independently of other psychological factors. These results suggest that subjects with improvement in exercise enhance NKCA through increased SOC in never smokers. (J Occup Health 2003; 45: 278-285) Key words: Exercise, Health education, Natural killer cell activity, Sense of coherence, Stress, Work SOC, a candidate for a mediating stress factor, is studied in the framework of Antonovsky's salutogenesis paradigm, which emphasizes the origin of health [1][2][3][4] . Life events stressors, depression and anxiety as well as work-setting characteristics, particularly work stressors, influence levels of SOC 2,[5][6][7] . Emotional stress was reported to be associated with a decrease in cellular immune function including natural killer cell activity (NKCA) in humans 8,9) . SOC is involved in NKCA in relation to work stress 10) and life stress 11) . We have suggested that SOC may be an important psychological modifier in determining the relationship between NKCA and smoking 10) . Besides smoking cessation, a worksite exercise program is one of the principal policies to promote health in Japan and other countries [12][13][14] . Exercise enhances NKCA directly or through changes in lifestyles such as cessation of smoking, reduction of weight or possibly psychological outcomes 15,16) , although little is known about the psychological significance of exercise on SOC and NKCA. In the present study, therefore, we examined SOC and NKCA in office workers who improved their exercise habits after health education to clarify the effects of exercise on SOC and NKCA.Received Sep 11, 2002; Accepted June 19, 2003
Abstract: Enhancement of a Sense of Coherence and Natural Killer Cell Activity which Occurred in Subjects who Improved their Exercise Habits through Health Education in the Workplace: H i r o y u k i N A K A M U R A, e t a l . D e p a r t m e n t o f Environmental and Preventive Medicine, Graduate School of Medical Science, Kanazawa University-We have previously demonstrated that a sense of coherence (SOC), a candidate for a mediating stress factor, is involved in natural killer cell activity (NKCA) reduced in smokers, whereas the relationship among exercise, NKCA and SOC is unclear. To clarify the effects of exercise on SOC and NKCA, we examined the changes in SOC and NKCA before and after health education to encourage exercise. Of one-hundred and one male office workers who received the health education for one year, 27 improved, 65 were unchanged and 9 had deteriorated exercise habits. The repeated measures analysis of variance showed that SOC in workers with improvement in the exercise habit were increased more significantly by the health education than those in workers without improvement (p<0.05). Although the change in NKCA produced by health education was recognized to be significantly different in those who had never smoked from that in current smokers (p<0.05), multiple regression analysis demonstrated that improvement in health practice significantly contributed to increases in both SOC (p<0.01) and NKCA (p...