㧠 㐳ᤨ㑆ᱷᬺߣ⣖ᔃⴊ▤∔ᖚ߅ࠃ߮ߘߩ࡝ࠬࠢ࿃ሶߩ㑐ㅪߦ㑐ߔࠆ∉ቇ⺞ᩏ⎇ⓥ⎇ⓥ⠪㧔ઍ⴫⠪㧕੹੗ ㋕ᐔ ࠕ࠭ࡆ࡞ᩣᑼળ␠ ⛔ ᜝ ↥ ᬺ ක      ౒ ห ⎇ ⓥ ⠪࿯⢈⺈ᄥ㇢ ਃ੗ൻቇᩣᑼળ␠ ⛔᜝↥ᬺකടㇱ  ാ ฎᴡ㔚᳇Ꮏᬺᩣᑼળ␠ ⛔᜝↥ᬺකችᧄ ବ᣿ ᣂᣣ㐅૑㊄ᩣᑼળ␠ ↥ᬺකਛᎹ  ᩣᑼળ␠ᣣ┙⵾૞ᚲᣣ┙ஜᐽ▤ℂ࠮ࡦ࠲ ↥ᬺකᔀ⷏ේ੝♿ሶ ࠕ࠭ࡆ࡞ᩣᑼળ␠ ↥ᬺක᪀ේ ᕺ੺ ࿖┙࿖㓙ක≮⎇ⓥ࠮ࡦ࠲࡯ ∉ቇ੍㒐⎇ⓥㇱ⎇ⓥຬ

