Butler Carling E, Clark B Ruth, Burlis Tamara L, Castillo Jacqueline C, Racette Susan B
Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO.
J Phys Act Health. 2015 Apr;12(4):470-6. doi: 10.1123/jpah.2013-0185. Epub 2014 Jun 4.
Workplaces provide ideal environments for wellness programming. The purpose of this study was to explore exercise self-efficacy among university employees and the effects of a worksite wellness program on physical activity, cardiorespiratory fitness, and cardiovascular disease (CVD) risk factors.
Participants included 121 university employees (85% female). The worksite wellness program included cardiovascular health assessments, personal health reports, 8 weeks of pedometer-based walking and tracking activities, and weekly wellness sessions. Daily step count was assessed at baseline, Week 4, and Week 8. Exercise self-efficacy and CVD risk factors were evaluated at baseline and follow-up.
Daily step count increased from 6566 ± 258 (LSM ± SE) at baseline to 8605 ± 356 at Week 4 and 9107 ± 388 at Week 8 (P < .0001). Steps increased among normal weight, overweight, and obese subgroups. Exercise self-efficacy correlated with baseline steps (P < .05). Small improvements were observed in cardiorespiratory fitness, body mass index, blood pressure, blood glucose, total cholesterol, and triglycerides (all P < .01).
A worksite wellness program was effective for improving physical activity, cardiorespiratory fitness, and CVD risk factors among university employees. Exercise barriers and outcome expectations were identified and have implications for future worksite wellness programming.
工作场所为健康促进计划提供了理想的环境。本研究的目的是探讨大学员工的运动自我效能感,以及工作场所健康促进计划对身体活动、心肺适能和心血管疾病(CVD)危险因素的影响。
参与者包括121名大学员工(85%为女性)。工作场所健康促进计划包括心血管健康评估、个人健康报告、为期8周的基于计步器的步行和跟踪活动,以及每周的健康课程。在基线、第4周和第8周评估每日步数。在基线和随访时评估运动自我效能感和CVD危险因素。
每日步数从基线时的6566±258(LSM±SE)增加到第4周的8605±356,第8周的9107±388(P<.0001)。正常体重、超重和肥胖亚组的步数均增加。运动自我效能感与基线步数相关(P<.05)。心肺适能、体重指数、血压、血糖、总胆固醇和甘油三酯均有小幅改善(均P<.01)。
工作场所健康促进计划对改善大学员工的身体活动、心肺适能和CVD危险因素有效。确定了运动障碍和结果期望,对未来的工作场所健康促进计划具有启示意义。