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评估与理解办公室上班族的久坐行为:一种混合方法研究

Assessing and understanding sedentary behaviour in office-based working adults: a mixed-method approach.

作者信息

Waters Clarice N, Ling Er Pei, Chu Anne H Y, Ng Sheryl H X, Chia Audrey, Lim Yee Wei, Müller-Riemenschneider Falk

机构信息

Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, Tahir Foundation Building, Singapore, 117549, Singapore.

NUS Business School, National University of Singapore, 15 Kent Ridge Drive, Mochtar Riady Building, Singapore, 119245, Singapore.

出版信息

BMC Public Health. 2016 Apr 27;16:360. doi: 10.1186/s12889-016-3023-z.

Abstract

BACKGROUND

Sedentary behaviours (SB) can be characterized by low energy expenditure in a reclining position (e.g., sitting) often associated with work and transport. Prolonged SB is associated with increased risk for chronic conditions, and due to technological advances, the working population is in office settings with high occupational exposure to SB. This study aims to assess SB among office workers, as well as barriers and strategies towards reducing SB in the work setting.

METHODS

Using a mixed-methods approach guided by the socio-ecological framework, non-academic office workers from a professional school in a large public university were recruited. Of 180 eligible office workers, 40 enrolled and completed all assessments. Self-reported and objectively measured SB and activity levels were captured. Focus group discussion (FGD) were conducted to further understand perceptions, barriers, and strategies to reducing workplace SB. Environmental factors were systematically evaluated by trained research staff using an adapted version of the Checklist for Health Promotion Environments at Worksites (CHEW). Thematic analysis of FGD was conducted and descriptive analysis of quantitative data was performed.

RESULTS

The sample was mostly Chinese (n = 33, 80 %) with a total of 24 (60 %) female participants. Most participants worked five days a week for about 9.5(0.5) hrs/day. Accelerometer data show that participants spend the majority of their days in sedentary activities both on workdays (76.9 %) and non-workdays (69.5 %). Self-report data confirm these findings with median sitting time of 420(180) minutes at work. From qualitative analyses, major barriers to reducing SB emerged, including the following themes: workplace social and cultural norms, personal factors, job scope, and physical building/office infrastructure. CHEW results confirm a lack of support from the physical infrastructure and information environment to reducing SB.

CONCLUSIONS

There is high SB among office workers in this sample. We identified multiple levels of influence for prolonged occupational SB, with a particular emphasis on workplace norms and infrastructure as important barriers to reducing SB and increasing PA. A larger, representative sample of the Singaporean population is needed to confirm our findings but it seems that any intervention aimed at reducing SB in the workplace should target individual, environmental, and organizational levels.

摘要

背景

久坐行为(SB)的特征是在常与工作和交通相关的斜倚姿势(如坐着)下能量消耗较低。长时间的久坐行为与慢性病风险增加有关,并且由于技术进步,工作人群在办公室环境中面临着较高的职业久坐暴露风险。本研究旨在评估办公室工作人员中的久坐行为,以及在工作环境中减少久坐行为的障碍和策略。

方法

采用社会生态框架指导的混合方法,招募了一所大型公立大学专业学校的非学术办公室工作人员。在180名符合条件的办公室工作人员中,40人参与并完成了所有评估。收集了自我报告和客观测量的久坐行为及活动水平数据。进行了焦点小组讨论(FGD),以进一步了解对减少工作场所久坐行为的认知、障碍和策略。由经过培训的研究人员使用工作场所健康促进环境检查表(CHEW)的改编版对环境因素进行系统评估。对焦点小组讨论进行了主题分析,并对定量数据进行了描述性分析。

结果

样本大多为中国人(n = 33,80%),共有24名(60%)女性参与者。大多数参与者每周工作五天,每天工作约9.5(0.5)小时。加速度计数据显示,参与者在工作日(76.9%)和非工作日(69.5%)的大部分时间都处于久坐活动中。自我报告数据证实了这些发现,工作时的中位坐姿时间为420(180)分钟。从定性分析中,出现了减少久坐行为的主要障碍,包括以下主题:工作场所的社会和文化规范、个人因素、工作范围以及物理建筑/办公基础设施。CHEW结果证实,物理基础设施和信息环境缺乏对减少久坐行为的支持。

结论

该样本中的办公室工作人员久坐行为发生率较高。我们确定了长时间职业久坐行为的多个影响层面,特别强调工作场所规范和基础设施是减少久坐行为和增加身体活动的重要障碍。需要更大规模、具有代表性的新加坡人群样本以证实我们的发现,但似乎任何旨在减少工作场所久坐行为的干预措施都应针对个人、环境和组织层面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac60/4847225/b56be59efc93/12889_2016_3023_Fig1_HTML.jpg

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