@article{oai:saku.repo.nii.ac.jp:00000241, author = {征矢野, 文恵 and 細谷, たき子 and 友安, 直子}, issue = {1}, journal = {佐久大学看護研究雑誌, Saku University Journal of Nursing}, month = {Mar}, note = {【目的】非肥満は体重増加により心疾患や糖尿病等の生活習慣病のリスクが高まるとの報告がある。非肥満者の20歳時の体重より10kg以上の増加と保健指導判定値の異常の有無との関連を明らかにした。【方法】2014年度に1日人間ドックを受けた40〜74歳の特定健診者の非肥満男性1,552名、女性1,779名の特定健診データを用いて性別・年代別に各体重増加群、非体重増加群と対象者の背景および脂質・血糖・血圧に関する判定値異常の有無との関連を検討した。【結果】体重増加群は男性361名(23.3%)、女性235名(13.2%)で、体重増加群が非体重増加群より判定異常の割合が有意に高かったのは、LDL-C、HDL-C、中性脂肪、T-Cho、体脂肪率、空腹時血糖、HbA1c、拡張期血圧であり、男性が女性より判定異常項目数が多かった。また男女ともに50歳代の判定異常項目数が最も多かった。【結論】非肥満者のうち50歳代までに10kg以上の体重増加を経験した者はそうでない者より男女ともに代謝異常を伴う生活習慣病リスクが最も高く保健指導の重要性が示唆された。 Objective: The weight gain of non-obese adults has been reported to increase the risk of life-style related diseases such as cardiac diseases and diabetes mellitus. This study examined the associated factors of weight gain of 10 kg or over after the age of 20 among non-obese individuals with health risk values based on health guidance criteria. Methods: The specific health checkup data of 1,552 non-obese males and 1,779 females in one day comprehensive medical examination in 2014 were analyzed by each age group on association between weight gains and health check results such as blood lipid, glucose and pressure, and their social backgrounds. Results: Non-obese 361 males(23.3%)and 235 females(13.2%)gained weight. The weight gain groups showed significantly more abnormal values in LDL-cholesterol, HDL-cholesterol, total cholesterol, triglyceride, the fasting blood sugar level, HbA1C, and diastolic blood pressure than non-weight gain ones. The health check items of males showed more risks than females, and the most risk items were associated with the weight gain in their age of fi fties of both sexes. Conclusion: Weight gain of non-obese males and females after the age of 20 indicated the highest risk of life style related diseases in the age of fifties, which showed the high priority of the health education for them.}, pages = {21--29}, title = {1日人間ドックデータの非肥満者を対象とした体重増加と保健指導判定値の異常との関連}, volume = {11}, year = {2019} }