Health Evaluation and Promotion
Online ISSN : 1884-4103
Print ISSN : 1347-0086
ISSN-L : 1347-0086
Volume 47, Issue 2
Displaying 1-10 of 10 articles from this issue
Special Features
Medical Care for Non-Japanese Individuals Through Health Evaluation and Promotion
Original Articles
  • Takako Yamaguchi, Shigeyuki Matsubayashi, Akira Miyata, Yasushi Koide, ...
    Article type: Original Article
    2020 Volume 47 Issue 2 Pages 334-344
    Published: March 10, 2020
    Released on J-STAGE: September 05, 2020
    JOURNAL OPEN ACCESS

     The results of colorectal cancer screenings (IFOBT 2-day method) among 35- to 74-year-old males who underwent lifestyle disease prevention medical examinations by the Association between April 2012 and March 2017 were analyzed by occupation. Among 164,652 total examinees, 150,688 underwent an examination for colorectal cancer, and 92 were found with colorectal cancer. During this five-year period, 91.5% underwent screening; 5.5% required a close examination, of which 35.6% returned for one; the discovery rate was 0.061%.

     After age adjustment, the screening rate was highest, in order, among "specialist and technical workers", "administrative and managerial workers", and "agriculture, forestry and fishery workers"; and lowest among "transportation and communication workers", "security workers" and "service workers". The ratio of men requiring close examination was highest, in order, among transportation and communication workers, "sales workers" and service workers; and lowest among security workers, "clerical workers" and "production process and related workers". The ratio of examinees who returned for close examination was highest among administrative and managerial workers, specialist and technical workers, and agriculture, forestry and fishery workers; and lowest among transportation and communication workers, security workers and service workers. The discovery rate was highest among agriculture, forestry and fishery workers, transportation and communication workers, and clerical workers; and lowest among security workers, administrative and managerial workers, and specialist and technical workers. Among the examinees, the percentage of those engaged in night work was highest, in order, in security (73.9%), transportation and communication (45.7%), services (44.0%), and production process and related work (13.9%).

     In occupations with night work, the ratio of those requiring close examination and the ratio of those who submitted two specimens were low. By encouraging close examination and submission of two specimens, centering on occupations with night work, the screening rate for colorectal cancer and close examination rate may increase.

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  • Seiji Sakate
    Article type: Original Article
    2020 Volume 47 Issue 2 Pages 345-351
    Published: March 10, 2020
    Released on J-STAGE: September 05, 2020
    JOURNAL OPEN ACCESS

     Aims: To examine the actual status of locomotive syndrome (LS) among elderly females with regular exercise habits and compare it with previous national data.

     Methods: This study included 117 female subjects (mean age: 74.4 ± 4.8 years, range: 64–88 years) with regular exercise habits (at least once a week) in the Kanagawa Prefecture.

     Results: The percentage of females meeting the criteria of LS stage 1 (LS-1) in the Stand-up Test and Two-step Test was significantly lower than that previously reported in national data. In contrast, this percentage was higher in the 25-item Gait Locomotive Function Scale (GLFS-25) for those in the 60s and 70s age groups. However, the percentage meeting the criteria of LS stage 2 (LS-2) was lower than that recorded in national data based on the scores for related items. There was no significant correlation between the frequency of exercise and meeting/not meeting the LS-1/-2 criteria. In the analyses of the response of elderly females to the GLFS-25, pain and mobility difficulties were observed among those meeting the LS-1 criteria. Various activities of daily living were challenging for some of those meeting the LS-2 criteria.

     Conclusion: Based on the LS test results, elderly females with regular exercise habits were likely to show enhanced physical abilities. The results suggested that regular exercise (at least once a week) exerts beneficial effects on the abilities (i.e., standing and walking) of elderly females. Nonetheless, it became clear that some of those who met the LS criteria have been continuing their exercise habits, despite feeling pain and anxiety regarding their future. In the future, it would be necessary to promote the utilization of and cooperation with regional resources to prevent further deterioration and encourage elderly females to continue their regular exercise habits.

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  • Kiyomi Nezu, Hitomi Satoh, Emi Takahashi, Akiko Moriuchi, Toshikazu Go ...
    Article type: Original Article
    2020 Volume 47 Issue 2 Pages 352-356
    Published: March 10, 2020
    Released on J-STAGE: September 05, 2020
    JOURNAL OPEN ACCESS

     The Guidelines for the Management of Hypertension 2014 show that the treatment of hypertension should be done based on the home blood pressure (HBP). HBP monitoring is essential for hypertensive patients. We studied the current state of HBP monitoring and the understanding of the standard of hypertension using the questionnaire of 510 hypertensive patients (240 male, 260 female) who were examined at Yamagata Medical Examination Center. 72.7% of the patients agreed with the recommendation of HBP monitoring by the doctor, but 24.5% did not. 92.3% of the patients had electronic manometers. 14.7% had wrist devices only. The frequency of the monitoring was as follows; those who monitored every day was 29.8%, once or twice a week 15.1%, 3 to 4 times a week 14.7%, several times a month 19.2%, and several times a year or never 14.3%. Monitoring was done in the sitting position by 75.5, and supine by 6.0%. Regarding the time of the monitoring; morning and evening was 27.3%, morning only 32.5%, evening only 5.5% and not determined 19.2%. Resting time before the measurement was adopted by 62.0%, and not adopted by 18.6%. Regarding the number of measurements per occasion; once was 18.8%, twice 44.1%, once or twice 9.6%, 3 times 6.0%, over 4 times 0.6%. All values were included by 19.6%, the first one only by 32.0%, the last one only by 6.9%, the mean by 18.2%, the lowest value by 13.9% and the highest value by 2.7%. Understanding the ratio of the standard of hypertension when measured at the medical center was 26.0% for systolic blood pressure (SBP), and 25.9% for diastolic blood pressure (DBP), while the figures for home monitoring were 15.4% for SBP and 20.2% for DBP. The understanding of the standard of hypertension was poor, especially in HBP. Education about the importance of to the one third of patients who seldom monitor is very important.

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