Korean Journal of Occupational Health Nursing (한국직업건강간호학회지)

Korean Academic Society of Occupational Health Nursing (한국직업건강간호학회)
권호 표지
DOI QR코드

DOI QR Code

Effectiveness of Participatory Action-Oriented Training (PAOT) Methods for the Management Metabolic Syndrome in Korean Manufacture Workers for Three-years

제조업 남자 근로자의 대사증후군 관리를 위한 참여형 개선기법(PAOT) 프로그램을 적용한 3년간의 효과분석

  • Lee, Jungsuk (Department of Public Health, Graduate School, Kyungpook National University) ;
  • Kam, Sin (Department of Preventive Medicine, School of Medicine, Kyungpook National University) ;
  • Yoon, Seongyong (Department of Occupational and Environmental Medicine, Soonchunhyang University)
  • 이정숙 (경북대학교 대학원 보건학과) ;
  • 감신 (경북대학교 의학전문대학원 예방의학교실) ;
  • 윤성용 (순천향대학교 구미병원 직업환경의학과)
  • Received : 2016.11.04
  • Accepted : 2016.11.28
  • Published : 2016.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to examine the effectiveness of Participatory Action-Oriented Training (PAOT) programs in korean manufacture workers with metabolic syndrome for three years. Methods: A total of 890 workers with risks of metabolic syndrome were recruited from one workplace. The experimental group (n=51) received PAOT program for the preventive management on metabolic syndrome, while the control group (n=51) received conventional program. Results: In the experimental group who participated in PAOT program, percentage of achieved action plans was 73.4% at three months, 75.8% at six months, 82.8% at three years. After three years, the rate of risk factor in the experimental group has significantly decreased from $1.94{\pm}1.77$ to $0.76{\pm}1.25$ for moderate exercise, and from $1.72{\pm}2.01$ to $1.04{\pm}1.59$ for the strenuous exercise. Systolic and diastolic blood pressure has significantly decreased from $125.06{\pm}11.83$ to $117.65{\pm}19.94$, from $83.45{\pm}13.38$ to $76.39{\pm}8.09$ mmHg. In addition, risk factor score also decreased from $3.31{\pm}0.61$ to $1.41{\pm}0.89$. Conclusion: To improve the effectiveness of PAOT program for the management of risk factors of metabolic syndrome, there is a need to continue implement programs and analyze the long-term effects are required in the workplace.

