The Effectiveness Assessment of Short Term Nutrition Education (GENERATOR) as A Strategy to Reduce Diabetes Risk among Office Employees
Keywords:
nutrition education, diabetes prevention, office employees, knowledge, perception, attitudeAbstract
Indonesia has the fifth largest number of diabetic case (9.1 million), and it is still predicted to grow in the future. Office employees are vulnerable population, especially in developing country due to lack of nutritional and health related knowledge, “obesogenic†environment, as well as another barriers to live healthy lifestyle. All of these are risk factors to develop non-communicable diseases such as diabetes among them. Several studies have shown promising association between nutrition education intervention and health related behavior improvement, not only in general health issue but also in diabetes risk prevention. GENERATOR (Fun and Healthy Movement in the Office) is a short term nutrition education program that conducted to inspire healthy lifestyle at Jakarta area, targeted to offices employee. This program was expected to act as the first intervention to increase nutrition and health related knowledge, assessed by perception and attitudes score toward healthy lifestyle among the target market, specifically related to diabetes risk prevention. The effectiveness of GENERATOR program was measured using pre- and post- test questionnaires. Another self-reported questionnaire also filled in to observe respondent characteristics such as sex, family history of diabetes, and perceived barrier to live healthy. There is a significant increase in perception and attitude score for all variables from pre to post test (p<0.05). Around 44.3 % of the participants have diabetes family history. No time for exercise become the main barrier to live a healthy lifestyle (39.2%). This is the first pilot study to show the effectiveness of short term nutrition education to increase perception and awareness of healthy lifestyle among offices employee. In a company setting, this program may be adopted as the first strategy to increase employee health and wellness, focusing on awareness, perception, and attitudes, not only diabetes but also other non-communicable diseases. This will lead to an increase in employee productivity, resulted in the betterment of the company in the future.
References
Diabetes Atlas 6th Edition. International Diabetes Federation. 2014.
P. K. Rani, R. Raman, S. Subramani, et al. Knowledge of Diabetes and Diabetic Retinopathy among Rural Populations In India, and The Influence of Knowledge of Diabetic Retinopathy on Attitude and Practice. Rural Remote Health. 2008;8:838.
W. Widiantini, Z. Tafal. Aktivitas Fisik, Stres, dan Obesitas pada Pegawai Negeri Sipil. Jurnal Kesmas Nasional. 2014;8(7)
Indonesia National Population Census. National Statistical Agency. 2010. Accessed online August 04, 2015 on: http://sp2010.bps.go.id/index.php/site/tabel?tid=270&wid=3100000000
I.D. Fernandez, H. Su, P.C. Winters, et al. Association of Workplace Chronic and Acute Stressors with Employee Weight Status: Data From Worksites in Turmoil. J Occup Environ Med. 2010;52(1):34-41. doi:10.1097/JOM.0b013e3181c88525
Isobel Contento.Nutrition Education: Linking Research, Theory, and Practice. Jones and Bartlett Publisher. 2nd edition. Ontarto Canada.2011
TA Harrison, Hindorff LA, Kim H, et al. Family History of Diabetes as a Potential Public Health Tool. Am J Prev Med. 2003;24(2):152–159 doi:10.1016/S0749-3797(02)00588-3
E. G. Wilmot, C. L. Edwardson, F. A. Achana, et al. Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia
Clinical and Experimental Diabetes and Metabolism. 2012; 55:2677 doi: 10.1007/s00125-012-2677-z
H.J. Kang, E.M. Shin, and Kim, KW. Evaluation of Nutrition Education for Diabetes Mellitus Management of Older Adults. Korean J Community Nutr. 2009;14(6):734-745.
Indonesia Ministry of Agricultural. Dirjenbun : kebutuhan gula nasional mencapai 5,700 juta ton tahun 2014. Accessed online August 04, 2015 on: http://ditjenbun.pertanian.go.id/setditjenbun/berita-172-dirjenbun--kebutuhan-gula-nasional-mencapai-5700-juta-ton-tahun-2014.html
Indonesia Ministry of Health. Permenkes No 30 tahun 2013. Indonesia. 2013
V. S. Malik, B. M. Popkin, G. A. Bray, MD, et al. Sugar-Sweetened Beverages and Risk of Metabolic Syndrome and Type 2 Diabetes. A meta-analysis. Diabetes Care. 2010;33(11):2477-2483. doi:10.2337/dc10-1079
G. Christopher, W. R. Judith, S. S. Gidding, et al. Nonnutritive Sweeteners: Current Use and Health Perspectives: A Scientific Statement from the American Heart Association and the American Diabetes Association. Diabetes Care. 2012;35(8):1798-1808. doi:10.2337/dc12-9002
M. Zheng; M. Allman, B. L. Heitmann, et al. Substitution of Sugar-Sweetened Beverages with Other Beverage Alternatives: A Review of Long-Term Health Outcomes. Journal of The Academy Of Nutrition And Dietetics. 2015;115(5).
AIA financial. Indonesia Healthy Lif Survey. Accessed online August 04, 2015 on: http://www.aia.com/en/resources/30f22200423d273fa2b8ea0f2cbf0f90/AIA_Healthy_Living_Index_Survey_2013.pdf
K. R. Allison, D. John J. M., G. Ellie. Male Adolescents' Reasons for Participating in Physical Activity, Barriers to Participation, and Suggestions for Increasing Participation. Adolescence. 2009;44(176):155-170
Shari S. B., Jo A. E., Manson. Epidemiological Evidence for The Role Of Physical Activity in Reducing Risk Of Type 2 Diabetes and Cardiovascular Disease. Journal of Applied Physiology. 2005;99(3):1193-1204. doi: 10.1152/japplphysiol.00160.2005
C. K. David. Continuous Glucose Monitoring Roadmap for 21st Century Diabetes Therapy. Diabetes Care. 2005;28(5):1231-1239. doi:10.2337/diacare.28.5.1231.
Indonesia Diabetes Key Facts. International Diabetes Federation, 2014.
Janssen I, Katzmarzyk PT, Ross R. Body Mass Index, Waist Circumference, and Health Risk: Evidence in Support of Current National Institutes of Health Guidelines. Arch Intern Med. 2002;162(18):2074-2079. doi:10.1001/archinte.162.18.2074
Conn VS, Hafdahl AR, Cooper PS, et al. Meta-Analysis of Workplace Physical Activity Interventions American Journal of Preventive Medicine. 2009.4(37)330-3 doi:10.1016/j.amepre.2009;06.008
Fila SA, Smith C. Applying The Theory of Planned Behavior to Healthy Eating Behaviors in Urban Native American Youth. The International Journal of Behavioral Nutrition and Physical Activity. 2006; 3:11. doi:10.1186/1479-5868-3-11.
Min-hau, Chung D., Allen P. The Relationship between Attitude Toward Physical Education and Leisure Time Exercise in High School Students. Journal of Physical Educator. 2002; 59(3): 126.
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