ABSTRACT
Background: Office workers with sedentary life styles might be at risk to become obese and later develop cardiovascular risk factors. A life style modification campaign (LSMC) had been introduced to 4,300 provincial electricity officers (PEO) during July 2007-June 2008. The campaign was designed with the aim to encourage behavioral change within a large organization. Objective: To evaluate the effectiveness of the LSMC on improving health status among PEOs who attended the program regularly, occasionally, and rarely. Methods: A quasi experimental study was performed to compare pre- and post- health status records (HSR) including: body mass index (BMI), systolic blood pressure (SBP), waist-hip circumference ratio (WHC), skin fold measurement (SFM), hand grip strength (HG), body flexibility (BF) and cardio-respiratory fitness (CRF) of the PEOs who attended the LSMC. Results: After 1 year of LSMC, there were 173 PEOs who completed the program. Within the regularly attending group, we found statistically significant improvement in BMI, SBP, WHC, SFM, and CRF with p-values of 0.02, 0.03, <0.001, <0.001 and 0.048 respectively. Meanwhile the group that occasionally and rarely attended the program did not do as well. Conclusion: The LSMP has demonstrated its effectiveness in reducing modifiable risk factors within the well compliant group. The benefit toward work performance or the cost effectiveness of the campaign was not included in this study.
ABSTRACT
Objective: To study the effectiveness of diabetes care on type 2 diabetic patients at the Siriraj Primary Care Unit Study design: Retrospective study Materials and methods: A systemic review of patients, health recode was performed, regarding their major atherosclerosis risk factors, degree of diabetic nephropathy and retinopathy, and efficacy of diabetes control, using electronic medical records of patients who attended between l July,2002 to 30 June,2003 Average data were reported as percentages. Results: 1,041 type 2 diabetic patients attended Siriraj Primary Care Unit, who were divided into 305 males and 736 females. The average age was 59.5 yeas [+10.21 years]. 660 patients who continuously attended were enrolled in this study. There were no records of smoking habits, family history of premature coronary artery disease or exercise behavior. Blood pressure, body weight, height and body mass index measurements was recorded. Rates of performing a lipid profile, HbA 1c, serum creatinine measurement and referral to eye specialists were 92.4% [610/660], 79.7% [526/660], 68.8% [454/660] and 62.7% [414/660] respectively. In this group,229 patents who continuously attended longer than 6 months received a HbA 1c measurement. 34.4% [103/229] of these patients were poorly controlled {HbA1c>8%}. Comment: Health care system and multidisciplinary diabetes guidelines for health care teams should be developed to improve diabetes care and explore causes of poor diabetes control.