Keywords

References

  1. Aguilar, M., Bhuket, T., Torres, S., Liu, B., & Wong, R. J. (2015). Prevalence of the metabolic syndrome in the United States, 2003-2012. Journal of American Medical Association, 313(19), 1973-1974. http://dx.doi.org/10.1001/jama.2015.4260
  2. Ahn, K. A., Yun, J. E., Cho, E. R., Nam, C. M., Jang, Y., & Jee, S. H. (2006). Framingham equation model overestimates risk of ischemic heart disease in Korean men and women. Korean Journal of Epidemiology. 28(2), 162-170.
  3. Assmann, G., & Schulte, H. (1988). The Prospective Cardiovascular Munster (PROCAM) study. Prevalence of hyperlipidemia in persons with hypertension and or diabetes mellitus and the relationship to coronary heart disease. American Heart Journal. 116(6), 1713-1724. https://doi.org/10.1016/0002-8703(88)90220-7
  4. Blackburn, G. L., & Bevis, L. C. (2003). The obesity epidemic: Prevention and treatment of the metabolic syndrome. http://www.medscape.org/viewarticle/441282
  5. Do, K. A., Jung, H. S., & Choi, E. H. (2015). Association between job-related factors and metabolic syndrome among male and female workers: Using the Korean National Health and Nutrition Examination Study. Korean Journal of Occupational health nursing. 24(1), 39-47. http://dx.doi.org/10.5807/kjohn.2015.24.1.39
  6. Giugliano, D., Ceriello, A., & Esposito, K. (2006). The effects of diet on inflammation: Emphasis on the metabolic syndrome. Journal of the America College of Cardiology, 48(4), 677-685. https://doi.org/10.1016/j.jacc.2006.03.052
  7. Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., et al. (2005). Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 112(17), 2735-2752. https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  8. Kawakami, T., & Kogi, K. (2001). Action-oriented support for occupational safety and health programs in some developing countries in Asia. International Journal of Occupational Safety and Ergonomics, 7(4), 421-434. https://doi.org/10.1080/10803548.2001.11076499
  9. Kim, J. S., Woo, K. H., Min, Y. S., Kim, B. K., Choi, K. S., & Park, K. S. (2010). Development and application of participatory action oriented training (PAOT) for improvement of agricultural working environment in Korea. Journal Agricultural medicine & Community Health, 35(4), 417-427. https://doi.org/10.5393/JAMCH.2010.35.4.417
  10. Lee, J. E., Kim, S. L., Jung, H. S., Koo, J. W., Woo, K. H., Kim, M. Y. (2009). Participatory Action Oriented Training for Hospital Nurses (PAOTHN) Program to prevent musculoskeletal disorders. Journal of Occupational Health, 51(4), 370-376. https://doi.org/10.1539/joh.O8026
  11. Malik, S., Wong, N. D., Franklin, S. S., Kamath, T. V,. Pio, J. R,. Williams, G. R., et al. (2004). Impact of the metabolic syndrome on mortality from coronary heart disease, cardiovascular disease, and on all causes in United states adults. Circulation, 110(10), 1245-1250. https://doi.org/10.1161/01.CIR.0000140677.20606.0E
  12. National Cholesterol Education Program. (NCEP). Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). (2001). Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation, 106, 3143-3421.
  13. O'Donnell, M. P. (2002). Employer's financial perspective on workplace health promotion. health promotion in the workplace (3rd ed.). Albany, NY: Delmar.
  14. Park, H. S., Kim, S. M., Lee, J. S., Han, J. H., Yoon, D. K., & Balk, S. H., et al. (2007). Prevalence and trends of metabolic syndrome in Korea: Korean National Health and Nutrition Survey 1998-2001. Diabetes, Obesity & Metabolism, 9(1), 50-58. https://doi.org/10.1111/j.1463-1326.2005.00569.x
  15. Park, H. S., Sim, S. J., & Park, J. Y. (2004). Effect of weight reduction on metabolic syndrome in Korean obese patients. Journal of Korean Medical Science, 19(2), 202-208. https://doi.org/10.3346/jkms.2004.19.2.202
  16. Pretty, J. N., Guijt, I., Thompson, J,. & Scoones, I. (1995). Trainers GUIDE for participatory learning and action. Nottingham; Russel Press.
  17. Reaven, G. M., & Chen, Y. I. (1996). Insulin resistance, its consequences, and coronary heart disease must we choose one culprit. Circulation, 93(10), 1780-1783. https://doi.org/10.1161/01.CIR.93.10.1780
  18. Thurman, J. E., Louzine, A. E., & Kogi, K. (1988). Higher productivity and a better place to work: Action manual. Geneva: International Labour Office.
  19. Tonstand, S., Alm, C. S., & Sandvik, E. (2007). Effect of nurse counselling on metabolic risk factors in patients with mild hypertension: A randomised controlled trial. European Journal of Cardiovascular Nursing, 6(2), 160-164. https://doi.org/10.1016/j.ejcnurse.2006.07.003
  20. Yoon, S. Y., Kam, S., Kim, J. S., Jo, S. Y., Kwon, Y. J., Woo, K. H., et al. (2012). The effect of participatory approach program for cardiovascular disease prevention in the workplace. Korean Journal of Occupational & Environmental Medicine, 24(2), 133-144.
  21. Yoon, S. Y., Woo, K. H., Kim, H. S., Kim, Y. B., Kim, J. S., Jo, S. Y., et al. (2014). The effect of metabolic syndrome management program applying Participatory Action-Oriented Training Principle. Korean Journal Health Education & Promotion, 31(5), 81-95. https://doi.org/10.14367/kjhep.2014.31.5.81
  22. Yoon, S. Y., Woo, K. H., Kim, J. S., Yu, J. Y., Choi, T. S., Jo, S. Y., et al. (2005). Application of Participatory Action-Oriented Training (PAOT) to small and medium sized enterprises for prevention of work-related musculoskeletal disorders. Korean Journal Occupational & Environmental Medicine, 17(3), 249-258.
  23. Zimmet, P., Alberti, G., & Shaw, J. (2005). A new IDF worldwide definition of the metabolic syndrome: the rationale and the results. Diabetes Voice, 50(3), 31.