Q1. What is the difference between anti-aging and beautiful aging?

A1.  It is for certain that human beings age one year, each year; but one does not need to harbor negative feelings toward aging. That said, people often become over-concerned with small wrinkles and skin blemishes and repeatedly spend large sums of money on surgical procedures and injections; however, this does not produce truly young skin. Truly young-looking skin can be achieved through daily management of health, with appropriate amounts of exercise and proper diet to achieve both inner beauty and outward appearance. There is no need to try to resist aging through unnaturally strenuous methods; but instead, accept conditions to live a life of joy and fulfillment. This is what beautiful aging represents.


Q2. What is most important in maintaining a youthful body?

A2.  The most important fundamentals are breathing and posture. Correct posture and proper breathing are effective in maintaining proper lung functions and simultaneously release of anti-aging hormones and serotonin.


Q3. Should I lose weight?

A3.  What is your height? How much did you weigh when you were approximately 20 years old?
The human skeletal framework fully matures at the age of 20 and becomes able to support body weight. Ideal weights differ according to individuals, but you are not considered overweight if your BMI [body weight (kg) ÷height (m)2] ranges between 20 to 22. If you are concerned about your appearance, it may be because you are at odds with your body proportions. If this is the case, focus on developing correct posture with an appropriate amount of muscle tension, which will help you attain good proportion. If your BMI is over 22, there are ways to improve your BMI by losing weight through proper diet and exercise. However, this is an ideal method and each individual needs to consider methods suitable for oneself. Therefore, please take caution in your attempts, because, as an example, an individual who is highly overweight should not suddenly take up strenuous exercise in an attempt to lose weight because one could risk injury to the knees and/or lower back.


Q4. Should I take up running to lose weight?

A4.  Running is not appropriate for everyone. I suggest walking for those of you who are not athletically active. An effective way to lose weight is to eat an appropriate amount of food and to take part in aerobic exercise that appropriately corresponds with each individual’s fat- burning zone.


Q5. I am concerned about my bow-legged condition. Is there a way to remedy this?

A5.  There are a few types of bow-legged conditions. One representative type is genu varum, in which the alignment of the lower limb is curved. Another type is quite prevalent among young people, in which the legs are straight, however, incorrect posture and stance spreads the pelvis open, creating an appearance of being bow-legged. It is possible to remedy this in a matter of a few hours to a few days, through conscious efforts to correct one’s stance and posture in the hip area.


Q6. Is it possible to trim my waist?

A6.  Yes, of course it is possible. You will need to focus on 3 areas to develop an “hourglass” waist: the first is posture to produce an “s” line waist (as seen from the side); next, traverse abdominal muscles (also seen from the side) to check for a bulging stomach; finally, oblique abdominal muscles (seen from the front) for the hourglass shape. The step-by-step method is as follows: 1) develop a correct posture; 2) use your abdominal muscles and draw in your stomach; 3) tighten your oblique abdominal muscles. Anyone will be able to trim one’s waist by focusing on these areas.


Q7. Is it possible to develop a shapely bottom?

A7.  There are some limits, but it is possible to a certain degree.
There are 3 areas of focus to develop shapely buttocks:

  • pelvis angle
  • gluteus maximus
  • external rotator muscles
First, pelvic angle adjustments are necessary. Then, gluteal and external rotator muscles stimulations will gradually lead to shapely buttocks.


Q8. Is it possible to make my legs skinny?

A8.  In most cases, it is possible.
It is first important to fathom the cause of obesity in the legs.

  • Swelling type – restricted blood flow or lymph circulation can cause obesity in the lower body.
  • Fat type – general obesity and fat distribution not just concentrated in the legs.
  • Muscular type – large leg girth derived from over-trained muscles from athletic activities, such as cycling, skating, squats, etc. This is a sign of health and there is no particular problem, although this type can develop condition 2) above after quitting sports activities.
For type 1), lymph node massages and compressed stockings are effective factors to improve blood circulation. A large number of this type comprises individuals with high carbohydrate intake. Therefore, it would be good to be mindful to ingest larger portions of vegetables and proteins. Isometric exercises such as standing on the toes are also effective. For type 2), it is necessary to be mindful of general caloric intake and types of food, in addition to taking up exercise. Type 3) can gradually attain thinner legs by refraining from sports activities that enlarge the legs and be mindful of diet. It might be good to tone down the intensity of your training and to enjoy your sport if you do not wish to quit and then see what happens.


Q9. Is it possible to receive clinical examination by Dr. Kakuko or to participate in one of her lessons?

A9.  Unfortunately, I do not offer public clinical examinations because I am dedicated to examining JOC certified athletes as a medical staff doctor at the national sports science center.
However, I often give workshops and lectures. Please periodically check the Latest News section of my website for updates on workshop and lecture appearances.
If you wish to offer Dr. Nakamura spots to give lectures, conduct workshops, or give lessons, please feel free to fill out and submit the Contact Form.