Leonard Krista S, de Brito Junia N, Larouche Miranda L, Rydell Sarah A, Mitchell Nathan R, Pereira Mark A, Buman Matthew P
College of Health Solutions, Arizona State University, Phoenix, AZ, USA.
School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Transl J Am Coll Sports Med. 2022 Fall;7(4). doi: 10.1249/tjx.0000000000000210. Epub 2022 Sep 15.
INTRODUCTION/PURPOSE: Although many US adults report trying to lose weight, little research has examined weight loss goals as a motivator for reducing workplace sitting and increasing physical activity. This exploratory analysis examined weight goals and the association with changes in workplace sitting, physical activity, and weight.
Employees ( = 605) were drawn from worksites participating in Stand and Move at Work. Worksites ( = 24) were randomized to a multilevel behavioral intervention with (STAND+) or without (MOVE+) sit-stand workstations for 12 months; MOVE+ worksites received sit-stand workstations from 12 to 24 months. At each assessment (baseline and 3, 12, and 24 months), participants were weighed and wore activPAL monitors. Participants self-reported baseline weight goals and were categorized into the "Lose Weight Goal" (LWG) group if they reported trying to lose weight or into the "Other Weight Goal" (OWG) group if they did not.
Generalized linear mixed models revealed that within STAND+, LWG and OWG had similar sitting time through 12 months. However, LWG sat significantly more than OWG at 24 months. Within MOVE+, sitting time decreased after introduction of sit-stand workstations for LWG and OWG, although LWG sat more than OWG. Change in physical activity was minimal and weight remained stable in all groups.
Patterns of change in workplace sitting were more favorable in OWG relative to LWG, even in the absence of notable weight change. Expectations of weight loss might be detrimental for reductions in workplace sitting. Interventionists may want to emphasize non-weight health benefits of reducing workplace sitting.
引言/目的:尽管许多美国成年人表示试图减肥,但很少有研究将减肥目标作为减少工作场所久坐行为和增加身体活动的动机进行考察。本探索性分析研究了体重目标及其与工作场所久坐行为、身体活动和体重变化之间的关联。
从参与“工作时站立和活动”项目的工作场所招募员工(n = 605)。工作场所(n = 24)被随机分为接受(STAND+)或不接受(MOVE+)坐站两用工作站的多水平行为干预组,为期12个月;MOVE+组的工作场所在12至24个月期间配备坐站两用工作站。在每次评估(基线、3个月、12个月和24个月)时,对参与者进行称重,并让他们佩戴activPAL监测仪。参与者自行报告基线体重目标,若报告试图减肥则被归类为“减肥目标”(LWG)组,若未报告则归类为“其他体重目标”(OWG)组。
广义线性混合模型显示,在STAND+组中,LWG组和OWG组在12个月内的久坐时间相似。然而,在24个月时,LWG组的久坐时间明显多于OWG组。在MOVE+组中,引入坐站两用工作站后,LWG组和OWG组的久坐时间均减少,尽管LWG组的久坐时间仍多于OWG组。所有组的身体活动变化极小,体重保持稳定。
即使在体重没有明显变化的情况下,OWG组工作场所久坐行为的变化模式相对于LWG组更有利。减肥的期望可能不利于减少工作场所的久坐行为。干预者可能需要强调减少工作场所久坐行为对健康的非体重相关益处。