The self goal-setting type specifying health guidance and the evaluation

[Objective] Using diet and exercise survey data, health guidance was provided to metabolic syndrome patients, and its effects were investigated. [Subjects and Methods] The subjects were 44 men and women working at a company who satisfied the criteria for the 'Fight Metabolic Syndrome Project' (age: 45.1 +- 7.7 years, waist: 96.5 +- 7.5 cm, and BMI: 28.6 +- 2.9 kg/square m). Based on the results of a diet survey using images taken with a camera, national registered dietitians provided group health guidance, and then health nurses provided individual health guidance. The results of a health screening conducted at the start of the project were compared to the results of a health screening conducted the following year. [Results] Diets at the start of the project were evaluated with the Japanese food guide, and the degree of fullness in relation to the intake goal was calculated. The overall average of the servings intake was 72%, thus suggesting that the subjects were trying to lose weight by eating less. When compared to the results of the health screening at the start of the project, the results of the following year's health screening showed significant improvements, with decreases in waist (1.5 cm), body weight (2.8 kg), BMI (1 kg/square m), and systolic blood pressure (5 mmHg) measurements, as well as decreases in TG (98 mg/dl) and FBS (17mg/dl) levels. Diastolic pressures also improved. Though the average HDL-C was within the normal range, it had decreased significantly. [Conclusions] Since improvements were seen in many indicators of the metabolic syndrome, the project was successful to a certain degree. However, though the number of risk factors for the metabolic syndrome decreased, the decrease was not significant. Thus, it will be necessary to refine the project by improving the implementation methods so that people actually no longer have the metabolic syndrome.