The 1st International Conference on Okada Health & Wellness Program

Spain - 2010 MOA Magazine No. 4 The 1st International Conference on Okada Health & Wellness Program MOA INTERNATIONAL SPAIN 0 The 1st Internation...
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Spain - 2010 MOA Magazine

No. 4

The 1st International Conference on Okada Health & Wellness Program

MOA INTERNATIONAL SPAIN 0

The 1st International Conference on Okada Health & Wellness Program

19-20 September, 2009 Tokyo Ryoin; Shinagawa Prince Hotel Chaired by Dr. Kazuo Nitta, President of Nitta Institute of Integrative Medicine

  Nitta Inst itute of Integrat ive Medicine MOA Health Science Foundat ion  1

OPENING ADDRESS It is my utmost delight to see the very first international conference on Okada Health and Wellness Program come into fruition, and I am sure that it will be a very memorable event. I feel extremely honored to be appointed as the first chair, and at the same time I recognize the high level of responsibility that accompanies my office. We have been working toward the “Creation of ‘the New Medicine’” in the form of an incorporation of modern scientific medicine with the Okada Health and Wellness Program. This is a group of healthpromotion methods based on the principle of enhancing the natural healing ability that is innate to human beings, in other words, a program in accordance with natural providence. We are making progress in building a model form that Integrative Medicine embodies. In order to make certain of the progress in this area, Nitta Institute of Integrative Medicine has been working hard to strengthen the foundation necessary for establishing integrative medicine, forming close liaisons with medical experts and practitioners who share the same cause, and who also subscribe as our affiliate research members. I am proud to announce that, as of August 2009, we have a total of 130 affiliate members from all over the world. Our Mokichi Okada (1882-1955), the originator of the Okada Health and Wellness Program, who wished all human beings true and genuine health, revealed his plans for Zuisenkyo and

Ryoin, in which he described a system to realize a world without illnesses. A posthumous development of the plan for Ryoin began by its revival in 1989, and the very first Ryoin was established in Tokyo in 2001. In 1992, MOA Health Science Foundation was inaugurated to investigate and generate scientific evidence for the efficacy of the Okada Health and Wellness Program among many other health-promotion methods. Over the last 20 years, it has played a central role in preliminary and foundational studies on the Program. It has accumulated clinical research reports and case-studies conducted by its affiliate medical institutions, as well as conducted its own large-scale research projects. The results of these studies have been presented at home and abroad, including the Integrative Medicine Japan and the World Congress on Psychosomatic Medicine. This International Conference on Okada Health and Wellness Program has been organized as our first opportunity to share with other affiliate medical professionals just a fragment of what we have been working on for the last few decades. It is also a place to get feedback and to have discussions on the directions in which we shall be embarking on our future research activities. I sincerely hope that a successful conclusion of this conference will mark a beginning of yet more progressive expansion of the Integrative Medicine and research on the Okada Health and Wellness Program, with your invaluable contributions. 2

On this occasion, we have planned a forum open to the public scheduled on the second day at Shinagawa Prince Hotel, and this is a rare opportunity for the general public to learn about our research endeavours. I anticipate this will be a unique and exciting challenge for us to share with the public our great enthusiasm. Before I close my welcoming speech, I would like to take this opportunity to acknowledge my gratitude to all participants of the conference, who made themselves available for this occasion despite the many engagements they have. Also, the doctors who agreed in all their earnestness to undertake presentations at the conference at such a short notice. Last but not least, I am also grateful to the contributions of all the people who involved themselves in one way or another in helping with preparations. Thank you very much. September, 2009 Kazuo Nitta President, Nitta Institute of Integrative Medicine Chair of the First International Conference on Okada Health and Wellness Program

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ABSTRACTS S1-1 Zuisenkyo, Ryoin, Healthy Life Network – Integrative Medicine and MOA’s vision (1) – Speaker: Tetsuya SAKUMA MOA Oku-Atami Clinic 1. Introduction The concepts behind Zuisenkyo, Ryoin, and Healthy Life Network can be traced back to Okada Mokichi and his visions. He announced his vision for a Ryoin in the 1930s, when mainstream medical care revolved only around Western medicine. His Ryoin concept was to create a new type of medical care, and in 1945 his idea for developing a model city where anyone, regardless of whether they were ill or not, could enjoy health and a healthy life. He began the process to embody his plan in the city of Atami, Japan. MOA’s current system of health-promoting network is the modernized version of Okada’s plan to suit the needs of peoples’ current lifestyles. 2. The trend in the 21st century: from LOHAS to SOHAS Since the turn of the century, more and more people have taken up a kind of lifestyle that is intended for a healthier life and sustainable protection and preservation of natural environments - called LOHAS, Lifestyles of Health and S--ustainability. In the same vein, the concept of SOHAS, Societies of Health and Sustainability, is gaining recognition as a movement that aims to achieve a healthy and sustainable society. Long before this trend showed its heralding signs in social movements, Okada had already initiated three major activities, which were Nature Farming, Okada Wellness Program, and Art & Cultural enterprises. MOA began constructing a system of SOHAS to combine these three types of activities, revolving around the Zuisenkyo, Ryoin, and Healthy Life Networks. 3. MOA’s Views of Health and Integrative Medicine Okada’s own understanding of health and life cannot be confined within a definition of health conceived of in modern Western medicine. MOA recognizes this, and promotes a new concept of health along those suggested in Integrative Medicine or by the WHO. Especially, it recognizes the value of natural providence in health-maintenance, and offers health promotion programs in accordance with Nature’s ways, including Okada Purifying Therapy, Food & Eating Program, and Arts & Culture Program, as well as other therapies such as Nature Exploration, Gardening Therapy, Musical Therapy, and exercise.

