Hoshuyama Tsutomu, Odashiro Keita, Fukata Mitsuhiro, Maruyama Toru, Saito Kazuyuki, Wakana Chikako, Fukumitsu Michiko, Fujino Takehiko
From the Ushibuka City Hospital (Dr Hoshuyama), Amakusa, Kumamoto; Department of Medicine and Biosystemic Science (Drs Odashiro and Fukata), Kyushu University Graduate School of Medical Sciences; Faculty of Arts and Science (Dr Maruyama), Kyushu University; and BOOCS Clinic (Dr Saito, Ms Wakana, Ms Fukumitsu, Dr Fujino), Fukuoka, Japan.
J Occup Environ Med. 2015 Mar;57(3):246-50. doi: 10.1097/JOM.0000000000000399.
This study aims to demonstrate the protective effect on mortality among participants of a health education program, Brain-Oriented Obesity Control System (BOOCS).
A quasi-experimentally designed, 15-year (1993 to 2007) follow-up study was conducted with a total of 13,835 male and 7791 female Japanese workers. They were divided into three groups: participants in the program (1565 males and 742 females), nonparticipant comparative obese controls (1230 males and 605 females), and nonparticipant reference subjects (11,012 males and 6426 females). Hazard ratios were calculated with survival curves drawn to evaluate the mortality effects by the program participation.
The male participants showed significantly lower mortality risk for all causes of death at hazard ratio = 0.54 (95% confidence interval: 0.31 to 0.94) with significantly different survival curves (P = 0.014 by log-rank test) than obese controls.
The results support a protective effect on mortality by participating in BOOCS program.
本研究旨在证明健康教育项目“脑导向肥胖控制系统(BOOCS)”对参与者死亡率的保护作用。
进行了一项采用准实验设计的15年(1993年至2007年)随访研究,共有13835名日本男性工人和7791名日本女性工人参与。他们被分为三组:项目参与者(1565名男性和742名女性)、非参与的肥胖对照者(1230名男性和605名女性)以及非参与的参照对象(11012名男性和6426名女性)。计算风险比,并绘制生存曲线以评估参与该项目对死亡率的影响。
男性参与者的全因死亡风险显著降低,风险比为0.54(95%置信区间:0.31至0.94),生存曲线与肥胖对照者有显著差异(对数秩检验P = 0.014)。
结果支持参与BOOCS项目对死亡率有保护作用。