Health and Productivity Management Declaration

Nakanishi Health and Productivity Management Declaration

Amid a society that is growing old rapidly, NSK strives to contribute toward the extension of health expectancy for people based on the approach that dental health leads to physical health. To achieve this approach, we think that the most important thing is for each and every employee to continue to be healthy.

“Let’s increase individual value”—stated in our motto—also applies to health. We declare that we will actively undertake various health enhancement activities so that each and every employee can take the initiative to maintain and enhance mental and physical health autonomously to increase individual health value.

NAKANISHI INC.
President & Group CEO
Eiichi Nakanishi

KENKO Investment for Health

Promotion Structure

The health and productivity management promotion measures discussed and decided by the Health Management Promotion Committee are promoted by the Health Enhancement Section of the Human Resource Department—which acts as the secretariat—in collaboration with affiliates within and outside the company.

Management issues and health issues

As NSK celebrates its 100th anniversary in 2030, the proportion of the Japanese population aged 65 or over is projected to exceed 31%. To support sustainable growth in such a rapidly ageing society, NSK must not only contribute to the extension of health expectancy, but be a company where each employee can have a long career undertaken with enthusiasm. Our lives and bodies are maintained through the food we eat every day. The mouth is essentially the entryway for life, serving as the first line of defense in protecting health. As measures to maintain long-lasting health and enable enthusiastic, sustainable workstyles, we approach the issue from the three facets of teeth, body, and mind. The proportion of female employees at NSK also exceeds 40%. Activities to improve literacy regarding women’s health not only serve to increase productivity and create a comfortable working environment, but we also believe it to be an investment in the health of the next generation.

Key measures: Health investment management accounting (Strategy map)

Target indices

Dental Health

It has become widespread knowledge that tooth and oral health is deeply connected with health of the overall body. As a company that is involved in oral hygiene, NSK conducts measures for creating healthy teeth and mouths. NSK implements oral exams internally for all employees, and we encourage those persons with tooth decay to be examined at a dental clinic. We will work to improve health literacy by ensuring that each person becomes interested in healthy teeth, leading to actions such as treatment and continued maintenance.

Targets
Tooth decay testing additional ratio
100%

Deadline: Until March 2026

At present: Ratio of persons receiving treatment at dental clinics after discovery of tooth decay at dental exam

FY2024 55.1%
FY2023 57.1%
FY2022 55.3%

Physical Health

As an initiative to improve citizens’ health, “Healthy Japan 21” designates various indices that aim to extend health expectancy, prevent lifestyle diseases, etc. Based on medical examinations and survey results on health awareness, NSK has established targets regarding the below topics, and will implement various measures.

〇Preventing lifestyle diseases
High blood pressure, hyperlipidemia, and diabetes, the three major lifestyle diseases, can progress with relatively few symptoms, creating the risk of serious diseases such as stroke or coronary heart disease.
To lead a full, healthy life, it is important to be healthy from a working age. NSK will work to implement measures so that each person can properly understand lifestyle diseases, leading to activities for prevention and mitigation.

Targets
Decline in discovery of three major lifestyle diseases

Deadline: Until March 2026

At present: Ratio of persons with the three major lifestyle diseases*

FY2024 35.1%
FY2023 34.7%
FY2022 35.3%

* Persons who have been identified as requiring monitoring or treatment for high blood pressure, hyperlipidemia, or metabolic issues (excluding persons already undergoing treatment)

〇Early cancer detection
In recent years, cancer has become a disease that can be dealt with over the long term while people can continue with their careers. However, cancer treatment also requires long-term sick leave and is a challenging experience. For the early detection of various cancers, NSK implements cancer screenings as part of its mobile health examinations. For particularly important screening items, recommendations are made for additional exams for those people who are initially deemed to be at high risk.
By engaging in measures for the early discovery and early treatment of cancer, we will work to reduce absenteeism and presenteeism.

Targets
Rate of additional exams performed leading to early cancer detection
100%

Deadline: Until March 2026

At present: Rate of undergoing additional cancer screening

stomach
/lung
/colon
uterus
/breast
prostate
FY2024 71.4% 95.6% 77.8%
FY2023 70.0% 66.6% 69.2%
FY2022 44.6% 90.0% 57.1%

Mental Health

“Healthy” is defined as a state in which physical, mental, and social needs are met. To create a workplace where employees can work in good health and with enthusiasm, NSK implements a stress check as part of its engagement surveys. Results are provided in the form of feedback to each department, and each organization creates an action plan.
Furthermore, through the use of support from various angles, such as self-care, line care, and external counseling, we work to implement countermeasures for high stress, and conduct activities leading to high engagement.

