Quintiliani Lisa, Poulsen Signe, Sorensen Glorian
Boston University Medical Center, General Internal Medicine, Boston MA USA,
Int J Workplace Health Manag. 2010 Sep 1;3(3):182-196. doi: 10.1108/17538351011078929.
There is a clear link between dietary behavior and a range of chronic diseases, and overweight and obesity constitute an indirect risk in relation to these diseases. The worksite is a central venue for influencing dietary behavior. The purpose of this paper is to provide an overview of workplace influences on worker dietary patterns.
DESIGN/METHODOLOGY/APPROACH: The paper reviews the evidence of the effectiveness of dietary health promotion, and provides a brief overview of appropriate theoretical frameworks to guide intervention design and evaluation. The findings are illustrated through research examples.
Through case studies and published research, it is found that workplace dietary interventions are generally effective, especially fruit and vegetable interventions. There is less consistent evidence on the long term effectiveness of workplace weight management interventions, underscoring the need for further research in this area. This paper also reports evidence that changes in the work environment, including through health and safety programs, may contribute to enhancing the effectiveness of workplace health promotion, including dietary interventions. Organizational factors such as work schedule may also influence dietary patterns. The social ecological model, the social contextual model and political process approach are presented as exemplar conceptual models that may be useful when designing or assessing the effects of workplace health promotion.
ORIGINALITY/VALUE: Using the worksite as setting for influencing health by influencing dietary patterns holds considerable promise and may be instrumental in reducing workers' risk of chronic diseases.
饮食行为与一系列慢性疾病之间存在明确联系,超重和肥胖是这些疾病的间接风险因素。工作场所是影响饮食行为的核心场所。本文旨在概述工作场所对员工饮食模式的影响。
设计/方法/途径:本文回顾了饮食健康促进有效性的证据,并简要概述了指导干预设计和评估的适当理论框架。通过研究实例来说明研究结果。
通过案例研究和已发表的研究发现,工作场所的饮食干预总体上是有效的,尤其是水果和蔬菜干预。关于工作场所体重管理干预的长期有效性,证据不太一致,这突出表明该领域需要进一步研究。本文还报告了证据表明,工作环境的变化,包括通过健康与安全计划,可能有助于提高工作场所健康促进的有效性,包括饮食干预。工作时间表等组织因素也可能影响饮食模式。社会生态模型、社会背景模型和政治过程方法被作为示例概念模型呈现,在设计或评估工作场所健康促进效果时可能会有用。
原创性/价值:将工作场所作为通过影响饮食模式来影响健康的场所具有很大潜力,可能有助于降低员工患慢性病的风险。