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Intervention Programme for Promoting Physical Activities in the Citizens of Sapporo City, Japan

  • Mitsuru Mori
  • Asae Oura
  • Erhua Shang
  • Fumio Sakauchi
  • Hirofumi Ohnishi
  • Aklimunnesa Khan
  • Md. Mobarak Hossain Khan
  • Alexander Krämer
Chapter
Part of the Contributions to Statistics book series (CONTRIB.STAT.)

Abstract

In accordance with nutritional improvement, the environmental sanitation, and advance in medical technology after World War II, Japan has achieved almost the longest lifespan in the world. This change has two implications. Firstly, this has led to a drastic increase in elderly population in Japan. Secondly, a part of Japanese has faced the problem of over-nutrition due to e.g. an inappropriately increased intake of total energy and total fat, a more sedentary lifestyle or insufficient physical activity in association with use of various mechanic devices or transportation including a car in their life. Their lifestyles are not only associated with an increased risk of lifestyle-related morbidity, but also with increased medical expenditure. Some studies reported higher prevalences of obesity, glucose intolerance (Kawamori 2002), hypertension (Ueshima et al. 2000), and/or hyperlipidemia (Koba and Sasaki 2006) in recent years as compared to past. These lifestyles factors and morbidity are suggested as possible risk factors for a higher mortality related to cardiovascular diseases and certain types of cancer.

Keywords

Physical Activity Body Mass Index Fast Blood Glucose Postprandial Blood Glucose Environmental Sanitation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

This study was conducted in cooperation with staffs at the Sapporo City Bureau.

