Abstract
Objective: We examined changes in various indicators due to Specific Health Guidance.
Methods: Subjects were 420 persons (236 men, 184 women) who received Specific Health Guidance and then underwent Specific Health Examinations the following year at the Kokura Medical Association Health Check-up Center. Changes in blood pressure, lipid metabolism and glucose metabolism with changes in body weight and abdominal circumference were examined.
Results: For the subjects overall, Specific Health Guidance achieved significant average reductions in body weight and abdominal circumference of 1.5 kg and 1.6 cm, respectively. Further, in the group of subjects in which there was a reduction in weight (n=236, average weight decrease 3.4 kg), there were decreases in both systolic blood pressure (133.7 to 129.8mmHg p<0.001) and diastolic blood pressure (78.3 to 76.3mmHg p=0.005). Regarding lipid metabolism, there was a decrease in tryglycerides (150.2 to 130.4mg/dL p<0.001)and an increase in HDL cholesterol (55.7 to 57.6mg/dL p<0.001) but there no significant change in glucose metabolism. On the other hand, in the group in which there was an increase in weight (n=66, average weight increase 2.3 kg), there was a tendency for tryglycerides to increase and HDL cholesterol to decrease and regarding glucose metabolism, there was a significant rise in HbA1c(JDS) (5.42 to 5.57 % p<0.001).
Conclusion: There was a significant decrease in body weight and abdominal circumference in the subjects overall following Specific Health Guidance. Furthermore, in around 5% of the group in which there was a reduction in weight, there was a drop in blood pressure and an improvement in lipid metabolism while in the group whose weight increased, there was deterioration in both lipid and glucose metabolism. We therefore consider that reductions in weight and abdominal circumference achieved by Specific Health Guidance and Specific Health Examinations are useful in the prevention of lifestyle diseases.