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4. An Overview of Ohito Zuisenkyo Okada’s Zuisenkyo project is to create a model health resort, complete with agricultural and health-care facilities, situated amidst great natural environments and well-known scenic gardens. Many Zuisenkyo-s of various sizes and scales are constructed in Japan and abroad, of which the largest is Ohito Zuisenkyo in Izu-no-kuni City. Here, we implement a holistic approach to health and medical care, which focuses on not only such things as physical ailments, but also social issues such as NEET and domestic conflicts. In order to assure that the approach is safe and effective, the clinic embraces psychosomatic medicine and agro-medicine in its practice, and accumulates case reports for scientific studies. We use the phrase “to look after life” to represent our Zuisenkyo in an attempt to make our visions easily understandable for the general public. In the future, we aim a) to work with even more people to realize these concepts, and earn their trust and gain a good reputation; b) to put into practice a holistic approach to health, without being confined to the medical framework of healthcare; and c) to make holistic or integrative medicine widely accessible to the general public for promotion, education and propagation. We also aim to improve accessibility for patients from urban areas, to form a cooperative healthcare program with Ryoins in urban areas.

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S1-2 Zuisenkyo, Ryoin, Healthy Life Network – Integrative Medicine and MOA’s vision (2) – Speaker: Toyoshi TATEKAWA Tatekawa Internal Medicine Clinic A combination of household circumstances, interpersonal relationships, occupations, and lifestyles can be contributing factors to illness and disease. With this in mind, we believe that a holistic approach to treating each patient is crucial in bringing about a fundamental cure for diseases. We also conceive health and illness to be linear and transient states of the human condition, and therefore there is also an intermediate state, mi-byo, meaning “a state with a disease yet to manifest.” Western medicine, which is the principal form of modern medical care, has developed into specialized fields such as preventive, curative, and palliative medicine. These specializations make it difficult for Western medicine to consistently care and treat patients across such boundaries. On the other hand, the Okada Health and Wellness Program has the potential to become a means of comprehensive care, covering areas ranging from health promotion to terminal care. We are working towards a new medicine that integrates the above two types of medical care, aiming to improve health and mi-byo conditions, to fundamentally cure illnesses, and to enable people to have a peaceful end to their lives. The “Healthy Life Network” is a network of MOA’s members in local areas, and it functions as an effective medium for MOA’s clinics and Ryoins to implement their protocols of care outside their precincts. It plays an important role in assisting sufferers as well as their families, who are ultimately the most immediate caregivers to patients. Members of the network may share some of the burden of care by standing in for families. When the sufferer has no immediate family to look after him or her, the network can take up the burden of care instead. There are 303 such networksin the Kinki region alone, including 111 in Osaka Prefecture and 78 in Hyogo Prefecture. In order to have the networks function smoothly and meaningfully, it is crucial to have, firstly, medical institutions which practice locally and have a positive understanding of our cause and are willing to cooperate for our purposes; secondly, the development of a system to manage patients’ personal information, and finally, a continued effort to improve and refine the manners and etiquette of network-members at the scenes of care-giving. I will provide an example of a case of a good working relationship between a MOA network and 8

a local medical institution. A 78-year-old male with pancreatic cancer was told at a general hospital that there was no effective treatment available within the practice of Western medicine. He then found a form of LPS called Specific Substance Maruyama (commonly known as Maruyama Vaccine) and Okada Health and Wellness Program. With help from the MOA’s local network, he found a local medical institution that agreed to administer the substance for him. The network worked together with his family to assist him with the Okada Health and Wellness Program, as well as helping him with a variety of everyday needs. As a result, his fear of death gradually lessened and this resulted in a reduction in his spiritual pain. It is crucial for a system of care-networks such as this to function meaningfully in order to give birth to a new type of medicine, that is, a successful integration of Western medicine and Okada Health and Wellness Program. It is a natural conclusion that a cooperative working relationship with local medical practices is vital for this to be realized.

