Healthy Campus Activities atKyoto University, Japan

Taku Iwami, Satoe OkabayashiKyoto University Health Service

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KYOTOKyoto (京都, Kyōto) served as Japan's capital and the emperor's residence from 794 until 1868. It is one of the country's ten largest cities with a population of 1.5 million people and a modern face.

https://www.japan-guide.com/e/e2158.html

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KYOTO University

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KYOTO University Health Service

8 Medical Drs. and 4 Ns. School DoctorOccupational physicianEpidemiologist (Department of Preventive Medicine, KU SPH)

Clinics

CPR and AEDtraining for all 3,000 new students

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How to Start Healthy Campus (2017)

1. A Thai faculty member encouraged us to start the Healthy Campus project. We learned a lot about Healthy University / Campus projects around the world.

https://www.acha.org/HealthyCampus/

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How to Start Healthy Campus (2017)

2. 1) Organized three teams in KU Health Service.

2) Made “Health Promotion Open Labo”

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Healthy Campus at KU (2017～)

3. Events for students, faculties, and locals. Physical

Walking Lesson

Yoga

Brazil Exercise

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Healthy Campus at KU (2017～)

3. Events for students, faculties, and locals. Nutrition

Cooking Lesson

Doctors join

X’ mas event

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Healthy Campus at KU (2017～)

3. Events for students, faculties, and locals. Mind

Rakugo event

Doctors join

Mindfulness self-compassionLecturer: Standford UniversityStephen Murphy-Shigematsu, PhD.

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Walking challenge at KU (2017～)

860 registered members walk 8,000 steps a day for 28 days.

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Healthy Campus Kick-off Forum

Discussion with students and president

Walking event with Olympian

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Healthy Campus Kick-off ForumHealthy Campus Declaration from President of KUAt Kyoto University, in order to promote the health of society by starting from students and educators, we must advance the following efforts:1. As we continue health related education, we will add the

concept of “Health” to every University activity.2. As a “Health Promotion” lab, we shall put new ideas into

action as we continue to research for the sake of knowledge.3. We will convey “health” through our thoughts and

discussions, spreading this important new mentality throughout society.

November 20, 2018 Kyoto University President Juichi Yamagiwa

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TOP Commitments

Strategy 3-1

Establish an education research environment. Plan enhancements.

Promote the Health of Students, Faculty, and Staff

Promote the activities of “Kyoto University Healthy Campus” with the aim to “create physical and mental health among individuals and society, starting from university.” Aim to not only promote the health of the individuals related to the university, but also to connect with citizens and spread the “culture of valuing health”.

http://www.kyoto-u.ac.jp/ja/about/public/issue/window/documents/1803_pamphlet1.pdf

Healthy Campus goes to Kyodai WINDOW Initiative Program from 2018!

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Healthy Campus at KU (2017～)

Number of events Number of participants2017 28 12052018 48 2048

The Number of Participants in Healthy Campus Events

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Students collaboration

Invited the students of BOND SAXOPHONE QUARTET (recipients of the Presidential Award!) to perform at the Campus Clinic.

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Collaboration with Co-op Healthy Lunch Box

Under 500Kcal. More than 4 types of vegetables. Less than 3g salt.

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Future plans / ChallengesContinuity・Reduce workload: Share work among small number of

people, create events that are easy to hostDevelopment・Healthy Campus Promoter (Students)

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Future plans / ChallengesDevelopment・Healthy Campus Network→Kyoto City, All of Japan

・Not limited to universities, ideally involve empathetic organizations, foundations

Since 201810 Universities within Kyoto City and Kyoto City Health & Wellness Bureau

Japan University Health Association

Total: 504 universities（44.8%）

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Future plans / ChallengesResearch・Evidence-based Health Promotion

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International collaboration2015 International Conference on Health Promoting Universities and Colleges in University of British Columbia

45 countries: Andorra, Argentina, Australia, Austria, Barbados, Bolivia, Brazil, Canada, Central African Republic, Chile, China, Columbia, Costa Rica, Cuba, Denmark, Ecuador, Finland, France, Germany, Hungary, Italy, Lebanon, Lithuania, Malta, Mexico, New Zealand, Nicaragua, Nigeria, Norway, Panama, Peru, Philippines, Portugal, Puerto Rico, Qatar, Republic of Ireland, Spain, Switzerland, Thailand, The Netherlands, United Kingdom (England, Scotland), United States, Uruguay, Venezuela.

Thank you for listening!

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KYOTO University

Healthy Campus Kyoto Network• Over 30 universities in Kyoto City (large proportion of university

students in Japan)• Established the mission of “spreading health between individuals

and society, starting from University” (July 2018)• Aim to spread the culture of caring about health through Kyoto,

then all of Japan, and finally to the world. Activities1. Sharing Health Campus Declaration (Ideal)2. Hold meetings, share information, exchange opinions about Healthy

Campus advancement3. Cosponsor main-stay events4. Share information and notifications via mailing list, homepage, etc. 5. Create and share health promotion awareness content6. Other healthy campus activity promotion activities

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First Healthy Campus Kyoto Network Meeting

• 10 Universities within Kyoto City• Kyoto City Health & Wellness Bureau, The City of

Longevity and Kyoto Advancement Room (Feb 2018)25ACHA 2019

Using SNS: Instagram

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Using SNS: Twitter

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Future Plans Continuity・Reduce workload: Share work among small number of

people, create events that are easy to host Development・Healthy Campus Promoter・Healthy Campus Network→All of Japan・Not limited to universities, ideally involve empathetic

organizations, foundations・Convey Information: Website, SNS Strive to be a knowledge base・Health Promotion with data application⇒Create physical and mental health among individuals and society, starting from University

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American Healthy CampusHealth Quality Evaluation

• Separate Students & StaffThe form we’d like to achieve, 2010 actual value, 2020 goal

• Student 45 Indices：School performance, Health communication, Mental health, Nutrition and weight, Exercise, Sexually transmitted disease, family planning, Drug abuse, Tobacco, Vaccinations and infectious disease.

