P-144 Will Social Changes Due to the Covid-19 Epidemic Affect Employee Health Check-Ups Data in Japan?

Introduction In Japan, a state of emergency was declared four times until December 2022 due to the Covid-19 epidemic. The purpose of this study was to examine the changes in anthropometry and blood test parameters related to lifestyle-related diseases after the Covid-19 outbreak. Methods A longitudinal study was employed. A total of 1,198,557 employee who underwent health check-ups at Uguisudani Medical Center from April 1, 2016 to March 31, 2022 in Tokyo, Japan, were analyzed. Data included BMI, waist circumference (WC), systolic and diastolic blood pressure (SBP/DBP), total cholesterol (TC), triglycerides; triacylglycerol (TG), and low- and high-density lipoprotein cholesterol (LDL, HDL), fasting blood glucose (FBG), and uric acid (UA) levels. Descriptive statistics was performed separately for males and females to assess the temporal changes. Ethical approval for this study was obtained from the Dokkyo Medical University Ethics Committee. Results Comparing pre-2019 and 2020, SBP/DPB, TC, TG, and LDL increased more than normal and HDL decreased for both men and women after the Covid-19 outbreak. However, comparing data from 2020 and 2021, there is little change or slight improvement. Discussion and conclusion The greater deterioration in health check-up results in 2020 was likely due to lifestyle changes, including a decrease in outdoor activity and exercise habits due to voluntary restraint in personal activities. Modest government measures eased the subsequent refraining from personal activities, and the health examination results in 2022 did not deteriorate further. This suggests that social changes due to Covid-19 have a limited impact on health outcomes in Japan.