ZUISENKYO, RYOIN, HEALTHY-LIFE NETWORK Speaker: Toyoshi TATEKAWA Tatekawa Clinic of Internal Medicine Ryoin and Healthy Life Networks

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S1-3 Effects of Bio-field Energies on Electroencephalograms Speaker: Seiya UCHIDA Yasutami TSUDA, Kazuo NITTA, Kiyoshi YAMAOKA, Hisanobu SUGANO MOA Health Science Foundation 1. Electroencephalogram (EEG) Electroencephalography is a technique to record electrical activity of the brain, detecting the neuron-firings on the surface of the scalp. There are 4 broad classifications of the EEG, namely δ, θ, α, and β, each defined by its frequency. Alpha is considered to be an indicator of relaxation as it appears while the subject is in a state of rest with eyes closed. (S2) The first recording of the human EEG was undertaken by Hans Berger in 1929. While in Japan, Yamaoka, a professor emeritus of Nippon University and an advisor of MOA Health Science Foundation, initiated an application of the EEG in psychological research in 1951. Hirai (1960) and Yamaoka (1963) conducted studies to record EEG in subjects engaging in Zazen meditation, and ever since the use of EEG has increased in research to evaluate the relaxation effects of various therapies. (S3) 2. Biofield Therapies and a Background of the Study An explanation of biofield therapies on the U.S.A. National Institute of Health website says that they are meant to affect energy fields that purportedly surround and penetrate the human body. Qi- Gong, Reiki, and Therapeutic Touch fall into this category. (S4) Placebo control studies on biofield energy-therapies have been conducted. For example, Lee M.S. and others have reported that external Qi therapy helps increase Alpha while decrease Beta. However, their studies leave some issues in analytical biases due to the short length of the therapeutic administration (3 minutes). (S5) Our study aims to evaluate the relaxation effects of the Okada Purifying Therapy, using Maltes’ protocol along with a placebo control (OPT, suggestion, and control). (S6) 3. Method Each participant of this study underwent three experimental procedures (control, suggestion, and OPT treatment) in a random order. In each session, data on POMS, EEG with 13 nodes, ECG, and pulsation were recorded. A session entailed 5-minute initial rest with eyes closed in a chair, followed by a 15-minute experiment, and another 5-minute rest. During the experiment, the subject opened his/her eyes for 25 seconds, then closed them for 35 seconds, repeating this 15 times. The subject group consisted of 11 individuals (7 M, 4 F), aged 38.3 on average, and SD 9.6. (S7) The therapy was conducted by a medical practitioner in his 80s, who was also an OPT practitioner. Instructions to the practitioner were transmitted through headphones so that the subjects were kept unaware of the proceedings. 12

4. Results The data on POMS survey indicate some improvements in emotional states for all three experiments, and there were no significant differences among them. (S8) The alpha topograph, which indicates the magnitude of the alpha-wave mapped on the scalp by different colors, showed a significant difference in the color distribution of the OPT session from the other two sessions, suggesting a significant increase of the alpha. (S9) Whereas the changes of alpha distribution in topograph over time showed that a significant increase of alpha appeared after 4 minutes into the experiment of OPT. (S10) 5. Summary While there was no significant difference in the emotional states among the three experiments, the alpha reading showed a significant increase only in the OPT experiment, especially after 4 minutes of the administration. This suggests the changes caused by OPT are not caused by the subject’s expectations, but rather by certain energies inducing a relaxation effect in brain functions. (S11)

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S1-4 Eeffects of Okada Purifying Therapy on RA Patients; Changes in RA Activity and Cytokines Speaker: Minoru OHTSUKA* Shoji KURIKI*, Mika KOKUBO*, Midori FUKAO*, Sachiko ICHIKAWA*, Hikoro MORISHITA*, Yumiko KONDOH*, KATO**, MIURA**, NODA** *- MOA Nagoya Clinic **- MOA International Introduction We presented our initial study at the 1st Conference of Integrative Medicine Japan (IMJ), held in Fukuoka in December, 2008. Our committee for advancement of research on Okada Health and Wellness Program at Nagoya Ryoin have been engaged in investigating on Okada Health and Wellness Program in the area of rheumatoid arthritis (RA) since 2007. I would like to take this opportunity to thank MOA Health Science Foundation, MOA International, and Medical Corporation Gyokusen-Kai for their support, especially in granting us the funding for our research. I would also like to thank all the members of MOA, whose contributions and cooperation are essential to making this happen. Our research was originally motivated by the fact that there was a strong desire and enthusiasm among administrators and members of MOA for bringing OHWP into a wider society with appropriate scientific evidence to show its efficacy and safety. I spent some time trying to come up with ideas for a scientific approach to investigate the effects of OHWP in changes of perceived conditions of illnesses. Then I realized that many arthritic patients at our Nagoya Clinic had been reporting to us a large reduction in their pains. It also came to my attention that medical research into RA had seen some remarkable progress in recent years. These became an inspiration for my research theme, that is, to investigate scientifically the effects of OHWP in RA patients.