• Staff 21 Indices: Nutrition and Weight, Exercise, Tobacco, Stress management

29https://www.acha.org/HealthyCampus/

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American HCQuality of Health: Student Examples

30https://www.acha.org/HealthyCampus/ACHA 2019

Healthy Campus Related Research

• Walking Challenge Research• Toothbrush Research (Randomized intervention

trial using a digital device that offers brushing instruction)

• Verification of the scientific foundation for resilience training

• Etc…

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大学生を起点にPHRを活用した健康増進を拡大

ライフスタイルの変化

自分の意思で参画SNS時代に適応

最後の体系的教育の機会

大学生

法令に基づく健康診断 ライフスタイルの変化

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How to Start Healthy Campus (2017)

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How to Start Healthy Campus (2017)

1986 WHO Ottawa Charter for Health Promotion

Healthy Setting approaches

U.K. 1995 Healthy University Initiative2006 Healthy University Network

U.S.A 2007 Healthy Campus

History of Healthy Campus

"Health is created and lived by people within the settings of their everyday life; where they learn, work, play, and love."

City, town, local government, community, school, workplace, market, home, island, hospital, hospital, jail, university, aging

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U.K. Healthy University Network• Members: 88 Universities in the United Kingdom

• Associate Members: 17 universities from other countries, 23 non-university organizations

（NHS, Public Health, Education Support System）

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Healthy University Network Approach• Understand health holistically• Approach as an entire university• Create an learning environment and organizational

cultureRaise sustained health potential, well-being, and community, and then people can demonstrate their greatest latent ability.

http://www.healthyuniversities.ac.uk/ACHA 2019

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疫学を学びたくなったら是非、京都へ！

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“測 測 ”測 測測測 “測 測 ”測 測

CQI（continuous quality improvement）の重要性 ACHA 2019 39

Progre ss of s tude n t cohort in KU

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Over 90% of students were received annual health check-up for in every year.

Background

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• Wit h t h e r a p id d e ve lo p m e n t a n d d iffu s io n o f I CT t e ch n o lo g y ,

in n o va t io n u t iliz in g h e a lt h a n d m e d ica l b ig d a t a is e x p e ct e d .

• Pe rsona l he a lth re cord (PHR) re la te d to he a lth , m e dica l ca re , a nd

nurs ing ca re ca n con tribu te to m e dica l de ve lopm e nt such a s he a lth

prom otion a nd clin ica l re se a rch ba se d on da ta .

• The re a re num e rous m e dica l in form a tion coope ra t ion ne tworks ,

bu t the y ha ve proble m s such a s insufficie n t com pa tib ility,

con t inu ity, conve n ie nce of in form a tion , low ope ra t ion cos t .

• Unive rs it ie s th roughou t the coun try conduct he a lth che ckups a nd

he a lth m a na ge m e nt ba se d on the School He a lth a nd Sa fe ty Act .

Background

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Health Promotion from Univ. Prospectively and Retrospectively

ライフスタイルの変化

Informed consent by themselvesFamiliar with smartphones and apps

The last chance of health education

Univ.Students

Health check-up in line with School Health and Safety Act

Changes in lifestyles

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The molecular and cellular damage that underlies ageing starts in utero and accumulates across life. (Kirkwood & Austad, Nature, 2000)

Prof. Tzourio (2015) revised.ACHA 2019

Aim

1. To examine health statuses and diverse lifestyles of students at Kyoto University and identify behavioral factors affecting their future health conditions

2. To implement educational programs to improve their health literacy and self-care actions as a basis to maintain their current and future health.

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Aim: To promote health and improve quality of health care using big data obtained from personal health record.

Team Building

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Research committee of developing PHR based on University annual health check-up

Japanese National University Council of Health Administration Facilities（Research group for annual health check-up）

Japan University Health Association Kyoto City

Academic Industrial Collaboration

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Japan University Health Association

Total: 504 universities（44.8%）

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ChairmanPresident of the Kyoto UniversityRepresentative Director:Director of the Kyoto University Health Service

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Working plan

• Construction of a comprehensive database built upon a large cohort of students at Kyoto University

• Information on health statuses and lifestyles will be accumulated through the university’s annual health checkups

• Follow-up studies for at least ten years will be conducted

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Assess effect of improvement in lifestyle

Time course of PHR from Univ. health check-up

Utilization in emergency settings or disaster

Admission（18yo）

Graduation・Employment

10year later（30yo）

20years later（40yo）

Long term（Death）

Enrollment

ExerciseDietLife-log

BWBP…

HealthCheck-up

★

★

★★

★

★

★★

★

★

★★

…

Sudden death

NCD

CGNDM

Traveller’sdisease

DBManagement KU data health study group Start-up Company investigated by KU

venture capital

（follow up）

Opt-in

To promote utilization of PHR • Providing information of

lifestyle improvement • Point services

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Confidential

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Thank you

Questions?

iwami.taku.8w@kyoto-u.ac.jp

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