The Ministry of Health, Labour and Welfare research group announced the final report assumed to be "It was difficult to decide the best value" as a result of analyzing data that exceeded the country 30,000 about the standard of the abdominal circumference used in a specific health examination and the health guidance (metabolic syndrome health examination) executed as metabolic syndrome (visceral fat syndrome) measures on the ninth. The voice to request the review of the system seems to become clamorous because grounds of "[Senhi] coming" swung widely though the research group proposed to use it for the standard continuously because those who developed increased by the abdominal circumference large.
It is diagnosed as the metabolic syndrome when the abdominal circumference exceeds the standard by the man 85 centimeters and female 90 two of inspection values of the blood fat of the blood pressure and the blood sugar level centimeters or more now. As for the metabolic syndrome, the cardiovascular disease was taken to the health examination of the whole country based on the idea that it was easy to develop in fiscal year 2008 when the visceral fat collected in the abdomen.
The research group analyzed the follow-up survey of 12 of the whole country executed for the local populace overall. When the man and woman abdominal circumference of about 31,000 people of 40?74 years old and the appearance of disease situation of the cardiovascular disease were analyzed to distinguish the person with a high danger of developing, the man is one by *1.48 time 85 centimeters or more from 80 centimeters or more to less than deflecting as for the cardiovascular disease. When 1.62 times and both abdominal circumferences were *1.79 time 90 centimeters or more larger by *1.75 time 85 centimeters or more by 80 centimeters or more, 1.70 times and women's appearance of disease ratios were also *56 time 90 centimeters or more higher. However, appearance of disease person's ratio was not able to calculate the best numerical value for most changes, and the choices of a dangerous, high group even if it delimited it by which numerical value.
A Tokyo large professor of Takashi Kadowaki｢The danger of the appearance of disease rose by an increase of the abdominal circumference, and the importance of the abdominal circumference was shown. It thinks the numerical value to be a matter decided in the policy as the large setting etc. if limited to the budget and talents who put it on the medical treatment abundant small. ｣It speaks. 【 Etsuko Nagayama 】
- Explaining the drastic review is necessary.
A specific health examination and the health guidance (metabolic syndrome health examination) that makes the metabolic syndrome measures a purpose start in fiscal year 2008, and the numerical value of the abdominal circumference of the metabolic syndrome diagnostic criteria has always attracted attention. However, it is only in Japan that the required item of the diagnostic norm is an abdominal circumference. Learned body "United States cholesterol education program" that had enormous influence in this field and "International Diabetes Federation" did not do the abdominal circumference last October as the required item, and announced the treated union standard to the inspection item and same ranks of other blood pressures and the blood sugar levels, etc.
The report of this research group became a conclusion the iridescence "The abdominal circumference inspection is useful though the numerical value of the abdominal circumference that narrowed the group with a high danger of the appearance of disease was not able to be put out". Prof. Kadowaki of the research group : the reason to stick to the abdominal circumference. ｢In Japan, there are a lot of study results assumed that the visceral fat of the abdomen is a principal cause of the metabolic syndrome. It agrees to assume the abdominal circumference to be indispensable by as many as eight internal medicine department societies that provide the diagnostic norm. ｣It explains.
On the other hand, large [kushiyouichi] and the professor of Tokai University (medical treatment statistics) point out, "The result that the optimum value of the abdominal circumference cannot be shown is not significant as the item that discovers a sick, dangerous person who is". It criticizes , saying that "It can be said that it is a useless medical treatment the measure that the effect cannot be judged in a scientific manner is executed to use the medical institution based on the waste of the tax and the health examination result".
It is expected that this result is received, and a related society will start the reexamination of the standard value of the abdominal circumference. Drastic review work is requested including right or wrong of a Japanese original standard by which the abdominal circumference is assumed to be a required item.