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Epilogue When we embarked on the research, there was a strong feeling among the people involved with MOA that, while there was much anecdotal evidence to claim physical and psychological betterment by OHWP, adequate scientific evidence was absent to underpin that. We regarded our project to be one big step toward the New Medicine, which Okada envisaged. In order to pursue a production of proper scientific proof, we need to consider our task to be investigating a hitherto-unknown realm of the world from a perspective of ‘spiritual science’. This was the mutual understanding shared among the staff members of our clinic. Having come so far in the project, the interim outcome is already surpassing our initial expectation in producing objective evidence of improvements, in my opinion. The participants of the study were so devoted that some of them who lived far away from the clinic got up at 3 a.m. and made a 4-hour journey to the clinic in order to take part in the research, despite having RA and high levels of disease activity. To my amazement, they were even grateful for the fact that they could be part of this project aimed at propelling OHWP into the wider world. One of the participants was a healthy individual but wished she had arthritis so that she could be included in the study. Instead, she would ask RA patients to come forward to participate, thinking that this was the best contribution she could make. However, by an extraordinary twist of fate, she came down with RA this year, and her condition deteriorated dramatically, that at one stage she became immobilized and was forced to use a wheelchair. However, with OHWP and medical treatment, she has recovered to the extent that she can now walk and go about her everyday life without much suffering. Ironically, this incidence of RA gave her the opportunity to take part in our study, and she was 19

very happy about it. I couldn’t help but wonder if this was meant to have happened. Some well-meaning patients at our clinic actively use our findings as a means of telling their friends about OHWP and the clinic. We have had several people come visit us through this route. We would like to again give our thanks to the devoted contributions brought about by MOA’s solid efforts. With the data and analytical outcomes we have obtained so far, we will be giving a presentation entitled “Effects of Art Therapy of OHWP on RA patients” at the 13th Conference of IMJ this coming November. Thank you very much.

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S1-5 A Report on Rheumatoid Arthritis Project Speaker: Hugo Adrian MURATORE Chiryoin of Santiago del Estero, MOA Argentina Overall Objective: This study aims to evaluate the effectiveness of Okada Health and Wellness Program on rheumatoid arthritis. Twenty patients were divided into subject and control groups. Their QOL were compared against each other. Specific Objectives: 1) To assess the levels of pain in the patients being treated under Okada Health and Wellness Program using an EAV test. 2) To provide continued care of the patients with support from MOA’s Healthy-Life Network. 3) To promote skills of self-care and management progressively, always in keeping with the concept of Integrative Medicine. 4) To encourage people to develop an understanding of food and eating habits, as well as appreciation and gratitude for their food and for those who prepare meals for them. Methods: Ten subjects were chosen among the members of the Association of RA Patients. Following the standard setup by the American College of Rheumatology, the selection was made using random sampling as opposed to probability sampling from a group of RA patients who had been diagnosed with the illness for over 1 year and who were using a second line medication. At the beginning, the subjects showed the following conditions; having to use a cane to walk, feeling helpless because they were unable to use public transport, unable to work (as a mason), having difficulties getting up from a chair or a toilet seat, feeling fatigue even by doing just minimal exercise, being unable to exercise in their daily life, and feeling isolation due to the shame attached to deformations in hands and legs. Psychologists found the following; Feelings of fretfulness, nervousness, over-sensitivity, anxiety, and fear. Some of them suffered impulsiveness and low resistance against frustration, and in some severe cases, a lack of social skills or extreme introversion with sorrowful agony. From the preparatory phase, we made predictions about the changes that would occur after application of Okada Health and Wellness Program, as well as about scores on HAQ tests. Results from the 6-month research: The patients could walk without a cane and use public transport. The aforementioned patient could work again as a mason three months later. Five months later he took up exercising such as swimming and jogging and could stand up from a chair or a toilet seat without a support. The most profound change occurred in the patient who 21

felt ashamed about her deformed hands; she began to feel severe pains in the joints toward the end of the third month, but the form of her hands started to change gradually after that, as seen in the photographs above. Summary: The efficacy of Okada Health and Wellness Program was proven scientifically based on the results of this study. The results of the control group are shown in the table below. Although 20% of the control group showed some improvements statistically, the results were not according to patients’ expectations, which was reflected in their HAQ results. Because pain restricted subjects’ mobility, 80% of the control group left their jobs and got into conflicts with their family members. Only one subject made a decision to consult with a psychologist as a result of an external injury due to RA. Medical specialists’ suggestions regarding QOL and dietary habits were not reflected in the lives of the subjects in the control group. COMPARISON TABLES Conclusion: Changes in the subjects started to appear soon after they started the treatment, and we were given an opportunity to show their improvements objectively. For example, the subjects 1001 and 1005 indicated a decrease in ESR and CRP, and the subject 1009 retained the same negative rate. Rheumatoid factor remarkably decreased in 90% of the subjects. The most significant decrease was by 20% upon starting the treatment. In this research, all of the subjects in the first cohort had reductions in their dosages of steroid. At the end of the study, 40% of them had completely discontinued steroidbased medications. It seemed outstanding that 90% of the subjects indicated to have Okada Purifying Therapy as their complementary therapy to treat RA.

