Burn Naomi, Norton Lynda Heather, Drummond Claire, Ian Norton Kevin
Health and Social Care Institute, Teesside University, Middlesbrough Tees Valley, TS1 3BX, UK.
School of Health and Exercise Science, Faculty of Medicine, Nursing and Health Sciences, Flinders University of South Australia, Adelaide, South Australia, 5001.
AIMS Public Health. 2017 May 10;4(2):189-201. doi: 10.3934/publichealth.2017.2.189. eCollection 2017.
Declining physical activity (PA) and associated health risk factors are well established. Workplace strategies to increase PA may be beneficial to ameliorate extensive sedentary behavior. This study assessed the effectiveness of two PA interventions in workplace settings.
Interventions were conducted over 40 days targeting insufficiently active (<150 min/wk PA) and/or obese (BMI ≥ 30 kg/m) adults; participants were randomly allocated to instructor-led exercise sessions either after-work (n = 25) or in-work (n = 23) with a 60 minPA/day common goal, or a wait-listed control group (n = 23). The programme commenced with low-moderate physical activities and progressed to high intensity game style activities by week six. Adherence and compliance were determined using both objective measures of daily PA time from HR monitors and self-report responses to PA questionnaires. Cardiovascular and metabolic risk factors were measured pre- and post-intervention. Changes across the study were analysed using Chi square and repeat-measures ANOVA.
Adherence rates (completed pre and post-testing) were not different between groups (76.0 65.2%). Compliance for the instructor-led sessions was higher for the after-work group (70.4% 26.4%, respectively). Increased total PA and aerobic fitness, and decreased weight in both intervention groups were found relative to controls. The after-work group undertook more vigorous PA, and had greater weight loss and fasting blood glucose improvement, relative to in-work participants and controls.
These workplace interventions resulted in rapid and dramatic increases in PA behaviour and important health benefits. Short, in-work PA sessions were less efficacious than longer after-work sessions.
身体活动(PA)减少及相关健康风险因素已得到充分证实。增加PA的工作场所策略可能有助于改善长时间久坐行为。本研究评估了两种PA干预措施在工作场所环境中的有效性。
针对活动不足(每周PA<150分钟)和/或肥胖(BMI≥30kg/m²)的成年人进行了为期40天的干预;参与者被随机分配到由教练指导的下班后锻炼课程(n = 25)或工作中锻炼课程(n = 23),共同目标是每天进行60分钟的PA,或分配到候补对照组(n = 23)。该计划从低强度到中等强度的身体活动开始,到第六周进展为高强度游戏式活动。使用来自心率监测器的每日PA时间的客观测量值和对PA问卷的自我报告回答来确定依从性和合规性。在干预前后测量心血管和代谢风险因素。使用卡方检验和重复测量方差分析分析整个研究中的变化。
各组之间的依从率(完成前后测试)没有差异(分别为76.0%和65.2%)。下班后组对教练指导课程的合规性更高(分别为70.4%和26.4%)。相对于对照组,两个干预组的总PA增加、有氧适能提高且体重减轻。相对于工作中参与者和对照组,下班后组进行了更多的剧烈PA,体重减轻更多且空腹血糖改善更大。
这些工作场所干预措施导致PA行为迅速显著增加,并带来重要的健康益处。短时间的工作中PA课程不如长时间的下班后课程有效。