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[Life style and right to clean air in public places (RCA) (Part 2). The relationship between life style and the aspect of knowledge level of the consciousness towards smoking regulations among employees].

The right to clean air in public places (RCA) is a useful indicator of health consciousness. We surveyed the life style and consciousness towards RCA among employees working at the head office of a major company in Osaka, and examined the relationship between life style and knowledge aspect of RCA, one of the three aspects of consciousness towards RCA. Knowledge on laws concerning smoking regulations in public places was classified into two categories. One was knowledge on laws concerning general matters and the other was knowledge on laws concerning concrete and specific matters. Therefore, there are two kinds of relationship; the relationship between life style and knowledge on laws concerning general matters and the relationship between life style and knowledge on laws concerning concrete matters. These two relationships were examined with statistical procedures. Mean scores of knowledge on laws of subgroups divided by HPI score (POOR, MODERATE and GOOD) within groups divided by age and sex ("M. smoker," "M. nonsmoker" and "F. nonsmoker") were compared by t-test. Life style related to knowledge score was checked by correlation coefficient. The following results were obtained. (1) Relationship between life style and knowledge on laws concerning general matters Knowledge scores and their age-adjusted scores of MODERATE groups were the lowest among the 3 groups ("M. smoker," "M. nonsmoker," "F. nonsmoker"). This set of questions was designed to measure the knowledge level on laws concerning general matters. One would have abundant knowledge if one is health-conscious. In other words, those who do many things beneficial to physical health and have a high HPI have a wealth of knowledge on laws concerning smoking regulations on general matters. In the case of the employees, MODERATE groups were less health-oriented than others ("POOR," "GOOD") within the 3 groups ("M. smoker," "M. nonsmoker," "F. nonsmoker"). (2) Relationship between life style and knowledge on laws concerning concrete matters This set of questions was designed to measure the knowledge on laws concerning concrete and specific matters. To attain high scores, it is necessary to have more smoking experiences in various types of indoor places. POOR group of "M. smoker" and MODERATE groups of "M. nonsmoker" and "F. nonsmoker" had high knowledge scores. They were considered to have greater opportunities to visit public places where smoking is permitted (for example, bars) irrespective of their smoking status.

Adult↗

[Life style and the right to clean air in public places (RCA). Part 1. The relationship between life style and legal consciousness on smoking regulations].

The right to clean air in public places (RCA) could be a good indicator of health consciousness. We surveyed the consciousness of RCA among residents (20 years of age or older; n = 1500) in city D, a satellite town of Osaka, and examined the relationship between life style and the knowledge aspect of RCA, one of the three aspects of the consciousness concerning RCA. Knowledge of laws concerning the smoking regulations in public places are divided into two categories. One is knowledge of laws concerning general matters, and the other is knowledge of laws concerning concrete matters. Therefore, we get two kinds of relationships. These are the relationship between life style and knowledge of laws concerning general matters, and the relationship between life style and knowledge of laws concerning concrete matters. We examined these two relationships by using Student's t test, and tried to determine the individual life style closely related to the scores for knowledge of laws with the chi-square test. We got following results. (1) The relationship between life style and knowledge of laws concerning general matters Knowledge scores got higher as the life style scores (HPI) became higher. This trend could be detected in all four subgroups. The scores of male subgroups were generally higher than those of female subgroups. This could be construed as follows: those who take care of their physical health have a lot of knowledge of laws concerning smoking regulations. (2) The relationship between life style and knowledge of laws concerning concrete matters Knowledge scores got lower as the life style scores became higher. This trend was almost the same in all four subgroups. The scores of male groups were generally higher than those of female subgroups. This trend could be construed as follows: men and women whose HPI is lower get more opportunities to be in the public places where smoking is totally allowed (e. g., bars) irrespective of their smoking status.

Adult↗

Mortality in Japanese with life-styles similar to Seventh-Day Adventists: strategy for risk reduction by life-style modification.

