Ronda Gaby, Van Assema Patricia, Candel Math, Ruland Erik, Steenbakkers Mieke, Van Ree Jan, Brug Johannes
Department of Health Education and Promotion, Maastricht University, Maastricht, The Netherlands.
Health Promot Int. 2004 Mar;19(1):21-31. doi: 10.1093/heapro/dah104.
'Hartslag Limburg' (Dutch for Heartbeat Limburg), a regional cardiovascular diseases (CVD) prevention program, integrates a community strategy and a high-risk strategy to reduce CVD risk behaviors. The present paper focuses on the effects of the community intervention on fat intake and physical activity. The project was based on community organization principles and health education theories and methods. In order to implement the intervention, nine local Health Committees were set up, each organizing activities that facilitate and encourage people to adopt a healthier lifestyle. A pre-test-post-test control group design with two post-tests was used to evaluate the intervention. At baseline, representative random cohort research samples were selected in the Maastricht region and in a control region. Data on fat intake and physical activity, and on the psychosocial determinants of these behaviors, were gathered by means of mail surveys. The present study indicates that the intervention had a significant effect on fat reduction, especially among respondents aged <or=48 years (median age). Respondents in the Maastricht region were also more realistic about their fat intake at post-test as compared with the control region. Only a limited effect on intentions to increase physical activity was found.
“哈特斯拉格林堡”（荷兰语，意为林堡心跳）是一项区域性心血管疾病（CVD）预防项目，它整合了社区策略和高危策略以降低心血管疾病风险行为。本文聚焦于社区干预对脂肪摄入和身体活动的影响。该项目基于社区组织原则以及健康教育理论与方法。为实施干预，设立了9个地方健康委员会，每个委员会都组织活动，以促进和鼓励人们采用更健康的生活方式。采用带有两次后测的前测-后测对照组设计来评估干预效果。在基线期，在马斯特里赫特地区和一个对照地区选取了具有代表性的随机队列研究样本。通过邮寄调查问卷收集了关于脂肪摄入、身体活动以及这些行为的社会心理决定因素的数据。本研究表明，干预对减少脂肪有显著效果，尤其是在年龄小于或等于48岁（中位年龄）的受访者中。与对照地区相比，马斯特里赫特地区的受访者在后测时对自己的脂肪摄入也更实际。仅发现对增加身体活动意愿的影响有限。