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S1-6 Evaluation of Tolerance-Level against Adjuvant Chemotherapy among Stages II and III Breast Cancer Patients, and Their QOL by Application of Okada Health and Wellness Program (OHWP) Speaker: Talia YUDIN The Oncology Clinic of Fundacion Arturo Lopez Peres (FALP), Santiago de Chile Our principal investigator is Dr Maeve Kelly, and co-researchers include Claudio Flores, an oncologist; Maria Carrion, a medical Engineer; and I, Talia Yudin, a radiologist. The Oncology Clinic of FALP Our clinic mainly operates on prevention, education, diagnoses, and treatment of cancer in adult patients. We also work with many medical specialists including surgeons, chemotherapists, radiologists, as well as others specializing in other illnesses, and provide them with medical support. Research Background In Chile, breast cancer is the second most cause of death among all cancers, following cancer of the gallbladder. Thus, for us it is valuable to pursue a research project on breast cancer patients. In 2008, we formed a group named MOA-FALP, consisting of medical doctors, medical engineers, nurses, nutritionists, and various other medical specialists from across different disciplines, who were interested in providing cancer patients with integrative medical care. At the beginning, we followed an OPT practitioner training course for a level-3 therapist and studied Art Therapy with flowers ourselves, in preparation for treating patients. Objectives The general objective of the research project is to evaluate the effectiveness of OHWP in terms of its impacts on the QOL and tolerance-level against chemotherapy of stages II-III breast cancer patients. The secondary objective is to achieve a successful introduction of complementary medicine to FALP. Methodology 80 patients were divided randomly into two groups. One group is being given a treatment of OHWP (Group A), and the other is the control group (Group B). Both groups are undergoing a course of 28-week chemotherapy, consisting of 4 cycles of Adriamycin and Cyclophosphamide regimen, followed by 4 cycles of Paclitaxel regimen. Group A receives additional interventions as OPT twice a week, and Therapeutic Flower Workshop once aweek. The quality of life is evaluated by application of a QLQ C-30 form, a questionnaire provided by 25

the European Organisation for Research and Treatment of Cancer (EORTC), and a QLQ BR-23 form specifically intended for breast cancer patients. Predictions We anticipate a 10% increase in scores of the general QOL and functionality scale, and a 10% decrease in the scores of symptoms for patients who are undergoing OPT treatment. We also note that differences of significance in the nutritional states and leukocyte-counts are expected to be found between the two groups. Conclusions and Our Valuable Achievement from This Research Project: The most important result for us was to form an alliance between our FALP oncology clinic and MOA International. The incorporation of the concept to treat patients integrally and to provide both physical and spiritual care to the cancer patients was achieved with all healthcare staff and administrative staff at the clinic. The training in OHWP was made possible to be given to a group of multi-disciplinary professionals at the Oncology Clinic. The support and acceptance of this type of therapy by the part of the clinic’s medical directors is also important. We will have an entire floor dedicated to QOL and Integrative Medicine. And MOA-FALP will have a suitable space for itself. Thank you very much.

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F-1 Healthcare of Hypertensive Patients through Okada Health and Wellness Program: an approach of Integrative Medicine - It’s long term effects observed in outpatients (second report) Speaker: Yoshiteru MAKI, MOA Kagoshima Clinic Misako KOJIMA*, Chikako OKAYAMA*, Seiji OTSUBO*, Tomoaki KIMURA**, Yasutami TSUDA** *- MOA Kagoshima Clinic **- MOA Health Science Foundation Objectives To investigate the extent to which healthcare instructions from the viewpoint of Okada Health and Wellness Program, given to outpatients with hypertension during their stay-over training scheme at the clinic, are pursued at home, and to elucidate the effects of the program in improvements of the patients’ conditions. Our first report presented the findings from a short-period study, comparing the results before and after the stay-over training program. This second report presents findings from a longitudinal observation and analysis regarding outpatients with hypertension. Methodology 20 participants were selected from outpatients with hypertension, who consulted our clinic between June 2007 and July 2008 and continued treatments longer than 5 months. During their consultations, they had the following parameters measured: blood pressure, BMI, ageing of blood vessels, elasticity of shoulder muscles, perceived stress (using JPSS), QOL (using SF36), lifestyle, and frequency of practicing OHWP outside the clinic. Cases Case I: female, 83 years old At the age of 75, suffered high-blood pressure, sequelae of stroke, and hyperlipemia. After the stayover training program, she continued care with OHWP. The pains in her lower back and shoulders showed signs of improvement. The program had also helped reduce stress from nursing, and JPSS also declined. The blood tests showed that her hyperlipemia was on a course of betterment, without the rise in her blood pressure concurrent with ageing. She is still managing to stay off medications. Case II: female, 68 years old At the age of 57, suffered hypertension, hyperlipemia, stroke, and neurosis, for which she was prescribed medication. Her blood-pressure fluctuated when exposed to anxiety-causing situations. She suffered an acute cerebral ischemia attack when she was 64. At the age of 65, she had difficulty following the nutritional guidance we had given her. After the second stay-over training program, she became concerned about improving her diet and eating habits, which was followed by a significant improvement in her condition as she started pursuing OHWP 28

