Intevention study for patients under hypertensive treatment

• Project/Area Number: 26460783
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Epidemiology and preventive medicine
• Research Institution: Nihon University
• Principal Investigator: OKAYAMA Akira 日本大学, 医学部, 兼任講師 (60169159)
• Project Period (FY): 2014-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000); Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000); Fiscal Year 2014: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
• Keywords: 健康教育 / 高血圧患者 / 長期効果 / 保健指導 / 高血圧 / 治療中 / 特定健診 / 特定保健指導 / 介入研究 / 医療費

Outline of Final Research Achievements

We conducted intervention trial using lifestyle modification for patients under treatment for hypertension. Patients were enrolled from annual health examination on the condition that BP levels were not well controlled. Control groups were not set for evaluation of study results but we adopted propensity score matched control from the participants of the health examination. Intensive health education was conducted according to a central protocol during 6 months. Follow-up program for 2 years was followed after intensive education.
After 6 months of health education, blood pressure levels and body weight of participants were significantly reduced significantly and these findings continued to more 2 years after follow-up program. These results suggest that health education program for paticipants under treatment of hypertension could reduce the risk for hypertension.

Research Products

• [Journal Article] Alcohol consumption, hospitalization and medical expenditure:a large epidemiological study on the medical insurance system in Japan. (2015)
  • Author(s): Nakamura K,Okuda N,Okamura T,Miura K,Nishimura K,Nishimura K,Yasumura S,Sakata K,Hidaka H,Okayama A.
  • Journal Title: Alcohol Alcohol Volume: 50(2) Issue: 2 Pages: 236-43
  • DOI: 10.1093/alcalc/agu089
• [Presentation] 特定保健指導の階層化基準外である降圧剤服用者への2年間の保健指導の効果 (2015)
  • Author(s): 奥田奈賀子、岡山 明 他
  • Organizer: 第74回日本公衆衛生学会
  • Place of Presentation: 日本公衆衛生学会(長崎県長崎市)
  • Year and Date: 2015-11-05
• [Book] 健康教育マニュアル (2014)
  • Author(s): 岡山明
  • Total Pages: 449
  • Publisher: 一般社団法人 日本家族計画協会