Muto T, Yamauchi K
Department of Public Health, Juntendo University School of Medicine, Tokyo, 113-8421, Japan.
Prev Med. 2001 Dec;33(6):571-7. doi: 10.1006/pmed.2001.0923.
The long-term effectiveness of multicomponent worksite health promotion programs targeting cardiovascular disease risk factors remains unclear in Japan. This study was conducted to evaluate the effectiveness of such a health promotion program consisting of a main program provided over 4 days and a follow-up program provided over 1 year.
The subjects of this randomized controlled trial were male employees working for a building maintenance company in Japan. The intervention group (n = 152) and the control group (n = 150) consisted of employees having abnormal findings in at least one of the following items at baseline health examination: body mass index (BMI), systolic (SBP) or diastolic blood pressure, total cholesterol, HDL cholesterol, triglycerides, and fasting blood glucose. Evaluation was conducted at 18 months after the main program.
BMI, SBP, total cholesterol, and triglycerides improved significantly in the intervention group compared with the control group (P < 0.05). When comparisons were limited to those who showed abnormality at baseline, BMI, total cholesterol, and triglycerides improved significantly in the intervention group (P < 0.05).
The multicomponent health promotion program provided to employees was shown to be effective in improving obesity, high blood pressure, and hyperlipidemia when evaluated 18 months after the main intervention program.
在日本，针对心血管疾病风险因素的多成分工作场所健康促进项目的长期有效性尚不清楚。本研究旨在评估这样一个健康促进项目的有效性，该项目包括一个为期4天的主要项目和一个为期1年的后续项目。
这项随机对照试验的受试者为日本一家建筑维护公司的男性员工。干预组（n = 152）和对照组（n = 150）由在基线健康检查中至少有以下一项异常结果的员工组成：体重指数（BMI）、收缩压（SBP）或舒张压、总胆固醇、高密度脂蛋白胆固醇、甘油三酯和空腹血糖。在主要项目结束18个月后进行评估。
与对照组相比，干预组的BMI、SBP、总胆固醇和甘油三酯有显著改善（P < 0.05）。当比较仅限于那些在基线时显示异常的人时，干预组的BMI、总胆固醇和甘油三酯有显著改善（P < 0.05）。
在主要干预项目结束18个月后进行评估时，向员工提供的多成分健康促进项目被证明在改善肥胖、高血压和高脂血症方面是有效的。
