Worksite wellness for the primary and secondary prevention of cardiovascular disease in Japan: The current delivery system and future directions

Tomonori Okamura, Daisuke Sugiyama, Taichiro Tanaka, Seitaro Dohi

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

In the Japanese workplace, employers are required to provide annual health checkups for workers in accordance with the "Industrial Safety and Health Law," which also mandates that an occupational physician be assigned to companies employing at least 50 workers. The annual medical examination includes testing for the early detection of cardiovascular risk factors such as hypertension, dyslipidemia, diabetes, and the metabolic syndrome. This approach has successfully contributed to the extremely low incidence of coronary artery disease among Japanese workers. However, problems such as poor health and the low rate of participation in health checkups among small-scale companies still persist. Furthermore, although most wellness delivery systems in Japan employ strategies targeting high-risk individuals, instituting a strategy addressing the broader population irrespective of screening may be effective in reducing disease risk in the overall population. As a future direction, we should therefore develop practical methods for implementing a population strategy.

Original languageEnglish
Pages (from-to)515-521
Number of pages7
JournalProgress in Cardiovascular Diseases
Volume56
Issue number5
DOIs
Publication statusPublished - 2014

Fingerprint

Primary Prevention
Secondary Prevention
Workplace
Japan
Cardiovascular Diseases
Health
Population
Occupational Health
Dyslipidemias
Coronary Artery Disease
Hypertension
Physicians
Safety
Incidence
Direction compound

Keywords

  • Coronary artery disease
  • High-risk strategy
  • Industrial safety and health law
  • Occupational physician
  • Population strategy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

@article{69be3f1e97454379a1c3fb1a7ad420cf,
title = "Worksite wellness for the primary and secondary prevention of cardiovascular disease in Japan: The current delivery system and future directions",
abstract = "In the Japanese workplace, employers are required to provide annual health checkups for workers in accordance with the {"}Industrial Safety and Health Law,{"} which also mandates that an occupational physician be assigned to companies employing at least 50 workers. The annual medical examination includes testing for the early detection of cardiovascular risk factors such as hypertension, dyslipidemia, diabetes, and the metabolic syndrome. This approach has successfully contributed to the extremely low incidence of coronary artery disease among Japanese workers. However, problems such as poor health and the low rate of participation in health checkups among small-scale companies still persist. Furthermore, although most wellness delivery systems in Japan employ strategies targeting high-risk individuals, instituting a strategy addressing the broader population irrespective of screening may be effective in reducing disease risk in the overall population. As a future direction, we should therefore develop practical methods for implementing a population strategy.",
keywords = "Coronary artery disease, High-risk strategy, Industrial safety and health law, Occupational physician, Population strategy",
author = "Tomonori Okamura and Daisuke Sugiyama and Taichiro Tanaka and Seitaro Dohi",
year = "2014",
doi = "10.1016/j.pcad.2013.09.011",
language = "English",
volume = "56",
pages = "515--521",
journal = "Progress in Cardiovascular Diseases",
issn = "0033-0620",
publisher = "W.B. Saunders Ltd",
number = "5",

}

TY - JOUR

T1 - Worksite wellness for the primary and secondary prevention of cardiovascular disease in Japan

T2 - The current delivery system and future directions

AU - Okamura, Tomonori

AU - Sugiyama, Daisuke

AU - Tanaka, Taichiro

AU - Dohi, Seitaro

PY - 2014

Y1 - 2014

N2 - In the Japanese workplace, employers are required to provide annual health checkups for workers in accordance with the "Industrial Safety and Health Law," which also mandates that an occupational physician be assigned to companies employing at least 50 workers. The annual medical examination includes testing for the early detection of cardiovascular risk factors such as hypertension, dyslipidemia, diabetes, and the metabolic syndrome. This approach has successfully contributed to the extremely low incidence of coronary artery disease among Japanese workers. However, problems such as poor health and the low rate of participation in health checkups among small-scale companies still persist. Furthermore, although most wellness delivery systems in Japan employ strategies targeting high-risk individuals, instituting a strategy addressing the broader population irrespective of screening may be effective in reducing disease risk in the overall population. As a future direction, we should therefore develop practical methods for implementing a population strategy.

AB - In the Japanese workplace, employers are required to provide annual health checkups for workers in accordance with the "Industrial Safety and Health Law," which also mandates that an occupational physician be assigned to companies employing at least 50 workers. The annual medical examination includes testing for the early detection of cardiovascular risk factors such as hypertension, dyslipidemia, diabetes, and the metabolic syndrome. This approach has successfully contributed to the extremely low incidence of coronary artery disease among Japanese workers. However, problems such as poor health and the low rate of participation in health checkups among small-scale companies still persist. Furthermore, although most wellness delivery systems in Japan employ strategies targeting high-risk individuals, instituting a strategy addressing the broader population irrespective of screening may be effective in reducing disease risk in the overall population. As a future direction, we should therefore develop practical methods for implementing a population strategy.

KW - Coronary artery disease

KW - High-risk strategy

KW - Industrial safety and health law

KW - Occupational physician

KW - Population strategy

UR - http://www.scopus.com/inward/record.url?scp=84895484852&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84895484852&partnerID=8YFLogxK

U2 - 10.1016/j.pcad.2013.09.011

DO - 10.1016/j.pcad.2013.09.011

M3 - Article

C2 - 24607016

AN - SCOPUS:84895484852

VL - 56

SP - 515

EP - 521

JO - Progress in Cardiovascular Diseases

JF - Progress in Cardiovascular Diseases

SN - 0033-0620

IS - 5

ER -