Abstract
Concurrently with implementation of the school urinalysis program introduced in 1973, a handy “School Life Regulation Table" providing physical exercise and diet instructions for school children was issued. Furthermore, the “School Life Management Guidance Table" has come to be extensively used since 2002. The actual management category is determined employing a “yardstick of management categories" established by the Japan School Health Association, whereby data found are entered in the “School Life Management Guidance Table." The program, nevertheless, has encountered problems such as some of the relevant limitations failing to suit the actual state, whereby eventually the problem is coped with in most instances via commentary. As regards practical use of management categories, there is no consensus even among nephrologists;therefore, it is not uncommon that the management category judgment must be dependent on that by on―site physicians.
In drafting the current revision entitled the “New All about School Urinalysis Program," it was necessary to review the “yardstick of management categories." To this end, the questionnaire was conducted among the councilors of the Japanese Society for Pediatric Nephrology to determine the actual status of exercise management currently being carried out by pediatric nephrologists. Although the results regarding selection of management categories varied significantly even among pediatric nephrologists, there was a wide gap between the “yardstick of management categories" and those actually employed. Thus, the overall results showed a need to change the yardstick. Furthermore, because the problems of the “School Life Regulation Table" are coped with in most instances via commentary, the current table may not be suitable for practical applications.
