Effect of Specific Health Guidance on Metabolic Syndrome Comorbidities and Drinking Behavior in Heavy Drinkers, Compared with Non-drinkers or Moderate Drinkers

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  • Toyoda Masayuki
    Comprehensive health science center, Aichi health promotion public interest foundation
  • Muramoto Akiko
    Comprehensive health science center, Aichi health promotion public interest foundation
  • Tsushita Kazuyo
    Comprehensive health science center, Aichi health promotion public interest foundation

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Other Title
  • 多量飲酒者に対する通常の特定保健指導の効果　-非飲酒者，少量飲酒者との比較-
  • タリョウ インシュシャ ニ タイスル ツウジョウ ノ トクテイ ホケン シドウ ノ コウカ : ヒインシュシャ,ショウリョウ インシュシャ ト ノ ヒカク

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Objective: In order to verify the effect of specific health guidance in heavy drinkers, we examined drinking behavior and examination data in the period from the initial support in specific health guidance to 6 months afterwards. <br>Methods: Our subjects were 555 males from among people in the same health insurance association who had completed active support and were receiving specific health guidance for the first time. Alcohol consumption was determined at the time of the first support under specific health guidance (hereafter 1st support). The subjects were divided into 3 groups according to alcohol consumption: heavy drinker group (≥40 g ethanol every day), moderate drinker group (<40 g ethanol every day), non-drinker group (occasional alcohol consumption) and specific health examination data compared among the groups. Intragroup examination data from before and after specific health guidance were also compared. We further divided the heavy drinker group into 2 subgroups according to whether there was a reduction in alcohol consumption of ≥20 g ethanol/day or not after 6 months and into 2 subgroups according to whether a drinking reduction plan had been made at the time of the first support or not, and compared the subgroups regarding changes in examination data up to 6 months. The specific health guidance procedure was the same for all 3 groups and at the first time it was conducted as group support. <br>Results: There were significant differences among the 3 groups for body weight, lipids, liver function and blood sugar at the time of the specific health examination. There were significant reductions in alcohol consumption and improvements in examination data for all 3 groups between before and after specific health guidance, Regarding the heavy drinker subgroups, there was a decrease in weight of 1.81±2.49 kg in the alcohol reduction subgroup (≥20 g reduction/day) as opposed to a 0.33±2.46㎏ reduction in the no appreciable alcohol reduction group, a significant difference. Changes in BMI, abdominal circumference, AST and γ-GTP were significantly greater in the alcohol reduction group. There were no significant differences between the subgroup with an alcohol reduction plan and the one without. <br>Conclusion: A definite effect of specific health guidance regarding alcohol reduction and improvement in examination data was observed, even in heavy drinkers. Improvements were particularly marked in the subgroup with an alcohol reduction of 20 g or more per day.

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