According to the 2006 health reform plan, a new health promotion program, so called "Health checkups and healthcare advice with a particular focus on the metabolic syndrome" program was introduced in Japan. In order to adapt to the new scheme, we have conducted a pilot study in an occupational setting. 37 persons (15 men, 22 women) were recruited from A Health Insurance Fund of Kanto Region, Japan. These persons were evaluated as "health education necessary" according to the inclusion criteria set by the Ministry of Health, Labor and Welfare, Japan. This study employed a single group, repeated-measures experimental design. The intervention lasted 5 months. As the intervention method, a mix-approach of face-to-face counseling and e-mail monitoring was adopted. Statistically significant ameliorations were observed for body weight, BMI, waist circumference, systolic blood pressure, fasting blood sugar, and HDL-cholesterol. No improvements were observed for diastolic blood pressure, HbA1c, triglyceride, total cholesterol and LDL-cholesterol. Statistically significant negative correlations were observed between changes in waist circumference and changes in average daily steps. Given the need for cost-effective population based approaches to health promotion, it is pivotal to develop the IT-based intervention program.
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