Using 16 years of follow-up results of a prospective cohort study for 122,261 men, 95% of the census population, aged 40 years and older in 29 Health Center Districts in Japan as subjects, we compared the age-standardized mortality rates for cancer of each site and other causes of death in Japanese with life-styles similar to those of Seventh-Day Adventists (SDA), i.e., no smoking, no drinking, no meat consumption daily and eating green and yellow vegetables daily, with those of Japanese with opposite life-styles. Compared with the latter Japanese, the risks were one-fifth or less in Japanese with SDA-like life-styles for cancers of the mouth, pharynx, esophagus, and lung, and subarachnoid hemorrhage. Risks were less than one-half for cancers of all sites, stomach, and liver, and for peptic ulcer and heart disease. As a single factor, the addition of daily smoking was observed to elevate the risk most strikingly in Japanese who followed SDA life patterns. Influences of further addition of habits of daily drinking of alcohol and dietary changes were significant for cancers of the esophagus, liver, and bladder and other selected diseases. Strategies for cancer prevention by means of life-style modification, e.g., increased consumption of green and yellow vegetables, were discussed.

Adult↗

Effects of long workhours on life-style, stress and quality of life among intermediate Japanese managers.

OBJECTIVES: In accordance with international coordination of labor conditions a Japanese campaign advocating less work finally got under way recently in the form of work-reducing policies of the government to prevent occupational and stress-related diseases. However, long workhours among intermediate managers, who are key persons in most organizations in Japanese industry, are still considered to be prevalent. This study was conducted to examine the workhours of intermediate managers and clarify the effects of long workhours on the life-style, subjective stress, and subjective quality of life among them. METHODS: Questionnaires were administered concerning workhours, life-styles, subjective stress, and subjective quality of life to 3870 heads of a division or a section and 2666 foremen in 110 firms in Japan. RESULTS: The prevalence of > or = 10 workhours was 69.7% for the divisional or sectional heads and 53.2% for the foremen. Long workhours had significant effects on the managers' life-style, such as sleeping pattern and regularity of daily life and meals. The divisional or sectional managers with long workhours perceived higher stress [odds ratio (OR) 2.51, 95% confidence interval (95% CI) 2.17-2.90] and lower quality of life (OR 1.17, 95% CI 1.02-1.36) than those who worked relatively short hours. The foremen with long workhours perceived higher stress (OR 2.35, 95% CI 2.01-2.75) and lower quality of life (OR 1.26, 95% CI 1.08-1.46) than those who worked relatively short hours. CONCLUSIONS: Long workhours may be associated with poorer life-style, higher stress, and lower quality of life among managers at the intermediate level.

Administrative Personnel↗

Life style and cardiovascular risk factors in the Japanese population--from an epidemiological survey on serum lipid levels in Japan 1990 part 1: influence of life style and excess body weight on HDL-cholesterol and other lipid parameters in men.

Low HDL-cholesterol (HDL-C) has long been used as an important predictor of coronary artery disease (CAD), although HDL-C values themselves are influenced by various factors including serum triglyceride (TG) levels, obesity, and life style. In view of the importance of the metabolic syndrome as a risk factor of CAD, changes in HDL-C and other lipid parameters in the Japanese population associated with life style, especially in males, were analyzed in this study based on data obtained in an epidemiological survey carried out in 1990. Smokers had higher TG and lower HDL-C levels than non-smokers, while BMI and LDL-C were slightly decreased by smoking in middle-aged men (40-59 years old). Increases in both HDL-C and TG due to alcohol consumption were associated with an increase in BMI in younger men aged 20-39. In middle-aged men, significant increases in HDL-C were seen in every quintile of BMI, while the increase in TG levels due to alcohol was small. Middle-aged men engaged in occupations requiring greater physical activity also had higher HDL-C levels in every quintile of BMI. The influence of life style on serum lipid parameters appeared to be mostly expressed as a function of BMI in younger men, while it appeared to be independent of BMI in older men.

