BACKGROUND: Working status is identified as a major risk factor of poor breastfeeding practices among workers. This study aimed to evaluate the knowledge, attitude, and factors associated with breastfeeding practice among white-collar and blue-collar workers in Indonesia. METHODS: A cross-sectional study was performed in two factories and three government offices in Jakarta from December 2015 to February 2016. Subjects were woman workers whose children were age 6 to 24 months old and actively working in the factory and/or office. The factors studied were selected socio-demographic and occupational characteristics, score on knowledge and attitude, and breastfeeding practice during working hours. RESULTS: From a total of 192 subjects, 73% of white-collar workers had good knowledge on breastfeeding, in contrast with 55% of blue-collar workers who had not good breastfeeding knowledge (P < 0.001). Most of the subjects were conducting breast pumping during working hours, however 15% of white-collar workers and 17% of blue-collar workers never breastfeed nor breast pumped at work. Working status (P = 0.005) and knowledge (P = 0.002) were factors associated with breastfeeding practice among workers. CONCLUSION: White-collar workers have a better knowledge, attitude, and practice toward breastfeeding. Knowledge improvement related to breastfeeding benefits and supports to working mothers are a key priority, however advocacy to employers, managers, and supervisors in providing breastfeeding facilitation and program support were also critical to successful breastfeeding practice among workers.
Breast ; Breast Feeding ; Breast Milk Expression ; Child ; Cross-Sectional Studies ; Female ; Humans ; Indonesia ; Mothers ; Risk Factors

Objective: The objective of this study was to assess factors related to renal function in crane operators at a port container terminal in Indonesia. Methods: A cross-sectional study on crane operators in Medan Container Terminal, Indonesia, was conducted. Renal function was measured through Glomerular Filtration Rate (GFR). Individual characteristics such as age, nutritional status, fluid consumption, hydration status, and physical activity level were collected. Fluid consumption was obtained from a 24-h food recall questionnaire. Physical activity was measured based on the Bouchard questionnaire. Association was determined by calculating the odds ratio (OR) and its 95% confidence interval (CI). Results: A total of 87 subjects were involved. All were male with the median age of 30.1 ± 2.4 years old. The prevalence of decreased renal function was 49.4%. Inadequate fluid consumption (OR = 6.1, 95% CI 2.1 -17.7; p<0.001) significantly increase the risk of renal function decreased, while being overweight/obese (OR 3.3, 95% CI 0.7 -11.7;p<0.125) and dehydration (OR 2.3, 95% CI 0.8-26.9; p=0.111) also increase the risk although not significantly. Conclusion Inadequate fluid consumption increases the risk of decline in the renal function of crane operators in the container terminal. A company should regularly monitor and evaluate the kidney function of this group of workers through annual medical checkups and provide easier access to drinking water and convenient toilets to improve fluid consumption of the workers.
Dehydration

INTRODUCTION: Lack of physical activity is a risk factor for dyslipidemia. Office work is a job associated with low physical activity. Wellness programmes in the workplace might increase physical activity and cardiorespiratory fitness. OBJECTIVE: This study aimed to determine the effect of a wellness programme on aerobic physical exercise adherence and blood lipid profile changes among government employees. METHODS: This study used a randomized controlled trial design, with the intervention (wellness programme) conducted for six weeks. Thirty participants who were office workers in a government institution were allocated into two groups. The intervention group (n = 15) received health education, aerobic physical exercise (30 minutes on a treadmill, three times/week for six weeks), reminders, and a logbook. The control group (n = 15) received education only. The outcomes were adherence to the exercise programme and lipid profile levels. RESULT: The intervention group showed more adherence to aerobic exercise than the control group (OR 42.2, 95% CI 5.1, 346.9). The mean (SD) total cholesterol level in the intervention group was decreased by 9.9 (21.1) mg/dl, while in the control group, it was increased by −16.0 (14.5) mg/dl at the end of the study (p = 0.010). The mean (SD) of low-density lipoprotein (LDL) cholesterol in the intervention group was also decreased by 0.9 (17.2) mg/dl while in the control group, it was increased by -14.8 (11.6) mg/dl (p = 0.007). No significant mean differences were observed for high-density lipoprotein (HDL) cholesterol and triglyceride. CONCLUSION A workplace wellness programmes can enhance employees’ adherence to physical exercise and decrease their total blood cholesterol and LDL level.