Objectives: The purpose of this study was to apply participatory action-oriented training (PAOT) principle for the management of metabolic syndrome and to assess its effectiveness in the workplace. Methods: The metabolic syndrome management program applying participatory action-oriented training (PAOT) principle is constructed action checklist, Group discussion, self-creation of an action plan, after 3 months, 6 months, 1 year, the practice carried out check up and encourage practice activity. Results: The seventy-seven workers who participated in the metabolic syndrome management program made a total of 246 action plans, 3.8 action plans per person and 234 action plans were achieved after one year, so that 81.0% of action plans have been achieved. After 1 year, in the intervention group, systolic blood pressure (SBP) and diastolic blood pressure (DBP), body mass index (BMI), the risk factors score decreased statistically significant, and metabolic syndrome prevalence decreased 54.8%. whereas the control group also showed a significant decreased in the mean systolic and diastolic blood pressure, the risk factors score. but, low-density lipoprotein (LDL) was significantly increased. Conclusions: To improve the effectiveness of metabolic syndrome management program applying participatory action-oriented training (PAOT) principle, the need to continues implementing programs and analysis of the long-term effects are required. Participatory action-oriented training (PAOT) principle can applying without cost and time, the human burden for the prevention and management of chronic diseases such as metabolic syndrome.
The aim of this study is to consolidate screening function of special health examination for occupational asthma by investigating the results of respiratory function test as for workers who have been exposed to agents that cause occupational asthma. Methods: To find out cases of occupational asthma, we carried out non-specific bronchial hyperresponsiveness (NSBH) test, peak expiratory flow rate (PEFR) test in appointed order for asthma-suspected cases among 4,602 workers that had a spirometry as a special health examination from April 2009 to July 2011. And we also performed t-test, one-way ANOVA, and multiple regression analysis to compare and analyse the associations between forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC) and duration of exposure, kinds of agents, and number of exposed agents that cause occupational asthma. Results: The case of occupational asthma was not found among 4,602 workers. And the result of a multiple regression analysis show ed that organic compounds were correlated with FEV1/FVC (P= 0.021). However, duration of exposure and number of exposed agents that cause occupational asthma were not associated with FEV1/FVC. Conclusion: For strengthening screening function of special health examination for occupational asthma, we can consider simultaneous operation of NSBH and PEFR, extending the PEFR term from 2 weeks to 4 weeks, thorough history taking on asthma. And as organic compounds may have effect on bronchial obstruction, so we need to concentrate on organic compounds-exposed workers for early screening of occupational asthma.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.