Adult↗

Sleeping habit and other life styles in the prime of life and risk for ossification of the posterior longitudinal ligament of the spine (OPLL): a case-control study in Japan.

BACKGROUND: Although the average age of onset of ossification of the posterior longitudinal ligament of the spine (OPLL) is at around 50 years, the onset of the symptoms is insidious and the progression is very slow. The etiology of OPLL has not been elucidated in detail. Previous studies have suggested that a high-salt diet and low consumption of animal protein, glucose intolerance and high body mass are risk factors for OPLL. However, there is little information about the relationship between OPLL and life styles in the prime of life (between 30 and 50 years). METHODS: To facilitate early prediction and prevention of OPLL, we analyzed life styles such as sleeping habit, physical exercise, smoking, alcohol drinking and hangover in subjects in the prime of life. Self-administered questionnaires were obtained from patients with OPLL and their sex- and age-matched controls. Sixty-nine patients diagnosed with OPLL within 3 years previously and 138 sex- and age-matched controls without backbone diseases, randomly selected from participants in a health checkup in a local town, were enrolled. RESULT: Moderate amount of sleep (6-8 hours vs. 5 hours or shorter and 9 hours or longer; odds ratio [OR] = 0.18, 95% confidence interval [CI] = 0.06, 0.54) and a regular sleeping habit (i.e., going to bed and getting up at regular time) (OR=0.44, 95% CI=0.22, 0.90) were associated with a decreased risk of OPLL even after adjusting for other factors. On the other hand, moderate physical exercise (once a week or more v.s. less than once a week: OR=0.97, 95% CI=0.42, 2.26), smoking (OR=1.41, 95% CI=0.67, 2.97), drinking (OR=1.08, 95% CI=0.53, 2.20) and hangover (OR=1.12, 95% CI=0.43, 2.94) in the prime of life showed no correlation with risk of OPLL. CONCLUSION: Good sleeping habits in the prime of life may decrease the risk of OPLL.

Activities of Daily Living↗

[Health conditions and life styles of residential elderly. Part 1. Characteristics and factors related to being healthy elderly persons from a survey of health life style].

A survey was conducted in a highland community of Gifu prefecture on 815 residential elderly persons, over 65 years old, utilizing self-administered questionnaires to study the degree of association between life style factors and health conditions. A total of 718 valid participants (90.6% of the total) were analyzed and cross-examined by applying Breslow's seven health factors, daily behavior factors, physical health consciousness, social mobility factors (13 behavior factors which were determined by the Institute of the Elderly) to determine associations with respondents health conditions. Of the participants, 310 were male and 408 were female with mean ages of 73.8 +/- 6.9 years old and 74.0 +/- 6.9 respectively. The survey results indicated that there were no prominent gender differences over the mobility rate and physical health consciousness among participants. However, it was also found that in the male participants the per person prevalence of past history of illness was higher than in females. In the daily activity analysis, female participants indicated a higher prevalence of difficulty in walking and balance maintenance while ascending and descending stairs. In the general daily activity analysis, male participants had a higher requirement for an aide. In social mobility, male participants recorded a high degree of self-reliance by being physically, socially, and intellectually active and the female participants by fulfilling their social responsibilities. Breslow's seven health indicators were applied and their evaluation points were calculated as 3.9 +/- 1.7 for male participants and 3.5 +/- 1.8 for female participants which showed a significantly higher score for the male participants. The survey also indicated that factors which increase the Breslow score for males, were having a spouse, hobbies, a satisfactory life, a habit of exercising, and non-smoking which in females an appropriate sleeping habit (not less than 7 hours), and working, were the positively related factors.

Activities of Daily Living↗

[The Campodimele study: 24-hour blood pressure in rural life style subjects].

