Abstract
BackgroundThe Japanese Ministry of Health, Labour and Welfare introduced Specific Health Checkups (SHC) to identify individuals at risk of metabolic syndrome (MS). This study aimed to describe the SHC database developed by the Japan Medical Data Center Co., Ltd. (JMDC) as a means of exploring lifestyle behaviors and lifestyle diseases among working generations.MethodsWe conducted a retrospective, cross-sectional study of employees and their families using the JMDC-SHC database to describe the prevalence of lifestyle behaviors (smoking, exercise, dietary habits, drinking habits, and sleeping) and lifestyle diseases (MS, hypertension, dyslipidemia, and diabetes mellitus). Results were compared with data from the 2015 National Health and Nutrition Survey (NHNS) in Japan as a benchmark.ResultsAll 646,869 enrollees in the JMDC-SHC database were included, of whom 66.5% were men. Age ranged from 40–74 years. Compared with the results of the NHNS, the JMDC-SHC subjects were younger and had fewer MS components and a lower prevalence of diabetes and hypertension. Subjects in their 40s were most likely to have unhealthy lifestyle behaviors in all age groups (eg, smoking: 41.0% in men and 10.2% in women). The SHC group had more favorable behaviors overall, but underweight was more prevalent in the SHC females.ConclusionsThe JMDC-SHC population showed different lifestyle and lifestyle disease profiles to the NHNS population, probably due to its different age, gender, and employment distributions. Development of healthcare policies and plans for working generations would benefit from the selection of an age- and employment-appropriate database.
Highlights
In 2008, the Japanese Ministry of Health, Labour and Welfare (MHLW) introduced annual health screening and health promotion services, called “Specific Health Checkups (SHC) and Specific Health Guidance (SHG),” as part of the national health insurance system.[1]
We summarized the prevalence of lifestyle behaviors and lifestyle diseases among people in the SHC database provided by the JMDC in comparison with data from the National Health and Nutrition Survey (NHNS) as a benchmark to characterize the JMDC-SHC database.[5]
The JMDC-SHC database contained the data of employees and their dependents aged 40–74 years enrolled in health insurance plans that were run mainly by large-scale enterprises
Summary
In 2008, the Japanese Ministry of Health, Labour and Welfare (MHLW) introduced annual health screening and health promotion services, called “Specific Health Checkups (SHC) and Specific Health Guidance (SHG),” as part of the national health insurance system.[1] The SHC is aimed at early detection and intervention for people with or at high risk of metabolic syndrome (MS), a common lifestyle-related disease. Insured persons and their dependents aged 40–74 years are interviewed by industrial doctors, take a questionnaire survey of lifestyle, and undergo lab tests for metabolic diseases, including hypertension, dyslipidemia, and diabetes mellitus. This study aimed to describe the SHC database developed by the Japan Medical Data Center Co., Ltd. (JMDC) as a means of exploring lifestyle behaviors and lifestyle diseases among working generations
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