Targets
Ratio of employees experiencing high stress:
10% or less
Maintain engagement score of
50 or more

Deadline: Until March 2026

At present: Mental health index

Ratio of high-stress individuals Engagement score
FY2024 14.2% 49.7
FY2023 13.3% 49.9
FY2022 14.5% 49.8

Status of implementation of measures to achieve targets

Dental Health

Contents FY2024 FY2023 FY2022
Dental health examination 95.1% 96.6% 93.7%
Persons with tooth decay 27.6% 48.7% 24.0%
Participation rate in dental training 100.0% 95.1% 97.5%
Maintenance persistency rate 57.1% 53.0% 40.4%

Although NSK implements group dental exams at our headquarters and the Tokyo Office, moving forward we will aim to achieve an examination rate of 100% via measures such as expanding group exams and creating structures for expense subsidies, ensuring that employees at other offices have opportunities to receive examinations.

Dental training is conducted under the theme of oral hygiene and full-body health. We believe it important to deepen awareness of lifestyle choices that can prevent periodontal disease.

Physical Health

Contents FY2024 FY2023 FY2022
Ratio of persons with the three major lifestyle diseases*High blood pressure 11.2% 8.7% 8.2%
Dyslipidemia 26.1% 25.3% 27.0%
Metabolic issue 3.4% 7.2% 8.2%
Rate of implementation of first guidance session for specific health guidance 88.6% 81.3% 93.5%
Number of nutrition advice sessions implemented 29 persons 30 persons 24 persons
Smoking ratio 18.1% 18.7% 20.0%
Persons with physical symptoms
(Any from among shoulder discomfort / Lower back pain / Headache)
55.9% 56.5% 56.1%
  • *Individuals who have been diagnosed as requiring follow-up observation or treatment (excluding those currently undergoing treatment).
FY2022 Health Insurance average
11.0%
31.4%
12.3%

Regarding lifestyle diseases, NSK sees it necessary to encourage behavioral changes, such as improving lifestyles in areas including nutrition and exercise while receiving medical attention as required. We were successful in having more employees take part in specific health guidance by having the first guidance session be done by appointment. Moving forward, we believe that measures such as evaluations on completion of specific health guidance and expansion of nutritional counseling availability to employees will be necessary.

As smoking has effects on not only overall health but periodontal disease, NSK engages in smoking cessation activities. Internal surveys have revealed that 46% of smokers would like to quit if possible. We will create a corporate culture that makes it easy to try quitting smoking, and supports those who take on the challenge.

We have also discovered that employees engaged in manufacturing have a high rate of shoulder discomfort, lower back pain, and headaches. With the aim of reducing presenteeism, NSK will conduct activities to alleviate bodily symptoms.

Measures for women’s health

Examination rate FY2024 FY2023 FY2022
Breast cancer screening 64.7% 71.4% 69.4%
Cervical cancer screening 57.0% 66.6% 63.5%

NSK will aggressively work to increase the rate of cancer screenings to enable early cancer detection for breast cancer and cervical cancer, which have particularly high rates of diagnosis during women’s working years. Specifically, to spread proper knowledge of breast cancer, the following themes will be used in promotional activities.

  • Let’s get screened for cancer
  • Let’s do self-checks every month for breast cancer
  • Let’s think about it with our families

An annual seminar is held under the theme of women’s health.

2022:
PMS seminar
2023:
Menopause seminar
2024:
Preconception care seminar

Mental Health

Contents FY2024 FY2023 FY2022
Leave rate*1 0.53% 0.32% 0.65%
Number of mental health e-learning courses implemented 90.5% 93.0% 93.8%
Return to work support program implementation rate 75.0% 75.0% 33.3%
Results for measures to formulate action plans 97.0% 100.0% 98.5%
Corporate philosophy training 99.5% 99.4% 99.1%
  • *1:Months of leave taken / (Full-time employees + part-time employees × 12) × 100
Contents FY2022-FY2024 FY2021-FY2023 FY2020-FY2022
Return to work rate*2 78.6% 73.5% 66.7%
  • *2:Persons who have returned to work within three years after taking leave due to mental health issues

As mental health measures, NSK implements e-learning for managers with the objective of enriching line care. Moving forward, we will work to implement e-learning to improve self-care abilities for non-management employees.

Even if taking leave for mental or physical reasons, we will provide support to ensure that employees can return to work with peace of mind after receiving care. Counseling upon returning to work is an opportunity to deepen understanding of stress and learn about coping methods. Additionally, in areas such as preparation for returning to work and follow-up after returning, the three parties of the departments, the Health Enhancement Section, and external specialist institutions will work as a team to provide support for returning to work and to prevent recurrence.

We hold corporate philosophy training once a year for all employees. NSK aims to share its vision and encourage active contributions.