BACKGROUND: Dietary intervention is important in the prevention and treatment of chronic degenerative diseases, such as diabetes mellitus, hyperlipidemia, obesity, fatty liver, cerebrovascular accident, hypertension. To contribute to the improvement of periodic health examination, we investigated the current status of nutritional screening. METHODS: We gathered information about nutritional screening and education by review of questionnaires and telephone interview with physicians and dieticians in 20 university hospitals. RESULTS: Nutritional screening and education was not being done in 11 out of 20 hospitals. It was done only to those who were need of in 3 hospitals. In one hospital, brief nutritional screening was carried out to all and nutritional education only to those who were in need of it. In the rest of the hospitals, nutritional screening and education was dane to all. CONCLUSIONS: Nutritional screening and education was sufficient for primary and secordary prevention in only a few hospitals. Joint development of nutritional screening tools and educational materials is needed.