Worksite Wellness for the Primary and Secondary Prevention of Cardiovascular Disease in Japan: The Current Delivery System and Future Directions
Abstract
In the Japanese workplace, employers are required to provide annual health checkups for workers in accordance with the "Industrial Safety and Health Law," which also mandates that an occupational physician be assigned to companies employing at least 50 workers. The annual medical examination includes testing for the early detection of cardiovascular risk factors such as hypertension, dyslipidemia, diabetes, and the metabolic syndrome. This approach has successfully contributed to the extremely low incidence of coronary artery disease among Japanese workers. However, problems such as poor health and the low rate of participation in health checkups among small-scale companies still persist. Furthermore, although most wellness delivery systems in Japan employ strategies targeting high-risk individuals, instituting a strategy addressing the broader population irrespective of screening may be effective in reducing disease risk in the overall population. As a future direction, we should therefore develop practical methods for implementing a population strategy.
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If they both have the same blood pressure, then the patient on medication is at a higher risk.
“If they both have the same blood pressure, then the patient on medication is at a higher risk345).”
From Japan Atherosclerosis Society (JAS) guidelines for prevention of atherosclerotic cardiovascular diseases 2017 (2018) · cites this paper as [345]
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- Authors
- Okamura, T., Sugiyama, D., Tanaka, T., & Dohi, S.
- Affiliations
- Keio University (JP)
- Toho University (JP)
- Mitsui Chemicals (Japan) (JP)
- Corresponding author
- Okamura, Tomonori
- Venue
- Progress in Cardiovascular Diseases
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 56
- Issue
- 5
- Pages
- 515-521
- ISSN
- 0033-0620 (ISSN-L)
- OpenAlex
- W2168490818
- Cited by
- 33
- References
- 37
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 3 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 1 · 2018: 7 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 1
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Progress in Cardiovascular Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Keywords
- workplace health, cardiovascular disease prevention, primary prevention, secondary prevention, annual health checkups, occupational health, occupational physicians, hypertension, dyslipidemia, diabetes mellitus, metabolic syndrome, coronary artery disease, health checkup participation, Japan
- MeSH terms
- Cardiovascular Diseases, Delivery of Health Care, Health Policy, Health Promotion, Health Status, Humans, Japan, Occupational Health Services, Primary Prevention, Prognosis, Risk Factors, Incidence, Prevalence, Occupational Health, Program Development, Workplace, Risk Assessment, Government Regulation, Risk Reduction Behavior, Secondary Prevention
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