PRIMARY PREVENTION OF LIFE-STYLE RELATED DISEASES FOR YOUNG ; AIM FOR OPTIMIZED INTERVENTION STRATEGY

近年来，与生活方式有关的疾病越来越多，发病年龄也越来越小。我们充分利用1980年开始的生活方式相关疾病的健康检查和2000年开始对年轻人，特别是开始单身生活的大学生使用IC卡，建立了生活方式相关疾病一级预防体系。大学生对自身健康的关注度没有那么高，但有模糊的焦虑感（46%）。我们获得的证据如下：1)颈动脉粥样硬化的进展与腹腔内脂肪堆积相关，即使在年轻人中也是如此；2)肥胖的年轻人中脂肪肝和高血压出现得更早（-15%）；3)建立了结合HbA1c的葡萄糖耐量受损的有效筛查方法（0.6%）；4)渴望苗条的女学生BMI与身体形象的不匹配；5)超声检测的女学生BMI与BMD的相关性。从2003年开始，我国开展了健康教育，其中包括将健康检查作为人口途径的证据和意义。向所有有帐户的人分发了私人健康检查结果单。并建立了高危人群随访制度。采用最发达的适合纵向观察的健康数据监测程序，对人群法前后两个等级进行了2年BMI随访研究，发现适当BMI有改善趋势。结果表明，群体方法与高危方法相结合对大学生的健康影响显著。

Recently, an increase and younger onset of life-style related diseases have been pointed out. We have compiled the system of primary prevention of life-style related diseases by taking full advantage of our health check-up to prevent life-style related diseases from 1980 and using IC cards from 2000 for young, especially university students starting single life mostly.University students are not interested in their health so high, but they have vague anxiety for it (46%).We obtained some evidences as follows ; 1) the progression of carotid atherosclerosis associated with intra-abdominal fat accumulation even in young, 2) fatty liver and hypertension appear earlier in young with obesity (-15%), 3) efficient screening method of impaired glucose tolerance (0.6%) in combination with HbA1c for young was established, 4) mismatch between BMI and body image in female students with desire of slim, 5) correlation between BMI and BMD using ultrasound in female students.Health education including these evidences and meaning of health check-up as population approach was started since 2003. Private result sheets of health check-up were handed out for all with account. Furthermore, follow-up system for high risk group was established. Using mostly developed health data monitoring program suitable for longitudinal observation, 2 years BMI follow-up study for two grades before and after population approach showed improving tendency of proper BMI. It was suggested that grounded combination of population approach and high risk approach for university students was significant.