Browse > Article
http://dx.doi.org/10.5720/kjcn.2016.21.3.237

Effect of a Worksite-based Dietary Intervention Program for the Management of Metabolic Syndrome  

Kim, Hye Jin (Department of Food and Nutrition, Seoul National University)
Choi, Injoo (Department of Food and Nutrition, Seoul National University)
Kim, Won Gyoung (Department of Food and Nutrition, Seoul National University)
Asano, Kana (Department of Food and Nutrition, Seoul National University)
Hong, Jeongmin (Department of Food and Nutrition, Seoul National University)
Cho, Young Min (Department of Internal Medicine, Seoul National University College of Medicine)
Yoon, Jihyun (Department of Food and Nutrition, Seoul National University)
Publication Information
Korean Journal of Community Nutrition / v.21, no.3, 2016 , pp. 237-246 More about this Journal
Abstract
Objectives: To investigate the effect of a worksite-based dietary intervention program for the management of metabolic syndrome (MS) among male employees. Methods: A dietary intervention program combining individual and environmental approach was implemented targeting white-collar employees at a worksite located in Seoul for 10 weeks. Out of 104 employees having agreed to participate in the program, those having three or more out of five components of MS and having two components, including a waist circumference component were classified into "the high risk group" (n=41) and received group nutrition education and individual nutrition counseling three times each. The rest of the study subjects were considered as "the low risk group" (n=63). The food environment at the worksite, where both the high and low risk groups were exposed, was changed to promote healthy eating. Physical data including MS components were collected and a questionnaire on dietary behaviors was administered before and after the intervention. The data from the high risk group (n=17) and the low risk group (n=20), excluding the subjects ineligible for or failed to complete the study (n=67), were analyzed. The difference before and after intervention was tested for significance by Wilcoxon signed-rank tests. Results: Weight, body mass index (BMI), waist circumference, blood pressure, HDL-cholesterol, and HbA1c and the healthy dietary practice score improved significantly after intervention in the high risk group. The median number of MS components decreased significantly from 3.0 to 1.0 in the high risk group. In the low risk group, only HbA1c significantly decreased. Conclusions: The 10-week worksite-based dietary intervention program combining individual and environmental approach was found to be effective for managing MS of male employees.
Keywords
metabolic syndrome; workplace; dietary intervention program; environmental approach;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Jang JH, Cho SH. Effectiveness of worksite nutrition counseling for hyperlipidemic employees in Kyung-buk area. J Korean Diet Assoc 1999; 5(1): 1-9.
2 Lee EH, Kim HK, Lee YH, Moon SY Kwon EJ, Ji SH. Effectiveness of lifestyle intervention on the management of metabolic syndrome. Korean J Health Educ Promot 2007; 24(3): 1-19.
3 Yoo SH, Kim HK. Program theory evaluation of a lifestyle intervention program for the prevention and treatment of metabolic syndrome. Korean J Health Educ Promot 2010; 27(4): 165-175.
4 Muto T, Yamauchi K. Evaluation of a multicomponent workplace health promotion program conducted in Japan for improving employees' cardiovascular disease risk factors. Prev Med 2001; 33(6): 571-577.   DOI
5 Engbers LH, van Poppel MN, Paw MCA, van Mechelen W. The effects of a controlled worksite environmental intervention on determinants of dietary behavior and self-reported fruit, vegetable and fat intake. BMC Public Health 2006; 6(1): 253.   DOI
6 Korean Society for the Study of Obesity. Treatment guideline for obesity 2012. Seoul: Korean Society for the Study of Obesity; 2012. p. 17.
7 Daubert H, Ferko-Adams D, Rheinheimer D, Brecht C. Metabolic risk factor reduction through a worksite health campaign: a case study design. Online J Public Health Inform 2012; 4(2): 1-13.
