Health check-up and specific health guidance started in April 2008. Our hospital is administered by Toshiba Health Insurance Union and we plan to hold it to dependants of Toshiba employees. To spread the supports to prevent from lifestyle-related disease for the dependants country-wide, we hole one day seminar for lifestyle modification to trial.
The aims were correction of the wrong knowledge about loss in weight and modification of own lifestyle such as the habits of eating and physical activity, based on their behavior changes, physical fitness and background.
At first, nurses measured blood test, blood pressure, body height and weight, body composition and circumference at waist and hip. Balance ability was examined by using a stabilometer. Physical therapists measured flexibility of major joints, isometric strength of quadriceps and muscular endurance by chair-stand test. Then a doctor, nutritionist and physical therapist lectured about the management of lifestyle-related disease respectively. After lectures, the participants determined their specific behavior objectives during the group work using the method of management by objective.
The participants of this seminar were 17 women aged 44-64 years. Negative correlation was observed between waist circumference and quadriceps strength higher in regular physical activity group (p < 0.01) . It suggests that the lifestyle to increase visceral abdominal fat decreases physical fitness level, and has the possibility of causing the orthopedic diseases such as knee pain, leading to decrease in activity of possibility of daily living. It is important to make a habit of physical activity and to promote fitness level for modification of lifestyle. In the group work, all participants answered that their objects were attainable. The group work was very effective to put their motivation. The participation of physical therapists for preventing from lifestyle-related disease is considered to be effective.

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Objectives To investigate the effectiveness of a two-stage evaluation for selecting individuals for chronic disease lifestyle guidance.
Design Cross-sectional study.
Setting The specific subjects of this report are evaluation of disease or risk associated with metabolic syndrome, a condition for which this type of two-stage evaluation may be particularly useful.
Participants The subjects were 648 men and women who participated in a health evaluation and promotion program between April 2007 and October 2007.
Results The results of the primary prevention assessments are as follows: Among men, there was little difference between the proportions who met the metabolic syndrome criteria in Japan (14%) and the insulin resistance criteria (17%) ; however, the proportion who met the original criteria was considerably greater (44%) . Some individuals were excluded based on the metabolic syndrome criteria in Japan even though pathological insulin resistance was clearly present.
Conclusions When health protection aimed primarily at chronic disease is implemented in a health evaluation and promotion program, secondary and primary prevention should be clearly distinguished, as should group health and individual health. Our comprehensive health evaluation system, which was developed based on these principles, was very useful for implementing health management for individuals in a health evaluation and promotion program.

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Health checkups and healthcare advice with a particular focus on the detection of diabetes to all those insured over the age of 40 is executed in April, 2008. Those who consult a physician are automatically judged by the value of the inspection data, and classified depending on the level of the lifestyle improvement.
The value of the inspection data of all medical institutions in Japan will be united by this medical care reformation. The guarantee of the reliability of the inspection data is demanded for that. The inspection data is guaranteed with persisting in the internal quality control and receiving the external quality control.
It seems that the quality control of preanalytical phase, from collecting blood to the measurement, it becomes important, too.

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