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用于促进工作场所身体活动和减少久坐行为的推动因素:范围综述的结果。

Nudges used to promote physical activity and to reduce sedentary behaviour in the workplace: Results of a scoping review.

机构信息

Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.

Department Prevention and Evaluation, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany; Department of Movement, Human and Health Sciences, University of Rome "Foro Italico", Rome, Italy.

出版信息

Prev Med. 2022 Feb;155:106922. doi: 10.1016/j.ypmed.2021.106922. Epub 2021 Dec 18.

Abstract

Physical inactivity is one of the most important risk factors for non-communicable diseases. Workplace health promotion is therefore of growing interest to support an active day using nudges. The scoping review aims to (a) analyse how frequently nudges are applied in workplace health promotion to increase physical activity and/or reduce sedentary behaviour, and (b) characterise the nudges used. A systematic database search was conducted for the period 2009 to June 2020. According to predefined inclusion and exclusion criteria, studies promoting physical activity and/or reducing sedentary behaviour using nudges were included. Nudges were classified according to MINDSPACE and TIPPME. A study protocol was previously published. Of the 256 studies identified, 26 used nudges. Most studies were conducted in Europe (n = 12) and the USA (n = 8). N = 18 studies targeted physical activity and n = 8 studies targeted sedentary behaviour. In most studies promoting physical activity, prompts were given to climb stairs (n = 11). Interventions targeting sedentary behaviour were more diverse, using digital interventions or mixed approaches (n = 8). Although nudges can help increase physical activity and reduce sedentary behaviour, there are still gaps in terms of their effective and efficient use. There is a lack of long-term studies that analyse habituation and behavioural changes beyond the intervention period. In addition, the potential of digital and mixed approaches is not yet fully exploited. Further studies from low- and middle-income countries with different climates and working conditions are needed to investigate the feasibility of approaches and advance the fight against physical inactivity.

摘要

身体活动不足是非传染性疾病最重要的危险因素之一。因此,工作场所健康促进越来越受到关注,以利用推动手段支持人们积极度过一天。本综述旨在:(a) 分析在工作场所健康促进中,推动手段被应用于增加身体活动和/或减少久坐行为的频率;(b) 描述所使用的推动手段。对 2009 年至 2020 年 6 月期间的数据库进行了系统检索。根据预先确定的纳入和排除标准,纳入了使用推动手段促进身体活动和/或减少久坐行为的研究。根据 MINDSPACE 和 TIPPME 对推动手段进行分类。此前已发表了研究方案。在确定的 256 项研究中,有 26 项使用了推动手段。大多数研究在欧洲(n=12)和美国(n=8)进行。n=18 项研究针对身体活动,n=8 项研究针对久坐行为。在大多数促进身体活动的研究中,提示人们爬楼梯(n=11)。针对久坐行为的干预措施更加多样化,使用数字干预措施或混合方法(n=8)。虽然推动手段可以帮助增加身体活动和减少久坐行为,但在有效和高效使用方面仍存在差距。缺乏分析干预期后习惯化和行为变化的长期研究。此外,数字和混合方法的潜力尚未得到充分利用。需要来自不同气候和工作条件的中低收入国家的进一步研究,以调查这些方法的可行性,并推进对身体活动不足的防治工作。

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