Prevention of Metabolic Syndrome Among teachers in Makassar, Indonesia : School based

This is an intervention related to the knowledge, attitudes and practice of balanced nutrition guidelines done to teachers in schools for 4 months. Intervention is done by using modules and educational tools that have been developed using the concept of Self determination theory and based on preliminary study results that have been done previously. Balanced nutrition guidelines are guidelines issued by health ministries to prevent the increasing prevalence of non-communicable diseases, including the metabolic syndrome. The guidelines for balanced nutrition consist of 10 basic messages: eating a variety of foods; eating lots of vegetables and enough fruits; eat food high in protein; getting used to a variety of staple foods; limiting consumption of sweet, salty and fatty foods; getting breakfast; get used to drink enough water and safe; get used to read labels on the packaging; wash hands with clean water; and do physical activity and maintain ideal body weight. Activities are conducted in the school each month with a related theme 1. Know the health problems and consumption of vegetables and fruits 2. Physical activity, sedentary behavior and maintaining ideal body weight 3. Eat high protein side dishes, limit the consumption of sweet, salty and fatty foods, and get used to reading the label on the packaging 4. Breakfast and drink enough water. Instruments provided are balanced nutrition module, balance sheet (calendar) balanced nutrition, Poster physical activity. The meeting will be conducted by 4 facilitators, The facilitator has been trained before, and has experience in providing education to several population groups such as students, teachers, and company employees. Face-to-face meetings are conducted in each school by collecting all the teachers each month Each meeting will end with an evaluation that each respondent should fill in on the behavior performed within 1 month, related to the material that has been given previously. Frequency of meeting 1 x 45 minutes per month for 4 month (Timing based FGD conducted before in other school in Makassar) Modules and educational tools have been developed by using our preliminary study and FGD from teacher. Modules adapt from some modules, including: • Perth Active Living for Seniors (PALS) Program “Improving quality of life through physical activity and nutrition” a project of the western Australian centre for health promotion research, curtin university, the national heart foundation of Australia (WA Division) in collaboration with the Australian Technology Network Universities Centre for Metabolic Fitness (Burke et al., 2008). • Balance nutrition module for elementary children. Module of Cooperation from Center for nutrition and health studies And Center For Health Research. Public Health Faculty. Universitas Indonesia 2011. (Puska, FKM, & UI, 2011). • Food chemistry learning module for healthy eating behavior (Based on Cognitive Social theory (Husain, 2016). In school we conducted a group discussion For the control group we use pamphlet balance nutrition guidelines reprint with permission from the Ministry of Health Indonesia We have also conducted FGDs on teachers at other schools in Makassar city with the following objectives: a. Explores the obstacles of teachers in practicing balanced nutrition guidelines b. Assess the modules and educational tools that have been prepared c. Determine the length of time that can be used, when meeting with the teacher. For evaluation, we make a checklist of balanced nutrition practices that have been done by the respondent at the end of each module. This checklist is filled out every week and will be collected at the next meeting. Cheklist will be moved to another sheet, so the module remains complete.