Abstract
In recent years, although lifestyle-related diseases have continued to increase, escalation in medical-treatment expenses persists. To create a society of vital, peaceful, and healthy people, the Ministry of Health, Labour, and Welfare made a policy called “healthy Japan 21”, making the health of the nation a priority. However, an intermediate evaluation of lifestyle-related diseases did not show a trend toward improvement that was intended by the policy. Therefore, in 2008, a new health check-up, which was substituted for the conventional medical check-up and health guidance, was instituted to prevent metabolic syndromes. The new health guidance, which is conducted by a doctor, a national registered dietitian, and a public-health nurse consults a subject dividing into three different categories : positive support, incentive support, and offering information. The Aichi dietitian society supports the training for a national registered dietitian and performs specific health guidance under the management of the Aichi nutrient care station. However, at present, there is little hope for patients to benefit from the health guidance because most do not cooperate. It is necessary that the person in charge working on a subject to effectively employ the specific health guidance. We believe that the administration and private enterprise should unite to make the new health check-up system more effective.
