A Study on Primary Prevention of Lifestyle-induced Diseases in Rural Communities

• Published in: JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE Vol. 47; no. 6; pp. 828 - 837
• Main Author: TAKASHINA, Seiryo
• Format: Journal Article
• Language: Japanese
• Published: THE JAPANESE ASSOCIATION OF RURAL MEDICINE 1999
• ISSN: 0468-2513; 1349-7421
• DOI: 10.2185/jjrm.47.828

Many of lifestyle-induced, or diseases of the sort which progressively becomes degenerative with an advance in senility, have something to do significantly with the everyday life-style. Their secondary prevention is extensively in effect, having brought about considerablesuccesses. But studies on the primary prevention can hardly be described as adequate. It is a fact that, of people in whom no specific abnormalities were detected in a conventional mass health screening, or those for whom no significant signs of degeneration were declared latent, 25 percent were found to have some systemic abnormality or the other a few years later. For more successful achievements from the primary prevention of lifestyle-induced, it will presumably be of more effect to select from among the persons in whom no specific abnormalities were detected in a conventional health screening the highly risky persons for whom the possibility is high for a drop in the status of their health several years later and to enthusiastically provide education and guidance for improvements in the everyday life-style. For a study on the selection parameters (risk parameters), the criteria for selection of subjects were so arranged as to include the ages at 20 to 69, the systolic blood pressure level at less than 160mmHg, diastolic blood pressure level at downwards of 95mmHg, BMI level at 18.1-25.9kg/m2, serum cholesterol level at 120-220mg/dl, fasting plasma glucose level at downwards of 120mg/dI and casual plasma glucose level at 160mg/d1 or under. Retrospective cohort studies were perfomed on 6, 771 subjects who met those conditions and could be observed year after year. As a result, it was concluded that the systolic blood pressure level at 130mmHg, diastolic blood pressure level at 85mmHg, BMI at 24.Okg/m2, serum cholesterol level at 200mg/dl, fasting plasma glucose level at llOmg/dl and casual plasma glucose level at 180mg/d1 should be appropriate as selection parameters (risk parameters).