Effect of Specific Health Guidance on Patients with Extremely High Serum Triglyceride Levels

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  • 血清トリグリセリドの著明高値例に対する保健指導の効果
  • ケッセイ トリグリセリド ノ チョメイ コウチレイ ニ タイスル ホケン シドウ ノ コウカ

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Abstract

Objective: We examined the effect of Specific Health Guidance on subjectes with extremely high serum triglyceride (TG) levels.<br>Methods: We compared serum TG levels, waist circumference, weight and behavioral change scores between before and 3 months after receiving guidance in 19 males with extremely high serum TG levels (≧400 mg/dL) among persons receiving Specific Health Guidance between April 2008 and October 2009. <br>Results: Significant reductions in serum TG and waist circumference due to health guidance were observed (serum TG; from 523±112 mg/dL to 327±210 mg/dL, waist circumference; from 89.9±2.8 cm to 87.5±3.0 cm) and there was a significant positive correlation between the changes in the 2 parameters. There were significant improvements in behavioral change scores for dietary, exercise and drinking habits due to health guidance, and there was a clear correlation between improvement in serum TG and dietary and drinking habits.<br>Conclusion: Specific Health Guidance achieved a clear reduction in serum TG in most subjects. In order to improve serum TG it is important to focus on instructing people to reduce their waist circumference and improve their dietary and drinking habits in health guidance. Medical treatment should only be recommended for subjects in whom there is no improvement in serum TG with health guidance.

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