Effectiveness of Comprehensive Health Education Combining Lifestyle Education and Hot Spa Bathing for Male White-Collar Employees : A Randomized Controlled Trial with 1-Year Follow-Up
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概要
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Background: Physical activity is known to prevent obesity and metabolic syndrome in middle-aged and elderly people; however, the effectiveness of a comprehensive health education program for male white-collar employees is uncertain.Methods: Forty-three men volunteered to participate in this study and were randomly assigned into 2 groups. The intervention group participated in a 2-hour program comprising comprehensive health education and hot spa bathing, offered once every 2 weeks, in addition to individualized programs once a week, for 24 weeks. The control group received only general health guidance. We compared their lifestyle characteristics and physical and mental health criteria at baseline, immediately after the intervention, and 1 year after the end of the intervention.Results: Rates of adherence to individualized programs were 60.0 ± 27.2% and 30.5 ± 29.6% at the end of the intervention and at 1 year after the end of the intervention, respectively. Significant (P < 0.05) interaction of criteria was observed for cluster of differentiation 4+ (CD4+) cells and the ratio of cluster of differentiation 4+ to 8+ (CD4/8) cells, which were used to represent the participants immunological function. We divided the intervention group into 2 subgroups on the basis of their attendance. Among the resulting 3 groups, significant interaction of criteria was observed for CD4+ and CD4/8 cells. In addition, the high attendance group had the highest CD4+ count and CD4/8 ratio.Conclusions: Participants who attended classes and/or performed the supplementary individualized programs tended to maintain their immunological function and to experience a decrease in body fat percentage. However, few effects were noted in participants with poor adherence, even in the intervention group.
- 日本疫学会の論文
- 2009-09-01
著者
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Nakamura Yosikazu
Department of Public Health, Jichi Medical University
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KAMIOKA Hiroharu
Faculty of Regional Environment Science, Tokyo University of Agriculture
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MUTOH Yoshiteru
Department of Physical and Health Education, Graduate School of Education, The University of Tokyo
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OKADA Shinpei
Physical Education and Medicine Research Foundation
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KITAYUGUCHI Jun
Physical Education and Medicine Research Center Unnan
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KAMADA Masamitsu
Physical Education and Medicine Research Center Unnan
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HONDA Takuya
Department of Physical and Health Education, Graduate School of Education, The University of Tokyo
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NAKAMURA Yosikazu
Jichi Medical School
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Nakamura Yosikazu
岡山大学 医歯薬学総合研究科衛生学･予防医学
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Honda Takuya
Department Of Physical And Health Education Graduate School Of Education The University Of Tokyo
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Nakamura Yosikazu
Department Of Health Science Division Of Epidemiology And Community Health Jichi Medical School
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Mutoh Yoshiteru
Department Of Physical And Health Education Graduate School Of Education The University Of Tokyo
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Nakane Yoshibumi
Division Of Human Sociology Nagasaki International University Graduate School
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Kamioka Hiroharu
Faculty Of Regional Environment Science Tokyo University Of Agriculture
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MATSUI Yuzuru
Department of Orthopedics, Unnan Hospital
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Matsui Yuzuru
Department Of Orthopedics Unnan Hospital
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Nakamura Yosikazu
Dep. Of Public Health Jichi Medical Univ.
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Matsui Yuzuru
Department Of Orthopedics Unnan City Hospital
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MUTOH Yoshiteru
Department of Health and Physical Education, The University of Tokyo
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Honda Takuya
Department of Chemical Engineering, Tokyo Institute of Technology
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Okada Shinpei
Physical Education and Medicine Research Center, Tomi City
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