The second term of National Health Promotion Movement in the twenty first century

Health Japan 21 (the second term) Analysis and Assessment Project

Health Japan 21 (the second term) > List of target

Table 1

Targets for achieving extension of healthy life expectancy and reduction of health disparities

Indicators Current data Target
① Extension of healthy life expectancy (average period of time spent without limitation in daily activities)

Male 70.42 years
Female 73.62 years
(2010)

To extend healthy life expectancy more than the increase of life expectancy (2022)
② Reduction of health disparities (gap among prefectures in average period of time spent without limitation in daily activities)

Male 2.79 years
Female 2.95 years
(2010)

Reduction in gap among prefectures (2022)

Note: To accomplish (1) above, not only the "average period of time spent without limitation," but "average period of time individuals consider themselves as healthy" should also be taken into account.
Furthermore, to accomplish (2), each prefecture should aim to extend their healthy life expectancy with the longest healthy life expectancy among all prefectures being the target.

Table 2

Targets for the prevention of onset and progression of life-style related diseases

(1) Cancer

Indicators Current data Target
① Reduction in age-adjusted mortality rate of cancer under age 75 (per 100,000) 84.3
(2010)
73.9
(2015)
② Increase in participation rate of cancer screenings Gastric cancer
Male 36.6% Female 28.3%
Lung cancer
Male 26.4% Female 23.0%
Colorectal cancer
Male 28.1% Female 23.9%
Cervical cancer
Female 37.7%
Breast cancer
Female 39.1%
(2010)
50%
(40% for gastric, lung, and
colorectal cancer)
(2016)

Note: These rates represent individuals who are between 40 and 69 years old (for cervical cancer age of individuals is between 20 and 69 years).

(2) Cardiovascular Disease

Indicators Current data Target
① Reduction in age-adjusted mortality rate of cerebrovascular disease (CVD) and ischemic heart disease (IHD) (per 100,000) CVD
Male 49.5 Female 26.9
IHD Male 36.9 Female 15.3
(2010)
CVD
Male 41.6 Female 24.7
IHD
Male 31.8 Female 13.7
(2022)
② Improvement of hypertension (reduction in average systolic blood pressure) Male 138 mmHg
Female 133 mmHg
(2010)
Male 134 mmHg
Female 129 mmHg
(2022)
③ Reduction in percentage of adults with dyslipidemia Those with total cholesterol over 240 mg/dl
Male 13.8% Female 22.0%
Those with LDL cholesterol over 160 mg/dl
Male 8.3% Female 11.7%
(2010)
Those with total cholesterol over 240mg/dl
Male 10% Female 17%
Those with LDL cholesterol over 160 mg/dl
Male 6.2% Female 8.8%
(2022)
④ Reduction in number of definite and at-risk people with metabolic syndrome 14,000,000
(2008)
25% less than 2008
(2015)
⑤ Increase in participation rates of specified health checkups and specified health guidance Specified health checkups
41.3%
Specified health guidance
12.3%
(2009)
Will be set based on the second term of medical cost adjustment plan starting in 2013
(2017)

(3) Diabetes

Indicators Current data Target
① Reduction in complications (number of patients newly introduced to dialysis due to diabetic nephropathy) 16,247
(2010)
15,000
(2022)
② Increase in percentage of patients who continue treatment 63.7%
(2010)
75%
(2022)
③ Decrease in percentage of individuals with elevated blood glucose levels (HbA1c (NGSP)≧8.4%) 1.2%
(2009)
1.0%
(2022)
④ Prevent increase in number of diabetic persons 8,900,000
(2007)
10,000,000
(2022)
⑤ Reduction in number of definite and at-risk people with metabolic syndrome 14,000,000
(2008)
25% less than 2008
(2015)
⑥ Increase in participation rates of specified health checkups and health guidance Specified health checkups
41.3%
Specified health guidance
12.3%
(2009)
Will be set based on the second period of medical cost adjustment plan starting in 2013
(2017)

(4) COPD

Indicators Current data Target
① Increase recognition of COPD 25%
(2011)
80%
(2022)

Table 3

Targets for maintenance and improvement of functions necessary for engaging in social life

