簡易スクリーニング手法による小児生活習慣病対策の研究について

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タイトル別名
  • Simple Technique for Screening Lifestyle-related Diseases in Children
  • ニホン エイヨウ カイゼン ガッカイ ガッカイショウ ジュショウ ケンキュウ カンイ スクリーニング シュホウ ニ ヨル ショウニ セイカツ シュウカンビョウ タイサク ノ ケンキュウ ニ ツイテ

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A screening technique is described identifying children with lifestyle-related diseases. A questionnaire survey of 1, 619 parents was conducted, and health training, including cooking and education on exercise, was given to 107 obese children. A relationship between the obesity level and blood index to the first stage of arteriosclerosis was recognized. Fourteen undesirable items indicated in the questionnaire were selected for inclusion in the final checklist. Another four items obtained in the previous study were also added to the checklist, these having been shown to be significantly correlated with the index to overweight and daily lifestyles. This enhanced checklist consisted of 18 items, each item being allotted points according to its graded level of significance to obesity, with the total score being set as 100 points. Evaluation criteria were based on the screening scores being correlated with blood disorders as certified by a blood test. The screening technique comprised the following three elements: the screening checklist composed of 18 items, the graded score, and the evaluation criteria.<br>To refine this technique, a survey was conducted on 6, 385 school children, and another survey with a blood test was conducted on 107 obese children who provided informed consent. The results from these 6, 385 school children showed that 17 of the 18 checklist items and 15 items of the graded score were correlated with the need for a medical examination by the X2 test and multidimensional scaling. In respect of the evaluation criteria, a correct classification rate of approximately 70% was found between the result from the evaluation by screening and the logistic discriminant analysis of the result of the blood test on the 107 obese children. These results clearly confirm the suitability of this technique composed of three elements and also the validity of its application.<br>A regional survey by this technique revealed that 274 children (4.3%) were screened among the population of 6, 385, and that 155 children (56.6% of the screened subjects; 2.4% of the total population) required medical examination. The proposed procedure for screening made it possible to identify those children who needed medical examination and health training. A consequence of this is that it can enhance a child's motivation to receive both through the parents. Moreover, the burden on the children and the cost of medical examination can be reduced by this technique, indicating its effectiveness and simplicity of application. This checklist can therefore help to identify those children in special need of a medical examination and healtheducation without the need for extensive testing.<br>It follows from the result of this study on 6, 385 school children that the parents' awareness of their children's lifestyles has a great influence on such lifestyles. It is apparent that the parents need encouraging to be concerned about the health and lifestyle of their children.

収録刊行物

  • 栄養学雑誌

    栄養学雑誌 66 (5), 263-269, 2008

    特定非営利活動法人 日本栄養改善学会

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