Community-Based Lifestyle Modification of Cardiovascular Disease Risks in Middle-Aged Japanese: A 27-Month Update

Community-Based Lifestyle Modification of Cardiovascular Disease Risks in Middle-Aged Japanese: A 27-Month Update

HIROKO FUJII,¹ TAKASHI MUTO,¹ YASUO HARUYAMA,¹ MAKIKO NAKADE,² EMIKO KOBAYASHI,³ KAORI ISHISAKI³ and AKIKO YAMASAKI ³

¹Department of Public Health, Dokkyo Medical University School of Medicine, Shimotsuga, Tochigi, Japan
²Nutritional Education Program, National Institute of Health and Nutrition, Shinjuku, Tokyo, Japan
³Soka City Health Center, Soka, Saitama, Japan

Lifestyle modification is the cornerstone of preventive management for people with cardiovascular disease risks, such as obesity, hypertension, dyslipidemia and diabetes. This study investigated the effect of a 27-month community-based lifestyle intervention on the reduction of cardiovascular disease risks in middle-aged Japanese. Of 549 participants with cardiovascular disease risk factors of overweight, hypertension, dyslipidemia or diabetes enrolled in this non-randomized controlled study, 397 participants aged 39-71 years old completed all 3 serial surveys at baseline, 15 months and 27 months. For the intervention group (39 males and 174 females), 31 specific interventions including individual counselling and group sessions were conducted. The control group (64 males and 120 females) only received 7 newsletters providing health information and results of health checkups. Multiple logistic regression analysis adjusted for sex, each baseline risk category and age category showed that the proportion of those who were overweight or showed dyslipidemia risk were significantly lower in the intervention group only at 27 months [Odds ratio (OR): 0.43 (95% CI 0.20-0.94), OR: 0.43 (95% CI 0.21-0.87), respectively] and the proportion of those showing diabetes risk was significantly lower in the intervention group at both 15 months [OR: 0.42 (95% CI 0.18-0.97)] and 27 months [OR: 0.56 (95% CI 0.32-0.99)]. In conclusion, the 27-month community-based lifestyle modification of cardiovascular disease risks shows significant reductions in risks of diabetes, overweight and dyslipidemia in middle-aged Japanese.

keywords —— cardiovascular disease; lifestyle intervention; community; diet; physical activity

===============================

Tohoku J. Exp. Med., 2010, 220, 307-318

Correspondence: Hiroko Fujii, Department of Public Health, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, 321-0293, Japan.

e-mail: hirofuji@dokkyomed.ac.jp