Greene G W, Strychar I
Department of Food Science and Nutrition, University of Rhode Island, Kingston 02881.
J Am Diet Assoc. 1992 Nov;92(11):1376-81.
Three hundred ninety-six employees of a large northeastern university participated in a blood cholesterol screening and provided follow-up data about their participation in a videotape cholesterol education program. Ten percent of these employees watched the videotape program; these individuals were significantly more likely to be at high risk for cardiovascular disease than were persons who chose not to watch the videotape. Persons participating in the cholesterol education program significantly increased their nutrition knowledge and significantly decreased their fat intake compared with nonparticipants. The most important reason given for watching the videotape was "concern about my cholesterol level." Reasons given for not watching the videotape were that it was "not well advertised" or that it was shown "at an inconvenient time." Although all 98 employees at high risk for cardiovascular disease were referred to their physicians for diagnostic evaluation, one third of these employees reported not seeing their physicians. These findings indicate that worksite cholesterol screening and education programs can improve nutrition knowledge and dietary behavior; however, these programs should develop strategies to increase participation and should follow up physician referrals.
一所位于东北部的大型大学的396名员工参与了血液胆固醇筛查,并提供了他们参与录像带胆固醇教育项目的后续数据。这些员工中有10%观看了录像带项目;与选择不观看录像带的人相比,这些人患心血管疾病的高风险可能性显著更高。与未参与者相比,参与胆固醇教育项目的人显著增加了他们的营养知识,并显著减少了脂肪摄入量。观看录像带的最重要原因是“担心我的胆固醇水平”。不观看录像带的原因是它“宣传不到位”或播放时间“不方便”。尽管所有98名有心血管疾病高风险的员工都被转介给他们的医生进行诊断评估,但其中三分之一的员工报告称没有去看医生。这些发现表明,工作场所的胆固醇筛查和教育项目可以提高营养知识和饮食行为;然而,这些项目应该制定策略来提高参与度,并应对医生转介进行跟进。