Ḵ਄ ື਽ ࿖┙࿖㓙ක≮⎇ⓥ࠮ࡦ࠲࡯ ∉ቇ੍㒐⎇ⓥㇱ㐳Ѹ  Ѹ㐳ᤨ㑆ᱷᬺߣ⣖ᔃⴊ▤∔ᖚ߅ࠃ߮ߘߩ࡝ࠬࠢ࿃ሶߩ㑐ㅪߦ㑐ߔࠆ∉ቇ⺞ᩏ⎇ⓥ㧝㧕㧞㧕㧟㧕㧠㧕㧡㧕㧝㧕੹੗ ㋕ᐔ ‫ޔ‬࿯⢈ ⺈ᄥ㇢ ‫ޔ‬ടㇱ ാ ‫ޔ‬ችᧄ ବ᣿ ‫ޔ‬ਛᎹ ᔀ ‫⷏ޔ‬ේ ੝♿ሶ ‫ޔ‬᪀㧢㧕㧢㧕ේ ᕺ੺ ‫ޔ‬Ḵ਄ ື਽ᚲዻ㧦㧝㧕ࠕ࠭ࡆ࡞ᩣᑼળ␠‫ޔ‬㧞㧕ਃ੗ൻቇᩣᑼળ␠‫ޔ‬㧟㧕ฎᴡ㔚᳇Ꮏᬺᩣᑼળ␠‫ޔ‬㧠㧕ᣂᣣ㐅૑㊄ᩣᑼળ␠‫ޔ‬㧡㧕ᩣᑼળ␠ᣣ┙⵾૞ᚲ‫ޔ‬㧢㧕࿖┙࿖㓙ක≮⎇ⓥ࠮ࡦ࠲࡯‫ⷐޣ‬ᣦ‫ޤ‬ 㐳ᤨ㑆ᱷᬺߦࠃࠆஜᐽ㓚ኂߪ‫߇ࠊޔ‬࿖ߦ߅޿ߡఝవᐲߩ㜞޿⺖㗴ߩ৻ߟߢ޽ࠆ‫ޕ‬⣖ᔃⴊ▤ߩ࡝ࠬࠢ࿃ሶ㧔㜞ⴊ࿶࡮♧ዩ∛㧕ߣߩ㑐ㅪߦ߅޿ߡߪ‫ޔ‬㐳ᤨ㑆ᱷᬺߦࠃࠆ㘩↢ᵴߩੂࠇ‫ޔ‬ㆇേᯏળߩᷫዋߥߤߦࠃࠅⴊ࿶਄᣹߿⠴♧⢻⇣Ᏹߦߟߥ߇ࠆߎߣ߇⠨߃ࠄࠇߡ޿ࠆ‫⎇ᧄޕ‬ⓥߢߪ‫ޔ‬ᣣᧄߩ⡯ၞᄢⷙᮨ㓸࿅㧔4 ડᬺ‫ޔ‬64,434 ฬ㧕ߦ߅޿ߡ‫ޔ‬ᱷᬺᤨ㑆ߣ㜞ⴊ࿶࡮♧ዩ∛᦭∛₸ߩ㑐ㅪߦߟ߈ᢿ㕙⊛ߦ⹏ଔࠍⴕߞߚ‫ޕ‬߹ߚ‫ޔ‬ᱷᬺᤨ㑆ߩ⹏ଔᣇᴺߦߪቯ߹ߞߚ߽ߩ߇ߥߊ‫ᦑޔ‬㔺ᜰᮡߣߒߡ↪޿ࠄࠇࠆ⥄Ꮖ↳๔ߦࠃࠆᱷᬺᤨ㑆ߩᅷᒰᕈߦߟ޿ߡߩ⹏ଔߪߥߐࠇߡ޿ߥ޿‫ޔߦࠄߐޕ‬ᱷᬺᤨ㑆ߩჇട߇⌧⌁ᤨ㑆ߩ⍴❗߇⿠ߎࠆߩ߆‫߽ߣࠇߘޔ‬૛ᥜᤨ㑆ࠍᷫࠄߒߡ⌧⌁ᤨ㑆ࠍ⏕଻ߔࠆߩ߆ߤ߁߆߽ಽ߆ߞߡ޿ߥ޿‫⎇ᧄޕ‬ⓥߢߪ‫ޔ‬㧠ડᬺߦൕോߔࠆ 173 ฬࠍኻ⽎ߦ‫ޔ‬ᱷᬺᤨ㑆߿↢ᵴᤨ㑆ߦ㑐ߔࠆ⾰໧␿⺞ᩏࠍታᣉߒ‫ޔ‬ᱷᬺᤨ㑆ߣ↢ᵴᤨ㑆‫ᤨ⌁⌧ޔ‬㑆‫∋߮ࠃ߅ޔ‬ഭᐲߣߩ㑐ㅪࠍ੍஻⊛ߦᬌ⸽ߒߚ‫ޕ‬ᱷᬺᤨ㑆ߣ⣖ᔃⴊ▤∔ᖚߩ࡝ࠬࠢ࿃ሶߣߩ㑐ㅪߦ㑐ߔࠆᢿ㕙⺞ᩏߢߪ‫ޔ‬㐳ᤨ㑆ᱷᬺ⠪߶ߤ⌧⌁ᤨ㑆߿૛ᥜߩり૕ᵴേᤨ㑆߇⍴ߊߥࠆ௑ะࠍ␜ߒߚ‫ޔࠄ߇ߥߒ߆ߒޕ‬઒⺑ߣߪ⇣ߥࠅ‫ޔ‬ᱷᬺᤨ㑆ߣ㜞ⴊ࿶᦭∛₸ߣߩ㑐ㅪߢߪㅒ⋧㑐ߩ㑐ଥࠍ‫♧ޔ‬ዩ∛ߣߩ㑐ㅪߢߪ U ሼဳߩ㑐ㅪࠍߘࠇߙࠇ⹺߼ߚ‫⎇ᧄޕ‬ⓥߢߪ㑐ㅪߩ࿃ᨐ㑐ଥߦߟ޿ߡߪ⸒෸ߢ߈ߕ‫੹ޔ‬ᓟ‫❑ޔ‬ᢿ⊛ߦ⹏ଔߔࠆ‫ޕ‬ᱷᬺᤨ㑆ߣ↢ᵴᤨ㑆‫ᤨ⌁⌧ޔ‬㑆‫∋߮ࠃ߅ޔ‬ഭᐲߣߩ㑐ㅪߦ㑐ߔࠆ੍஻⊛⺞ᩏߢߪ‫ޔ‬ᱷᬺᤨ㑆߇Ⴧ߃ࠆߣࠊߕ߆ߦ∋ഭᐲ߇਄᣹ߔࠆ௑ะࠍ⹺߼ࠆ߽‫↢ޔ‬ᵴᤨ㑆࡮⌧⌁⁁ᴫ࡮ⵙ㊂ᮭ࡮㚂የ৻⽾ᗵⷡ㧔Sense of coherence‫ޔ‬SOC㧕ߢ⺞ᢛߔࠆߣ‫ޔ‬ᱷᬺᤨ㑆ߩჇടߣߣ߽ߦࠊߕ߆ߦ∋ഭᐲߪਅ߇ࠆ௑ะࠍ⹺߼ߚ‫੹ޕ‬ᓟ‫ޔ‬ᱷᬺᤨ㑆ߣ↢ᵴᤨ㑆࡮⌧⌁ᤨ㑆ߩ㑐ㅪߦߟ޿ߡ߽⹏ଔࠍⴕ߁‫ޔߚ߹ޕ‬ડᬺߩ଻᦭ߔࠆᱷᬺᤨ㑆࠺࡯࠲ࠍวࠊߖߡขᓧߒߡ߅ࠅ‫੹ޔ‬ᓟ‫ޔ‬ห࠺࡯࠲ߣߩᲧセࠍㅢߓߡ‫⺞ޔ‬ᩏ␿ߩᅷᒰᕈߦߟ޿ߡ߽ᬌ⸽ࠍㅴ߼‫ߦࠄߐޔ‬ౣ⃻ᕈࠍᬌ⸛ߔࠆ‫ޕ‬㧝㧚ߪߓ߼ߦ㐳ᤨ㑆ᱷᬺߦࠃࠆஜᐽ㓚ኂ㧔⣖ᔃ∔ᖚ߿ࡔࡦ࠲࡞ࡋ࡞ࠬߥߤ㧕ߪ‫߇ࠊޔ‬࿖ߩ↥ᬺ଻ஜߦѸ  Ѹ߅޿ߡ㊀ⷐ⺖㗴ߩ৻ߟߢ޽ࠆ 1‫ޔࠄ߇ߥߒ߆ߒޕ‬㐳ᤨ㑆ᱷᬺߣ⣖ᔃⴊ▤∔ᖚ߿ߘߩ࡝ࠬࠢ࿃ሶߩ㑐ㅪߦߟ޿ߡߪ‫ޔ‬ᔅߕߒ߽ഭ௛⠪ߩㆊ㊀ഭ௛ߩታᘒࠍ෻ᤋߒߚ♖ᐲߩ㜞޿⎇ⓥ߇ⴕࠊࠇߡ߈ߚߣߪ޿޿㔍޿‫ޕ‬߹ߚ‫ޔ‬ᱷᬺᤨ㑆ߩ⹏ଔᣇᴺߦߪቯ߹ߞߚ߽ߩ߇ߥߊ‫ᦑޔ‬㔺ᜰᮡߣߒߡ↪޿ࠄࠇࠆ⥄Ꮖ↳๔ߦࠃࠆᱷᬺᤨ㑆ߩᅷᒰᕈߦߟ޿ߡ‫♖ޔ‬ᐲ߇㜞޿ߣ⹺⼂ߐࠇߡ޿ࠆડᬺ߇଻᦭ߔࠆዞഭ࠺
࡯࠲ 2 ߣߩᲧセ⹏ଔ߽ߐࠇߡ޿ߥ޿‫⥄ޔߦࠄߐޕ‬Ꮖ↳๔ߩᱷᬺᤨ㑆࠺࡯࠲ߩౣ⃻ᕈߦߟ޿ߡ߽లಽߥᬌ⸽ߪߥߐࠇߡ޿ߥ޿‫ޕ‬㐳ᤨ㑆ᱷᬺߦࠃࠆஜᐽ߳ߩᓇ㗀ߦߟ޿ߡߪ‫ޔ‬㐳ᤨ㑆ᱷᬺߦࠃࠅ⌧⌁ᤨ㑆߇⍴ߊߥࠆߎߣߢ‫∋ޔ‬ഭ⫾Ⓧ߇⛯ߊߎߣ߇‫ޔ‬ஜᐽ㓚ኂߩ৻࿃ߣߥࠆߣ⠨߃ࠄࠇߡ޿ࠆ‫ޔߒ߆ߒޕ‬ᱷᬺᤨ㑆ߩჇടߣߣ߽ߦ⌧⌁ᤨ㑆ߩ⍴❗߇⿠ߎࠆߩ߆ߦߟ޿ߡߩ⎇ⓥߪዋߥߊ 3‫ޔߦࠄߐޔ‬ᱷᬺᤨ㑆߇㐳ߊߥࠆߣ૛ᥜᤨ㑆ࠍᷫࠄߒߡ⌧⌁ᤨ㑆ࠍ⏕଻ߔࠆߩ߆ߤ߁߆߽ࠃߊࠊ߆ߞߡ޿ߥ޿‫ޕ‬ߘߎߢ‫⎇ᧄޔ‬ⓥߢߪ‫ޔ‬એਅߩੑὐࠍ⋡⊛ߦ㐳ᤨ㑆ᱷᬺߣஜᐽ㓚ኂߩ㑐ㅪߦߟ߈⺞ᩏࠍⴕߞߚ‫ޕ‬㧝㧕⡯ၞᄢⷙᮨ㓸࿅ߦ߅ߌࠆஜᐽ⸻ᢿ࠺࡯࠲ࠍ↪޿ߡ‫ޔ‬ᱷᬺᤨ㑆ߣ⣖ᔃⴊ▤∔ᖚߩ࡝ࠬࠢ࿃ሶ㧔㜞ⴊ࿶࡮♧ዩ∛㧕ߣߩ㑐ㅪߦߟ߈ᢿ㕙⊛ߦ⹏ଔߔࠆ‫ޕ‬㧞㧕ᱷᬺᤨ㑆ߦ㑐ߔࠆ⺞ᩏ␿ߩᅷᒰᕈߦߟ޿ߡડᬺߩ଻᦭ߔࠆᱷᬺᤨ㑆࠺࡯࠲ߦࠃߞߡᬌ⸽ߒ‫ߦࠄߐޔ‬ౣ⃻ᕈࠍᬌ⸛ߔࠆ‫ޔߚ߹ޕ‬ᱷᬺᤨ㑆ߣ↢ᵴᤨ㑆‫ᤨ⌁⌧ޔ‬㑆‫∋߮ࠃ߅ޔ‬ഭᐲߣߩ㑐ㅪࠍ੍஻⊛ߦᬌ⸽ߔࠆ‫ޕ‬㧞㧚ᣇᴺ
㧞-㧝㧚ᱷᬺᤨ㑆ߣ⣖ᔃⴊ▤∔ᖚߩ࡝ࠬࠢ࿃ሶ㧔㜞ⴊ࿶࡮♧ዩ∛㧕ߣߩ㑐ㅪߦ㑐ߔࠆᢿ㕙⺞ᩏ↥ᬺකᄢතᬺ↢ࠍਛᔃߦ⚵❱ߐࠇߚ⡯ၞᄙᣉ⸳⎇ⓥ㧔,'%1* ࠬ࠲࠺ࠖ⎇ⓥઍ⴫⠪㧦࿯⢈⺈ᄥ㇢㧕ߦෳടߒߡ޿ࠆ 10 ␠ߩ߁ߜ‫⥄ޔ‬Ꮖ↳๔ߩᱷᬺᤨ㑆ᖱႎࠍ฽߻ஜ⸻࠺࡯࠲ࠍ෼㓸ߒߚ 4 ␠ߦൕ߼ࠆ 64,434 ੱ(ஜ⸻ฃ⸻ᣣߪ 2008 ᐕ 4 ᦬㨪2011 ᐕ 3 ᦬)߆ࠄ‫∔␹♖ޔ‬ᖚ࡮⣖ᔃⴊ▤∔ᖚߩᣢᓔ⠪‫ޔ‬ᱷᬺᤨ㑆࡮⺞ᢛⷐ࿃‫ޔ߮ࠃ߅ޔ‬㜞ⴊ࿶⎇ⓥߢߪⴊ࿶୯‫♧ޔ‬ዩ∛⎇ⓥ