8 Hong AR, Lim S. Clinical characteristics of metabolic syndrome in Korea, and its comparison with other Asian countries. J Diabetes Invest 2015; 6(5): 508-515.   DOI
9 Park SY, Yang YJ, Kim YR. Effects of nutrition education using a ubiquitous healthcare (u-Health) service on metabolic syndrome in male workers. Korean J Nutr 2011; 44(3): 231-242.   DOI
10 Kushida O, Murayama N. Effects of environmental intervention in workplace cafeterias on vegetable consumption by male workers. J Nutr Educ Behav 2014; 46(5): 350-358.   DOI
11 Steenhuis I, van Assema P, van Breukelen G, Glanz K, Kok G, de Vries H. The impact of educational and environmental interventions in Dutch worksite cafeterias. Health Promot Int 2004; 19(3): 335-343.   DOI
12 Sawada K, Takemi Y, Murayama N, Sasaki S, Ishida H. Development and evaluation of a worksite-based nutrition education program integrated with food environmental intervention applying the transtheoretical model. Japanese J Health Educ Promot 2009; 17(2): 54-70.
13 Ishida H, Yoshita G, Murayama N. Study on employees' health promotion for the population and the high risk group utilizing foodservice. [In Japanese] Ministry of Health, Labour and Welfare in Japan; 2009 Mar.
14 Korean Diabetes Association, National Health Insurance Service. Korean Diabetes Fact Sheet 2015 [Internet]. Korean Diabetes Association; 2015 [cited 2015 Jan 10]. Available from: http://www.diabetes.or.kr.
15 Wood PD, Stefanick ML, Williams PT, Haskell WL. The effects on plasma lipoproteins of a prudent weight-reducing diet, with or without exercise, in overweight men and women. N Engl J Med 1991; 325(7): 461-466.   DOI
16 Park JK, Kweon SH, Kim YH, Jang MJ, Oh KW. Dietary behaviors related to metabolic syndrome in Korean adults. Korean J Community Nutr 2012; 17(5): 664-675.   DOI
17 Mozumdar A, Liguori G. Persistent increase of prevalence of metabolic syndrome among U.S. adults: NHANES III to NHANES 1999-2006. Diabetes Care 2011; 34(1): 216-219.   DOI
18 Okafor CI. The metabolic syndrome in Africa: current trends. Indian J Endocrinol Metab 2012; 16(1): 56-66.   DOI
19 Lim S, Shin H, Song JH, Kwak SH, Kang SM, Yoon JW et al. Increasing prevalence of metabolic syndrome in Korea - the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care 2011; 34(6): 1323-1328.   DOI
20 Ryu S, Song J, Choi BY, Lee SJ, Kim WS, Chang YS et al. Incidence and risk factors for metabolic syndrome in Korean male workers, ages 30 to 39. Ann Epidemiol 2007; 17(4): 245-252.   DOI
21 Story M, Kaphingst KM, Robinson-O'Brien R, Glanz K. Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health 2008; 29: 253-272.   DOI
22 Oh HS, Jang M, Hwang MO, Cho SW, Paek YM, Choi TI et al. Effect of 1 year e-mail nutrition education after face-to-face encounter at worksite: changes in cardiovascular risk factors. Korean J Nutr 2009; 42(6): 559-566.   DOI
23 Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA et al. Diagnosis and management of the metabolic syndrome - an American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation 2005; 112(17): 2735-2752.   DOI
24 Korean Diabetes Association. Treatment guideline for diabetes 2011. Seoul: Korean Diabetes Association; 2011. p. 10.
25 Kim YS. The employment effect of extended working hours limit [internet]. Korea Labor & Society Institute; 2015 [cited 2015 Nov 29]. Available from: http://klsi.org/.
26 Lee MS, Kang HJ, Oh HS, Paek YM, Choue RW, Park YK et al. Effects of worksite nutrition counseling for health promotion; twelve-weeks of nutrition counseling has positive effect on metabolic syndrome risk factors in male workers. Korean J Community Nutr 2008; 13(1): 46-61.