Matsuzaki Keiichi, Taniguchi Shotaro, Inoue Kana, Kawamura Takashi
Kyoto University Health Service, Yoshida-Honmachi, Sakyo-ku, Kyoto 606-8501, Japan.
Laboratory and Vascular Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1, Sakuragaoka, Kagoshima 890-8520, Japan.
Prev Med Rep. 2018 Dec 18;13:170-174. doi: 10.1016/j.pmedr.2018.12.005. eCollection 2019 Mar.
Lifestyle modification is the primary treatment strategy for obesity, hypertension, dyslipidemia, and hyperglycemia. Recently, the Japanese government designed a healthcare retreat program for persons with cardiovascular risk factors. However, the structure and effectiveness of this program has not been fully discussed. Employees of a company group with obesity and one or more other cardiovascular risk factors were enrolled in the study. The participants in the three-day retreat program were compared with those receiving a brochure-based advice for their subsequent changes in the annual health check-up data using the propensity score matching method. Among the 415 eligible employees, 220 underwent the intensive program and 195 received a brochure-based advice. In the propensity score-matched subjects, reduction in body weight (2.7 kg vs. 0.99 kg, p < 0.01), waist circumference (3.5 cm vs. 1.5 cm, p < 0.01), and non-HDL cholesterol (8.8 mg/dl vs. 1.3 mg/dl, p = 0.05) were significantly greater in the intensive care group one year later. The superiority of the intensive program, however, was gradually attenuted for subsequent two years later. This healthcare retreat with counseling and training program would improve body weight and waist circumference for one to two subsequent years.
生活方式改变是肥胖、高血压、血脂异常和高血糖的主要治疗策略。最近，日本政府为有心血管危险因素的人群设计了一个医疗保健休养计划。然而，该计划的结构和有效性尚未得到充分讨论。一家公司集团中患有肥胖症且有一项或多项其他心血管危险因素的员工参与了这项研究。使用倾向得分匹配法，将参加为期三天休养计划的参与者与那些收到基于手册建议的参与者在年度健康检查数据的后续变化方面进行比较。在415名符合条件的员工中，220人参加了强化计划，195人收到了基于手册的建议。在倾向得分匹配的受试者中，一年后强化护理组的体重减轻（2.7千克对0.99千克，p<0.01）、腰围减小（3.5厘米对1.5厘米，p<0.01）和非高密度脂蛋白胆固醇降低（8.8毫克/分升对1.3毫克/分升，p=0.05）显著更大。然而，强化计划的优势在随后的两年中逐渐减弱。这个带有咨询和培训计划的医疗保健休养将在随后的一到两年内改善体重和腰围。
