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促进饮食行为和健康态度改变的工作场所健康计划

Worksite Health Program Promoting Changes in Eating Behavior and Health Attitudes.

作者信息

Mache Stefanie, Jensen Sarah, Jahn Reimo, Steudtner Mirko, Ochsmann Elke, Preuß Geraldine

机构信息

University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Bremen International Graduate School of Social Sciences, Bremen, Germany.

出版信息

Health Promot Pract. 2015 Nov;16(6):826-36. doi: 10.1177/1524839915596310. Epub 2015 Aug 5.

Abstract

BACKGROUND

The aim of the present study was to evaluate the effectiveness of a worksite multicomponent health promotion intervention on eating behavior and attitudes, changes in body weight, and readiness to make eating behavior changes among workers over a 12-month intervention period.

METHOD

A total of 3,095 workers of a logistic company participated in a quasi-experimental comparison group study design. The intervention group received a multicomponent health training. Two of the main elements of the multicomponent intervention were physical exercise training and nutrition counseling/training. During the pilot year, participants completed a survey at baseline and again after 12 months to assess physical activity-, health-, and diet-related factors.

RESULTS

Results showed that participants' body weight did not significantly decrease in the intervention group. Mean weight loss in the intervention groups was 0.5 kg (body mass index = 0.1 kg/m(2)). Eating behaviors in the intervention group improved more than in the comparison group. Some positive intervention effects were observed for the cognitive factors (e.g., changes in eating attitudes). Baseline readiness to change eating behavior was significantly improved over time.

CONCLUSIONS

We demonstrated initial results of a long-term multicomponent worksite health promotion program with regard to changes in body weight, eating behavior, and attitudes. This evaluation of a 12-month pilot study suggests that a worksite health promotion program may lead to improvements in nutritional health behaviors for a number of workers. An investigation of long-term effects of this multicomponent intervention is strongly recommended.

摘要

背景

本研究的目的是评估一项工作场所多组分健康促进干预措施对饮食行为和态度、体重变化以及在12个月干预期内工人改变饮食行为的意愿的有效性。

方法

一家物流公司的3095名工人参与了一项准实验性对照组研究设计。干预组接受了多组分健康培训。多组分干预的两个主要要素是体育锻炼培训和营养咨询/培训。在试点年期间,参与者在基线时以及12个月后再次完成一项调查,以评估与身体活动、健康和饮食相关的因素。

结果

结果显示,干预组参与者的体重没有显著下降。干预组的平均体重减轻了0.5千克(体重指数=0.1千克/平方米)。干预组的饮食行为比对照组改善得更多。在认知因素方面观察到了一些积极的干预效果(例如,饮食态度的变化)。随着时间的推移,改变饮食行为的基线意愿显著提高。

结论

我们展示了一项长期工作场所多组分健康促进计划在体重、饮食行为和态度变化方面的初步结果。这项为期12个月的试点研究评估表明,一项工作场所健康促进计划可能会使许多工人的营养健康行为得到改善。强烈建议对这种多组分干预的长期效果进行调查。

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