exactly as instructed. Results An overall assessment of the twenty participants identified the following: diminution of shoulder pain and stress, improvements in BMI, and stabilization of both blood pressure and QOL. While the blood-vessel ageing tests did not produce a significant change, arteriosclerotic indices showed a significant improvement. Discussion From the vantage point of Integrative Medicine, the healthcare scheme through OHWP, with caring arranged to suit the patients’ life-circumstances, could be said to have contributed to the improvement of our hypertension outpatients’ condition, both psychologically and physiologically. Furthermore, the involvement of family in pursuing OHWP seemed to contribute to improvement in the condition of the illness and to achieving a healthy lifestyle while also stabilizing blood pressure. Conclusion This study has indicated that Okada Health and Wellness Program, combined with lifestyle modifications, is useful in managing and improving conditions of hypertension.

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F-2 A Health Promoting Program That Makes Use of the Natural Environment: Its effects on patients on the stayover scheme Speaker: Hisao MORIOKA, MOA Kanazawa Clinic Yoshiko NAKANISHI*, Akiko SAKAI*, Tomoaki KIMURA** *- MOA Kanazawa Clinic **- MOA Health Science Foundation Objectives At our Kanazawa Clinic, we have been conducting research projects to assess the effects of Okada Health and Wellness Program. We have so far found that it has positive effects on short-term stayover patients in their psychological and physical improvements and on outpatients in a continued administration of the program for long-term effects. Also we found there to be an immediate impact from the Arts and Culture Program in altering patients’ psychological states. This paper reports our findings on the effects of the program that are rooted in the natural environment in the care of our in -patients in terms of its effects on physical and psychological states, as well as in their lifestyles. Method The study was conducted with 42 participants, who met the criteria of being under 80 years old, and giving their consent to take part in it. The participants were selected from our inpatients at any period during September and November 2007, or April and June 2008. The program prescribed consisted of a walk in a natural environment, a Nature Game, gardening exercises,

Ashi-yu, flower workshops, tea therapy, and OPT treatment. One session lasted for 3 hours. The participants undertook Profile of Mood States test (POMS) before and after they underwent the program. Results The results from the POMS test indicated significant decreases in factors such as anxiety, depression, anger, and fatigue. Anxiety in particular showed a remarkable decrease, indicating the relaxation effect that was achieved through engaging with the natural environment. One female participant in her 70s reported to have realized the importance of engaging with Nature, and she continued doing the programs at home, to have further improvements in her conditions as well as in her lifestyle. Discussion We have seen that the health program brought about an immediate improvement in the patients’ psychological states. Further, the case-studies showed the long-term implications of the program through its continued applications. Engaging with the natural environments seems to prompt healing effects as well as psychological developments, facilitating an introspective perspective for better changes in the patients’ ways of thinking and living. 31

Conclusion It has been suggested that a health program that makes use of natural environments has positive implications on health from both short-term and long-term perspectives.

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F-3 A project on the Overweight and Obese An approach of Integrative Medicine Speaker: Julio RAFFO LAGUNA Centro de Salud MOA-Chile First of all, I would like to introduce myself. My name is Julio Raffo. I was awarded a Ph.D. degree from Leeds University, England and am currently a practicing cardiologist. I also teach at the University of Santiago of Chile (Universidad de Santiago de Chile) and work as a consultant at MOA Chile Clinic. INTRODUCTION The rising awareness of metabolic syndrome has been a driving force for medicinal professionals to work on effective treatments for obesity. Obesity is a major causal factor for various healthproblems such as diabetes, hypertension, and hyperlipemia, and it is closely associated with atherosclerosis, myocardiac infarction, cerebrovascular diseases, and many other illnesses. While obesity is such a high-risk condition, existing treatments such as diets, exercise, or even some surgical procedures have not been successful in tackling the problem fundamentally, to produce a long-term solution. Moreover, non-surgical treatments often require a considerable amount of time to produce some kind of favourable result, which makes it difficult for many people to keep up with such treatments. It is not only the biological factors that make dieting and weight-management difficult; there are also environmental, psychological and behavioural factors involved. What we need is a treatment that facilitates the correction and management of the lifestyle of the patient, which derived the obesity, an integrative care of a patient from all physical, psychological, and spiritual perspectives. The purpose of this study is to investigate the effects of a treatment which combines a Western style non-surgical, non-chemical, low-calorie diet and high-energy-consumption style therapy, on the one hand, and a health-promoting program, originated by Okada Mokichi and largely practiced in Japan, which improves patients’ lifestyles through introducing elements of beauty into daily life and encourages them to feel a sense of responsibility for their own health and a sense of mutual support with other patients, on the other. Research Theme and Methodology The participant group consisted of 21 individuals; 5 males and 16 females, the average age being 47 (ranging between 26 and 69). 34

