࣝࢠ࣮ࡣከࡃᦤྲྀࡋ࡚࠸
ࡿ⪃࠼ࡽࢀࡿࠋࡑࢀࡽࢆ⪃៖ࡍࡿAᑠᏛᰯ
ࡢዪᏊඣ❺ࡣ࢚ࢿࣝࢠ࣮ࢆࡼࡾከࡃᦤྲྀࡋ࡞ࡀ
ࡽࠊࡸࡏẼࡢయᆺ࡞ࡿ㐠ື㔞ࢆ᪥ᖖ⏕ά
ྲྀࡾධࢀ࡚࠸ࡿࡢ࡛ࡣணࡉࢀࡿࠋࡇࢀࡣࠊ AᑠᏛᰯ࡛⾜ࢃࢀ࡚࠸ࡿ㣗⫱ࡢ୰࡛ṧࡉࡎ㣗
ࡿࡇࠊ㔝⳯ࢆࡓࡃࡉࢇ㣗ࡿࡇྠ㐠
ືࡶࡓࡃࡉࢇࡋࠊ㌟యࢆືࡍࡇࡶᚲせᩍ
࠼࡚࠸ࡿࡓࡵࠊAᑠᏛᰯࡢዪᏊࡣࠊ⤥㣗ࢆṧࡉ ࡎ㣗ࡿࡇྠ㌟యࢆືࡍࡇࡶᚲせ
⪃࠼ࠊ㌟యࢆືࡍ⩦័ࡀࡘ࠸ࡓࡓࡵࠊయ㔜 ࡀ㍍ࡃ࡞ࡾ࣮ࣟࣞࣝᣦᩘᫎࡉࢀࡓࡇࡀ♧
၀ࡉࢀࡓࠋ
せ⣙
᥎ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞ࡣ୍⯡ᰯࡢ᪉ࡀ㧗࠸
ࡶ㛵ࢃࡽࡎࠊ᥎ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞ᑐࡍࡿ࢚
ࢿࣝࢠ࣮ᦤྲྀ㔞ࡢ㊊⋡ࡣ⏨ዪࡶ㣗⫱᥎㐍ᰯ
ࡢ᪉ࡀ㧗ࡗࡓࠋ
㣗ရ࠾ࡼࡧᰤ㣴⣲ࡢᦤྲྀ㔞ࡣ⏨ዪࡶ᥎㐍ᰯ
ࡢ᪉ࡀ᭷ពከ࠸㡯┠ࡀぢࡽࢀࡓࡀࠊዪᏊ࡛ࡣ 㣗ရࡢ㡯┠ࡀ⤥㣗ࡼࡿࡶࡢࡀከࡗࡓࠋ
㌟㛗య㔜ࢆࡅྜࢃࡏࡓಀᩘ㣗ရᦤྲྀ㔞 ࡢ┦㛵ᛶࡣ᥎㐍ᰯ࡛ࡣぢࡽࢀ࡞ࡗࡓࡀࠊ୍⯡
ᰯ࡛ࡣ⤥㣗୰ࡢ㣗ရࡢ㛫ከࡃ┦㛵㛵ಀࡀぢ
ࡽࢀࡓࠋ
᥎ᐃ࢚ࢿࣝࢠ࣮ᚲせ㔞ࡢ㊊⪅ࡢ࣮ࣟࣞࣝᣦ
ᩘࡣ᥎㐍ᰯ࡛ࡣ⏨ዪࡶయࡢᖹᆒࡼࡾపࡃ࡞
ࡾࠊ࢚ࢿࣝࢠ࣮ࢆከࡃᦤྲྀࡋ࡚࠸ࡿ⪅ࡣ⑭ࡏẼ
ࡢഴྥࡀぢࡽࢀࡓࠋࡇࢀࡣࠊ㣗⫱ࡼࡾࡓࡃ ࡉࢇ㣗ࡿྠ㌟యάືࡶከࡃ⾜ࡗ࡚࠸ࡿ
ࡇࡀ᥎ᐹࡉࢀࡓࠋ
ᘬ⏝ᩥ⊩
1㸧C. H. S. Ruxton, T. R. Kirk, N. R. Belton, M. A. M. Holmes : Breakfast Habits in Children, Nutrition & Food science ., 93,17~20 (1993)
2 㸧 D. T. Simeon, A. M.
Grantham-McGregor, S. P. Walker, C.A.
