New Strategy on Prevention and Control of Noncommunicable Lifestyle-Related Diseases Focusing on Metabolic Syndrome in Japan

  • Shunsaku Mizushima
  • Kazuyo Tsushita


A new strategy on prevention and control of noncommunicable ­lifestyle-related diseases focusing on metabolic syndrome, comprising mandatory health assessment and a lifestyle modification advice program aimed at reducing obesity, was undertaken in 2008 by health insurers for the 40–74-year-old insured population, in accordance with a new law of health care access for the aged enforced in 2008. In the standard Health Assessment and Lifestyle Modification Advice Program, the risk is stratified in four determined by the results of health checkups and questionnaires. Accordingly, health information, motivational advice on lifestyle modification, and an active Intensive Lifestyle Modification Program are offered depending on individuals’ assessed health risk. The Ministry of Health, Labor and Welfare of Japan estimate that the percentage of the population who would need support offered by the new program is 36.4% of 40–64-year-old males (11.8% motivation support, 24.6% Intensive Lifestyle Modification Program), 27.6% of 65–74-year-old males (motivation support only), 16.2% of 40–64-year-old females (10.2% motivation support, 6.0% active support), and 15.2% of 65–74-year-old females (motivation support only), i.e., approximately twice as many males as females.


Metabolic Syndrome Health Assessment Lifestyle Modification Active Support Health Checkup 
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.


  1. 1.
    Health Science Council Community-Based Health Promotion Nutrition Task Force, Ministry of Health, Labour and Welfare (2005) The orientation of lifestyle-related diseases measures in the future (interim report) (in Japanese).
  2. 2.
    Rose G (1992) Strategy of preventive medicine. Oxford University Press, OxfordGoogle Scholar
  3. 3.
    Third Meeting of Health Assessment and Life Style Modification Advice Program (materials) (in Japanese).
  4. 4.
    Japanese Association for Cerebro-Cardiovascular Disease Control (2005) Handbook for ­preventing cerebro-cardiovascular disease (in Japanese). Hokendohjinsha, TokyoGoogle Scholar

Copyright information

© Springer 2011

Authors and Affiliations

  1. 1.Department of Epidemiology and Public HealthYokohama City University Graduate School of MedicineYokohamaJapan
  2. 2.Comprehensive Health Science CenterAichi Health Promotion FoundationChitaJapan

Personalised recommendations