生活方式干预对生产力丧失和残疾的影响：通过运动和营养改善控制
Impact of lifestyle intervention on lost productivity and disability: improving control with activity and nutrition.
作者信息
Wolf Anne M, Siadaty Mir S, Crowther Jayne Q, Nadler Jerry L, Wagner Douglas L, Cavalieri Stephen L, Elward Kurtis S, Bovbjerg Viktor E
机构信息
Department of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA 22908-0717, USA.
出版信息
J Occup Environ Med. 2009 Feb;51(2):139-45. doi: 10.1097/JOM.0b013e3181965db5.
Abstract
OBJECTIVE
To evaluate the effectiveness of a lifestyle intervention (LI) in reducing work loss and disability days.
METHODS
One year randomized controlled trial of health plan members (n = 147) with type 2 diabetes and obesity. Members were randomized to modest-cost LI or usual care (UC). Outcomes were group differences in cumulative days either missed at work or with disability using Mann-Whitney U-tests and Poisson regression models.
RESULTS
LI reduced the risk of workdays lost by 64.3% (P <or= 0.001) compared to UC (annual accumulation: UC: 3.49 days vs LI: 0.92 days, P = 0.01). LI decreased the risk of disability days by 87.2% (P = 0.0003) compared to UC (annual accumulation: UC: 5.3 days vs LI: 0.94 days, P <or= 0.001). Similar trends were observed among the subset of people with depression.
CONCLUSION
LIs reduce work loss and disability days associated with diabetes and obesity.
摘要
目的
评估生活方式干预（LI）在减少工作损失天数和残疾天数方面的有效性。
方法
对147名患有2型糖尿病和肥胖症的健康计划成员进行为期一年的随机对照试验。成员被随机分配到低成本的生活方式干预组或常规护理组（UC）。使用曼-惠特尼U检验和泊松回归模型分析工作缺勤或残疾累计天数的组间差异。
结果
与常规护理组相比，生活方式干预组的工作日损失风险降低了64.3%（P≤0.001）（年度累计：常规护理组：3.49天 vs 生活方式干预组：0.92天，P = 0.01）。与常规护理组相比，生活方式干预组的残疾天数风险降低了87.2%（P = 0.0003）（年度累计：常规护理组：5.3天 vs 生活方式干预组：0.94天，P≤0.001）。在抑郁症患者亚组中也观察到了类似趋势。
结论
生活方式干预可减少与糖尿病和肥胖症相关的工作损失天数和残疾天数。
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