The New Health Check up System in Japan for Metabolic Syndrome

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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)

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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
  guidance with 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

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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

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metabolic syndrome population
Patient number? ?9.4 million Spare group ? ?10.2
million Total amount ? ?19.6 million
40 74(years old) male ? female ?
1/2 person
1/5 person
()
2004 national diet survey
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The metabolic characteristic in Japan
H16 ??????????
Many patient and spare group are almost in
working age
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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

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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

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Diagnostic criteria of new check up for metabolic
syndrome
Fasting blood sugar 110mg/dLlt
Waist size
OR
High risk
2 among 4
Middle risk 1 among 4
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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

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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.

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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.

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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_at_nurse.medic.mie-u.c.jp