The Wellness Program for Physical Fitness and Decreasing Metabolic Syndrome Risk Factors

Abstract

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.