By Pamela Mortimer
As with most of the world, cell phones are, like it  or not, a permanent fixture in Japan. Unfortunately, expanding waistlines are  also a trend – one that public officials don’t want to become a permanent  fixture. In marrying the two, health officials have devised a plan to help those  who need help with their health and weight by using their cell phones. The gist  of the program is that people will use the cameras in their cell phones to take  pictures of their food and send them off to nutritionists for an analysis and  recommendations.
Asahi Kasei Corp., a Tokyo-based chemical and medical  equipment manufacturer, has developed the system which is currently operating  with about 150 health care providers and local governments around the country.  The program was launched on a trial basis throughout public health insurance  offices in the Osaka prefecture in western Japan. Approximately 100 cardiac  patients signed up in the first year, closely followed by diabetics and those  with obesity issues.
"Japanese have been getting fatter, especially men  in their 20s and 30s, and there is concern over what they learned about  nutrition when they were younger," said Satomi Onishi, an Osaka official. "We're  hoping that this program can help us to get a handle on the problem." 
Dr. Yutaka Kimura has developed a similar program at Kansai Medical  University's Hirakata Hospital, also in Osaka. Program participants pay 4,500  yen ($37) to join and a monthly fee of 2,500 yen ($21) thereafter. Currently  there are five participants who photograph their meals for three to seven days,  then submit the photos to a nutritionist for review. In return, they receive an  e-mail from the nutritionist containing analysis and advice.
"Patients  used to fill out meal logs, but people tend to forget things or underestimate  their portions," Kimura said. "Photographing meals and e-mailing them in is  easier and gets more accurate results."
Japan’s Health Ministry released  a report last year that estimated that nearly 20 million of its citizens -  approximately one in five women and more than half of men between 40 and 70  years of age - were at risk for many health conditions associated with obesity,  such as heart disease, high cholesterol, and type 2 diabetes. Through the  program, the Health Ministry hopes to see a 25% decrease in obesity. There are  also hopes that other countries will follow suit.
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