A Prospective Study Aimed to Identify the Optimal Intervention for Specific Health Guidance:

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  • Kato Kiminori
    Department of Prevention of Noncommunicable Diseases and Promotion of Health Checkup, Niigata University Graduate School of Medical and Dental Sciences Niigata Association of Occupational Health
  • Tashiro Minoru
    Niigata Association of Occupational Health
  • Suzuki Saori
    Niigata Association of Occupational Health
  • Ohtsuka Masato
    Niigata Association of Occupational Health
  • Kobayashi Takashi
    Niigata Association of Occupational Health
  • Miki Fukuko
    Niigata Federation of National Federation of Health Insurance Societies
  • Haruki Takumi
    National Federation of Health Insurance Societies
  • Komatsubara Yusuke
    National Federation of Health Insurance Societies
  • Fujiwara Kazuya
    Department of Endocrinology and Metabolism, Niigata University Graduate School of Medical and Dental Sciences
  • Tsushita Kazuyo
    Kagawa Nutrition University
  • Akazawa Kohei
    Division of Medical Informatics, Niigata University Medical and Dental Hospital
  • Sone Hirohito
    Department of Endocrinology and Metabolism, Niigata University Graduate School of Medical and Dental Sciences

Bibliographic Information

Other Title
  • 特定保健指導の最適介入法の同定を目指した前向き研究
  • 特定保健指導の最適介入法の同定を目指した前向き研究 : 新潟方式の試作とそのパイロットスタディによる効果の評価
  • トクテイ ホケン シドウ ノ サイテキ カイニュウホウ ノ ドウテイ オ メザシタ マエムキ ケンキュウ : ニイガタ ホウシキ ノ シサク ト ソノ パイロットスタディ ニ ヨル コウカ ノ ヒョウカ
  • Trial Production of Niigata Method and Evaluation of Its Effect by Pilot Study
  • ―新潟方式の試作とそのパイロットスタディによる効果の評価―

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Abstract

<p>Objective: Beginning in 2018, Japan’s system of ＂specific health check-ups＂ and ＂specific health guidance programs＂ (to screen for and control metabolic syndrome and other lifestyle diseases) entered its third phase with the adoption of a flexible model for running the intensive version of the specific health guidance program. This study aimed to test if there may be an effective lower limit threshold of the current 180-point health guidance system, given that the new model for the program uses the Niigata method. </p><p>Methods: The sample consisted of 202 participants who underwent a specific health check-up between April and December 2018 and then participated in the intensive assistance (sekkyokuteki shien) version of the specific health guidance program. The participants were divided into four groups according to the guidance program’s point system, which indicates the number of support types offered in the program the person had used (Group A: 0 points, Group B: 20 points, Group C: 100 points, and Group D: 180 points). We conducted a performance evaluation three months after the program ended. The participants were classified as ＂achievers＂ if they made significant progress: if their waist circumference had decreased by at least 2.0 cm and their weight had decreased by at least 2.0kg. The prevalence of achievers in each group was compared to investigate whether there was an effective lower limit threshold. In addition, the following year, the participants’ special health check-up results were compared to confirm whether the effectiveness of the program was sustainable. </p><p>Results: The achiever prevalence rates by group were 20.4% for Group A, 36.0% for Group B, 28.0% for Group C, and 12.5% for Group D. Only Groups B and D showed any significant between-group differences. The following year, the percentages of achievers in each group who sustained their achiever performance status were 80.0% in Group A, 88.9% in Group B, 92.3% in Group C, and 100% in Group D. No significant differences were found between groups. </p><p>Conclusion: Our results showed no relation between the number of points and the effect of the health guidance program, and no effective lower limit threshold. In addition, the effectiveness of the program was shown to be sustainable.</p>

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