19 巻 (2010) 1 号 p. 47-52
We had been focused on increasing the number of participants in medical examination and health consultation in the past. But as of April 2008, the Government set the requirement to perform health consultation for those who have risks of visceral fat syndrome (metabolic syndrome), in other words to perform medical examination (specific medical examination) and health consultation (specific health consultation) for them to prevent lifestyle-related diseases. The Hitachi group has developed a unique program called "HARASUMA dietR" and has started specific medical examination and specific health consultation. During November 2008 and September 2009, the number of people who participated in our specific medical examination and specific medical examination was 1869 and the number of people who went through the evaluating medical examination after six months of health consultation was 28. (20 males and 8 females. The average age was 49.5±6.2 years old.) The breakdown of intervention includes active support for 18 people and motivational support for 10 people. As for the method of support, 15 people used web-based support and 13 used non web-based support (letters). When compared before and after the health consultation, the result of the consultation was seen in each item except serum triglyceride. According to sex, males showed significant low laboratory values after the consultation in every item. As for females, they showed significant low laboratory values in blood pressure, fasting plasmas glucose, and HbA1c after the consultation. When we analyzed the contributing factors, BMI has a large influence in abdominal circumference (p<0.005) that is given importance in specific medical examination. Therefore, the usability of weight loss program is suggested and the importance of weight loss is reconfirmed.