ߢߪ HbA1c࡮ⓨ⣻ᤨⴊ♧୯ߩ࠺࡯࠲ᰳ៊⠪ࠍ㒰ᄖߒߚ 52,365 ੱ ↵ᕈ 43,906 ੱ‫ޔ‬ᅚᕈ 8,459ੱ)‫ޣ‬㜞ⴊ࿶⎇ⓥ‫ޔޤ‬40,861 ੱ(↵ᕈ 35,170 ੱ‫ޔ‬ᅚᕈ 5,691 ੱ)‫♧ޣ‬ዩ∛⎇ⓥ‫⸃ࠇߙࠇߘࠍޤ‬ᨆኻ⽎ߣߒߚ‫ޕ‬㜞ⴊ࿶᦭∛⠪ߪ‫ޔ‬Ԙ෼❗ᦼⴊ࿶ 140 mmHg એ਄‫ޔ‬ԙ᜛ᒛᦼⴊ࿶ 90 mmHg
એ਄‫ޔ‬Ԛ㒠࿶೷ౝ᦯ਛߩ޿ߕࠇ߆ߦ⹥ᒰߔࠆ߽ߩߣߒߚ‫♧ޕ‬ዩ∛᦭∛⠪ߪ‫ޔ‬Ԙⓨ⣻ᤨⴊ♧
126 mg/dl એ਄‫ޔ‬ԙHbA1c㧔NGSP㧕6.5%એ਄‫ޔ‬Ԛ♧ዩ∛ᴦ≮ਛߩ޿ߕࠇ߆ߦ⹥ᒰߔࠆ߽
ߩߣߒߚ‫ޕ‬㜞ⴊ࿶‫♧ޔ‬ዩ∛ߩ᦭∛₸ࠍߘࠇߙࠇ 1 ࡩ᦬ߩᱷᬺᤨ㑆ߩ඙ಽ(45 ᤨ㑆ᧂḩ࡮45-79 ᤨ㑆࡮80-99 ᤨ㑆࡮100 ᤨ㑆એ਄)೎ߦ▚಴ߒߚ‫ࠢ࠶ࠖ࠹ࠬࠫࡠޔߦࠄߐޕ‬࿁Ꮻಽᨆࠍ↪޿ߡ‫⁛ޔ‬┙ᄌᢙࠍᱷᬺᤨ㑆඙ಽߣߒߡ‫ޔ‬㜞ⴊ࿶ࠍࠕ࠙࠻ࠞࡓߣߒߚ⸃ᨆߢߪᓥዻᄌᢙࠍ㜞ⴊ࿶ߩ᦭∛ߣߒ‫⺞ޔ‬ᢛⷐ࿃ࠍ 1)ᐕ㦂࡮ᕈ࡮ડᬺߩ⒳೎‫ޔ‬2)1)ߩᄌᢙߦ༛ᾍ⁁ᴫ࡮BMI ࠍട߃ߚ߽ߩ‫ޔ‬Ѹ  Ѹ3)2)ߩᄌᢙߦ੤ᦧൕോ࡮⡯⒳࡮⡯૏࡮㘶㈬⁁ᴫ࡮り૕ᵴേᐲ࡮⌧⌁ᤨ㑆࡮㜞ⴊ࿶ߩኅᣖᱧࠍട߃ߚ߽ߩ㧔1 ␠ߩߺ㧕ߣߒߚ 3 ߟߩࡕ࠺࡞೎ߦ‫ޔ‬Ԙ45 ᤨ㑆ᧂḩߩᱷᬺ඙ಽߦኻߔࠆߘࠇߙࠇߩᱷᬺ඙ಽ(ԙ~ԛ)ߩࠝ࠶࠭Ყࠍ▚಴ߒߚ‫♧ޕ‬ዩ∛ࠍࠕ࠙࠻ࠞࡓߣߒߚ⸃ᨆߢߪ‫ޔ‬਄⸥ߩ⸃ᨆߩ߁ߜ‫ޔ‬ᓥዻᄌᢙࠍ♧ዩ∛᦭∛₸ߣߒ‫ ࡞࠺ࡕޔ‬3)ߢߪ♧ዩ∛ߩኅᣖᱧࠍ⺞ᢛⷐ࿃ߣߒߡട߃ߚ‫ޕ‬㧞-㧞㧚ᱷᬺᤨ㑆⺞ᩏ␿ߩᅷᒰᕈ࡮ౣ⃻ᕈߦ㑐ߔࠆ⎇ⓥ,'%1* ࠬ࠲࠺ࠖߦෳടߒߡ޿ࠆ  ߟߩ⎇ⓥදജડᬺߦ߅ߌࠆᣣൕߩ↵ᕈ㧔㧝␠ߦߟ߈ 㨪 ฬ㧕ߩ߁ߜ‫ޔ‬Ԙዞᬺ೙㒢ࠍฃߌߡ޿ࠆੱ‫ޔ‬ԙ ᐕ  ᦬એ㒠ߦォൕ߇޽ߞߚੱ‫ޔ‬Ԛ ᐕ  ᦬ߩ᦭⛎ભᥜ߹ߚߪ∛ભߩว⸘ᣣᢙ߇㧠ᣣએ਄ߩੱ‫ޔ‬ԛ↥ᬺක߇ਇㆡಾߣ⠨߃ࠆੱࠍ㒰ߊ  ฬࠍ⺞ᩏኻ⽎ߣߒߚ‫ޕ‬ᱷᬺᤨ㑆ߏߣߦలಽߥੱᢙࠍ⏕଻ߔࠆߚ߼ߦ‫ޔ‬ᱷᬺᤨ㑆ߢጀൻߒߚ਄ߢ‫ޔ‬ฦጀ߆ࠄኻ⽎⠪ࠍㆬቯߒߚ‫ޕ‬ᐔᚑ  ᐕ 㨪 ᦬ߦ⥄⸥ᑼ⾰໧␿⺞ᩏࠍⴕ޿‫ޔ‬ᱷᬺᤨ㑆‫઀ޔ‬੐ߩࠬ࠻࡟ࠬ‫↢ޔ‬ᵴᤨ㑆‫ޔ‬ஜᐽ⁁ᘒ‫ޔ‬ዻᕈߥߤߦ㑐ߔࠆ࠺࡯࠲ࠍ෼㓸ߒߚ‫⾰ޔߚ߹ޕ‬໧␿ߩᅷᒰᕈ⹏ଔߩߚ߼‫⎇ޔ‬ⓥෳടડᬺ߇଻᦭ߔࠆ⺞ᩏ߆ࠄㆊ෰㧝ᐕಽߦ߅ߌࠆ᦬ߏߣߩᱷᬺᤨ㑆࠺࡯࠲ߦߟ޿ߡ෼㓸ߒߚ‫ޔߦࠄߐޕ‬ౣ⃻ᕈ⹏ଔߩߚ߼‫ޔ‬ᐔᚑ  ᐕ 㨪 ᦬ߦ߽  ࿁⋡ߩ⾰໧␿⺞ᩏࠍታᣉߒߚ‫ޕ‬ᱷᬺᤨ㑆ߣ↢ᵴᤨ㑆‫ᤨ⌁⌧ޔ‬㑆‫∋ޔ‬ഭᐲߦ㑐ߔࠆ੍஻⊛⸃ᨆߦ߅޿ߡߪ‫ޔ‬ೋ࿁⺞ᩏߩᱷᬺᤨ㑆ߦࠃࠅኻ⽎⠪ࠍ㧟⟲ߦಽߌ‫↢ޔ‬ᵴᤨ㑆࡮⌧⌁⁁ᴫ࡮ⵙ㊂ᮭ࡮㚂የ৻⽾ᗵⷡ㧔51%㧕

