Proper Karin I, Staal Bart J, Hildebrandt Vincent H, van der Beek Allard J, van Mechelen Willem
TNO Work and Employment, Hoofddorp, The Netherlands.
Scand J Work Environ Health. 2002 Apr;28(2):75-84. doi: 10.5271/sjweh.651.
This paper systematically reviews the literature on the effectiveness of physical activity programs at worksites with respect to work-related outcomes. A computerized literature search, a reference search, and a manual search of personal databases were performed using the following inclusion criteria: randomized controlled or controlled trial, working population. worksite intervention program to promote physical activity or physical fitness, and work-related outcomes. The study quality was evaluated using nine methodological criteria. Conclusions were based on a 5-level rating system of evidence. Eight studies (4 randomized controlled trials and 4 controlled trials) were identified, but their methodological quality was generally poor. The outcomes were absenteeism, job satisfaction, job stress, productivity, and employee turnover. The evidence of an effect was limited for absenteeism, inconclusive for job satisfaction, job stress and employee turnover, and nil for productivity. The scientific evidence on the effectiveness of physical activity programs at worksites is still limited. Because of the few high-quality randomized controlled trials, it is strongly suggested that this type of study be carried out. Future randomized controlled trials should pay special attention to the description of randomization, inclusion criteria, compliance, and analyses according to intention to treat.
本文系统回顾了关于工作场所体育活动计划对与工作相关的结果有效性的文献。使用以下纳入标准进行了计算机化文献检索、参考文献检索和个人数据库手工检索：随机对照试验或对照试验、工作人群、促进体育活动或身体健康的工作场所干预计划以及与工作相关的结果。使用九条方法学标准对研究质量进行评估。结论基于五级证据评级系统。共识别出八项研究（四项随机对照试验和四项对照试验），但其方法学质量普遍较差。结果包括旷工、工作满意度、工作压力、生产率和员工流动率。对旷工有效果的证据有限，对工作满意度、工作压力和员工流动率的证据尚无定论，对生产率则没有效果。关于工作场所体育活动计划有效性的科学证据仍然有限。由于高质量随机对照试验较少，强烈建议开展此类研究。未来的随机对照试验应特别注意随机化、纳入标准、依从性的描述以及按意向性分析。
