Healthy Campus Activities at University,

Taku Iwami, Satoe Okabayashi Kyoto University Health Service ACHA 2019 2

Kyoto (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 KYOTO cities with a population of 1.5 million people and a modern face.

https://www.japan-guide.com/e/e2158.html ACHA 2019 3 KYOTO University ACHA 2019 4 KYOTO University Health Service Clinics

CPR and AED training for all 3,000 new students 8 Medical Drs. and 4 Ns. School Doctor Occupational physician Epidemiologist (Department of Preventive Medicine, KU SPH) ACHA 2019 5

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/ ACHA 2019 6

How to Start Healthy Campus (2017)

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

2) Made “Health Promotion Open Labo” ACHA 2019 7

Healthy Campus at KU (2017～)

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

Brazil Exercise Walking Lesson

Yoga ACHA 2019 8

Healthy Campus at KU (2017～)

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

X’ mas event Cooking Lesson

Doctors join ACHA 2019 9

Healthy Campus at KU (2017～)

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

Mindfulness self-compassion Lecturer: Standford University Rakugo event Stephen Murphy-Shigematsu, PhD.

Doctors join ACHA 2019 10

Walking challenge at KU (2017～)

860 registered members walk 8,000 steps a day for 28 days. ACHA 2019 11 Healthy Campus Kick-off Forum

Discussion with students and president

Walking event with Olympian ACHA 2019 12 Healthy Campus Kick-off Forum

Healthy Campus Declaration from President of KU At 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 ACHA 2019 13 TOP Commitments

Healthy Campus goes to Kyodai WINDOW Initiative Program from 2018!

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 ACHA 2019 14

Healthy Campus at KU (2017～)

The Number of Participants in Healthy Campus Events Number of events Number of participants 2017 28 1205 2018 48 2048 ACHA 2019 15 Students collaboration

Invited the students of BOND SAXOPHONE QUARTET (recipients of the Presidential Award!) to perform at the Campus Clinic. ACHA 2019 16 Collaboration with Co-op Healthy Lunch Box Under 500Kcal. More than 4 types of vegetables. Less than 3g salt. ACHA 2019 17 Future plans / Challenges Continuity ・Reduce workload: Share work among small number of people, create events that are easy to host Development ・Healthy Campus Promoter (Students) ACHA 2019 18 Future plans / Challenges Development ・Healthy Campus Network→Kyoto City, All of Japan

Since 2018 10 Universities within Kyoto City and Kyoto City Health & Wellness Bureau

Japan University Health Association

Total: 504 universities（44.8%） ・Not limited to universities, ideally involve empathetic organizations, foundations ACHA 2019 19 Future plans / Challenges Research ・Evidence-based Health Promotion ACHA 2019 20 International collaboration 2015 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!

ACHA 2019 21 ACHA 2019 22 ACHA 2019 23 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.  Activities 1. Sharing Health Campus Declaration (Ideal) 2. Hold meetings, share information, exchange opinions about Healthy Campus advancement 3. Cosponsor main-stay events 4. Share information and notifications via mailing list, homepage, etc. 5. Create and share health promotion awareness content 6. Other healthy campus activity promotion activities

ACHA 2019 24 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) ACHA 2019 25 Using SNS: Instagram

ACHA 2019 26 Using SNS: Twitter

ACHA 2019 27 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 ⇒ ACHA 2019 28 American Healthy Campus Health Quality Evaluation • Separate Students & Staff The 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

https://www.acha.org/HealthyCampus/ 29 ACHA 2019 American HC Quality of Health: Student Examples

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

ACHA 2019 31 ACHA 2019 32 大学生を起点にPHRを活用した健康増進を拡大

大学生

法令に基づく健康診断 ライフスタイルの変化

最後の体系的 ライフスタイルの変化 教育の機会

自分の意思で参画 SNS時代に適応 ACHA 2019 33

How to Start Healthy Campus (2017) ACHA 2019 34

How to Start Healthy Campus (2017) History of Healthy Campus  1986 WHO Ottawa Charter for Health Promotion "Health is created and lived by people within the settings of their everyday life; where they learn, work, play, and love."

Healthy Setting approaches City, town, local government, community, school, workplace, market, home, island, hospital, hospital, jail, university, aging U.K. 1995 Healthy University Initiative 2006 Healthy University Network U.S.A 2007 Healthy Campus ACHA 2019 35 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）

Healthy University Network Approach • Understand health holistically • Approach as an entire university • Create an learning environment and organizational culture Raise sustained health potential, well-being, and community, and then people can demonstrate their greatest latent ability.

http://www.healthyuniversities.ac.uk/ ACHA 2019 36 ACHA 2019 37 疫学を学びたくなったら 是非、京都へ！

ACHA 2019 38 “測定”なくして“改善”なし

CQI（continuous quality improvement）

の重要性 ACHA 2019 39 Progress of student cohort in KU Background

Over 90% of students were received annual health checkACHA- 2019up for in every year. 41 Background

• With the rapid development and diffusion of ICT technology, innovation utilizing health and medical big data is expected.

• Personal health record (PHR) related to health, medical care, and nursing care can contribute to medical development such as health promotion and clinical research based on data.

• There are numerous medical information cooperation networks, b u t th e y h a ve p rob le m s s u ch a s in s u fficie n t com p a tib ility, continuity, convenience of information, low operation cost.

• Universities throughout the country conduct health checkups and health management based on the School Health and Safety Act. ACHA 2019 42 Health Promotion from Univ. Prospectively and Retrospectively

Univ. Students

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

The lastライフスタイルの変化 chance of health education

Informed consent by themselves Familiar with smartphones and apps

The molecular and cellular damage that underlies ageing starts in

utero and accumulates across life.ACHA 2019(Kirkwood & Austad, Nature, 2000) 43 Prof. Tzourio (2015) revised. 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.

ACHA 2019 44 Team Building Aim: To promote health and improve quality of health care using big data obtained from personal health record.

Academic Industrial  Research committee of developing Collaboration PHR based on University annual health check-up  Japanese Council of Health Administration Facilities （Research group for annual health check-up）  Japan University Health Association  Kyoto City ACHA 2019 45 Japan University Health Association

Chairman President of the Kyoto University Total: 504 universities（44.8%） Representative Director: Director of the Kyoto University Health Service ACHA 2019 46 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

ACHA 2019 47 Confidential Time course of PHR from Univ. health check-up

To promote utilization of PHR • Providing information of lifestyle improvement Assess effect of improvement in lifestyle • Point services Utilization in emergency settings or disaster

Opt-in

Admission Graduation・ 10year later 20years later Long term （18yo） Employment （30yo） （40yo） （Death）

Enrollment （follow up）

Exercise ★ ★ ★ Life-log NCD Diet ★ ★ ★ Sudden CGN death Health BW ★ ★ ★ DM … BP ★ ★ ★ Traveller’s Check-up … disease

DB Start-up Company investigated by KU KU data health study group Management ACHA 2019 venture capital 48 A C H A 2 Questions? 0 1 9

Thank you

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