(1) Mental health

Indicators Current data Target
① Reduction in suicide rate (per 100,000) 23.4
(2010)
Will be set based on modified suicide prevention plan
② Decrease in percentage of individuals who suffer from mood disorders or anxiety disorders 10.4%
(2010)
9.4%
(2022)
③ Increase in percentage of occupational settings where interventions for mental health are available 33.6%
(2007)
100%
(2020)
④ Increase in number of pediatricians and child psychiatrists per 100,000 children Pediatricians: 94.4 (2010)
Child psychiatrists: 10.6 (2009)
To increase
(2014)

(2) Children's health

Indicators Current data Target
① ① Increase in percentage of children who maintain healthy lifestyle (nutrition, dietary habits, physical activity)
(a) Increase in percentage of children who eat three meals a day 5th grade
89.4%
(2010)
To reach 100%
(2022)
(b) Increase in percentage of children who exercise regularly (Ref) Three times a week or more
5th grade
Male 61.5% Female 35.9%
(2010)
To increase
(2022)
② Increase in percentage of children with ideal body weight
(a) Reduction in percentage of low birth weight infants 9.6%
(2010)
To reduce
(2014)
(b) Reduction in percentage of children who tend to be obese 5th graders who are overweight or obese (2011)
Male 4.60%
Female 3.39%
To reduce
(2014)

(3) Health of elderly people

Indicators Current data Target
① Restraint of the increase in Long-Term Care Insurance service users 4,520,000
(2012)
6,570,000
(2025)
② Increase in identification rate of high-risk elderly with low cognitive function 0.9%
(2009)
10%
(2022)
③ Increase in percentage of individuals who know about locomotive syndrome (Ref) 17.3%
(2012)
80%
(2022)
④ Restraint of the increase in undernourished elderly (BMI under 20) 17.4%
(2010)
22%
(2022)
⑤ Decrease number of elderly with back or foot pain (per 1,000) Male 218
Female 291
(2010)
Male 200
Female 260
(2022)
⑥ Promotion of social participation (employed or engaged in community activities) (Ref) Percentage of those who are involved in any form of community activities
Male 64.0%
Female 55.1%
(2008)
80%
(2022)

Note: the target for 1. is set based on the results from the Outline basic and integrated Reform Plan for Social Welfare and Tax..

Table 4

Targets for putting in place a social environment to support and protect health

Indicators Current data Target
① Strengthening of community ties (Ref) Percentage of those who consider that “There is a strong bond between the community and myself.”
45.7%
(2007)
65%
(2022)
② Increase in percentage of individuals who are involved in health promotion activities (Ref) Percentage of those volunteering health or medical service
3.0%
(2006)
25%
(2022)
③ Increase in number of corporations that deal with health promotion and educational activities 420
(2012)
7,000
(2022)
④ Increase in number of civilian organizations that offer accessible opportunities for health promotion support or counseling (Ref) Number of Reported organizations
7,134
(2012)
15,000
(2022)
⑤ Increase in number of local governments that make efforts to solve health disparity issues (number of prefectures that identify problems and have intervention programs for those in need) 11 prefectures
(2012)
47 prefectures
(2022)

Table 5

Targets for improvement of everyday habits and social environment relating to nutrition and dietary habits, physical activity and exercise, rest, alcohol, smoking, and dental and oral health

(1) Nutrition and dietary habits

Indicators Current data Target
① Increase in percentage of individuals maintaining ideal body weight (Reduction in percentage of obese individuals [BMI 25 and more] and underweight individuals [BMI less than 18.5]) Obese males in their 20s to 60s
31.2% Obese females in their 40s to 60s
22.2% Underweight females in their 20s
29.0%
(2010)
Obese males in their 20s to 60s;
28% Obese females in their 40s to 60s;
19% Underweight females in their 20s
20%
(2022)
② Increase in percentage of individuals who consume appropriate quality and quantity of food

(a) Increase in percentage of individuals who eat balanced diet with staple food, main dish and side dish more than twice a day

68.1%
(2011)
80%
(2022)

(b) Decrease in mean salt intake

10.6 g
(2010)
8 g
(2022)

(c) Increase in consumption of vegetables and fruits

Mean daily intake of vegetables
282 g
Individuals who consume fruit less than 100 g per day
61.4%
(2010)
Mean daily intake of vegetables
350 g
Individuals who consume fruit less than 100 g per day
30%
(2022)
③ Increase in dining with family regularly (decrease in percentage of children who eat alone) Breakfast
Elementary school student 15.3%
Junior high school student 33.7%
Dinner
Elementary school student 2.2%
Junior high school student 6.0%
(2010)
To decrease
(2022)
④ Increase in number of corporations in food industry that supply food product low in salt and fat Registered corporations
14
Registered restaurants
17,284 locations
(2012)
Registered corporations
100
Registered restaurants
30,000 locations
(2022)
⑤ Increase in percentage of specific food service facilities that plan, cook, and evaluate and improve nutritional content of menu based on the needs of clients (Ref) Facilities with registered/non-registered dietitians
70.5%
(2010)
80%
(2022)

