Effect of Health Guidance and Follow-up Tests for Lifestyle-related Disease C Judgment

Abstract

Objective: To evaluate the results of individual health guidance, tracking, and follow-up of individuals who received lifestyle-related disease C judgment, and consideration of future issues.

Methods: Out of the 4,497 individuals who presented at our facility’s Comprehensive Health Checkup System between October 2017 and March 2020, 1,856 received C judgment for either blood pressure, blood glucose or lipid testing, and subsequently received individual health guidance and action plans implemented after explanation from a physician. The newly created follow-up materials for C judgment were used for guidance. Recipients were recommended to proactively implement positive improvement behaviors, undergo follow-up testing and report the results by mail. Follow-up results were compared using a t-test.

Results: Among C judgment recipients, the largest group (77.7%), had issues in only one of the factors, blood pressure, blood glucose, or lipid test, of these the most common were lipid test issues. Response rates for follow-up results were high among blood glucose test recipients, and low among lipid test recipients. Apart from the blood glucose and lipid test group, which were excluded for returning less than the minimum five responses, significant improvements in actual measurements between the comprehensive checkup and the follow-up were indicated.

Conclusions: Significant test value improvements were indicated for many of the C judgment recipients who underwent individual health guidance and follow-up testing, suggesting the effectiveness and importance of health guidance and follow-up testing for C judgment recipients.