Powell : Effects of a hurricane on growth and morbidity in children from low-income
families in Kingston, Jamaica, Transaction of the Royal Society of Tropical Medicine and Hygiene.,887,526~528(1993)
3㸧S. Lioret, M. Touvier, M. Balin, I.
Huybrechts, C. Dubuisson, A. Dufour, M.
Bertin, B. Maire, L. Lafay : Characteristics of energy under-reporting in children and adolescents, Br J Nutr., 225, 1~10 (2011)
4) Andrew P. Smith : Breakfast and mental health, International Journal of Food Sciences and Nutrition, 449, 397~402 (1998)
5㸧KJ. Smith, SL. Gall, SA. McNaughton, L.
Blizzard, T. Dwyer, AJ. Venn : Skipping breakfast : longitudinal associations with cardiometabolic risk factors in the Childhood Determinants of Adult Health study, Am J Clin Nutr. 992, 1316~1325 (2010)
6㸧MA. McCrory, WW. Campbell : Effects of eating frequency, snacking, and breakfast skipping on energy regulation : symposium overview, J Nutr, 1141, 144~147 (2010)
7㸧MA. Pereira, E. Erickson, P. McKee, K.
Schrankler, SK. Raatz, LA. Lytle, AD.
Pelleggggrini : Breakfast frequency and quality may affect glycemia and appetite in adults and children, J Nutr., 1141, 163~168 (2010),
8)すᮧᕼ, ᮡᾆᩥᏊ, ὸࡳࡺࡾ, すᮧᩗ
Ꮚ : ᑠᏛᰯ࠾ࡅࡿ㣗⫱—ࠕ㣗㛵ࡍࡿయィ
⏬ࠖࡢᥦ— , ◊✲⣖せ(ឡ▱ᩍ⫱Ꮫᐙᨻᩍ⫱
ㅮᗙ), 339, 29~44(2009)
9) すᮧᕼ, ᒣᾈᚨ, すᮧᩗᏊ : 㣗⫱࢟
ࣕࣛࢡࢱ࣮ά⏝ࡼࡿ㣗⫱᥎㐍(1)—㣗⫱࢟ࣕ
ࣛࢡࢱ࣮ࠕ㣗ࡲࡿࣇࣈࠖࡢά⏝—, ឡ▱ᩍ
⫱Ꮫ◊✲ሗ࿌, ⱁ⾡࣭ಖయ⫱࣭ᐙᨻ࣭ᢏ⾡
⛉Ꮫ࣭స⦅, 559, 63~70(2010)
10) すᮧᩗᏊ, すᮧᕼ, ᒣᾈᚨ : 㣗⫱࢟
ࣕࣛࢡࢱ࣮ά⏝ࡼࡿ㣗⫱᥎㐍(2)—㣗⫱࢟ࣕ
ࣛࢡࢱ࣮ࠕ㣗ࡲࡿࣇࣈࠖࡢ⏕ࢢࢵࢬస
〇—, ឡ▱ᩍ⫱Ꮫᩍ⫱ᐇ㊶⥲ྜࢭࣥࢱ࣮⣖せ, 13, 169~177(2010)
11) ᒣᾈᚨ, すᮧᕼ, すᮧᩗᏊ : 㣗⫱࢟
ࣕࣛࢡࢱ࣮ά⏝ࡼࡿ㣗⫱᥎㐍(3)—㣗⫱࢟ࣕ
ࣛࢡࢱ࣮ࠕ㣗ࡲࡿࣇࣈࠖࡢࢢࢵࢬࡢ᭷ຠᛶ
ࡢ᳨ウ—, ឡ▱ᩍ⫱Ꮫᩍ⫱ᐇ㊶⥲ྜࢭࣥࢱ࣮
⣖せ, 113, 179~185(2010)
12) ᳃ᒣ୕༓Ụ, ᒣᾈᚨ, ᇼ⏣༓⤮ : 㣗ࡲ
ࡿࣇࣈࡼࡿ㣗⫱ࡀཬࡰࡍඣ❺ࡢព㆑࣭
⾜ືኚᐜ, ឡ▱ᏛἨᏛ࣭▷ᮇᏛ◊✲ㄽ㞟, 47, 37~43(2012)
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14) ᩥ㒊⛉Ꮫ┬ : ᖹᡂ25ᖺᗘᏛᰯಖ⤫ィ ㄪᰝ, ᮾி, (2014)
