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#E0101 Impact of Repeated Health Guidance on Weight Loss and Metabolic Syndrome in Japan

Impact of Repeated Health Guidance on Weight Loss and Metabolic Syndrome in Japan Metabolic Syndrome (MS) is a major health issue affecting working-age individuals. Since 2008, Japan has implemented Specific Health Checkups to detect MS early, followed by compulsory Specific Health Guidance (SHG) for those at risk. With the rise in individuals receiving SHG multiple times due to its annual implementation, this study examines the impact of a previous SHG history on the effectiveness of subsequent health guidance programs.The longitudinal study included 10,191 individuals who participated in the Motivational Health Guidance program in 2017 and had SHG status in 2016. Participants were divided into three groups: Group 1 (satisfied SHG criteria and participated), Group 2 (satisfied criteria but did not participate), and Group 3 (did not satisfy criteria). Baseline characteristics showed that Groups 1 and 2 had higher body weight, waist circumference, and blood pressure levels, and were more likely to have a lower HDL cholesterol level and a higher transtheoretical model of behavior change stage than Group 3. After 1 year, all groups showed significant weight loss, with 13.7% of Group 1, 20.1% of Group 2, and 12.0% of Group 3 achieving a 5% weight loss. New-onset MS was most prevalent in Group 2 (16.4% men, 11.2% women).Logistic regression analysis revealed that Group 1 had a significant negative association with a 3% and 5% body weight loss in total and men compared to Group 3. Group 1 was also significantly associated with new-onset MS according to the Japanese and NCEP-ATP III criteria in men and women compared to Group 3. Group 2 showed no significant association with weight loss or new-onset MS. Subgroup analyses by age, BMI, and transtheoretical model of behavior change stage showed no significant interaction between these factors and the comparison between Groups 3 and 1.The study suggests that people who have received health guidance in the previous year may not benefit as much from the same guidance in the following year.  This suggests that repeated SHG may not be as effective for some individuals, highlighting the need for improvements in long-term health guidance programs to better address MS risk. This may be because they have already made lifestyle changes and are less motivated to make further changes. The researchers recommend that health guidance programs should be tailored to the individual's needs and that different approaches may be needed for people who have received guidance in the past.The study also highlights the importance of promoting health guidance programs to populations that are most likely to benefit from them. The researchers suggest that using technology, such as smartphone applications and Internet of Things devices, can enrich patient feedback and make health guidance more effective.

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