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The New Health Check up System in Japan for Metabolic Syndrome

The New Health Check up System in Japan for Metabolic Syndrome. The 25 Th APAN in Hawaii Medical workshop : Health Care 1 session Mie University In Japan, Shinobu Sakurai (Prof). abstract.

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The New Health Check up System in Japan for Metabolic Syndrome

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  1. The New Health Check up System in Japan for Metabolic Syndrome The 25Th APAN in Hawaii Medical workshop : Health Care 1 session Mie University In Japan, Shinobu Sakurai (Prof)

  2. abstract The health checkup system of Japan changes greatly in April, 2008. To decrease incidence rate with the lifestyle disease, and to reduce the medical treatment expense, It makes it to the content to which power improves giving priority to the Metabolic Syndrome prevention. The health guidancewith the main transmission of the medical examination result will change dramatically. The doctor and the public health nurse and the dietitian support "The lifestyle is changed"spending time in the person for whom the support is necessary. The object person of the medical examination provisionally calculates the Ministry of Health, Labor and Welfare and about 50 million people the object person of the health guidance is calculating to reach 14 million people provisionally. It introduces this epoch-making system and the mechanism in this session

  3. Health care policy for health promotion in Japan All the nations have the obligation of the basic medical check up This system main object is to find illness. People life style become westernization Medical cost (a senior citizen in particular) increases. Starting healthy Japan 21 (2000) for the making of health and establish National Health Promotion (2003) law. The increase of diabetes patient and the obesity, the decrease of walking in the everyday life. The present conditions that a lifestyle-related disease rather turns worse

  4. metabolic syndrome population 60 50 40 26 30 20 9.6 25.7 10 10 0 female male Middle risk High risk Patient number→　約９.４ million Spare group　→　約１０.２ million Total amount　→　約１９.６ million 40 ～74(years old) male　　→　　 female　　→　　 1/2 person 1/5 person （％） 2004 national diet survey

  5. The metabolic characteristic in Japan H16 国民健康栄養調査より Many patient and spare group are almost in working age

  6. Carry out “specific health check up”,“specific health guidance” What for: thoroughly prevent life style-related diseases. When: April 2008 Who: from 40 to 74 years old Which object: policy target is to decrease a lifestyle-related disease patient / spare group such as the diabetes 25% comparing with 2008 in 2015 Penalty or reward: The addition / subtraction of 10% of the money of senior citizen insurance according with the performance in the latter period the achievement situation of each health insurance fund or society from 2013

  7. Health check up contents( minimum) Blood pressure Blood test (total protein, albumin, HDL-cholesterol, triglyceride, fasting blood sugar, et al.) Waist size measure (new one) ECG Urine test Doctors interview so on……

  8. Diagnostic criteria of new check up for metabolic syndrome Visceral fat Obesity BP Systolic BP１３０mmHg< Male Diastolic BP８５mmHg< ８５ｃｍ< Triglyceride１５０mg／dL< female ９０ｃｍ< HDL Cholesterol４０mg／dL> Fasting blood sugar１１０mg／dL< Waist size OR High risk : 2 among 4 Middle risk: 1 among 4

  9. Specific health check up system the purpose of preventing the onset and the aggravation of the lifestyle-related disease, Focus on metabolic syndrome To screening a high risk person and a person needing identification health guidance to decrease spare group precisely

  10. Specific health guidance the purpose of preventing a lifestyle-related disease through that a person of object recognizes a problem in own habit to improve a habit and change their own health behavior and learn their self care and maintain healthy life.

  11. What is point on New health check up system ? Conduct the specific health guidance for patient or high risk person in metabolic syndrome by a specific health checkup. Conduct individual order made health guidance by doctor, PHN, as follow points: degree of the internal organs fat accumulation and the number of the risk factor the age or the risk level Health guidance has 3 contents : “positive support ", "incentive support", “offering information " are performed.

  12. Thank you Shinobu SAKURAI Professor, Dep of community nursing, Faculty of Medicine, school of nursing Mie University, Japan Center for International education & research, Mie University romane@nurse.medic.mie-u.c.jp

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