Main Article Content
Objective: To conduct a series of 4 follow-ups of the effects of nutrition counselling
programme on nursing staff’s nutritional status (based on their body mass indices, waist
circumferences, amounts of body fat, blood glucose levels, and blood cholesterol levels),
before the programme and 3 months, 6 months, and 1 year after the programme.
Design: Descriptive study using secondary data.
Procedure: The participants, 129 nursing staff members, were purposively recruited
sampled from the ‘Clean Food, Safe from Disease’ project and assigned to a control group
(n = 66) and an experimental group (n = 63). After baseline data about the participants were
collected, both the control and experimental groups attended a 1-day nutrition education
programme. Next, the experimental group was given individual counselling, designed
according to their nutritional status to properly personalise each member’s food consumption
and physical exercise adjustments. Follow-ups were conducted 3 months, 6 months, and
1 year after the programme. The data were analysed using descriptive statistics and two-way
ANOVA with repeated measures on one factor.
Results: The counselling programme signifcantly reduced the average body mass
index (p = .031) and blood cholesterol level (p < .001) in the experimental group. At almost
every follow-up, the experimental group had signifcantly lower average waist circumference
(p < .001). At 3 months and 6 months, however, no signifcant difference was detected.
The experimental group also showed a signifcant decrease in body fat percentage (p < .001)
and average blood glucose level at almost every follow-up. No signifcant difference was
found between these periods: (i) before the programme and 3 months after the programme;
and (ii) 6 months and 1 year after the programme.
Recommendations: The results indicated that the nutrition counseling programme
could effectively reduce body mass index and blood cholesterol in the participating
nursing staff; therefore, this programme should be applied and monitored in the long
term to ensure greater effectiveness.
1. Bureau of Non Communicable Disease (NCD) Department of Disease Control Ministry of Public health. Annual Report 2009. Bangkok: The War Veterans Organization of Thailand Under Royal Patronage of His Majesty the King Offcer of printing mill; 2010.(In Thai)
2. Occupational Health Unit Offce of the Director of Ramathibodi Hospital Mahidol University. Report of annual health of Ramathibodi hospital 2008 [Copied documents]. Bangkok: Ramathibodi Hospital;2008. (In Thai)
3. Weight-control Information Network [WIN]. Understanding Adult Obesity. National Institutes of Health [Internet] 2008 [cited 2011 January 21];Available from: URL: http://www.win.niddk.nih.gov/publications/understanding.htm.
4. Aekplakorn W, editors. Thai National Health Examination Survey V. Nonthaburi: Health Systems Research Institute; 2014. (In Thai)
5. The U.S. Department of Agriculture [USDA]. Report of the Dietary Guidelines Advisory Committee on the DietaryGuidelines for Americans. Springfeld (VA): The National Technical Information Service; 2010.
6. Whitney E, Rolfes SR. Understanding Nutrition. 12th ed. Australia: Wadsworth; 2010.
7. TeganjanavanichK. Obesity. Journal of Vichaiyut hospital 2006; 33: 27-33. (In Thai)
8. Center for Disease Control and Prevention [CDC]. Overweight and Obesity. [Internet] 2011 [cited 2011 January 21]; Available from: URL: http://www.cdc.gov/obesity/resources.html.
9. Chaiamnuay P. Prevention and treatment of obesity in Thai population. Bangkok: Comform; 2002. (In Thai)
10. Tungtongjit R. Obesity with health problem. In: Tungtongjit R editor. Obesity nutritional changes and biochemistry. Bangkok: Jarerndeemankongkarnpim; 2007. p. 47-65. (In Thai)
11. Thavornchareansup M, Suksomboon N, Pittayatiananan P, Yothasamut J, Aekplakorn W, Teeravatthananon Y. Research report: Impact of obesity on economics and quality of life in Thailand. Nonthaburi: Health Intervention and Technology Assessment Program; 2011. p. 81-92. (In Thai)
12. Maneerattanasuporn T. Effect of dietary counseling on eating behavior in ischemic stroke patients [dissertation]. Bangkok: Mahidol University; 2008. (In Thai)
13. Chanwikrai Y. Dietary counseling on protein and sodium intake reduction among chronic kidney disease patients The empowerment approach [dissertation]. Bangkok: Mahidol University; 2010. (In Thai)