The participants underwent scientific examinations at the beginning and end of the program to measure vital levels (using an exercise bicycle with an ergometer), body weight, BMI, and the percentage of the body fat and muscles (using the Body Composition Monitor by OMRON HEALTHCARE Co.,Ltd.). Each participant received a recommended diet plan, according to the test results, on the basis of their required daily energy calculated according to the equation charts provided by the FAO, the WHO and the UN. Participants then undertook a course of aerobics exercises. The course was tailored to suit each individual’s current condition. Each individual had a clear personal objective, and the strenuousness of the exercises was increased each week. (5BX-XBX) The participants also received treatments of OPT and Art Therapy (including tea, pottery, flower arranging, and painting) weekly. During the therapy sessions, the participants also gained a deeper understanding of the themes set forth in each therapy. They also enjoyed the paintings and porcelain arranged around the venue. When the program came to an end, the participants wished to set up a social club for their continued rehabilitation and to maintain contact with MOA. A club was then launched. RESULTS Reductions in body weight, BMI, and body fat percentage were observed, while the percentage of body muscles increased. The reduction in the BMI, which is a class-determinant indicator of obesity, was observed in all participants; 95.2% of the participants (20 out of 21 individuals) reduced their weight and body fat percentages, while 90.5% (19 out of 21) increased their percentage of body muscles. These results would mean a statistical significance in the distribution when applied to the t-test and the Wilcoxon test, which is a non-parametric method. Our evaluation of the program used in this study is that it is valuable in the long term for various effects including lifestyle modification, cultivation of a healthy sensitivity to beauty, and the development of a perceptive mind, as well as enabling the patients to maintain the improvements that they had achieved through the treatments. It is also noted that all the participants are highly motivated to get involved in MOA’s activities to this day. As members, they actively take part in conducting Okada Health and 35

Wellness Program, Arts and Culture seminars, Exercise workshops, and Gardening seminars. There was an unexpected development from this study, that the University of Santiago of Chile recognized our clinic, through their involvement in this study, as an ideal venue for their graduating students to have their field-training, and accepted MOA Chile. This has opened up a good opportunity for us to maintain meaningful communications with the university. The planning and preparations for this study as a result of the efforts and enthusiasm exerted by the research team at the MOA Chile Clinic deserves recognition for its establishment of a therapeutic approach that can be valuable for sufferers of other medical conditions. Acknowledgement To those whose contributions made this study a success: I would like to thank all the MOA members in Japan for their hearty support, and the team of MOA members and staff in Chile, especially the chief director of MOA Mr Hiraizumi, Dr. Kelly, the coordinator at the clinic Ms Urquieta, the nurse Ms Cardelon, and those who gave us their support as OPT practitioners, Arts&Culture Instructors, and last but not least, the physiotherapists from the University of Santiago of Chile, for their willing participation and collaboration. Thank you very much.

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F-4 Okada Purifying Therapy (OPT): Its Safety and Efficacy Questionnaire taken by 75,000 Japanese people Speaker: Kiyoshi SUZUKI MOA Health Science Foundation

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S2-1 Spirituality, Placebo Effect and Medicine Speaker: Kiyoshi SUZUKI MOA Health Science Foundation

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S2-2 An Evaluation Framework of Spirituality Speaker: Tetsuya SAKUMA MOA Oku-Atami Clinic 1. Research Background In 1999 the WHO proposed revising the definition of health so that it contained “spiritual” health in the line, but it has not yet been adopted to this day. With regards to palliative care, however, the WHO’s definition contains “spiritual” with reference to the kinds of support to be provided to the sufferer as well as to his or her carers and family. In Western counties, religious care and spiritual care have already been widely accepted by the general public. In addition, systemic research and training structures have been developed. In Japan, chaplains and beharas have initiated religious care in Catholic or Buddhist Hospices. Yet the general low awareness of religion in Japan seems to make it necessary for us to have a type of spiritual care different from ones found in the West. Last year, Japan Society of Spiritual Care was founded by Dr. Shigeaki Hinohara. 2. The purpose of Creating MOA’s Spirituality Rating Scale (MSRS) MOA considers human beings to be beings with spirituality, and promotes the necessity of spiritual care not only in Palliative Care but also in daily care for a variety of people. With regards to the sense of spirituality, MOA does not ask people to conform to its own understanding of spirituality or to change their religious beliefs. However, considering the increasing awareness of the importance of spirituality, we have launched a project to create a Spirituality Rating Scale and to have it serve as an evaluation tool for various types of care, including Okada Health and Wellness Program. 3. Preliminary Research Okada stated that all human beings had spirituality, which could be improved by various means including Okada Health and Wellness Program. MOA’s concept of spirituality is divided into 10 sub -categories, and 50 items were created with questions corresponding to each item. We conducted a preliminary survey with 239 students from Nihon University Mishima Campus and 105 MOA members studying at various universities in Japan (MOA Students). The results showed a significant difference between the two groups of students, with average scores of 60 points for Nihon University students and 70 for MOA students. 4. Future Research We used the results from Nihon University students to select 20 items from the original 50 and to reset the maximum score to 100 to generate a scheme named MSRS-25. We are planning to conduct the research using random sampling from the general public in the future to determine the tendency of Japanese spirituality by MSRS-25. This way, we will be able to find out the standard deviation by factors such as age, religious affiliation, income level, education, 45

and marital status. Themes for our future research using MSRS-25 are listed below.

