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特定健康診査・特定保健指導の効果に関する検討


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Title: 特定健康診査・特定保健指導の効果に関する検討
Other Titles: The effects of specialized health checkups and specialized healthcare advice in male workers
Authors: 田代, 隆良 / 井上, 美穂 / 澤瀬, いずみ / 中村, 友紀 / 西島, 美紀 / 馬場, 綾乃 / 長岡, 清子
Authors (alternative): Tashiro, Takayoshi / Inoue, Miho / Sawase, Izumi / Nakamura, Yuki / Nishijima, Miki / Baba, Ayano / Nagaoka, Seiko
Issue Date: 2010
Publisher: 長崎大学 / Nagasaki University
Citation: 保健学研究, 22(2), pp.1-8; 2010
Abstract: 平成20年度より生活習慣病の予防を目的とした特定健康診査・特定保健指導が開始された.私たちは,保健師による積極的支援の効果を知るため,40歳~ 61歳(平均53.7±4.9歳)の男性50人の平成20年と平成21年の健康パラメーターを解析した.面接による個別支援を2回あるいは3回受けたグループ(3 ヵ月群,6 ヵ月群)では,BMIと腹囲は有意に減少し,拡張期血圧,空腹時血糖,HDL-C,AST,ALT,γ-GTPは有意に改善したが,1回のみのグループ(初回群)では改善しなかった.生活習慣改善により体重と内臓脂肪が減少し,高血圧,耐糖能異常,脂質異常,脂肪肝が改善したと推測される.健康増進のため生活習慣を改善するには,2回以上の個別支援による継続した保健指導が必要である. / Since 2008, specialized health checkups( “tokutei kenko shinsa”) and specialized healthcareadvice( “tokutei hoken shido”) have been conducted for the prevention of lifestyle-related diseases.In 50 male workers aged 40-61 years( mean age, 53.7±4.9 years), health parameters recorded in 2008 and2009 were analyzed to clarify the effects of active support by a public health nurse. In individuals whohad received a personal interview two or three times( 3 month group or 6 month group), body mass indexand waist circumference were significantly reduced, and diastolic blood pressure, fasting plasma glucose,HDL-cholesterol, aspartate aminotransferase, alanine aminotransferase, γ-glutamyl transpeptidase improvedsignificantly. However, these effects were not observed in individuals who received an interviewonly once( first time group). The present findings suggest that improvement in lifestyle facilitated thereduction of body weight and visceral fat, followed by improvement of high blood pressure, glucose intolerance,dyslipidemia, and fatty liver. Uninterrupted health care advice with two or more personal inter viewsis needed to improve workers’ lifestyles resulting in health promotion.
Keywords: 特定健康診査 / 特定保健指導 / 個別支援 / メタボリックシンドローム / 生活習慣 / health checkups / healthcare advice / personal interview / metabolic syndrome / lifestyle
URI: http://hdl.handle.net/10069/23758
ISSN: 18814441
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 22, No. 2

Citable URI : http://hdl.handle.net/10069/23758

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