14. Chatsupakul K. Theories of Counseling. Bangkok: Institute of Academic Development (IAD.); 2004.
15. Lueboonthavatchai O. Health Counseling. 2nd ed. Bangkok: Chulalongkorn University Printing House;2010. (In Thai)
16. Wattanakitkrileart D, Naksawat K, Chevaphunphon C, Sattayawiwat W. Stress management and stress related factors in nurse. Journal of Nursing Science 2553; 28 (1): 67-75. (In Thai)
17. Lorenzo LD, Pergola GD, Zocchetti C, Abbate NL, Basso A, Pannacciulli N, et al. Effect of shift work on body mass index: results of a study performed in 319 glucose-tolerant men working in a Southern Italian industry. International Journal of Obesity 2003; (27): 1353-8.96
18. Morikawa Y, Nakagawa H, Miura K. Soyama Y, Ishizaki M, Kido T, et al. Effect of shift work on body mass index and metabolic parameters. Scand J Work Environ Health 2007; 33 (1): 45-50.
19. Sanguanwichaikul T, Towiwat T, Susangrat N, Thongliamnaga P, Pramuanpim P, Supanakorn W.Health Problems of Rotational Shift Working Nurses’ at Srinagarind Hospital. [Internet] 2006 [cited 2013 Oct 23]. Available from URL: http://home.kku.ac.th/sompong/2548_cm5/48_cm5.htm. (In Thai)
20. The Supreme Patriarch Nyanasanwara geriatric Medicine Center Chonburi Province Institute of Geriatric Medicine
Department of Medical Service Ministry of Public Health. Manual of guideline for treatment obesity. Bangkok: The Agricultural Co-operative Federation of Thailand; 2005. (In Thai)
21. WHO expert consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004; 363: 157–63.
22. Department of Health Ministry of Public Health. Method to measure waist circumference. [Internet] 2010 [cited 2012 Dec 8]. Available from URL: http://www.anamai.moph.go.th/ewt_news.php?nid=1777. (In Thai)
23. Roche Diagnostics. ACCU-CHECK Advantage Owner’s Booklet. [Internet]. 2007 [cited 2011 Jan 25]. Available
from URL: https://www.accu-chek.com/us/glucosemeters/advantage.html.
24. American Diabetes Association. Executive Summary: Standards of Medical Care in Diabetes 2011. Diabetes Care 2011; 34(Supplement 1): 4-10.
25. Suwanwalaikorn S, Sridama W. Management of hyperlipidemic patient not adequately response to simvastatin. Annual meeting of the medical council 2008 schering-plough-ltd; 2008 Sep 5; Bangkok: Rajavithi Hospital; 2008. (In Thai)
26. Keeratiyutawong K, Hanucharurnkul S. A long term follow-up of the effectiveness of a self management program in persons with type 2 diabetes. Rama Nurse Journal 2010; 16(2): 293–308. (In Thai)
27. Sriareporn P, Toomkhum P, Promchot M, Hingerrn R, Kiatchirakul S. Effect of Promoting Nutritional Knowledge Toward Eating Behavior among Female of Reproductive Age at Nongphung Subdistrict, Sarapee District, Chiang Mai Province. Nursing Journal 2012, 39(3) 126-38.
28. Chotik-Anuchid T. Effcacy of individual behavioral counseling in life-style training of obesechildren with abnormal glucose tolerance test [dissertation].Bangkok: Mahidol University; 2005. (In Thai)
29. Hawkins, R.P., Kreuter, M., Resnicow, K., Fishbein, M., & Dijkstra, A. (2008). Understanding tailoring in communicating about health. Health Education Research, 23 (3), 454 – 66.