BackgroundMetabolic syndrome (MetS) is a major health risk in Thailand. Although it is reported that females have a higher rate of MetS than males, very few peer-led intervention studies have been conducted on specific groups, such as seamstresses, at risk of MetS. This study aimed to evaluate the effect of a peer-led intervention program on reducing MetS risk factors in individuals working in Thai Uniform Sewing Military Factories.MethodsA quasiexperimental program was introduced using a pre- and posttest design that was applied to female sewing factory workers selected for this research. All participants had at least one of the key MetS symptoms. The experimental group (N=50 participants) received 12 weekly peer-led individual support discussion sessions that included both dietary and physical activity (PA) advice and the control group (N=50 participants) followed their usual daily routines. The Student’s t-test and the Pearson’s chi-squared test were used to compare the differences of baseline data and analysis of variance was used for analysis of the data after intervention.ResultsThe results showed that after 3 months of participation, when compared to the control group, the experimental group had significantly improved systolic blood pressure (BP) (P=0.04), diastolic BP (P<0.001), PA (P=0.05), knowledge scores of MetS, perception of MetS and risk factors (P<0.001), and stress assessment (P=0.002). Waist circumference, body mass index, and Food Frequency Questionnaire score were not significantly different but still improved.ConclusionFindings from this study suggest that a peer-led support program can be introduced as an effective means of improving the behaviors of mostly sedentary factory workers at risk of MetS caused by working habits that are detrimental to health.

Globally, Rural areas have more stunted children (40%) than urban areas (33%). In contrast, in Indonesia, In 2010-2013, the prevalence of stunting in rural areas was higher than in urban areas at 40 0% and urban areas by 31.5%. This type of quantitative research uses Cross Sectional approach with the aim of study to compare risk factors for stunting in rural areas and Lampung City in 2022. The research subjects are mothers and toddlers 30 are rural, and 30 are in town. The analysis in this study used the independent t-test, Mann-Whitney, chi-square, and Fisher tests; the results showed a comparison of birth length, exclusive breastfeeding, birth spacing, economic status, and environmental factors to the incidence of stunting in cities and villages in 2022. There was no comparison of birth weight, breastfeeding for up to 2 years, depression status, number of children, parenting, dietary, and Nutrition Patterns During Pregnancy on Stunting Incidents in Cities and Villages. The dominant factors influencing stunting in cities and villages based on the results of multivariate analysis of Birth spacing. There is a comparative risk factor for stunting in both rural and urban areas in Lampung province. Stunting prevention efforts by preventing early marriage, increasing the ease of access to health services in peripheral/remote sites to reduce the distance to reach health facilities, and preventing the occurrence of Low Birth Weight Babies through various promotional efforts in preventive.