ࠍ౒ᄌ㊂ߣߔࠆ౒ಽᢔಽᨆߦࠃࠅ‫ޔ‬ᱷᬺᤨ㑆඙ಽߏߣߩ∋ഭᐲࠍ▚಴ߒߚ‫ޕ‬ᱷᬺᤨ㑆ߪ‫ޔ‬⺞ᩏ೨᦬ߩᱷᬺᤨ㑆㧔30 ᤨ㑆ᧂḩ‫ޔ‬30-59 ᤨ㑆‫ޔ‬60 ᤨ㑆એ਄㧕‫⋥ޔ‬ㄭ㧟ࠞ᦬ߩᐔဋ⊛ߥᱷᬺᤨ㑆㧔30 ᤨ㑆ᧂḩ‫ޔ‬30-59 ᤨ㑆‫ޔ‬60 ᤨ㑆એ਄㧕‫ᤨ  ᦬ޔ‬㑆એ਄ߩᤨ㑆ᄖഭ௛ߩᐕ㑆࿁ᢙ㧔ߥߒ‫ ޔ‬࿁‫ ޔ‬࿁એ਄㧕ߩ  ߟߩᜰᮡࠍ↪޿ߚ‫∋ޕ‬ഭᐲߪ‫޿ߥߤࠎߣ߶ޔ‬㧩 ‫޽ޘᤨޔ‬ࠆ㧩‫ࠆ޽ߊࠃޔ‬㧩 ߣߒߡ‫ޔ‬ഭ௛⠪ߩ∋ഭ⫾Ⓧᐲ⥄Ꮖ⸻ᢿ࠴ࠚ࠶ࠢ࡝ࠬ࠻ ߩ⥄ⷡ∝⁁ߦ㑐ߔࠆో㧝㧟㗄⋡ߩว⸘୯ࠍ▚಴ߒߚ‫ޕ‬ᅷᒰᕈ࡮ౣ⃻ᕈ⎇ⓥߦ㑐ߒߡߪ  ࿁⋡ߩ⾰໧␿⺞ᩏ⚿ᨐ‫ޔ߮ࠃ߅ޔ‬ડᬺ߇ᛠីߔࠆዞഭᤨ㑆ߦ㑐ߔࠆ࠺࡯࠲ࡌ࡯ࠬࠍ⃻࿷᭴▽ਛߢ޽ࠅ‫੹ޔ‬ᓟ‫ޔ‬ᅷᒰᕈ⎇ⓥߦߟ޿ߡ‫ޔ‬ᱷᬺᤨ㑆⺞ᩏ␿ߦࠃߞߡᓧߚᱷᬺᤨ㑆ߣડᬺ߇ᛠីߔࠆዞഭᤨ㑆ߦߟ޿ߡ‫⋧ߩࡦࡑࠕࡇࠬޔ‬㑐ଥᢙࠍ⸘▚ߔࠆ੍ቯߢ޽ࠆ‫ޔߚ߹ޕ‬ౣ⃻ᕈ⎇ⓥߦ߅޿ߡߪ‫ޔ‬ೋ࿁⺞ᩏᤨߩ⥄Ꮖ↳๔ߦࠃࠆᱷᬺᤨ㑆ࠍၮḰߣߒߡ‫ߩߎޔ‬ᱷᬺᤨ㑆ߣ╙㧞࿁⺞ᩏߢߩ⥄Ꮖ↳๔ߦࠃࠆᱷᬺᤨ㑆ߦߟ޿ߡ‫⹏ޔ‬ଔ㗄⋡ߏߣߦ⚖ౝ⋧㑐ଥᢙࠍ⸘▚ߔࠆ੍ቯߢ޽ࠆ‫ޕ‬㧞-㧟㧚୶ℂ⊛㈩ᘦ
ᧄ⎇ⓥߦ฽߹ࠇࠆᓥᬺຬ୘ੱࠍኻ⽎ߣߔࠆ⺞ᩏߪ‫ޔ‬ฦડᬺ߇߽ߟቯᦼஜᐽ⸻ᢿ࠺࡯࠲‫ޔ‬߅ࠃ߮⥄⊒ෳടᣇᑼߩ⥄⸥ᑼ⾰໧␿⺞ᩏࠍၮᧄߣߒ‫ޔ‬ᣂߚߦ↢૕⹜ᢱߩណ㓸߿ଚⷅ⊛ᬌᩏ╬ࠍⴕ߁ߎߣߪ৻ಾߥ޿‫⎇ߪ࠲࡯࠺ߩࠄࠇߎޔߚ߹ޕ‬ⓥ⃰੐ോዪߢඞฬൻࠍⴕߞߚ਄ߢ⎇ⓥߦ૶↪ߔࠆ‫ޔߦࠄߐޕ‬ฦડᬺߦ߅޿ߡ‫࡯࠲ࠬࡐޔ‬ឝ␜╬ࠍㅢߓߡ⎇ⓥᖱႎࠍෳട⠪ߦ౏Ѹ  Ѹ㐿ߒߡ޿ࠆ‫ޕ‬⡯ၞᄙᣉ⸳⎇ⓥߩታᣉߦ㓙ߒߡߪ‫∉ޔ‬ቇ⎇ⓥߩ୶ℂᜰ㊎ߦೣࠅ‫ޔ‬࿖┙࿖㓙ක≮⎇ⓥ࠮ࡦ
࠲࡯ߩ୶ℂᆔຬળߢᛚ⹺ࠍᓧߡ޿ࠆ㧔‫ޡ‬ൕഭ⠪䈮䈍䈔䉎∔∛੍㒐䈱䉣䊎䊂䊮䉴ഃ಴䉕⋡ᜰ䈚䈢⡯ၞㅪว䉮䊖䊷䊃⎇ⓥ䇻ᛚ⹺⇟ภ㩷  䋩‫⥄ޔ߅ߥޕ‬Ꮖ↳๔ᱷᬺᤨ㑆ߩᅷᒰᕈ⎇ⓥ