The present paper is aimed at investigating the daily blood pressure in subjects with a rural style of life with the purpose of detecting whether or not the blood pressure regimen is influenced as expected because of the stress less prominent in the non-urban areas. Control data were obtained by the study of age- and sex-matching subjects with a metropolitan style of life. The results indicate the blood pressure has a lower daily level in rural subjects as compared to urban subjects. The daily baric impact is also lower, suggesting that the blood pressure regimen is really less pronounced in those who live according to a rural style of life. Such a lower magnitude allows us to experimentally suggest that the rural life is concrete in protecting the hemodynamic system from the higher level of blood pressure which are observable in subjects who live according to a metropolitan style of life. Interestingly, the expected phase anticipation in blood pressure circadian rhythm of rural subjects was not detected, as the wake up time was not so anticipated to act as a synchronizer.

Adult↗

Blood parameters associated with atherogenic and thrombogenic risk in smokers and nonsmokers with similar life-styles.

Current evidence indicates that life-style factors can affect the risk of developing cardiovascular disease. The life-style of cigarette smokers, as a group, differs in many ways from that of nonsmokers. Most studies that compare clinical pathologic findings related to atherogenic and thrombogenic risk in smokers and nonsmokers do not adequately control for most of the life-style differences between these two groups. In this study, a number of atherogenic risk factors (cholesterol, low-density lipoprotein, high-density lipoprotein, very low-density lipoprotein, high-density lipoprotein/cholesterol, triglycerides, and glucose) and thrombogenic risk factors (total white blood cell count, total red blood cell count; percent of monocytes, lymphocytes, neutrophils, basophils, and eosinophils; interleukin-1, leukotriene B4, hematocrit, hemoglobin, bilirubin, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, mean corpuscular volume, platelet count, prothrombin time, partial thromboplastin time, and fibrinogen) were compared in male and female cigarette smokers and non-smokers who were selected to have approximately similar self-reported life-styles (i.e., food, alcohol, and vitamin consumption and exercise level). However, the smokers (male and female) consumed more coffee (P < 0.05) than the nonsmokers. A trend toward blue-collar versus white collar occupational status was also observed in the male smokers relative to male nonsmokers. Cigarette consumption and urinary cotinine and carboxyhemoglobin levels did not differ between male and female smokers. Atherogenic and thrombogenic values were determined from venous blood samples. No statistically significant (P > 0.05) differences in clinical pathologic findings related to atherogenic risk were observed between the smokers and nonsmokers.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

[Effects of life style on serum cholesterol levels and atherogenic index].

Life style as related to levels of serum total, HDL and LDL cholesterol, and atherogenic index (AI) were studied in the context of prevention of atherosclerosis and cardiovascular diseases, and maintenance of an active long life. Mean values of serum cholesterol, AI and elements of life style were compared on the basis of responses to a questionnaire and results of a medical examination for 369 men and women aged over 30 years in a district of Akita prefecture. Life style appeared to have a tendency of influence in men and AI appeared to be elevated with a life style of limited physical activity that was comparatively light and with no drinking. Many men reporting a life style of light activity were unemployed and tended to attempt to make up for the activity by an exercise program. As for women, there appeared to be no influence of life style on the aging phenomena. Many of the women who were unemployed tended to be single, to have limited and light daily activity, a regular exercise program, and reported getting adequate sleep. Personal awareness of body fat and health conditions seemed to be reflected in levels of cholesterol and AI, and therefore raising a person's awareness level is important for adopting personal health management habits.

Adult↗

[Can the child with congenital heart disease have a normal life-style?].

Is it possible for the child with Congenital Heart Disease to have an adequate life-style? The life-style of the child mainly depends on the life-style of his/her family. Consecutively, the parents themselves must adopt a healthy life-style to be a good example for their children; on the other side, certain restrictions (hyponatremic regimen, the limitation of the physical activity) must be shared among entire family, the education of the parents being essential. To accomplish this, there must be an interdisciplinary team, including the GP, the cardiologist, the psychotherapist and the physiotherapist. This article discusses the factors influencing the life-style, their dependence on the family social status, on the diagnosis, on the child's age. The psychotherapeutic approach becomes very important at puberty. There is also essential the transition to the adult life, so these children will benefit of maximum of choices in life.

Adaptation, Psychological↗