About specific medical examination, specific health guidance system

Specific medical examinations and specific health guidance
Make use of it for your health promotion.

• Background of implementation of specific Health Checkups and specific health guidance

• What is the specific Health Checkups and specific health guidance?

• Specific Health Checkups Implementation Plan

• Q&A of specific Health Checkups and specific health guidance

With the declining birthrate and aging population, the overall medical expenses continues to increase as the elderly population increases. In April 2008, the Health Checkups and Health Insurance Association were required to provide specific health guidance to medical insurers, such as the National Health Insurance and Health Insurance Union, to reduce the medical expenses, which is one of the causes of the medical expenses soaringlifestyle-related diseases prevention.
For this reason, the Yokohama City National Health Insurance has been implementing specific Health Checkups and specific health guidance programs since fiscal 2008.

lifestyle-related diseases, such as ischemic heart disease, cerebrovascular disease, and diabetes, is increasing year by year. Currently, lifestyle-related diseases (excluding malignant neoplasms) accounts for approximately 20% of the total medical care medical expenses in Yokohama City National Health Insurance.

The concept of metabolic syndrome (visceral fat syndrome) is introduced.

The accumulation of visceral fat obesity is said to be a common cause of lifestyle-related diseases (hypertension, hyperlipidemia, diabetes, etc.). Metabolic syndrome (visceral fat syndrome) refers to a condition in which lifestyle-related diseases has multiple risk factors related to hypertension, hyperglycemia, and abnormal lipids in addition to this visceral fat obesity.

Metabolic syndrome progresses in this way!

For lifestyle-related diseases prevention, the Health Checkups conducts health examinations to detect people with metabolic syndrome and spare groups at an early stage, and conducts tests to determine risk factors such as heart disease and stroke to detect visceral fat-type obesity.
Specific health guidance is provided by specialists (doctors, public health nurses, and management) so that the individual can understand his / her own health condition according to the results of the medical examination and continuously take voluntary measures to improve lifestyle. Nutritionists, etc.) provide support such as lifestyle improvement.

The current diagnostic criteria in Japan are as follows.

1. Measurement of the perimeter diameter of the stomach
   If the male is 85cm or more and the female is 90cm or more, judge that visceral fat is accumulated and proceed to 2.
2. Metabolic syndrome and diagnosis when two or more of the following three items apply for a person who falls under 1 and falls under 2 or more of the following three items:
   (1) Serum lipids
   One or both of "high triglyceride (neutral fat) blood disease" (thriglyceride 150 mg / dl or more) or "low HDL cholesterolemia" (less than 40 mg / dl of HDL cholesterol) applies.
   (2) Blood pressure
   This applies to either or both systolic blood pressure of 130 mmHg or more or diastolic blood pressure of 85 mmHg or more.
   (3) Blood sugar level
   Fasting hyperglycemia is 110 mg/dl or more (equivalent to HbA1c6.0% or more).

Each medical insurer formulates a “Specific Health Checkups Implementation Plan” every five or six years, which sets out the method and implementation rate of health checkups and health guidance, and the rate of reduction in the number of people with metabolic syndrome.