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基于政策的多组分营养试点干预对青年员工饮食和健康结果的影响。

The Impact of a Policy-Based Multicomponent Nutrition Pilot Intervention on Young Adult Employee's Diet and Health Outcomes.

机构信息

1 Centre for Public Health, Queen's University Belfast, Belfast, United Kingdom.

出版信息

Am J Health Promot. 2019 Mar;33(3):342-357. doi: 10.1177/0890117118784447. Epub 2018 Jul 13.

Abstract

PURPOSE

Evaluate the effect of a policy-based, multicomponent workplace diet intervention on young adult employees' diet and health.

DESIGN

A 6-month, single-armed pilot study with before and after assessments.

SETTING

Insurance company in Belfast, Northern Ireland.

PARTICIPANTS

Employees who worked at the company throughout the intervention period were included. Employees were excluded if pregnant, breast-feeding, or following a strict diet.

INTERVENTION

Multicomponent diet intervention: ban of unhealthy foods brought into the premises, free fruit, education, individual advice, and further support.

MEASURES

Mixed-methods approach: Diet-, health-, and work-related measures were assessed quantitatively. The campaign was evaluated quantitatively (via questionnaire) and qualitatively (via semistructured interviews).

ANALYSIS

Changes in measures were analyzed using paired samples t tests. Interviews were analyzed using thematic analysis.

RESULTS

Sixty (75.9%) staff completed all assessments. Males reduced their sugar intake on working days (-8.7% of total energy standard deviation [SD]: 20.1; P value <.01). Systolic blood pressure reduced in males and females (-3.3 SD: 9.9; P value <.05 and -8.0 SD: 7.7; P value <.001, respectively); 85.2% of staff strongly agreed/agreed that they appreciated the healthy eating ethos. This was supported by the qualitative analysis which furthermore suggested that the education, team support, individual advice, and free fruit were beneficial.

CONCLUSION

Influencing workplace policies and offering additional dietary support could lead to meaningful changes in employees' diet and health and may change workplace culture.

摘要

目的

评估基于政策的、多组分工作场所饮食干预对年轻成年员工饮食和健康的影响。

设计

一项为期 6 个月的单臂试点研究,包括前后评估。

地点

北爱尔兰贝尔法斯特的一家保险公司。

参与者

在干预期间一直在公司工作的员工被包括在内。如果员工怀孕、哺乳或遵循严格的饮食,则将其排除在外。

干预措施

多组分饮食干预:禁止将不健康的食物带入场所、提供免费水果、提供教育、个人建议和进一步的支持。

措施

混合方法:饮食、健康和工作相关措施进行定量评估。该活动通过问卷调查进行定量评估(通过问卷调查)和定性评估(通过半结构化访谈)。

分析

使用配对样本 t 检验分析措施的变化。使用主题分析对访谈进行分析。

结果

60 名(75.9%)员工完成了所有评估。男性在工作日减少了糖的摄入量(占总能量标准差的 8.7%:20.1;P 值<.01)。男性和女性的收缩压均降低(男性-3.3 SD:9.9;P 值<.05,女性-8.0 SD:7.7;P 值<.001);85.2%的员工强烈同意/同意他们赞赏健康的饮食风气。这一点得到了定性分析的支持,定性分析还表明,教育、团队支持、个人建议和免费水果是有益的。

结论

影响工作场所政策并提供额外的饮食支持可能会导致员工饮食和健康方面的有意义变化,并可能改变工作场所文化。

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