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走向老龄化久坐大学社区的健康之路:设计、方法和方案。

Walking to wellness in an ageing sedentary university community: design, method and protocol.

机构信息

Ageing Work and Health Research Unit, Faculty of Health Sciences, The University of Sydney, PO Box 170 Lidcombe, NSW 1825, Australia.

出版信息

Contemp Clin Trials. 2011 Mar;32(2):273-9. doi: 10.1016/j.cct.2010.12.001. Epub 2010 Dec 10.

Abstract

BACKGROUND

Older workers are less physically active and have a higher rate and cost of injury than younger workers and so have reduced work-ability. Concurrently, sedentary behaviour in the workplace, in transport and in the home is increasing and has harmful health effects. Walking is a familiar, convenient, and free form of health-enhancing physical activity that can be integrated into working life and sustained into older age however workplace walking programs targeted at older workers have not been evaluated.

PURPOSE

We designed a randomised-controlled trial to evaluate the impact of a phased individually-tailored 10-week walking program on work-day steps, health status and work-ability of employees at an Australian university with an ageing sedentary workforce.

METHODS

A convenience sample of 154 academic and administrative employees aged 45-70 years will be recruited and randomly allocated to either an experimental (walking) group or control (maintain usual activity) group. Participants will be provided with a pedometer and complete measures for step count, % body fat, waist circumference, blood pressure, self-reported physical activity, psychological wellbeing and work-ability, at baseline and end-intervention. 'Walkers' will select approaches tailored to their individual preference, psychological characteristics or life circumstances. Two distinct intervention phases will target adoption (weeks 2-5) and adherence (weeks 7-12) using 'Stages of Behaviour Change' principles. An ANOVA will test for effect of treatment on outcome with the baseline value entered as a covariate.

DISCUSSION

This study will test whether tailoring worksite walking is an effective means of promoting health-enhancing physical activity in ageing sedentary workers.

摘要

背景

与年轻员工相比,老年员工的身体活动水平较低,受伤率和受伤成本更高,因此工作能力下降。与此同时,工作场所、交通和家庭中的久坐行为正在增加,并对健康产生有害影响。步行是一种熟悉、方便且免费的增进健康的身体活动形式,可以融入工作生活并持续到老年,但针对老年员工的工作场所步行计划尚未得到评估。

目的

我们设计了一项随机对照试验,以评估分阶段个体化定制的 10 周步行计划对澳大利亚一所老龄化、久坐不动的大学员工的工作日步数、健康状况和工作能力的影响。

方法

将招募 154 名年龄在 45-70 岁的学术和行政员工作为便利样本,并将他们随机分配到实验组(步行组)或对照组(保持常规活动)。参与者将配备计步器,并在基线和干预结束时完成步数、%体脂肪、腰围、血压、自我报告的身体活动、心理幸福感和工作能力的测量。“步行者”将根据个人偏好、心理特征或生活环境选择量身定制的方法。使用“行为改变阶段”原则,将两个不同的干预阶段针对采用(第 2-5 周)和坚持(第 7-12 周)。方差分析将测试治疗对结果的影响,基线值作为协变量输入。

讨论

这项研究将测试针对工作场所步行进行定制是否是促进老年久坐员工进行健康促进身体活动的有效手段。

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