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The Role of Community-based Health Education and Physical Exercise Programme (S.E.H.A.T) to Improve Framingham Risk Score in Farmers Population of Batu City - East Java

Author : D. Setiawan, D. Sargowo
Upload Date : 19-04-2018

Background: Cardiovascular disease (CVD) is a major cause of morbidity and mortality in rural population. The World Health Organization (WHO) estimate that preventive measures such as health education and physical activity programme could reduce the global burden of disease by as much as 70%. The Framingham Risk Score (FRS), which estimates the 10-year risk of CVD, may be utilized to evaluate the result of the primary preventive programme.

Objective: The aim of this study was to determine whether community-based health education and physical exercise programme (S.E.H.A.T) could improve FRS in farmers population of Batu City, East Java.

Method: This research was an interventional pre and post-test study conducted on 102 subjects (Men 21; Women 81) aged 26 to 75. Anthropometry examination, blood pressure measurements, blood sampling (total cholesterol, HDL cholesterol, and fasting blood glucose), and history taking (age, current medication, smoking habit, and history of known CVD) were performed. The primary preventive programme include 60-minutes of heart exercise, three times a week (396 METs/min/week) for 3-months period, while regularly providing health counseling and education about hypertension, obesity, smoking, diabetes mellitus and balanced nutrition. After the intervention, the same examinations were performed again to the subjects. Wilcoxon Signed Ranks Test was used to evaluate pre and post-intervention results in this study.

Result: From 102 observed subjects, there were reduction in mean value of Framingham Risk Score 6.17±5.75 on pre-intervention group to 4.16±3.92 on post-intervention group (Z score = -6.009; p = 0.00). There were 81 subjects (80%) with reduced FRS; 16 subjects (16%) with no alteration in FRS; and 5 subjects (4%) with increased FRS.  

Conclusion: The result of this study proves that community-based health education and physical activity programme (S.E.H.A.T)  could significantly improve the FRS of farmers population in Batu City, East Java.

KEYWORDS : Framingham Risk Score; Cardiovascular Disease; Primary Prevention


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