Analysis of Specific Health Guidance in Our Hospital: Relationship between Lifestyle and Waist Circumference

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  • 当院で実施した特定保健指導の成績　ー腹囲の変化に影響する生活習慣の解析ー
  • 当院[公立学校共済組合近畿中央病院]で実施した特定保健指導の成績--腹囲の変化に影響する生活習慣の解析
  • トウ イン コウリツ ガッコウ キョウサイ クミアイ キンキ チュウオウ ビョウイン デ ジッシ シタ トクテイ ホケン シドウ ノ セイセキ フクイ ノ ヘンカ ニ エイキョウ スル セイカツ シュウカン ノ カイセキ

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Abstract

Objective: Through appropriate support for lifestyle behavior changes under specific health guidance, a reduction in waist cirumference (WC) is considered attainable. For persons receiving specific health guidance in our hospital, we studied the connection between lifestyle habits and WC both in those in whom there was a sustained decrease and those for whom there was a rebound in WC after an initial decrease.<br>Subjects and Methods: Our subjects were 303 persons who completed 6 months of specific health guidance (active support 170 persons, motivational support 133 persons) in fiscal 2009. In them, we investigated WC, body weight and behavior modification scores (for diet, exercise, drinking and smoking) before receiving specific health guidance and at 3 (active support subjects only) and 6 months after beginning it. <br>Results: Six months of specific health guidance achieved a significant decrease in WC overall but the decrease of 3.8±3.8% for persons receiving active support was more significant than that for persons receiving motivational support of 2.4±4.1%. A significant negative correlation between behavior modification score and percentage decrease in WC was observed. However, this correlation was influenced by changes in eating and exercise habits but not by changes in drinking and smoking habits. For the 100 persons (59%) receiving active guidance, there was a decrease in WC of at least 2% after 3 months. In the remaining 3 months, 27% of these subjects achieved a further decrease of at least 2% but in 16% there was an increase of 2% or more in WC. For all of the 100 subjects who had achieved a decrease in WC in the first 3 months, in the second 3 months, there was a significant correlation between eating habits and WC reduction but there was no correlation between exercise habits and WC reduction. <br>Conclusion: The degree of reduction in WC during the 6 months of guidance was correlated with improvement in eating and exercise habits. The rebound in WC after an initial decrease was thought to be due to deterioration in eating habits.

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