2013 Volume 89 Issue 5 Pages 155-165
The aim of this study was to evaluate the effect of a group alcohol intervention (S-HAPPY program) for high risk drinkers using the framework of “Specific Health Examination and Health Guidance of Metabolic Syndrome (Tokutei Hokensido)” at the workplace. Fifty-five males who met both the criteria of Health Guidance of Metabolic Syndrome and high-risk alcohol drinkers (Alcohol Use Disorders Identification Test (AUDIT) score ≥ 10 or ≥ 21 drinks/week) of a semiconductor material company who underwent a six-month program of motivational and active support were provided a group alcohol intervention. In accordance with the Tokutei Hokensido schedule, the participants took three group lectures using video teaching-materials and workbooks, and kept health diaries including the records of alcohol consumption until the end of the intervention. AUDIT scores, the amount of drinking and health examination data were compared before and after the intervention. AUDIT scores and alcohol consumptions were significantly reduced after the intervention (from 13.1 to 10.1 for AUDIT score, and from 27.7 to 19.2 drinks/week for amount of alcohol drinking, p<0.01 for both). Waist circumference, body weight, BMI, diastolic blood pressure, ALT and γ-GTP significantly decreased, while HDL-cholesterol significantly increased after the intervention. Combined prevalence of the metabolic syndrome and the developing metabolic syndrome decreased from 89.1% to 56.4% (p<0.01). In conclusion, a group alcohol intervention program (S-HAPPY program) might be effective for alcohol consumption reduction and preventing the metabolic syndrome among high-risk drinkers.