Journal of Health and Medical Sciences
Published: 28 December 2021
The Wellness Program for Physical Fitness and Decreasing Metabolic Syndrome Risk Factors
I Wayan Juniarsana, Desak Putu Sukraniti
Poltekkes Kemenkes Denpasar, Indonesia
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Keywords: Wellness Program, Nutrition, Physical Activity, Risk Factor
Indonesia is currently facing a double burden of disease. The high rate of communicable diseases has been followed by high rates of non-communicable diseases (NCD) such as hypertension, heart disease, cancer and diabetes mellitus. This study aims to produce a holistic approach model in the form of a Wellness Program in an effort to improve physical fitness and decrease of metabolic syndrome for civil servants. This study was designed with an experimental design. Subjects were members of civil servants in Klungkung Regency, Indonesia who have one or more of syndrome metabolic risk. Subjects were divided into two groups, namely the treatment group and the control group. The treatment group is a group that is given a wellness program model in the form of physical exercise according to the rules of frequency, intensity and duration, balanced nutrition education and smoking behavior control. The results show a significant increase in nutritional knowledge (p<0.05), the implementation of physical activity rules with a frequency of 3-5 x/week in 78%, duration 20-60 minutes in 76% of light-moderate exercise, decreased smoking habit significantly p=0.042 (p<0.05), increased physical fitness with VO2max value 29.28 + 7.68 (treatment group) vs 24.28 + 5.91 (control group) with p<0, 05, decreasing of blood sugar was 118.08 + 35.81 mg/dl (treatment group ) vs. 124 + 42.22 mg/dl with p value = 0.001 (p <0.05) with t- independent test. Meanwhile, the risk factor variables for the metabolic syndrome (obesity, cholesterol and blood pressure) showed a decrease but were not significantly different.
Blackford, K. et al. (2016) ‘Effects of a home-based intervention on diet and physical activity behaviours for rural adults with or at risk of metabolic syndrome: A randomised controlled trial’, International Journal of Behavioral Nutrition and Physical Activity. International Journal of Behavioral Nutrition and Physical Activity, 13(1), pp. 1–10. doi: 10.1186/s12966-016-0337-2.
Budreviciute, A. et al. (2020) ‘Management and Prevention Strategies for Non-communicable Diseases (NCDs) and Their Risk Factors’, Frontiers in Public Health, 8(November), pp. 1–11. doi: 10.3389/fpubh.2020.574111.
Dwipayana, M. P. et al. (2011) ‘Prevalensi Sindroma Metabolik pada Populasi Penduduk Bali, Indonesia’, Journal of Internal Medicine, 12.
Eze, N. M. et al. (2017) ‘Awareness of food nutritive value and eating practices among Nigerian bank workers: Implications for nutritional counseling and education.’, Medicine, 96(10), p. e6283. Available at: http://www.ncbi.nlm.nih.gov/pubmed/28272248%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC5348196.
Fitri, H., Omar, A. H. and Syahrom, A. (2014) ‘The Effectiveness of Fitt Principle in Exercise Rehabilitation Focusing on Common Sports Injuries Among Malaysian Athletes’, in Movement, Health & Exercise (MoHE) Conference 2014, pp. 1–1. doi: 10.15282/mohe.2014.res.034.
Ford, E. S. et al. (2005) ‘Sedentary behavior, physical activity, and the metabolic syndrome among U.S. adults’, Obesity Research, 13(3), pp. 608–614. doi: 10.1038/oby.2005.65.
Friedrich, M. and Goluch-Koniuszy, Z. (2017) ‘The effectiveness of nutritional education among women aged 60-85 on the basis of anthropometric parameters and lipid profiles’, Roczniki Panstwowego Zakladu Higieny, 68(3), pp. 253–260.
Hamulka, J. et al. (2018) ‘Effect of an education program on nutrition knowledge, attitudes toward nutrition, diet quality, lifestyle, and body composition in polish teenagers. The ABC of healthy eating project: Design, protocol, and methodology’, Nutrients, 10(10). doi: 10.3390/nu10101439.
Kemenkes RI (2013) Riset Kesehatan Dasar (RISKESDAS 2013). Balitbang Kemenkes RI. Jakarta.
Lee, K., Ko, D. H. and Lee, J. Y. (2020) ‘Prevalence of metabolic syndrome according to causes of physical activity limitation’, Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13, pp. 2455–2463. doi: 10.2147/DMSO.S257063.
Lemstra, M. and Rogers, M. R. (2015) ‘The importance of community consultation and social support in adhering to an obesity reduction program: Results from the Healthy Weights Initiative’, Patient Preference and Adherence, 9, pp. 1473–1480. doi: 10.2147/PPA.S91912.
Pescatello, L. S. (2014) ACSM’s guidelines for exercise testing and prescription. 9th edn. Philadelphia: Wolters Kluwer/Lippincott Williams & Willkins Health.
Pocock, S. J. (2008) Clinical Trials: A Practical Approach. New York: John Wiley & Sons Ltd. doi: 10.1002/9781118793916.
Putro, A. A., Suherman, A. and Sultoni, K. (2018) ‘Aplikasi Program Kebugaran Daya Tahan Kardiovakular Berbasis Android’, Jurnal Terapan Ilmu Keolahragaan, 3(1), p. 1. doi: 10.17509/jtikor.v3i1.11276.
Toti, E., Di Mattia, C. and Serafini, M. (2019) ‘Metabolic Food Waste and Ecological Impact of Obesity in FAO World’s Region’, Frontiers in Nutrition, 6(August), pp. 1–6. doi: 10.3389/fnut.2019.00126.
Wiardani, N. K. and Arsana, I. W. J. (2011) ‘Kejadian Sindroma Metabolik Berdasarkan Status Obesitas pada Masyarakat Perkotaan di Denpasar’, Jurnal Ilmu Gizi, 2(2), pp. 129–138.
Wiardani, N. K. and Kusumajaya, A. A. N. (2018) ‘Asupan Lemak, Obesitas Sentral Dan Hiperkolesterolemia Pada Aparatur Sipil Negara (Asn) Pemerintah Daerah Provinsi Bali’, Gizi Indonesia, 41(2), p. 67. doi: 10.36457/gizindo.v41i2.272.