## Changes in National Health Promotion Measures

1st National Health Promotion Measures (FY1978-1988)	2nd National Health Promotion Measures (from FY1988) (Active 80 Health Plan)	3rd National Health Promotion Measures (from FY2000) (National Health Promotion in the 21st Century (Health Japan 21))
(Basic idea)1. Lifetime health promotion Promotion of primary prevention of geriatric diseases2. Promotion of health promotion projects through three major elements (diet, exercises, and rest) (special focus on diet)	(Basic idea)1. Lifetime health promotion2. Promotion of health promotion projects with the focus on exercise habits as they are lagging behind the other two of the three elements (diet, exercise, and rest)	(Basic idea)1. Lifetime health promotion Focusing on primary prevention, extended healthy life expectancy, and enhanced quality of life2. Setting specific targets to serve as an index for national health/medical standards and promotion of health promotion projects based on assessments3. Creation of social environments to support individuals' health promotion
(Outline of measures)(1) Lifetime health promotion·Establishment of health checkups and a complete health guidance system from infants and small children through to the elderly(2) Establishment of health promotion bases·Establishment of health promotion centers, municipal health centers, etc.·Securing sufficient human resources, including public health nurses and dieticians(3) Dissemination and enlightenment of health promotion·Establishment of municipal health promotion councils·Promoting the use of recommended dietary allowances·Nutritional content labelling for processed food·Conducting studies on health promotion, etc. etc.	(Outline of measures)(1) Lifetime health promotion·Enhanced health checkup and guidance system from infants and small children through to the elderly(2) Establishment of health promotion bases·Establishment of health science centers, municipal health centers, health promotion facilities, etc.·Securing sufficient manpower such as health fitness instructors, registered dieticians, and public health nurses(3) Dissemination and enlightenment of health promotion·Promoting the use of and revising recommended dietary allowances·Promoting recommended exercise allowance·Promoting the system to approve health promotion facilities·Action plan for tobacco control·Promoting a system of nutrition information labelling for meals eaten outside home·Promoting cities with health oriented cultures and health resorts·Conducting studies on health promotion, etc. etc.	(Outline of measures)(1) National health promotion campaign·Dissemination and enlightenment of effective programs and tools with regular revision·Dissemination and enlightenment of the acquisition of good exercise habits and improved dietary habits with a focus on metabolic syndrome(2) Implementation of effective medical examinations and health guidance·Steady implementation of health checkups and health guidance with a focus on metabolic syndrome for insured persons/dependents aged 40 or older by Health Care Insurers (from FY 2008)(3) Cooperation with industry·Further cooperation in voluntary measures of industries(4) Human resource development (improving the quality of medical professionals)·Improved training for human resource development in cooperation between the government, prefectures, relevant medical organizations, and medical insurance organizations(5) Development of evidence-based measures·Revision of data identification methods to enable outcome assessments

etc.

### (Guidelines, etc.)

• Dietary guidelines for health promotion (1985)

• Report on nutritional content labelling for processed food (1986)

• Announcement of a weight scale diagram and table (1986)

• Report on smoking and health (1987)

### (Guidelines, etc.)

• Dietary guidelines for health promotion (by individual characteristics: 1990)

• Guidelines for nutrition information labeling for meals eaten outside home (1990)

• Report on smoking and health (revised) (1993)

• Exercise and Physical Activity Guidelines for Health Promotion (1993)

• Promoting guidelines on rest for health promotion (1994)

• Committee report on action plan for tobacco control (1995)

• Committee report on designated smoking areas in public spaces (1996)

• Physical activity guidelines by age (1997)

### (Guidelines, etc.)

• Dietary guidelines (2000)

• Committee report on relevance to designated smoking areas (2002)

• Sleep guidelines for health promotion (2003)

• Guidelines on implementation of health checkups (2004)

• Japanese Dietary Reference Intake (2005 edition) (2004)

• Guidelines for well-balanced diet (2005)

• Manual for smoking cessation support (2006)

• Exercise and Physical Activity Guidelines for Health Promotion 2006 (exercise guide 2006) (2006)

• Exercise guidelines for health promotion 2006 (exercise guide 2006) (2006)

• Japanese Dietary Reference Intake (2010 edition) (2009)