Matsugaki Ryutaro, Kuhara Satoshi, Saeki Satoru, Jiang Ying, Michishita Ryoma, Ohta Masanori, Yamato Hiroshi
Rehabilitation Center of University Hospital, University of Occupational and Environmental Health.
Department of Health Development, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health.
J Occup Health. 2017 Jul 27;59(4):327-335. doi: 10.1539/joh.16-0125-OA. Epub 2017 Jun 20.
This study aimed to evaluate the effectiveness of supervised exercise among nurses conducting shift work for health promotion.
A total of 30 healthy female nurses conducting shift work participated in this study and they were randomly assigned to one of the following 2 groups: The supervised exercise group (SG; participants exercised under the supervision of a physical therapist (PT)) and the voluntary exercise group (VG; participants exercised without supervision). The study participants were asked to exercise twice/week for 12 weeks for 24 sessions. The primary outcome was aerobic fitness, and the secondary outcomes were muscle strength, anthropometric data, biochemical parameters, and mental health. We compared all the outcomes before and after the intervention within each group and between both groups at follow-up.
Aerobic fitness increased in the SG whereas it decreased in the VG, but these changes were not statistically significant (p=0.053 and 0.073, respectively). However, the between-group difference was significant in the intervention effect (p=0.010). Muscle strength, high-density lipoprotein cholesterol and metabolic profile (high-molecular weight adiponectin), and depressive symptom significantly improved in the SG over time, even though the SG exercised less as compared with the VG. Moreover, significant differences in muscle strength, and low-density lipoprotein cholesterol and reactive oxygen metabolite levels were observed between both groups, and these parameters were better in the SG than in the VG.
Our data-suggest the effectiveness of exercise supervised by a PT at the workplace of nurses conducting shift work for health promotion.
本研究旨在评估有监督的运动对从事轮班工作的护士健康促进的有效性。
共有30名从事轮班工作的健康女性护士参与本研究,她们被随机分配到以下两组之一:有监督运动组(SG;参与者在物理治疗师(PT)的监督下进行锻炼)和自愿运动组(VG;参与者无监督地进行锻炼)。研究参与者被要求每周锻炼两次,共12周,进行24次锻炼。主要结果是有氧适能,次要结果是肌肉力量、人体测量数据、生化参数和心理健康。我们比较了每组干预前后以及随访时两组之间的所有结果。
SG组的有氧适能增加,而VG组则下降,但这些变化无统计学意义(分别为p = 0.053和0.073)。然而,干预效果的组间差异具有统计学意义(p = 0.010)。随着时间的推移,SG组的肌肉力量、高密度脂蛋白胆固醇和代谢谱(高分子量脂联素)以及抑郁症状显著改善,尽管与VG组相比,SG组锻炼较少。此外,两组之间在肌肉力量、低密度脂蛋白胆固醇和活性氧代谢物水平方面存在显著差异,SG组的这些参数优于VG组。
我们的数据表明,在从事轮班工作的护士工作场所,由物理治疗师监督的运动对健康促进是有效的。