The American occupation of Okinawa is blamed for many things—destroying the environment, secretly hosting nuclear weapons, troops regularly committing violent crimes, etc.—including a shift in local diet that has led to it having the fattest, sickest population in the country.

Akiyama Toshio 秋山俊雄 subtitles his paper "Lifestyle diseases introduced by foreign conquest" 外来勢力による征服によって持ち込まれた生活習慣病. Obesity, diabetes, heart disease goes up, life expectancy goes down.