The mortality rate from coronary artery disease ("CAD") in Japan is significantly lower compared to other developed countries, and this is due in part to the influence of Japan's diet. A number of epidemiological studies have demonstrated the efficacy of a diet that may be described as ‘traditional Japanese diet' ("Japan Diet"), which utilizes ingredients native to Japan, in the prevention of CAD. The Japan Diet primarily sources saturated fatty acids from meat (beef and poultry), monounsaturated fatty acids from meat, fish, and vegetable oils, n-6 polyunsaturated fatty acids from vegetable oils and soy products, and n-3 polyunsaturated fatty acids from marine products and plants. The Japan Diet is characterized by a higher consumption of fish and soybeans/soybean products compared to meat and eggs. Additionally, the intake of fatty acids is balanced in a manner that is conducive to the prevention of arteriosclerosis.

 The Japan Atherosclerosis Society has been formulating guidelines for the prevention of arteriosclerosis since 2007. The 2012 revised edition was formulated with the goal of providing nutritional guidance to improve risk factors, with the goal of understanding the lifestyle of each patient, including their nutrient intake, before providing guidance. In the 2022 editions, 11 clinical questions were created for guidelines on dyslipidemia and related conditions in nutritional therapy, and recommendations were made primarily based on randomized controlled trials when making decisions about medical procedures in clinical settings, with important clinical issues being raised that are expected to improve patient outcomes.

【Method】 Activity period: April 1, 2023 ~ March 31, 2024. Target persons: Health class participants, salon participants in school districts, all staff in the preventive medicine center, health checkup recipients, people outside the community, and related parties.

 Activities Offered:

(1) Hold a 10-minute lecture to help prevent dementia. twice a month, before the start of Health classes,

(2) Designing a double task that leads to the prevention of dementia in Medimesse's original gymnastics

(3) Creation and display of posters to raise awareness of dementia for staff

(4) Light up the perforated metal wall in front of the center entrance in orange.

(5) Visiting local salons for the elderly to give lectures on dementia prevention and awareness-raising

(6) Presentation at the 52nd Annual Meeting of the Japan Society of Comprehensive Health Examination Medicine

【Result】 The autor was able to communicate the existence of dementia technologists and the author's the technologists. In addition, by promoting the acutivity in a multidisciplinary collaboration team, the autor was able to expand the possibilities and learn a lot, and was able to find issues that will lead to future activities.

【Dscussion】 The initiative that made use of the qualifications of a certified dementia laboratory technician was a good opportunity to let people know about the ideas and existence. In particular, by giving lectures at health classes and local salon activities, which serve as a point of contact with the community, authors were able to gain a correct understanding of dementia and raise awareness of dementia prevention. In addition, the author felt that by collaborating with multiple professions, the understanding and knowledge of dementia in other occupations will be deepened, and it will expand further in the future.

【Conclusion】 The authors will continue to promote activities related to preventive medicine and aim to extend the healthy life expectancy of as many people as possible, and will disseminate what the authors can do now here at Medimesse Sakura Cross

 Objective The study aims to assess the impact of the COVID-19 pandemic on managing lifestyle-related diseases during annual health examinations, particularly its influence on the ongoing care and diagnosis of conditions such as hypertension, diabetes mellitus, dyslipidemia, coronary heart disease (CHD), chronic kidney disease (CKD), and stroke.

 Methods We analyzed responses from 396 men and 198 women who underwent health examinations at Tokai University Hachioji Hospital from June 2022 to January 2023 and had prior evaluations before January 2020.

 Results The study found increased treatment rates during the pandemic across several conditions. Hypertension treatment rates rose from 23.2% to 28.0% in men and 17.2% to 19.7% in women. Diabetes treatment rates increased from 3.8% to 5.1% in men and 2.5% to 4.5% in women, while dyslipidemia treatment rates grew from 16.2% to 21.0% in men and 14.1% to 22.2% in women. CHD treatment rates also increased, from 3.3% to 5.1% in men, and CKD treatment rose from 0.8% to 1.5% in men. Stroke treatment slightly increased from 3.8% to 4.5% in men. Additionally, key health parameters, such as blood pressure and plasma glucose levels, exhibited changes, underscoring the pandemic's impact on disease management.

 Conclusions The COVID-19 pandemic has significantly influenced the management of lifestyle-related diseases, improving treatment rates and health monitoring for multiple conditions. Despite some challenges in healthcare access, the findings highlight the need for resilient health systems and adaptable care strategies to ensure adequate disease management during global health crises. The study's findings provide insights that can inform future healthcare policies and practices, particularly by enhancing the role of annual health examinations in chronic disease management.

 Objective The COVID-19 pandemic has caused unprecedented disruptions to daily life worldwide, leading to significant changes in various aspects of lifestyle, including dietary habits, eating behaviors, physical activity, and sleep patterns. However, the specific impacts of the COVID-19 pandemic on these aspects remain unclear.

 Methods Among those who underwent an annual health examination at the Health Evaluation and Protection Center of Tokai University Hachioji Hospital from June 2022 to January 2023, we mailed a questionnaire to individuals who had undergone at least one annual health evaluation at the same center before January 2020, before the COVID-19 pandemic. We collected the questionnaires during their health examination visits. Ultimately, we analyzed the questionnaire responses from 396 men and 198 women.