ߩታᣉߦ㓙ߒߡߪ‫ޔ‬ዞഭ࠺࡯࠲ߩ෼㓸߇ᣂߚߦടࠊࠆߚ߼‫ޔ‬ㅊട↳⺧ࠍⴕ޿‫ޔ‬หᯏ㑐ߦ߅ߌ ࠆ ᛚ ⹺ ࠍ ฃ ߌ ߚ 㧔‫ ޡ‬ᱷ ᬺ ᤨ 㑆 ⺞ ᩏ ␿ 䈱 ᅷ ᒰ ᕈ 䊶 ౣ ⃻ ᕈ 䈮 㑐 䈜 䉎 ⎇ ⓥ 䇻 ᛚ ⹺ ⇟ ภ㩷 㧕‫ޕ‬㧟㧚⚿ᨐ㧟-㧝㧚㐳ᤨ㑆ᱷᬺߣ㜞ⴊ࿶᦭∛₸ߩ㑐ㅪᱷᬺᤨ㑆ߩ㐳޿૞ᬺ⠪߶ߤᐕ㦂߇⧯ߊ‫↵ޔ‬ᕈߢ‫ޔ‬㕖༛ᾍ⠪ߢ‫ޔ‬り૕ᵴേ߇ዋߥߊ‫ޔ‬⡯૏߇㜞޿ഭ௛⠪ߢ‫ᤨ⌁⌧ޔ‬㑆߇⍴޿௑ะࠍ⹺߼ߚ‫ޕ‬ᱷᬺᤨ㑆඙ಽߏߣߩ㜞ⴊ࿶᦭∛₸ߪ‫ޔ‬17.5% (45 ᤨ㑆ᧂḩ)‫ޔ‬12.0% (45-79 ᤨ㑆)‫ޔ‬11.1%(80-99 ᤨ㑆)‫ޔ‬9.1% (100 ᤨ㑆એ਄)ߣ‫ޔ‬ᱷᬺᤨ㑆ߩჇടߣߣ߽ߦ᦭∛₸߇ૐਅߔࠆ௑ะࠍ⹺߼ߚ‫ޕ‬ᕈ࡮ᐕ㦂࡮ડᬺࠍ⺞ᢛⷐ࿃ߣߒߡᛩ౉ߒߚࡠࠫࠬ࠹ࠖ࠶ࠢ࿁Ꮻಽᨆ(Model 1)ߦ߅޿ߡ‫ޔ‬45 ᤨ㑆ᧂḩߩᱷᬺᤨ㑆඙ಽߦኻߒߡ‫ߩࠇߙࠇߘޔ‬ᱷᬺ඙ಽߦ߅ߌࠆ㜞ⴊ࿶ߩ⺞ᢛࠝ࠶࠭Ყ㧔95㧑ା㗬඙㑆㧕ߪ 0.81(0.75-0.86) [45-79 ᤨ㑆]‫ޔ‬0.73(0.62-0.86) [80-99 ᤨ㑆]‫ޔ‬
0.58(0.44-0.76) [100 ᤨ㑆એ਄]ߣ‫ޔ‬ᱷᬺᤨ㑆ߩჇടߣߣ߽ߦࠝ࠶࠭Ყ߇ૐߊߥࠆ௑ะࠍ⹺߼
ߚ㧔௑ะᕈ P ୯ <0.001㧕‫ޔߦࠄߐޕ‬༛ᾍߣ BMI ࠍ⺞ᢛⷐ࿃ߦട߃ߚࡠࠫࠬ࠹ࠖ࠶ࠢ࿁Ꮻಽᨆ(Model 2) ߦ߅޿ߡ߽ห᭽ߩ௑ะࠍ⹺߼ߚ‫ޕ‬㧝ડᬺ㧔43,117 ੱ㧕ߦ߅޿ߡ‫ޔ‬੤ᦧൕോ‫ޔ‬⡯૏‫ޔ‬⡯⒳‫ޔ‬㜞ⴊ࿶ߩኅᣖᱧ‫ޔ‬㘶㈬㊂‫ᤨ⌁⌧ޔ‬㑆‫ޔ‬૛ᥜߩり૕ᵴേࠍ⺞ᢛⷐ࿃ߣߒߡㅊട
(Model 3)ߒߚ߇‫ޔ‬ㅒ⋧㑐ߩ㑐ଥߪᄌࠊࠄߥ߆ߞߚ‫(ޕ‬Table 1)
㧟-㧞㧚㐳ᤨ㑆ᱷᬺߣ♧ዩ∛᦭∛₸ߩ㑐ㅪᱷᬺᤨ㑆ߩ㐳޿૞ᬺ⠪߶ߤᐕ㦂߇⧯ߊ‫↵ޔ‬ᕈߢ‫ޔ‬㕖༛ᾍ⠪ߢ‫ޔ‬り૕ᵴേ߇ዋߥߊ‫ޔ‬⡯૏߇㜞ߊ‫ᤨ⌁⌧ޔ‬㑆߇⍴޿௑ะࠍ⹺߼ߚ‫ޕ‬ᱷᬺᤨ㑆඙ಽߏߣߩ♧ዩ∛᦭∛₸ߪ‫ޔ‬8.3% (45 ᤨ㑆ᧂḩ)‫ޔ‬6.0% (45-79 ᤨ㑆)‫ޔ‬4.7% (80-99ᤨ㑆)‫ޔ‬7.1% (100 ᤨ㑆એ਄)ߣ‫ޔ‬ᱷᬺᤨ㑆ߣ♧ዩ∛᦭∛₸ߪ U ሼဳߩ㑐ㅪࠍ␜ߒߚ‫ޕ‬ᕈ࡮ᐕ㦂࡮ડᬺࠍ⺞ᢛⷐ࿃ߣߒߡᛩ౉ߒߚࡠࠫࠬ࠹ࠖ࠶ࠢ࿁Ꮻಽᨆ(Model 1)ߦ߅޿ߡ‫ޔ‬45 ᤨ㑆ᧂḩߩᱷᬺᤨ㑆඙ಽߦኻߒߡ‫ߩࠇߙࠇߘޔ‬ᱷᬺ඙ಽߦ߅ߌࠆ♧ዩ∛ߩ⺞ᢛࠝ࠶࠭Ყ㧔95㧑ା㗬඙㑆㧕ߪ 0.84(0.76-0.93) [45-79 ᤨ㑆]‫ޔ‬0.67(0.52-0.87) [80-99 ᤨ㑆]‫ޔ‬1.03(0.74-1.45) [100ᤨ㑆એ਄]ߣ‫ޔ‬ᱷᬺᤨ㑆ߣࠝ࠶࠭Ყߪ U ሼဳߩ㑐ㅪࠍ␜ߒߚ㧔U ሼဳߩ௑ะᕈ P ୯ = 0.038㧕‫ޕ‬ߐࠄߦ‫ޔ‬༛ᾍߣ BMI ࠍ⺞ᢛⷐ࿃ߦട߃ߚࡠࠫࠬ࠹ࠖ࠶ࠢ࿁Ꮻಽᨆ(Model 2) ߦ߅޿ߡ߽ห᭽ߩ௑ะࠍ⹺߼ߚ‫ޕ‬㧝ડᬺ㧔33,807 ੱ㧕ߦ߅޿ߡ‫ޔ‬੤ᦧൕോ‫ޔ‬⡯૏‫ޔ‬⡯⒳‫♧ޔ‬ዩ∛ߩኅᣖᱧ‫ޔ‬㘶㈬㊂‫ᤨ⌁⌧ޔ‬㑆‫ޔ‬૛ᥜߩり૕ᵴേࠍ⺞ᢛⷐ࿃ߣߒߡㅊട(Model 3)ߒߚ߇‫ޔ‬U ሼဳߩ㑐ㅪߪᄌࠊࠄߥ߆ߞߚ‫ޕ‬
㧔Table2㧕Ѹ  Ѹ㧟-㧟㧚ᱷᬺᤨ㑆⺞ᩏ␿ߩᅷᒰᕈ⹏ଔ
- ᱷᬺᤨ㑆ߣ↢ᵴᤨ㑆‫ᤨ⌁⌧ޔ‬㑆‫∋߮ࠃ߅ޔ‬ഭᐲߣߩ㑐ㅪߦ㑐ߔࠆ੍஻⊛⺞ᩏ ኻ⽎ߩዻᕈ㧔⡯૏࡮ᇕᆪ࡮ዬ૑ᒻᘒ࡮⡯⒳㧕ߪ‫ޔ‬㕖▤ℂ⡯㧦72㧑‫ޔ‬ᣢᇕ㧦71㧑‫ޔ‬ኅᣖߣหዬ㧦72㧑‫⃻ޔ‬႐૞ᬺ㧦39㧑࡮↢↥ᛛ⢻㧦21㧑࡮੐ോડ↹㧦21㧑ߣ޿߁ಽᏓࠍ␜ߒߚ‫ޕ‬ᱷᬺᤨ㑆࡮↢ᵴᤨ㑆࡮⌧⌁ᤨ㑆ߦ㑐ߔࠆၮᧄ㓸⸘⚿ᨐߢߪ‫ޔ‬ભᣣ಴ൕ߇᦬  ᣣએౝ㧦㧑‫ޔ‬ ᣣߩዞഭᤨ㑆߇  ᤨ㑆ᧂḩ㧦㧑‫ޔ‬ᜬߜᏫࠅ઀੐߇  ᤨ㑆ᧂḩ㧦㧑‫ᤨ ޔ‬એ೨ߩᏫቛ㧦㧑‫ᤨ ޔ‬㑆એ਄ߩᤨ㑆ᄖഭ௛߇ᐕ㑆  ࿁એਅ㧦㧑‫ޔ‬ㅢൕᤨ㑆߇  ᤨ㑆ᧂḩ㧦㧑‫ޔ‬㘩੐࡮りᡰᐲߦ⾌߿ߔᤨ㑆߇  ᤨ㑆ᧂḩ㧦㧑‫ޔ‬ኅ੐ߦ⾌߿ߔᤨ㑆߇  ᤨ㑆ᧂḩ㧦㧑‫ޔ‬૛ᥜߦ⾌߿ߔᤨ㑆߇  ᤨ㑆ᧂḩ㧦㧑‫ޔ‬ᐔᣣߩ⌧⌁߇  ᤨ㑆ᧂḩ㧦㧑‫ޔ‬ዞኢᤨ㑆߇  ᤨ೨㧦㧑‫⌁౉ޔ‬࿎㔍߇޽ࠆ㧦㧑‫ޔ‬ਛㅜⷡ㉕߇޽ࠆ㧦㧑ߣ޿߁⚿ᨐࠍ␜ߒߚ‫ޕ‬ ᱷᬺᤨ㑆ߣ∋ഭᐲߩ㑐ㅪߦߟ޿ߡߪ‫⺞ޔ‬ᩏ೨᦬ߩᱷᬺᤨ㑆඙ಽߏߣߩ∋ഭᐲࠬࠦࠕߪ‫ޔ‬㧔 ᤨ㑆ᧂḩ㧕‫ޔ‬㧔 ᤨ㑆㧕‫ޔ‬㧔 ᤨ㑆એ਄㧕ߢ޽ߞߚ‫⋥ޕ‬ㄭ㧟ࠞ᦬ߩᐔဋ⊛ߥᱷᬺᤨ㑆඙ಽߏߣߩ∋ഭᐲࠬࠦࠕߪ‫ޔ‬㧔 ᤨ㑆ᧂḩ㧕‫ޔ‬㧔 ᤨ㑆㧕‫ޔ‬㧔 ᤨ㑆એ਄㧕ߢ޽ߞߚ‫ᤨ  ᦬ޕ‬㑆એ਄ߩᤨ㑆ᄖഭ௛ߩᐕ㑆࿁ᢙߏߣߩ∋ഭᐲࠬࠦࠕߪ‫ޔ‬㧔ߥߒ㧕‫ޔ‬㧔 ࿁㧕‫ޔ‬㧔 ࿁એ਄㧕ߢ޽ߞߚ‫↢ޕ‬ᵴᤨ㑆࡮⌧⌁⁁ᴫ࡮ⵙ㊂ᮭ࡮㚂የ৻⽾ᗵⷡ㧔51%㧕 ࠍ౒ᄌ㊂ߣߔࠆ౒ಽᢔಽᨆߢߪ‫⺞ޔ‬ᩏ೨᦬ߩᱷᬺᤨ㑆඙ಽߏߣߩ∋ഭᐲࠬࠦࠕߪ‫ޔ‬㧔 ᤨ㑆ᧂḩ㧕‫ޔ‬㧔 ᤨ㑆㧕‫ޔ‬㧔 ᤨ㑆એ਄㧕ߢ޽ߞߚ‫⋥ޕ‬ㄭ㧟ࠞ᦬ߩᐔဋ⊛ߥᱷᬺᤨ㑆඙ಽߏߣߩ∋ഭᐲࠬࠦࠕߪ‫ޔ‬㧔 ᤨ㑆ᧂḩ㧕‫ޔ‬㧔ᤨ㑆㧕‫ޔ‬㧔 ᤨ㑆એ਄㧕ߢ޽ߞߚ‫ᤨ  ᦬ޕ‬㑆એ਄ߩᤨ㑆ᄖഭ௛ߩᐕ㑆࿁ᢙߏߣߩ∋ഭᐲࠬࠦࠕߪ‫ޔ‬㧔ߥߒ㧕‫ޔ‬㧔 ࿁㧕‫ޔ‬㧔 ࿁એ਄㧕ߢ޽ߞߚ‫ޕ‬㧠㧚⠨ኤ㧠-㧝㧚㐳ᤨ㑆ᱷᬺߣ㜞ⴊ࿶᦭∛₸ߩ㑐ㅪᱷᬺᤨ㑆߇㐳޿߶ߤ㜞ⴊ࿶᦭∛₸߇ૐߊߥࠆߎߣ߇ಽ߆ߞߚ‫ޔߚ߹ޕ‬ᐕ㦂࡮ᕈ࡮༛ᾍ࡮㧮㧹㧵ࠍ⺞ᢛߒߚࡠࠫࠬ࠹ࠖ࠶ࠢࡕ࠺࡞ߦ߅޿ߡ߽ห᭽ߩ௑ะࠍ⹺߼ߚ‫⚿ᧄޕ‬ᨐߦᓇ㗀ࠍਈ߃ࠆⷐ࿃ߩ 1 ߟߣߒߡ‫ޔ‬ળ␠ߦࠃࠆዞᬺ೙㒢╬ߩᓇ㗀߽⠨߃ࠄࠇࠆ߇‫ޔ‬⣖ᔃ∔ᖚ࡮♖␹∔ᖚߩᣢᓔ⠪ߪ⸃ᨆኻ⽎߆ࠄ㒰ᄖߒߡ߅ࠅ‫ޔ‬Υᐲ㜞ⴊ࿶ߩ⠪ࠍ㒰ᄖߒߡ߽⚿ᨐߦᄢ߈ߥᄌൻߪߥߊ‫ߩߎޔ‬ᓇ㗀ߪᒝߊߥ޿߽ߩߣ⠨߃ࠄࠇߚ‫ޔߚ߹ޕ‬㐳ᤨ㑆ᱷᬺ⠪߶ߤ↥ᬺක㕙⺣ࠍฃߌࠆᯏળ߇Ⴧ߃ࠆ߇‫ޔ‬㐳ᤨ㑆ᱷᬺ⠪߶ߤ⌧⌁ᤨ㑆߿૛ᥜߩり૕ᵴേ߇⍴޿௑ะࠍ⹺߼ߡ߅ࠅ‫ޔ‬㕙ធᜰዉߦࠃࠆലᨐ߽⠨߃ߦߊ޿‫ᤨ⌁⌧ޔߚ߹ޕ‬㑆࡮૛ᥜߩり૕ᵴേࠍ⺞ᢛߒߡ߽⚿ᨐߦᄌൻߪ⹺߼ߥ߆ߞߚ‫ᧄޕ‬ᢿ㕙ಽᨆߦࠃߞߡ㜞ⴊ࿶ߣᱷᬺᤨ㑆ߦߪ⽶ߩ㑐ㅪ߇ߺࠄࠇߚ߇‫ޔ‬ㅊ〔⺞ᩏߦࠃߞߡ㐳ᦼ⊛ߥᓇ㗀߿⚿ᨐߩ࿃ᨐ㑐ଥߦߟ޿ߡ߽⹏ଔߔࠆᔅⷐ߇޽ࠆ‫ޕ‬㧠-㧞㧚㐳ᤨ㑆ᱷᬺߣ♧ዩ∛᦭∛₸ߩ㑐ㅪ ᱷᬺᤨ㑆ߣ♧ዩ∛᦭∛₸ߪ U ሼဳߩ㑐ㅪࠍ␜ߔߎߣ߇ಽ߆ߞߚ‫ޔߚ߹ޕ‬ᐕ㦂࡮ᕈ࡮༛ᾍ࡮Ѹ  Ѹ㧮㧹㧵ࠍ⺞ᢛߒߚࡠࠫࠬ࠹ࠖ࠶ࠢࡕ࠺࡞ߦ߅޿ߡ߽ห᭽ߩ௑ะࠍ⹺߼ߚ‫⚿ᧄޕ‬ᨐߦ㑐ㅪߔࠆⷐ࿃ߩ 1 ߟߣߒߡ‫↥ޔ‬ᬺකߦࠃࠆ㐳ᤨ㑆ᱷᬺ㕙⺣ߩታᣉ߿ஜᐽ⸻ᢿ੐ᓟភ⟎ߦࠃࠆዞᬺ೙㒢ߩᓇ㗀߇⠨߃ࠄࠇࠆ‫ޔࠄ߇ߥߒ߆ߒޕ‬ዞᬺ೙㒢ߣߥࠆኻ⽎ᢙ߇ࠦࡦ࠻ࡠ࡯࡞ਇ⦟ߩ߽ߩߦ㒢ࠄࠇߡ޿ࠆߎߣ‫♧ޔ߮ࠃ߅ޔ‬ዩ∛ߢᴦ≮ਛߩኻ⽎ࠍ㒰ᄖߒߡ߽ห᭽ߩ⚿ᨐ߇ᓧࠄࠇߚߎߣ߆ࠄ‫ޔ‬ஜᐽ▤ℂ߇ᒝߊ⚿ᨐߦᓇ㗀ߒߚߣߪ⠨߃ߦߊ޿‫ޕ‬೎ߩⷐ࿃ߣߒߡ‫ޔ‬㐳ᤨ㑆ᱷᬺߦࠃࠆ♧ዩ∛ߩ࡝ࠬࠢ࿃ሶ㧔㘩੐࡮ㆇേ╬㧕߳ߩᓇ㗀߇⠨߃ࠄࠇࠆ‫⌧ޔࠄ߇ߥߒ߆ߒޕ‬⌁ᤨ㑆ߣ૛ᥜߩㆇേᤨ㑆߇⍴ߊߥࠆ௑ะ߇㐳ᤨ㑆ᱷᬺ⠪ߢߪߺࠄࠇߚ߽ߩߩ‫ߩࠄࠇߎޔ‬࿃ሶࠍ⺞ᢛߒߡ߽⚿ᨐߦߪᄌൻߪߺࠄࠇߥ߆ߞߚ‫ޔߚ߹ޕ‬ᢿ㕙⺞ᩏߢ޽ࠆᧄ⎇ⓥ࠺ࠩࠗࡦ߆ࠄߪ⚿ᨐߩ࿃ᨐ㑐ଥߦߟ޿ߡߪ⸒෸ߢ߈ߕ‫੹ޔ‬ᓟߩㅊ〔⺞ᩏߦࠃߞߡ⚿ᨐߩ࿃ᨐ㑐ଥ‫߅ޔ‬ࠃ߮‫ޔ‬㐳ᦼ⊛ߥᓇ㗀ߦߟ޿ߡ߽⹏ଔߔࠆᔅⷐ߇޽ࠆ‫ޕ‬㧠-㧟㧚ᱷᬺᤨ㑆ߣ↢ᵴᤨ㑆‫ᤨ⌁⌧ޔ‬㑆‫∋߮ࠃ߅ޔ‬ഭᐲߣߩ㑐ㅪߦ㑐ߔࠆ੍஻⊛⺞ᩏ ᱷᬺᤨ㑆ߣ∋ഭᐲߣߩ㑐ㅪߦ㑐ߒߡߪ‫ޔ‬㧟ߟߩᱷᬺᤨ㑆ᜰᮡ㧔೨᦬ߩᱷᬺᤨ㑆‫⋥ޔ‬ㄭ 3ࠞ᦬ߩᱷᬺᤨ㑆ߩᐔဋ‫ ᦬ޔ‬45 ᤨ㑆એ਄ߩᤨ㑆ᄖഭ௛ߩᐕ㑆࿁ᢙ㧕ߢ‫ߩࠇߕ޿ޔ‬ᱷᬺ඙ಽߩ∋ഭᐲᓧὐ߽ 10 ὐᧂḩߣ∋ഭᐲߪ㜞ߊߥ߆ߞߚ‫ޕ‬ഭ௛⠪ߩഭ௛⠪ߩ∋ഭ⫾Ⓧᐲ⥄Ꮖ⸻ᢿ࠴ࠚ࠶ࠢ࡝ࠬ࠻ ߢߪ‫ ߪ⁁∝ⷡ⥄ޔ‬0㨪4 ὐ‫ޔ‬5㨪10 ὐ‫ޔ‬11㨪20 ὐ‫ޔ‬21 ὐએ਄ߩ 4 Ბ㓏ߢ⹏ଔߐࠇ‫੹ޔ‬࿁ߩኻ⽎ߩᐔဋᓧὐߪ 4 Ბ㓏ߩਅ߆ࠄ 2 ⇟⋡ߩ඙ಽߦ⹥ᒰߔࠆ‫ޕ‬3 ߟߩᱷᬺᜰᮡࠍ
ߘࠇߙࠇᱷᬺᤨ㑆ߢ 3 ߟߩ⟲ߦಽߌߡⴕߞߚಽᢔಽᨆߢߪ‫ߩࠇߕ޿ޔ‬ᜰᮡߢ߽ᱷᬺᤨ㑆߇Ⴧ߃ࠆߣࠊߕ߆ߦ∋ഭᐲ߇਄᣹ߔࠆ௑ะࠍ⹺߼ߚ‫↢ޔࠄ߇ߥߒ߆ߒޕ‬ᵴᤨ㑆࡮⌧⌁⁁ᴫ࡮ⵙ㊂ᮭ࡮㚂የ৻⽾ᗵⷡ㧔SOC㧕5 ࠍ౒ᄌ㊂ߣߒߡ౒ಽᢔಽᨆࠍⴕ߁ߣ‫ޔ‬ᱷᬺᤨ㑆ߩჇടߣߣ߽ߦࠊߕ߆ߦ∋ഭᐲߪਅ߇ࠆ௑ะࠍ⹺߼ߚ‫ޕ‬ᱷᬺᤨ㑆ߛߌߢߥߊ‫↢ޔ‬ᵴᤨ㑆࡮⌧⌁ᤨ㑆߳ߩᓇ㗀ߩ⒟ᐲ‫઀ޔ‬੐ߩ⾰㧔ⵙ㊂ᮭ㧕‫ޔ‬㚂የ৻⽾ᗵⷡ㧔SOC㧕‫ߤߥޔ‬೎ߩⷐ࿃߽∋ഭᐲߦߪ㑐ㅪߒߡ޿ࠆߎߣ߇⠨߃ࠄࠇࠆ‫⎇ᧄޔߚ߹ޕ‬ⓥߩ㒢⇇ߣߒߡ‫⺞ޔ‬ᩏኻ⽎ᢙ‫⺞ޔ‬ᩏኻ⽎ߩઍ⴫ᕈ‫ޔ‬healthy workers effect ߥߤ߇޽ߍࠄࠇࠆ‫ޕ‬ᧄ⎇ⓥߢߪ‫ޔ‬ᱷᬺᤨ㑆ߣ∋ഭᐲᓧὐߦߟ޿ߡߪ‫᦭ޔ‬ᗧߥ㑐ㅪࠍ⹺߼ߥ߆ߞߚ߽ߩߩ‫ޔ‬ᱷᬺᤨ㑆ߩჇട߇⌧⌁ᤨ㑆࡮↢ᵴᤨ㑆ߦߤߩࠃ߁ߦᓇ㗀ߔࠆ߆ߣ޿߁࠹࡯ࡑ߽‫ޔ‬ᱷᬺᤨ㑆ߣஜᐽ㓚ኂߩ㑐ㅪࠍ⹏ଔߔࠆ਄ߢ㊀ⷐߢ޽ࠆ‫ޔ߼ߚߩߎޕ‬ᱷᬺᤨ㑆ߣ⌧⌁ᤨ㑆࡮↢ᵴᤨ㑆ߩ㑐ㅪߦߟ޿ߡ߽‫੹ޔ‬ᓟ⸃ᨆࠍㅴ߼ࠆ‫ޕ‬㧡㧚߅ࠊࠅߦᱷᬺᤨ㑆ߣ⣖ᔃⴊ▤∔ᖚߩ࡝ࠬࠢ࿃ሶߣߩ㑐ㅪߦ㑐ߔࠆᢿ㕙⺞ᩏߢߪ‫ޔ‬㜞ⴊ࿶ߣߩ㑐ㅪߢߪㅒ⋧㑐ߩ㑐ଥࠍ‫♧ޔ‬ዩ∛ߣߩ㑐ㅪߢߪ 7 ሼဳߩ㑐ㅪࠍߘࠇߙࠇ⹺߼ߚ‫ޔࠄ߇ߥߒ߆ߒޕ‬㑐ㅪߩ࿃ᨐ㑐ଥߦߟ޿ߡߪ⸒෸ߢ߈ߕ‫❑ޔ‬ᢿ⊛ߥ⹏ଔࠍⴕ߁ߎߣ߇੹ᓟߩ⺖㗴ߣߥࠆ‫ޕ‬ᱷᬺᤨ㑆ߣ↢ᵴᤨ㑆‫ᤨ⌁⌧ޔ‬㑆‫∋߮ࠃ߅ޔ‬ഭᐲߣߩ㑐ㅪߦ㑐ߔࠆ੍஻⊛⺞ᩏߢߪ‫ޔ‬ᱷᬺᤨ㑆߇Ⴧ߃ࠆߣࠊߕ߆ߦ∋ഭᐲ߇਄᣹ߔࠆ௑ะࠍ⹺߼ࠆ߽‫↢ޔ‬ᵴᤨ㑆࡮⌧⌁⁁ᴫ࡮ⵙ㊂ᮭ࡮㚂የ৻⽾ᗵⷡ㧔51%㧕 ߢ⺞ᢛߔࠆߣ‫ޔ‬ᱷᬺᤨ㑆ߩჇടߣߣ߽ߦࠊߕ߆ߦ∋ഭᐲߪਅ߇ࠆ௑Ѹ  Ѹะࠍ⹺߼ߚ‫⎇ᧄޕ‬ⓥߢߪ‫ޔ‬ᱷᬺᤨ㑆ߣ∋ഭᐲߦߟ޿ߡߪ᦭ᗧߥ㑐ㅪࠍ⹺߼ߥ߆ߞߚ‫੹ޕ‬ᓟ‫ޔ‬ᱷᬺᤨ㑆ߣ↢ᵴᤨ㑆‫ᤨ⌁⌧ޔ‬㑆ߣߩ㑐ㅪߦߟ޿ߡ߽⸃ᨆࠍⴕ߁‫ޕ‬ᱷᬺᤨ㑆⺞ᩏ␿ߩᅷᒰᕈ⎇ⓥߦߟ޿ߡߪ‫ޔ‬ડᬺ߇ᛠីߔࠆഭ௛ᤨ㑆ࠍ↪޿ߡ‫੹ޔ‬ᓟ‫⾰ޔ‬໧␿ߩᅷᒰᕈ࡮ౣ⃻ᕈߩ⹏ଔࠍⴕ߁‫⎇ᧄޔߦࠄߐޕ‬ⓥߢᓧࠄࠇࠆᅷᒰᕈߩ㜞޿⥄Ꮖ↳๔ᱷᬺᤨ㑆㗄⋡ࠍ↪޿ߡ‫ޔ‬ᄢⷙᮨ㓸࿅ࠍኻ⽎ߦ‫ޔ‬㐳ᤨ㑆ᱷᬺߣ⣖ᔃ∔ᖚߩ࡝ࠬࠢ࿃ሶߣߩ㑐ㅪࠍ⹏ଔߔࠆߎߣ߇੹ᓟߩ⺖㗴ߣߥࠆ‫ޕ‬Ѹ  Ѹᢥ₂

