Official Journal of Japan Society of Ningen Dock
Online ISSN : 2186-5027
Print ISSN : 1880-1021
ISSN-L : 1880-1021
Clinical Experience or Practice Report
The Usefulness of Metabolic Chart for Health Guidance of Primary Prevention
Kaori YamadaChosaku SuetsuguEishin SakiharaTatsuya TamashiroMinami ItokazuYasuhide ShigetaKaori ShimabukuroAkiko OtaAyako TakaesuNana HasokawaYukimi Sakihara
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2023 Volume 38 Issue 3 Pages 481-489

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Abstract

Objective: The purpose of this study was to create a radar chart that visually summarizes 12 items related to the blood pressure (BP) and blood metabolism as a tool to support the health guidance for primary prevention in post-health checkup measures. The chart, called the Metabolic Chart (MC), was designed with the 12 basic items related to metabolism arranged on a clock face.

Methods: The study was conducted between April 2021 and March 2022, with 7,622 participants (4,079 males, 3,543 females) aged 20 to 59 who underwent health checkups. The study used the MC to show the average values of the groups classified by obesity and drinking habits.

Results: The results showed that in the MC of the three obese groups, except for HDL-C and Hb, males’ values for the other items deteriorated gradually with increasing obesity. In the females, deterioration was observed in ALT, LDL-C, and HbA1c in obesity level 2 or higher. The analysis of variance between the three groups showed that all items were significant (p<0.01) in each group for both males and females. In the MC of the two groups with different drinking amounts and frequencies, the males showed deterioration in AST, ALT, γ-GTP, TG, and BP in the heavy-drinking group, while the females showed no differences in any item. The t-test between the two groups showed that in males, the AST, γ-GTP, HDL-C, TG, HbA1c, UA, and BP were significant (p<0.01), while there were no significant differences in the other five items. In the females, the AST, γ-GTP, HDL-C, LDL-C, TG, FBG, HbA1c, UA, and BP were significant (p<0.01), while there were no significant differences in the other three items.

Conclusions: The MC is expected to be used not only as a tool to assist health guidance, but also as a trigger for behavioral change in the participants.

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© 2023 Japan Society of Ningen Dock
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