バランス型紙を用いた集団食事指導 ―企業健康保険組合主催のセミナーの場合―

Corporate health insurance societies in Hyogo organized a pilot seminar according to“ Health check up specifically programmed against metabolic syndrome followed by specific health counseling” which is known as a national project since 2008. At the seminar, we developed a diet balance sheet（ DBS） for management and prevention of obesity. 356 women were registered to our weight management program, were instructed how to use the DBS. After the completion of each seminar, we asked their body weight and abdominal circumference at the transitional period. 125 women responded to our questions. 89 women（ 71.2% of the respondents） improved their physical condition after the seminar by the use of DBS. In addition, 42 women of the respondents reduced their body weight. Our DBS was confirmed to be effective as the diet education material for the seminar clients. It is expected to be applicable widely for management and prevention of lifestyle-related diseases. We need to establish much more effective program and to make a support system for the specific health counseling

指導現場にみる肥満主婦の特徴 : 事例を通して

The favorite foods of obese women were snack and cereal before the dietary counseling class started. The obese women took care of having a low intake of oily foods and making a taste with low salt concentration. We often observed that they took shortage of foods as well as excess of ones. They repeated trials of the diet and had much amount of healthful food ingestions for concerning of their healthy life. After the class, the characteristics of the weight reduction group were decrease of taking snack foods and increase of the QOL, based on the balance sheet of food intake. These improvements were depended on the cooperation with their families. On the other hand, the non-weight reduction group was not improved because of the non-cooperation with their families