1. Iwasaki K, Takahashi M & Nakata A (2006) Health problems due to long working
hours in Japan: working hours, workers' compensation (Karoshi), and preventivemeasures. Ind Health , 537-540.
2. Nakamura K, Sakurai M, Morikawa Y et al. (2012) Overtime work and bloodpressure in normotensive Japanese male workers. Am J Hypertens , 979-985.
3. Virtanen M, Ferrie JE, Gimeno D et al. (2009) Long working hours and sleep
disturbances: the Whitehall II prospective cohort study. Sleep , 737-745.
4. Kuwahara K, Imai T, Nishihara A et al. Overtime work and prevalence of diabetes inJapanese employees: Japan Epidemiology Collaboration on Occupational Health Study.
Plos One (in press).

5. ᚭࠤ㉿ᵏౖ. 㧔2008㧕ᄢⷙᮨᄙ⋡⊛৻⥸૑᳃⺞ᩏะߌ᧲ᄢ␠ળቇㇱSOC㧟㗄
⋡ࠬࠤ࡯࡞. ᧲੩ᄢቇ␠ળ⑼ቇ⎇ⓥᚲࡄࡀ࡞⺞ᩏࡊࡠࠫࠚࠢ࠻࠺ࠖࠬࠞ࠶࡚ࠪ
ࡦࡍ࡯ࡄ࡯ࠪ࡝࡯࠭.
6. ෘ↢ഭ௛⋭. ഭ௛⠪ߩ∋ഭ⫾Ⓧᐲ࠴ࠚ࠶ࠢ࡝ࠬ࠻.
http://www.mhlw.go.jp/topics/2004/06/tp0630-1.html