◆Relationship between spirituality, on the one hand, and factors such as life-environment, education, Quality Of Life, personal characteristics, duration of playing video games, eating habits, and so on, ◆Relationship between spirituality and mental health disorders, ◆Evaluation on the effectiveness of Okada Health and Wellness Program, ◆Cross-national Comparison Research 1: variations across religious orientations and races, and ◆Cross-national Comparison Research 2: evaluation of the MSRS-25 against existing schemes in other countries.

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Administration Commettee of The 1st International Conference on Okada Health & Wellness Program (Office in Nitta Institute of Integrative Medicine / MOA Health Science Foundation) 47

Actividades de MOA España Malága 15 de Marzo. Curso de flor para los equipo de médicos en recidencia anciano.

Curso para obtener titulación de Terapeuta

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11 de Julio. Curso de Terapeuta. 17 terapeutas participando en el curso.

14 de Julio. Reunion de MOA aprendiendo método de Arte y Cultura, método de Alimentación.

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25 de Julio. 16 participantes en el curso de cocina Japonesa.

28 de Julio. Curso de nivel basico de terapeuta.

2 de Agosto. 12 personas participando en el seminario de fortalecimiento de salud.

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Madrid 22 de Mayo. Curso para obtener titulación de Terapeuta.

Seminario de fortalecimiento de salud. Curso de cocina Japonesa en el Centro.

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Actividades en Tailandia On June 11th, at the reception room of the MOA Museum of Art in Atami, Japan, Mr. Apichart Director of the Office of Non-Formal and Informal Education of the Ministry of Education of Thailand, Mr. Shiga President of the Corporate Organization MOA International and Mr. Saiki from the MOA Foundation of Thailand signed an Agreement of Cooperation for Training Specialists in Agriculture and Food. The initial agreement was signed in February 2007, and in this opportunity they signed on an extended period. After its original signature in 2007, the Ministry of Education of Thailand began training courses for its employees in order to contribute to the promulgation of Nature Farming and Natural Foods. In the past 3 years, they have conducted a Basic Course of Nature Farming and Natural Foods, and selected participants from all employees at the Centers of Education and Science, and Centers of Professional Training in the country. This course was designed to last for one year, and the Ministry has repeated it to develop their training programs. Evaluating the participants’ progress, the Administrative Commission of the Agreement sent high-achieving participants to an Advanced Course conducted in Japan. In the past 2 years, 24 people have completed this course (12 Directors of Centers and 12 teachers). The participants who have accomplished the course in Japan are now taking initiative in their centers to construct farming fields for demonstration, to improve curriculums of the Basic Courses, to manage seminars for promotion, etc. This movement is already beginning to include more people in their own communities. With these results as an achievement, this project occupies a special place within the policy of the Department of Non-Formal and Informal Education, and after its execution during 3 years, the renewal of the Agreement indicates the Department’s intention to reinforce its practice even more. (Provided by: NPO Corporate Organization for Natural Farming and Culture) On June 5th, 8 Christian sisters from a nursing home received the qualification to practice Okada Purifying Therapy (OPT). At this nursing home, administered by a Catholic Church in the west center prefecture of Ratchaburi in Thailand, 2 sisters were first to receive this qualification. They applied Purifying Therapy to an old man who suffered from cancer, and the swelling in his back became smaller, alleviating the pains. Witnessed this result, other sisters decided to subscribe to MOA for the qualification. Previously, the sisters were limited to take care of the old people at the nursing home. Now that they have the qualification to practice OPT, they have the great joy of helping the old people directly with the healing. Another 12 sisters are now preparing to join them and become MOA members. (Provided by MOA Thailand) 53

MOA INTERNATIONAL

MOA INTERNATIONAL MADRID Dirección : C/ Moralzarzal, 10 Duplex 280340 Madrid Tel: 952 46 12 98 Movil: 637 748 233 MOA INTERNATIONAL MÁLAGA Dirección : Avda. Nuestro Padre Jesús Cautivo nº 34, Ático, Oficina nº 13 del edificio Ofimar 29640 Fuengirola, Málaga Tel: 952 46 12 98 Movil: 637 748 233 e-mail : [email protected]

Web: www.moainternational.or.jp/ 54

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