(2) Physical activity and exercise

Indicators Current data Target
① Increase in daily number of steps 20-64 years old
Male 7,841 steps
Female 6,883 steps
Over 65 years old
Male 5,628 steps
Female 4,584 steps
(2010)
20-64 years old
Male 9,000 steps
Female 8,500 steps
Over 65 years old
Male 7,000 steps
Female 6,000 steps
(2022)
② Increase in percentage of individuals who regularly exercise 20-64 years old
Male 26.3% Female 22.9%
Over 65 years old
Male 47.6% Female 37.6%
(2010)
20-64 years old
Male 36% Female 33%
Over 65 years old
Male 58% Female 48%
(2022)
③ Increase in number of local governments that offer community development and environment to promote physical activity 17 prefectures
(2012)
47 prefectures
(2022)

(3) Rest

Indicators Current data Target
① Reduction in percentage of individuals who do not take rest through sufficient sleep 18.4%
(2009)
15%
(2022)
② Reduction in percentage of employees who work 60 hours or more per week 9.3%
(2011)
5.0%
(2020)

(4) Alcohol drinking

Indicators Current data Target
① Reduction in percentage of individuals who consume alcohol over recommended limits (male > 40 g, female > 20 g per day) Male 15.3%
Female 7.5%
(2010)
Male 13%
Female 6.4%
(2022)
② Eradication of underage drinking Third grade of junior high school
Male 10.5% Female 11.7%
Third grade of high school
Male 21.7% Female 19.9%
(2010)
0%
(2022)
③ Eradication of alcohol consumption among pregnant women 8.7%
(2010)
0%
(2014)

(5) Tobacco smoking

Indicators Current data Target
① Reduction in percentage of adult smoking rate (quit smoking among smokers who want to quit smoking) 19.5%
(2010)
12%
(2022)
② Eradication of underage smoking First grade of junior high school
Male 1.6% Female 0.9%
Third grade of high school
Male 8.6% Female 3.8%
(2010)
0%
(2022)
③ Eradication of smoking during pregnancy 5.0%
(2010)
0%
(2014)
④ Reduction in percentage of individuals who are exposed to passive smoking at home, workplace, restaurants, governmental institutions, and medical institutions Governmental institutions 16.9%
Medical institutions 13.3% (2008)
Workplace 64% (2011)
Home 10.7%
Restaurants 50.1% (2010)
Governmental institutions 0%
Medical institutions 0% (2022)
Workplace--no secondhand smoke (2020)
Home 3%
Restaurants 15% (2022)

(6) Dental and Oral health

Indicators

Current data

Target

① Maintenance and improvement of oral function (increase in percentage of individuals in their 60s with good mastication) 73.4%
(2009)
80%
(2022)
② Prevention of tooth loss
(a) Increase in percentage of 80-year-old individuals with over 20 teeth remaining 25.0%
(2005)
50%
(2022)
(b) Increase in percentage of 60-year-old individuals with over 24 teeth remaining 60.2%
(2005)
70%
(2022)
(c) Increase in percentage of 40-year-old individuals with all teeth remaining 54.1%
(2005)
75%
(2022)

③ Decrease in percentage of individuals with periodontal disease

(a) Decrease in percentage of individuals in 20s with gingivitis 31.7%
(2009)
25%
(2022)
(b) Decrease in percentage of individuals in 40s with progressive periodontitis 37.3%
(2005)
25%
(2022)
(c) Decrease in percentage of individuals in 60s with progressive periodontitis 54.7%
(2005)
45%
(2022)

④ Increase in number of children without dental caries

(a) Increase in number of prefectures where over 80% of 3-year-old children have no dental caries 6 prefectures
(2009)
23 prefectures
(2022)
(b) Increase in number of prefectures where 12-year-old children have less than 1 dmft (the mean decayed, missing, and filled teeth) 7 prefectures
(2011)
28 prefectures
(2022)

⑤ Increase in percentage of individuals who participated in dental check-up during the past year

34.1%
(2009)
28 prefectures
(2022)

Health Japan 21
(the second term)