Obesity and Energetics Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, 711 Washington Street, Boston, MA, 02111, USA.
Hirsh Health Sciences Library, Tufts University, Boston, MA, USA.
Curr Obes Rep. 2016 Jun;5(2):298-306. doi: 10.1007/s13679-016-0205-z.
A systematic review was conducted of randomized trials of workplace weight management interventions, including trials with dietary, physical activity, environmental, behavioral, and incentive-based components. Main outcomes were defined as change in weight-related measures. Keywords related to weight management and workplace interventions were used to search relevant databases, and 23 eligible studies were reviewed in detail using a data extraction form and quality assessment checklist. The trials were conducted mainly in the USA and Europe, with four additional countries represented. Interventions were mostly multicomponent and were implemented in both sexes and in a range of employment categories. Intervention effectiveness appeared unrelated to region of the world and was highest in 6-12-month trials. The results ranged widely from clinically significant 8.8-kg weight loss in one trial to less effective than the control treatment in others. Some workplace interventions achieve clinically significant benefits, and further studies are needed to replicate those results in wider sociocultural and geographical contexts.
系统评价了工作场所体重管理干预的随机试验，包括饮食、身体活动、环境、行为和激励因素的干预。主要结局定义为体重相关指标的变化。使用与体重管理和工作场所干预相关的关键词搜索了相关数据库，并使用数据提取表和质量评估清单详细审查了 23 项合格研究。这些试验主要在美国和欧洲进行，另外还有四个国家参加。干预措施主要是多组分的，在男女两性和各种就业类别中实施。干预效果似乎与世界区域无关，在 6-12 个月的试验中效果最高。结果从一项试验中 8.8 公斤的显著临床体重减轻到另一项试验中比对照治疗效果更差，范围很广。一些工作场所干预措施确实有明显的益处，需要进一步的研究来在更广泛的社会文化和地理背景下复制这些结果。