 Results The pandemic has led to notable changes in physical activity levels, transportation methods, sleep patterns, and dietary habits among both genders. Specifically, changes in transportation methods were observed, with a shift towards more private modes of transportation and reduced use of public transport. While some participants reported decreased physical activity and increased sedentary behavior, these changes were not universally experienced. Sleep patterns were affected, with some participants going to bed later and experiencing irregular sleep schedules and changes in total sleeping hours. Dietary habits also varied, with some participants reporting meal timing and frequency changes.

 Conclusions This study provides detailed insights into how the COVID-19 pandemic has affected our lifestyle, dietary habits, physical activity, sleep, and transportation methods. Further research is necessary to investigate how these changes influence metabolic health.

 Objective: Tokyo Sakurajyuji group has established executive health checkup courses to encourage business owners to undergo medical checkups, as they have fewer opportunities to undergo medical checkups. A dedicated concierge takes care of the executive health checkup examinees from booking to follow-up after the checkup. The number of users was 15 in 2017, but has continued to increase, reaching 166 in 2022 through referrals. Business owners have sometimes brought their family members, especially their wives who have even fewer chances to receive health checkups. Additionally, requests for employee health checkups have increased. In the present study, we conducted a satisfaction survey of executive health checkup examinees.

 Methods: Thirty-seven people who underwent executive health checkups at Tokyo Sakurajyuji clinics between January 2022 and January 2023 were included in the analysis. The degree of satisfaction was evaluated using a self-administered questionnaire and individual interviews. The items of the survey included physical aspects (hardware) of the facility environment, as well as human aspects (software), such as customer services and hospitality.

 Results: Regarding the hardware aspects, 35 subjects (95%) rated the comfort of the facilities as good, followed by 32 subjects (86%) who rated the private room environment as good. However, air conditioning was rated lower, with only 22 subjects (52%) rating it as good. Regarding the software aspects, 36 subjects (97%) reported that the doctors' explanation of the results were good. Thirty-four subjects (92%) rated the coordination from reservation to confirmation and the examination items in the executive health checkup as good.

 Conclusion: The hospitality services provided by doctors, paramedical staff, and concierge were confirmed to be important for increasing visit and repeat rates of executive health checkups. Busy businesspeople may require "timesaving" services. Thus, our one-stop, one-operation service in which the concierge acts as a liaison was recognized to be effective.

Acute coronary syndrome (ACS) is a clinical condition associated with a high mortality rate, necessitating prompt and accurate diagnosis and immediate treatment. We present a case in which ACS was accurately identified during a routine health checkup, leading to an urgent consultation with a cardiologist. In this case, the electrocardiogram (ECG) revealed new ST-T changes and abnormal Q waves, contrasting with the results of a routine ECG conducted during a health checkup one year prior. For an effective diagnosis of ACS, it is crucial to compare the current ECG with a previous ECG obtained during routine health checkups. In conclusion, during medical health checkups, ACS, a potentially life-threatening condition, should be considered in individuals with risk factors or symptoms, and any new ECG changes, particularly ST-T alterations, should prompt immediate referral to cardiologists.

 Approximately 10,000 upper gastrointestinal contrast examinations are performed per year at our health management center. To prevent serious complications, measures must be taken to optimize barium excretion after the procedure.; In2022, two cases of gastrointestinal perforation requiring emergency surgery occurred at our hospital. These incidents prompted the introduction of new measures and changes to existing protocols. A questionnaire survey was administered patients undergoing checkups following upper gastrointestinal contrast examination to assess the effectiveness of the new protocols. The results showed that taking a laxative with 500 mL of water immediately after barium contrast examination accelerated barium excretion time. Viscosity measurements found that the viscosity of barium in the gastrointestinal tract was reduced to approximately 1/10 -1/16 of previous values. The reduction in viscosity promotes excretion without hardening the stool. This study also found that inter departmental cooperation is important -to provide consistent and detailed explanations to patients regarding drinking laxatives, water intake, and eating, -when undergoing barium contrast studies.

 Objective: In recent years, the incidence of gastric anisakiasis has been increasing in Japan. Simultaneously, cases of asymptomatic gastric anisakiasis, which were incidentally diagnosed by esophagogastroduodenoscopy (EGD) at health checkups, have been reported. We examined the characteristics of asymptomatic gastric anisakiasis diagnosed at health checkups at our institution.

 Subjects & Methods: We examined the clinical characteristics, including age, sex, subjective symptoms, endoscopic findings, of 17 cases incidentally diagnosed with gastric anisakiasis by EGD performed at health checkups at our institution from August 2012 to January 2019. We compared these cases with those of gastric anisakiasis diagnosed by emergency EGD at the outpatient clinic during the same period.

 Results: During the study period, 17 cases of gastric anisakiasis were diagnosed among 34,727 subjects who underwent EGD at health checkups (0.049%). The male-to-female ratio was 14:3, and median age was 63 years. Incidence of anisakiasis was highest in winter. Most of the subjects (70.6%) had eaten mackerel, squid, or other seafood within a few days prior to examination. Typically, only one larva was found per case, with the greater curvature from the gastric angle to the body being the most common site of penetration. Endoscopic findings included redness, edema, erosion, submucosal tumor-like protrusion, and blood clots. During the same period, 34 symptomatic cases were identified, presenting a younger age, more leukocytosis, and a higher number of larvae compared to asymptomatic cases.

 Conclusion: Asymptomatic gastric anisakiasis is not uncommon, and it is necessary to pay attention to medical interviews and precise endoscopic findings at the time of health checkups.