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Utility of a Specific Health Checkup Database Containing Lifestyle Behaviors and Lifestyle Diseases for Employee Health Insurance in Japan.
J Epidemiol. 2020 Feb 05; 30(2):57-66.JE

Abstract

BACKGROUND

The 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.

METHODS

We 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.

RESULTS

All 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.

CONCLUSIONS

The 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.

Authors+Show Affiliations

Division of Drug Development and Regulatory Science, Graduate School of Pharmaceutical Sciences, Keio University.Division of Drug Development and Regulatory Science, Graduate School of Pharmaceutical Sciences, Keio University.Japan Medical Data Center Co., Ltd.Division of Drug Development and Regulatory Science, Graduate School of Pharmaceutical Sciences, Keio University.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30828034

Citation

Fukasawa, Toshiki, et al. "Utility of a Specific Health Checkup Database Containing Lifestyle Behaviors and Lifestyle Diseases for Employee Health Insurance in Japan." Journal of Epidemiology, vol. 30, no. 2, 2020, pp. 57-66.
Fukasawa T, Tanemura N, Kimura S, et al. Utility of a Specific Health Checkup Database Containing Lifestyle Behaviors and Lifestyle Diseases for Employee Health Insurance in Japan. J Epidemiol. 2020;30(2):57-66.
Fukasawa, T., Tanemura, N., Kimura, S., & Urushihara, H. (2020). Utility of a Specific Health Checkup Database Containing Lifestyle Behaviors and Lifestyle Diseases for Employee Health Insurance in Japan. Journal of Epidemiology, 30(2), 57-66. https://doi.org/10.2188/jea.JE20180192
Fukasawa T, et al. Utility of a Specific Health Checkup Database Containing Lifestyle Behaviors and Lifestyle Diseases for Employee Health Insurance in Japan. J Epidemiol. 2020 Feb 5;30(2):57-66. PubMed PMID: 30828034.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Utility of a Specific Health Checkup Database Containing Lifestyle Behaviors and Lifestyle Diseases for Employee Health Insurance in Japan. AU - Fukasawa,Toshiki, AU - Tanemura,Nanae, AU - Kimura,Shinya, AU - Urushihara,Hisashi, Y1 - 2019/03/02/ PY - 2019/3/5/pubmed PY - 2020/7/31/medline PY - 2019/3/5/entrez KW - Japan KW - health checkup KW - lifestyle behavior KW - lifestyle disease KW - national survey SP - 57 EP - 66 JF - Journal of epidemiology JO - J Epidemiol VL - 30 IS - 2 N2 - BACKGROUND: The 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. METHODS: We 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. RESULTS: All 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. CONCLUSIONS: The 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. SN - 1349-9092 UR - https://www.unboundmedicine.com/medline/citation/30828034/Utility_of_a_Specific_Health_Checkup_Database_Containing_Lifestyle_Behaviors_and_Lifestyle_Diseases_for_Employee_Health_Insurance_in_Japan L2 - https://dx.doi.org/10.2188/jea.JE20180192 DB - PRIME DP - Unbound Medicine ER -