@article{oai:kanazawa-u.repo.nii.ac.jp:00048784,
 author = {高橋, 裕太朗 and 岡本, 理恵 and 市森, 明恵 and 表, 志津子 and Takahashi, Yutaro and Okamoto, Rie and Ichimori, Akie and Omote, Shizuko},
 issue = {1},
 journal = {Journal of wellness and health care, Journal of wellness and health care},
 month = {Aug},
 note = {This study was performed to examine whether specific medical examinees’ attendance at a health guidance program influenced the results of health checkups conducted 3 years later and other medical service data. The study population consisted of 250 individuals residing in Town B, Prefecture A, who were enrolled in the national health insurance plan; had received a specific medical checkup in 2012 and subsequently became eligible for health guidance; had received another specific medical checkup in 2015; and for whom relevant medical service data were available. The main variables were age, gender, results of both checkups, annual medical fees, and whether they had received consultations on lifestyle-related diseases at a medical institution. Participants were grouped according to whether they had attended health guidance during the 3-year study period (attendance vs. non-attendance), and ensured that all participant data were anonymized. After 3 years, significant decreases in diastolic blood pressure (DBP) (p < 0.001) and low-density lipoprotein cholesterol (LDL-C) (p = 0.005) were observed among males in the attendance group, while the females in the same group showed significant decreases in body weight (p = 0.043), DBP (p = 0.011), and LDL-C (p = 0.002). To examine how the changes in health checkup results differed between groups, we calculated difference scores by subtracting the 2012 data from the 2015 data. The males in the attendance group showed a significantly greater decrease in DBP ( − 4.12 ± 7.20, p = 0.014) than the males in the non-attendance group. The females in the non-attendance group showed a significantly greater increase in high-density lipoprotein cholesterol (HDL-C) than the females in the attendance group (2.95 ± 8.33, p = 0.042). The number of patients who consulted medical institutions for hypertension (p = 0.039) and hyperlipidemia (p = 0.010) were also significantly increased in the females in the non-attendance group. The significant decrease in DBP among males in the attendance group may have been because these individuals reviewed their lifestyle habits after receiving health guidance. The increase in HDL-C among the females in the non-attendance group could be attributed to their participation in exercise therapy during consultations with other medical institutions. The results of this study clearly indicated the importance of organizing health guidance with collaboration between municipality and medical institutions.},
 pages = {55--64},
 title = {How attendance of a health guidance program relates to health checkup results and medical service data among specific medical checkup examinees after three years},
 volume = {43},
 year = {2019}
}