Reed Jennifer L, Prince Stephanie A, Cole Christie A, Fodor J George, Hiremath Swapnil, Mullen Kerri-Anne, Tulloch Heather E, Wright Erica, Reid Robert D
Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, ON K1Y 4W7, Canada.
Syst Rev. 2014 Dec 19;3:147. doi: 10.1186/2046-4053-3-147.
The rapid pace of modern life requires working-age women to juggle occupational, family and social demands. This modern lifestyle has been shown to have a detrimental effect on health, often associated with increased smoking and alcohol consumption, depression and cardiovascular disease risk factors. Despite the proven benefits of regular moderate-to-vigorous intensity physical activity (MVPA), few are meeting the current physical activity (PA) recommendations of 150 min of MVPA/week. It is important that appropriate and effective behavioural interventions targeting PA are developed and identified to improve the MVPA levels of working-age women. As these women spend a substantial proportion of their waking hours at work, workplaces may be an opportune, efficient and relatively controlled setting to implement programmes and strategies to target PA in an effort to improve MVPA levels and impact cardiometabolic health. The purposes of this systematic review are to compare the effectiveness of individual-level workplace interventions for increasing MVPA levels in working-age women in high-income/developed countries and examine the effectiveness of these interventions for improving the known beneficial health sequelae of MVPA.
METHODS/DESIGN: Eight electronic databases will be searched to identify all prospective cohort and experimental studies that examine the impact of individual-level workplace interventions for increasing MVPA levels among working-age (mean age 18-65 years) women from high-income/developed countries. Grey literature including theses, dissertations and government reports will also be included. Study quality will be assessed using a modified Downs and Black checklist, and risk of bias will be assessed within and across all included studies using the Cochrane's risk of bias tool and Grades of Recommendation, Assessment, Development and Evaluation approach. Meta-analyses will be conducted where possible among studies with sufficient homogeneity.
This review will determine the effectiveness of individual-level workplace interventions for increasing MVPA levels in working-age women in high-income/developed countries, and form a current, rigorous and reliable research base for policy makers and stakeholders to support the development and implementation of effective workplace interventions that increase MVPA levels in this population.
PROSPERO CRD42014009704.
现代生活节奏快，职业女性需要兼顾工作、家庭和社会需求。这种现代生活方式已被证明对健康有不利影响，常与吸烟增加、饮酒、抑郁以及心血管疾病风险因素相关。尽管有规律的中等至高强度身体活动（MVPA）已被证实有益，但很少有人能达到目前每周150分钟MVPA的身体活动（PA）建议量。制定并确定针对PA的适当且有效的行为干预措施，以提高职业女性的MVPA水平非常重要。由于这些女性在工作中度过了相当一部分清醒时间，工作场所可能是实施旨在针对PA的计划和策略的合适、高效且相对可控的环境，以努力提高MVPA水平并影响心脏代谢健康。本系统评价的目的是比较高收入/发达国家中针对职业女性提高MVPA水平的个体层面工作场所干预措施的有效性，并检验这些干预措施对改善MVPA已知有益健康后果的有效性。
方法/设计：将检索八个电子数据库，以识别所有前瞻性队列研究和实验研究，这些研究考察了个体层面工作场所干预措施对高收入/发达国家职业女性（平均年龄18 - 65岁）增加MVPA水平的影响。还将纳入灰色文献，包括论文、学位论文和政府报告。将使用改良的唐斯和布莱克检查表评估研究质量，并使用Cochrane偏倚风险工具和推荐分级、评估、制定与评价方法在所有纳入研究内部和之间评估偏倚风险。在可能的情况下，对具有足够同质性的研究进行荟萃分析。
本评价将确定高收入/发达国家中针对职业女性提高MVPA水平的个体层面工作场所干预措施的有效性，并为政策制定者和利益相关者形成一个当前、严谨且可靠的研究基础，以支持制定和实施有效的工作场所干预措施，提高该人群的MVPA水平。
PROSPERO CRD42014009704。
