Health Education "Hokenshido" Program Reduced Metabolic Syndrome in the Amagasaki Visceral Fat Study. Three-Year Follow-up Study of 3,174 Japanese Employees
-
- Ryo Miwa
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan
-
- Nakamura Tadashi
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan
-
- Funahashi Tohru
- 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
-
- Kishida Ken
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan
-
- Okauchi Yukiyoshi
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan
-
- Nishizawa Hitoshi
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan
-
- Ogawa Tomoko
- Amagasaki City Office, Environment & Civic Affairs Bureau Health Support Promotion Section, Japan
-
- Kojima Sumi
- Amagasaki City Office, Environment & Civic Affairs Bureau Health Support Promotion Section, Japan
-
- Ohira Tetsuya
- Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Japan
-
- Okita Kohei
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, 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
-
- Matsuzawa Yuji
- Sumitomo Hospital, Japan
-
- Shimomura Iichiro
- Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Japan
Search this article
Abstract
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).<br> 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.<br> 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.<br> Conclusion Health check-up and the "Hokenshido" program reduced the prevalence of the MetS, which might lead to prevention of CVD.<br>
Journal
-
- Internal Medicine
-
Internal Medicine 50 (16), 1643-1648, 2011
The Japanese Society of Internal Medicine