References

  1. Anderssen SA, Carroll S, Urdal P, Holme I (2007) Combined diet and exercise intervention reverses the metabolic syndrome in middle-aged males: results from the Oslo Diet and Exercise Study. Scand J Med Sci Sports 17: 687–695PubMedCrossRefGoogle Scholar
  2. Blumenthal JA, Sherwood A, Gullette ECD, Babyak M, Waugh R, Georgiades A, Craighead LW, Tweedy D, Feinglos M, Appelbaum M, Hayano J, Hinderliter A (2000) Exercise and weight loss reduce blood pressure in men and women with mild hypertension. Effects on cardiovascular, metabolic, and hemodynamic functioning. Arch Intern Med 160: 1947–1958PubMedCrossRefGoogle Scholar
  3. Cooper AR, Moore LAR, McKenna J, Riddoch CJ (2000) What is the magnitude of blood pressure response to a programme of moderate intensity exercise? Randomized controlled trial among sedentary adults with unmedicated hypertension. Br J Gen Pract 50: 958–962PubMedGoogle Scholar
  4. Corpeleijn E, Feskens EJM, Jansen EHJM, Mensink M, Saris WHM, de Bruin TWA, Blaak EE (2006) Improvements in glucose tolerance and insulin sensitivity after lifestyle intervention are related to changes in serum fatty acid profile and desaturase activities: the SLIM study. Diabetologia 49: 2392–2401PubMedCrossRefGoogle Scholar
  5. Elmer PJ, Obarzanek E, Vollmer WM, Simons-Morton D, Stevens VJ, Young DR, Lin P-H, Champagne C, Harsha DW, Svetkey LP, Ard J, Brantley PJ, Proschan MA, Erlinger TP, Appel LJ (2006) Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: 18-month results of a randomized trial. Ann Intern Med 2006; 144: 485–495PubMedGoogle Scholar
  6. Green BB, McAfee T, Hindmarsh M, Madsen L, Caplow M, Buist D (2002) Effectiveness of telephone support in increasing physical activity levels in primary care patients. Am J Prev Med 22: 177–183PubMedCrossRefGoogle Scholar
  7. Higashi Y, Sasaki S, Sasaki N, Nakagawa K, Ueda T, Yoshimizu A, Kurisu S, Matsuura H, Kajiyama G, Oshima T (1999) Daily aerobic exercise improves reactive hyperemia in patients with essential hypertension. Hypertension 33: 591–597PubMedCrossRefGoogle Scholar
  8. Hinderliter A, Sherwood A, Gullette ECD, Babyak M, Waugh R, Georgiades A, Blumenthal JA (2002) Reduction of left ventricular hypertrophy after exercise and weight loss in overweight patients with mild hypertension. Arch Intern Med 162: 1333–1339PubMedCrossRefGoogle Scholar
  9. Irwin ML, Yasui Y, Ulrich CM, Bowen D, Rudolph RE, Schwartz RS, Yukawa M, Aiello E, Potter JD, McTiernan A (2003) Effect of exercise on total and intra-abdominal body fat in postmenopausal women: a randomized controlled trial. JAMA 289: 323–330PubMedCrossRefGoogle Scholar
  10. Jakicic JM, Marcus BH, Gallagher KI, Napolitano M, Lang W (2003) Effect of exercise duration and intensity on weight loss in overweight, sedentary women: a randomized trial. JAMA 290: 1323–1330PubMedCrossRefGoogle Scholar
  11. Jancey JM, Lee AH, Howat PA, Clarke A, Wang K, Shilton T (2008a) The effectiveness of a physical activity intervention for seniors. Am J Health Promot 22: 318–321PubMedCrossRefGoogle Scholar
  12. Jancey JM, Clarke A, Howat PA, Lee AH, Shilton T, Fisher J (2008b) A physical activity program to mobilize older people: a practical and sustainable approach. Gerontologist 48: 251–257PubMedCrossRefGoogle Scholar
  13. Kawamori R (2002) Diabetes trends in Japan. Diabet Metab Res Rev 2002; 18: S9-13CrossRefGoogle Scholar
  14. Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM (2002) Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 346: 393–403PubMedCrossRefGoogle Scholar
  15. Koba S, Sasaki J (2006) Treatment of hyperlipidemia from Japanese evidence. J Atheroscler Thromb 13: 267–280CrossRefGoogle Scholar
  16. Kraus WE, Houmard JA, Duscha BD, Knetzger KJ, Wharton MB, McCartney JS, Bales CW, Henes S, Samsa GP, Otvos JD, Kulkarni KR, Slentz CA (2002) Effects of the amount and intensity of exercise on plasma lipoproteins. N Engl J Med 347: 1483–1492PubMedCrossRefGoogle Scholar
  17. Lindström JL, Louheranta A, Mannelin M, Rastas M, Salminen V, Eriksson J, Uusitupa M, Tuomilehto J (2003) The Finnish diabetes prevention study: lifestyle intervention and 3-year results on diet and physical activity. Diabetes Care 26: 3230–3236PubMedCrossRefGoogle Scholar
  18. Mattila R, Malmivaara A, Kastarinen M, Kivelä S-L, Nissinen A (2003) Effectiveness of multidisciplinary lifestyle intervention for hypertension: a randomized controlled trial. J Hum Hypertens 17: 199–205PubMedCrossRefGoogle Scholar
  19. Miller ER 3rd, Erlinger TP, Young DR, Jehn M, Charleston J, Rhodes D, Wasan SK, Appel LJ (2002) Results of the diet, exercise, and weight loss intervention trial (DEW-IT). Hypertension 40: 612–618PubMedCrossRefGoogle Scholar
  20. Ohkubo T, Hozawa A, Nagatomi R, Fujita K, Sauvaget C, Watanabe Y, Anzai Y, Tamagawa A, Tsuji I, Imai Y, Ohmori H, Hisamichi S (2001) Effects of exercise training on home blood pressure values in older adults: a randomized controlled trial. J Hypertens 19: 1045–1052PubMedCrossRefGoogle Scholar
  21. Orchard TJ, Temprosa M, Goldberg R, Haffner S, Ratner R, Marcovina S, Fowler S (2005) The effect of metformin and intensive lifestyle intervention on the metabolic syndrome: the diabetes prevention program randomized trial. Ann Intern Med 142: 611–619PubMedGoogle Scholar
  22. Oura A, Sakauchi F, Shang E, Mori M (2008) Effectiveness of a community-based health promotion by an exercise intervention program in middle aged and elderly people in Sapporo, Japan. Sapporo Med J 77: 23–23 (Japanese text)Google Scholar
  23. Poston WSC, Haddock CK, Olvera NE, Suminski RR, Reeves RS, Dunn JK, Hanis CL, Foreyt JP (2001) Evaluation of a culturally appropriate intervention to increase physical activity. Am J Health Behav 25: 396–406PubMedCrossRefGoogle Scholar
  24. Ross R, Dagnone D, Jones PJH, Smith H, Paddags A, Hudson R, Janssen I (2000) Reduction in obesity and related comorbid conditions after diet-induced weight loss or exercise-induced weight loss in men: a randomized, controlled trial. Ann Intern Med 133: 92–103PubMedGoogle Scholar
  25. Sakauchi F, Oura A, Shang E, Mori M (2008) Assessment of long effect in health promotion by an exercise intervention program: From results in Sapporo Health Promotion Program in 2003. J Hokkaido Public Health 22: 62–68 (Japanese text)Google Scholar
  26. Simons-Morton DG, Blair SN, King AC, Morgan TM, Applegate WB, O’Toole M, Haskell WL, Albright CL, Cohen SJ, Ribisl PM, Shih JH (2001) Effects of physical activity counseling in primary care. The Activity Counseling Trial: a randomized controlled trial. JAMA 286: 677–687CrossRefGoogle Scholar
  27. Slentz CA, Duscha BD, Johnson JL, Ketchum K, Aiken LB, Samsa GP, Houmard JA, Bales CW, Kraus WE (2004) Effects of the amount of exercise on body weight, body composition, and measures of central obesity: STRRIDE-a randomized controlled study. Arch Intern Med 164: 31–39PubMedCrossRefGoogle Scholar
  28. Steptoe A, Kerry S, Rink E, Hilton S (2001) The impact of behavioral counseling on stage of change in fat intake, physical activity, and cigarette smoking in adults at increased risk of coronary heart disease. Am J Publ Health 91: 265–269CrossRefGoogle Scholar
  29. Stevens VJ, Obarzanek E, Cook NR, Lee I-M, Appel LJ, West DS, Milas NC, Mattfeldt-Beman M, Belden L, Bragg C, Millstone M, Raczynski J, Brewer A, Singh B, Cohen J (2001) Long-term weight loss and changes in blood pressure: Results of the trials of hypertension prevention, phase II. Ann Intern Med 134: 1–11PubMedGoogle Scholar
  30. Ueshima H, Zhang X-H, Choudhury SR (2000) Epidemiology of hypertension in China and Japan. J Hum Hypertens 14; 765–769PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Mitsuru Mori
    • 1
  • Asae Oura
    • 1
  • Erhua Shang
    • 1
  • Fumio Sakauchi
    • 1
  • Hirofumi Ohnishi
    • 1
  • Aklimunnesa Khan
    • 1
  • Md. Mobarak Hossain Khan
    • 2
  • Alexander Krämer
    • 2
  1. 1.Department of Public HealthSapporo Medical University School of MedicineSapporoJapan
  2. 2.Department of Public Health Medicine, School of Public HealthBielefeld UniversityBielefeldGermany

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