Health Education "Hokenshido" Program Reduced Metabolic Syndrome in the Amagasaki Visceral Fat Study. Three-Year Follow-up Study of 3,174 Japanese Employees

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概要

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• Objective The aim of this study was to evaluate the effects of health checkup and the health education "Hokenshido" program based on the concept that visceral fat accumulation causes metabolic syndrome (MetS), leading to cardiovascular disease (CVD). Methods and Subjects Based on the Japanese definition of metabolic syndrome, in the annual health checkup for general subjects, the measurement of waist circumference and use of "Where am I?" chart on the way to develop atherosclerosis were introduced. The study group comprised 3,174 Japanese employees [2,440 males (46±11 years, mean ± SD), 734 females (43±10 years)], who underwent annual health checkup in 2003, 2004, and 2005. The medical staff provided "Hokenshido" for subjects assessed as having MetS and/or at high risk for CVD. Results The prevalence of the MetS in 2003, 2004 and 2005 decreased in males (20.8%, 17.2%, 14.4%, p<0.001) and females (3.0%, 2.2%, 1.9%, p=0.359), respectively. Among subjects with MetS at baseline, the number of subjects with MetS significantly decreased in males (508, 287, 247, p<0.0001) and females (22, 8, 6, p<0.0001), respectively. Mean waist loss was 1.6 cm in males (<0.0001) and 1.5 cm in females (<0.001). Among subjects with metabolic syndrome at baseline, the mean waist loss was 2.5 cm in males (<0.0001) and 3.9 cm in females (<0.05). Fatal atherosclerotic vascular events were not recorded in this study period. Conclusion Health check-up and the "Hokenshido" program reduced the prevalence of the MetS, which might lead to prevention of CVD.

著者

• MATSUZAWA Yuji

  Sumitomo Hospital

• Ogawa Tomoko

  Amagasaki City Office, General Affairs Bureau, Personal Department, Payroll Section, Employee Health

• Noguchi Midori

  Amagasaki City Office, General Affairs Bureau, Personal Department, Payroll Section, Employee Health

• OKITA Kohei

  Department of Internal Medicine and Molecular Science, Graduate School of Medicine, Osaka University

• Ryo Miwa

  Department Of Internal Medicine And Molecular Science Graduate School Of Medicine Osaka University

• Okauchi Yukiyoshi

  Department Of Metabolic Medicine Graduate School Of Medicine Osaka University

• Shimomura Iichiro

  Department Of Internal Medicine And Molecular Science Graduate School Of Medicine Osaka University

• Ohira Tetsuya

  Department Of Gastroenterology Sendai City Medical Center

• Imagawa Akihisa

  Department Of Internal Medicine And Molecular Science Graduate School Of Medicine Osaka University

• Nishizawa Hitoshi

  Department Of Cardiology National Hospital Organization Kure Medical Center

• Kishida Ken

  Department Of Geriatric Medicine Ehime University Graduate School Of Medicine

• Funahashi Tohru

  Department Of Cardiovascular Surgery National Cerebral And Cardiovascular Center

• Nakamura Tadashi

  Department Of Anesthesia Junwakai Memorial Hospital

• Iwahashi Hiromi

  Department Of Gastroenterology And Hepatology Osaka University Graduate School Of Medicine

• Kojima Sumi

  Amagasaki City Office, Environment & Civic Affairs Bureau Health Support Promotion Section, Japan

• Kishida Ken

  Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan

• Kishida Ken

  Department of Cardiology, Rinku General Medical Center, Izumisano

• Kojima Sumi

  Amagasaki City Office, Environment & Civic Affairs Bureau Health Support Promotion Section, Japan

• Funahashi Tohru

  Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan

• Okita Kohei

  Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan

• Noguchi Midori

  Amagasaki City Office, Environment & Civic Affairs Bureau Health Support Promotion Section, Japan

• Iwahashi Hiromi

  Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan

• Imagawa Akihisa

  Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan

• Ryo Miwa

  Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan

• Ohira Tetsuya

  Department of Epidemiology, Radiation Medical Center for the Fukushima Health Management Survey, Fukushima Medical University

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