@article{oai:sapmed.repo.nii.ac.jp:00014542,
 author = {大浦, 麻絵 and 坂内, 文男 and 尚, 爾華 and 森, 満},
 issue = {1-6},
 journal = {札幌医学雑誌 = The Sapporo medical journal, The Sapporo medical journal},
 month = {Dec},
 note = {Background: Physical activity is very important for disease prevention, and improves quality of life (QOL). However, it is reported that many people do not have the habit of exercise in Sapporo in 2000. Objective: To compare exercise groups (a home-based and a gym-based exercise training program) with the control group. Design: Intervention study. Intervention for 6 months, and follow up for 2 years. Setting: a community-based health promotion project in Sapporo, Japan. Subjects: A total of 547 people (named “Tanoshiku” course, a home-based training program: 114 people, “Genkini” course, a gym-based training program, once a week: 268 people, “Shikkari” course, a gym-based training program, twice a week: 165 people) whose conditions met 24.2 ≦ Body mass index (BMI) <35 and one or more of the following criteria: 1) systolic blood pressure ≧ 130mmHg, 2) LDL cholesterol ≧ 120mg/dl, 3) fasting glucose level 110mg/dl, or glucose level ≧ 140 mg/dl and HbA1c ≧ 5.5% in 2003. A control group was matched for age (5-years interval) and sex in the intervention group. Subjects were selected among participants who attended the municipal health screening program. Main outcome measures: BMI, systolic and diastolic blood pressure, total cholesterol, LDL cholesterol, HDL cholesterol, triglyceride, fasting glucose level, and HbA1c. Results: At 6 months, 495 (90.5%) of the subjects had completed the exercise training program. Repeated measured analysis of variances showed a significant time and group interaction. The BMI of the “Tanoshiku” course and the “Shikkari” course showed a significantly different pattern (decreased) when compared to the control group. Fasting glucose level of the “Genkini” course was significantly different pattern when compared to the control group. Conclusions: Home-based and gym-based exercise training programs may be effective ways to reduce BMI and fasting glucose level in middle-aged and elderly people.},
 pages = {23--33},
 title = {中高年を対象とした運動介入プログラムによる健康増進効果 : 平成16年度札幌市国保ヘルスアップモデル事業の結果から},
 volume = {77},
 year = {2008}
}