Proper Karin I, Hildebrandt Vincent H, Van der Beek Allard J, Twisk Jos W R, Van Mechelen Willem
Department of Social Medicine and Institute for Research in Extramural Medicine, VU Medical Center, Amsterdam, The Netherlands.
Am J Prev Med. 2003 Apr;24(3):218-26. doi: 10.1016/s0749-3797(02)00645-1.
Physical inactivity and obesity are major public health problems. Our objective was to investigate the effectiveness of an individual counseling intervention at the workplace on physical activity fitness and health. Counseling content derived from the Patient-centered Assessment and Counseling for Exercise and Nutrition (PACE) program.
A total of 299 employees of three municipal services in the Dutch town of Enschede were randomly allocated into intervention (n =131) and control group (n =168). Over a 9-month period, intervention group subjects were offered seven counseling sessions. Counseling was based on the individual's stage of behavioral change using PACE physical activity and nutrition protocols. Subjects in both the intervention and control group received written information about several lifestyle factors. Primary outcome measures were physical activity (total energy expenditure, during sports activities, during physical activity leisure time other than sports, and meeting the moderate-intensity public health recommendations); cardiorespiratory fitness; and prevalence of musculoskeletal symptoms. Secondary outcome measures were body composition (body mass index [BMI], and percentage of body fat measured via skinfold thicknesses); blood pressure; and blood cholesterol.
There were significant positive effects on total energy expenditure, physical activity during sports, cardiorespiratory fitness, percentage of body fat, and blood cholesterol. No effects were found for the proportion of subjects meeting the public health recommendation of moderate-intensity physical activity, physical activity during leisure time other than sports, prevalence of musculoskeletal symptoms, body mass index, and blood pressure.
Individual face-to-face counseling at the workplace based on PACE protocols positively influenced physical activity levels and some components of physical fitness. The implementation of workplace counseling programs for individuals should therefore be promoted.
缺乏身体活动和肥胖是主要的公共卫生问题。我们的目的是调查在工作场所进行的个体咨询干预对身体活动、健康状况和健康的有效性。咨询内容源自以患者为中心的运动与营养评估及咨询（PACE）项目。
荷兰恩斯赫德市三个市政服务部门的299名员工被随机分为干预组（n = 131）和对照组（n = 168）。在9个月的时间里，为干预组受试者提供了七次咨询服务。咨询基于个体使用PACE身体活动和营养方案的行为改变阶段。干预组和对照组的受试者都收到了关于几种生活方式因素的书面信息。主要结局指标为身体活动（总能量消耗、体育活动期间、非体育活动的身体活动休闲时间以及达到中等强度公共卫生建议的情况）；心肺适能；以及肌肉骨骼症状的患病率。次要结局指标为身体成分（体重指数[BMI]以及通过皮褶厚度测量的体脂百分比）；血压；以及血液胆固醇。
在总能量消耗、体育活动期间的身体活动、心肺适能、体脂百分比和血液胆固醇方面有显著的积极影响。在达到中等强度身体活动公共卫生建议的受试者比例、非体育活动的休闲时间的身体活动、肌肉骨骼症状的患病率、体重指数和血压方面未发现影响。
基于PACE方案在工作场所进行的个体面对面咨询对身体活动水平和一些身体素质成分产生了积极影响。因此，应推广针对个体的工作场所咨询项目的实施。
