Sawayaka Health Plan
For 45-years old people

About body
Q. If you know a lifestyle that lowers blood pressure

effectively, please advise me. The reason is that it isdifficult to lower blood pressure only by taking lesssalt and by controlling weight. I think the problem isdue to my physical constitution, such as being light inweight and having a higher blood pressure since I was inhigh school.

A. You are trying various things to improve your blood pressurearen’t you?
Other than taking less salt and weight management, there are ways likequitting smoking, drinking less alcohol, practicing aerobic exercise,
improving the lack of sleep and reducing stress, but I think you
already know these things. If you tried all and couldn’t get goodresult, there may be some hidden illness.
In addition, it may be necessary to borrow the power of medicine, why
don’t you consult your family doctor or visit a cardiovasculardepartment with your health checkup result?

Q. In the health checkup result, on the chest X-ray column

there was a description of "protrusion of the aorticarch" for two consecutive years. Though I can check it bymyself even on the website, I would like you to tell me
how bad it is and what kind of measures I should take. (Ifyou know some simple contact address, I would like to use it.)

A. Most causes of protrusion of the aortic arch is due toarteriosclerosis.
Countermeasures include treatment of diseases that cause
arteriosclerosis (blood pressure, lipids, blood glucose),
improvement of obesity, and improvement of lifestyle such as
quitting smoking. Unfortunately, we cannot answer the severity
without a detailed examination. If you are worried about it, please
visit a medical institution with the health checkup results.
If you have any other questions, please use the medical staff ateach business site, your family doctor, our contracted contact
point for inquiries shown in the enclosed documents of the healthcheckup results, Kenpo clinic, etc.

About body
Q. Do “axis variation” (today's presentation sheet)and “axis deviation” (health checkup result)mean different things?

A. Thank you for your advice.

“axis variation" is a typographical error, and "axisdeviation“ is correct.
I'm very sorry for the typographical error in the material.

Q. After taking the training, I am aware thatweight management is important, but I cannot
continue the exercise and the dietary
restrictions to reduce weight always. Is there
a good way to continue them? Personally, I
want to reduce weight by practicing exercise,but I cannot find the time to to do it.

A. You are trying to reduce weight even when you are busy.

First of all, please praise yourself for your efforts.
I think there are many people who say, "I tried to change myhabits, but I failed many times." There are reasons why it isdifficult to change them.
For example, "There are benefits to be gained by continuing
bad habits.""Because it is easier to act unconsciously.""The switch does not turn on even when trying to leave myself
to the power of will""I want a dramatic result and give up on the way."
And so on. It's difficult to change your habits, but there aresome tips!
・ It is NG to think that "must do“.
・ Let's start with "small habits"
If the exercise is unpleasant, all you have to do is put on
your shoes and breathe in the outside air.
・ Make efforts to enjoy the right things.
Convert the feeling of "pain" into excitement! Try to makeboring things something you feel like a game, and it is also agood way to give yourself a reward after you worked hard!
・ The stronger the desire to be like this, the more the habitchanges! It is very important to play tricks on your head.
Please try to introduce this method!

About body
Q. I think that the definition of health is alsochanging due to advances in science and changes ofthe environment (values). Just for an example, inthe training, there was a lecture about "prolonging
life by limiting calories" and "BMI and abdominal
circumference for health standard", but I think itcannot be said so unconditionally without
considering other things.
In recent news, I read an article “Being a little
plump is healthier". What do you think?

A. I think that you have a high level of health consciousness.
In recent years, various studies have been carried out, and
it is also a fact that the mortality rate decreases when theBMI exceeds 25.
The normal value may change in the future due to thedevelopment of research and medical care, but at this stage,
we explain based on the index shown by the Ministry ofHealth, Labor and Welfare.
Also, visceral fat accumulation does not necessarily
correlate with BMI and is not included in the diagnostic
criteria for metabolic syndrome. Concerning the people whoare muscular and heavy despite having less body fat,their BMI may fall into the range of obesity.
Since it is difficult to evaluate health using BMI alone, it
is recommend that you take a comprehensive look at yourother health checkup results, your lifestyle and judge yourhealth level.

Q. Is it possible to remove the fat of liver thathas been put on?

A. Yes, you can！！

You can get rid of the fat that has been put on by the “4 points
to eradicate visceral fat" and the restriction of sugar and lipidthat I told you in the lecture. Please challenge from what you
can do. Extreme dieting can also lead to fat liver, so areasonable improvement is recommended.
Please note that fatty liver progresses and causes livercirrhosis. When liver cirrhosis occurs, the cells of the liver
become fibrous and hard, and their function declines. Fat liverand subsequent hepatitis can be treated, but liver cirrhosis
cannot be cured. As it progresses further, there is a possibilityof developing liver cancer. If you notice fat liver, you shouldtake action as soon as possible.

About teeth and mouth

Q. Will I not be notified of regular dental checkup?
A. If you would like to be notified of regular dental
examinations, please contact Kenpo Dental Clinic.
The contents of regular dental checkup at our Kenpo Dental
Clinic are oral examination, dental scaling, and cleaning.
Additional X-ray photography is also possible. Please
understand that for each insured medical treatment, thepatient will be requested to bear the 30% of the fee.

About mental healthQ. How should we deal with the work environmentthat cannot be improved or that cannot do any
thing in terms of mental health? We would
appreciate it if you could give us your opinion.

A. Your workplace environment is said the place where any thing cannot
be done. I sympathize with you about your daily difficulties.
Regarding [Measures toward the work environment] that you asked, theway how to take an action will change depending on the position of theperson who asked the question. I think the word “workplace environment
improvement" is a familiar word in your work, but it is also used inmental health.
In that case, the method differs depending on "who plays a central
role", and there are different methods are "management-led“ type,“workplace manager / supervisor-led“ type, and "employee
participation” type. "Hints for improving the working environment" isalso posted on the website of the Ministry of Health, Labor and Welfare.
So, why don’t you try to view them as a reference?
<<Reference site: Ministry of Health, Labor and Welfare: Kokoro-no-mimi(ears of heart): Mental health of workers
Portal site https://kokoro.mhlw.go.jp/manual/>>If you would like, please contact the nurse at your workplace or
Mental Health Counseling Room of Bosch Health Insurance Society
directly. I would like to hear your own thought about your daily
workplace and organize the idea from where and what we can do together.
《Contact ① Health Counseling Room at each business site
② Bosch Health Insurance Society, Councilor(Rep) 0493-22-0890》

For your reference, you can also consult the following:《Reference site：Ministry of Health, Labor and Welfare: Kokoro-no-mimi (ears ofheart) for workers
https://kokoro.mhlw.go.jp/agency (method：by phone・SNS・e-mail)》