Ѹ  ѸѸ  Ѹ

Overtime work categories
44 h (n 30,026)
45-79 h/month (n 11,298)
n%
n%
4,853
16.1
1,323
11.7

95 % CI
0.75, 0.86
0.74, 0.85

80-99 h/month (n 1,310)
n%
138
10.5

95 % CI
0.62, 0.86
0.59, 0.82

OR0.730.70

OR0.810.80

OR1.001.00

95 % CI
0.44, 0.76
0.40, 0.71

100 h/month (n 543)
n%458.3

OR
0.580.53

100 h/month (n 660)
n%60
9.1
P value†<0.001<0.001OROR
95 % CI
OR95 % CI
OR95 % CI
P value†
1.00
0.79
0.73, 0.85
0.71
0.58, 0.86
0.49
0.35, 0.68
<0.001Model 3цAbbreviations: CI, confidence interval.
*Defined as systolic blood pressure 140 mmHg, diastolic pressure 90 mmHg, or current drug use for anti-hypertension.
†P for linear trend obtained from multiple logistic regression analysis by assigning 23, 62, 90, and 100 to each category of overtime work.
‡Model 1: Adjusted for age (continuous), sex, workplace (A, B, C, and D).
§Model 2: Adjusted for factors in model 1 and current smoking status (never smoking, quit smoking, or current smoking) and body mass index (kg/m2,continuous).
цModel 3: Adjusted for age, sex, smoking status, body mass index, alcohol use, family history of hypertension, shift work, department, job position,
sleep duration, and leisure time physical activity in 1 company (n = 43,117).
Hypertensive
subjects

Model 1‡Model 2§Hypertensive
subjects

80-99 h/month (n 1,625)
n%
180
11.1

Overtime work categories
45 h (n 38,058)
45-79 h/month (n 12,022)
n%
n%
6,640
17.5
1,442
12.0

7DEOHOdds ratio (OR) of hypertension* according to overtime workѸ  Ѹ

Overtime work categories
44 h (n 23,094)
45-79 h/month (n 9,116)
n%
n%
1,927
8.3554
6.1

95 % CI
0.76, 0.93
0.77, 0.95

80-99 h/month (n 1,136)
n%
51
4.5

95 % CI
0.52, 0.87
0.53, 0.89

OR
0.67
0.69

OR0.84
0.86

OR
1.00
1.00

95 % CI
0.74, 1.45
0.72, 1.46

100 h/month (n 461)
n%367.8

OR
1.03
1.03

100 h/month (n 536)
n%38
7.1P value†
0.038
0.07OROR95 % CI
OR95 % CI
OR95 % CI
P value†
1.00
0.88
0.79, 0.98
0.67
0.49, 0.90
1.12
0.77, 1.63
0.05
Model 3цAbbreviation: CI, confidence interval.
*Defined as fasting glucose 126 mg/dL (7.0 mmol/l), HbA1c 6.5% (48 mmol/mol), or current use of antidiabetic drug.
†P for quadratic trend obtained from multiple logistic regression analysis by assigning 23, 62, 90, and 100 to categories of overtime work..
‡Model 1: Adjusted for age (continuous), sex, and workplace (A, B, C, and D).
§Model 2: Adjusted for factors in model 1, body mass index, and current smoking status (no smoking, quit smoking, or current smoking).
цModel 3: Adjusted for age, sex, smoking status, body mass index, alcohol use, family history of diabetes, shift work, department, job position, sleep
duration, and leisure time physical activity in 1 company (n = 33,807).

Diabetic
subjectsModel 1‡
Model 2§Diabeticsubjects

80-99 h/month (n 1,369)
n%
644.7

Overtime work categories
44 h (n 29,308)
45-79 h/month (n 9,648)
n%
n%
2,418
8.3
583
6.0

7DEOHOdds ratio (OR) of diabetes * according to overtime work