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为办公室工作人员提供可调节高度的工作站以减少和打断工作场所久坐时间:站立促进健康老龄化(SUFHA)整群随机对照试验方案。

Providing office workers with height-adjustable workstation to reduce and interrupt workplace sitting time: protocol for the Stand Up for Healthy Aging (SUFHA) cluster randomized controlled trial.

机构信息

CIDEFES, Universidade Lusófona, Lisbon, Portugal.

Escola de Psicologia e Ciências da Vida, Universidade Lusófona, Lisbon, Portugal.

出版信息

Trials. 2023 Jun 6;24(1):381. doi: 10.1186/s13063-023-07407-9.

Abstract

BACKGROUND

Sedentary behavior (SB) has been linked to several negative health outcomes. Therefore, reducing SB or breaking up prolonged periods of SB improves functional fitness, food consumption, job satisfaction, and productivity. Reducing SB can be achieved by introducing a health-enhancing contextual modification promoted by a sit-stand desk in the workplace. The primary goal will be to test the effectiveness of this intervention in reducing and breaking up SB, while improving health outcomes in office-based workers during a 6-month intervention.

METHODS

A two-arm (1:1), superiority parallel-group cluster RCT will be conducted to evaluate the effectiveness of this intervention in a sample of office-based workers from a university in Portugal. The intervention will consist of a psychoeducation session, motivational prompts, and contextual modification promoted by a sit-stand desk in the workplace for 6 months. The control group will work as usual in their workplace, with no contextual change or prompts during the 6-month intervention. Three assessment points will be conducted in both groups, pre-intervention (baseline), post-intervention, and a 3-month follow-up. The primary outcomes include sedentary and physical activity-related variables, which will be objectively assessed with 24 h monitoring using the ActivPAL for 7 days. The secondary outcomes include (a) biometric indices as body composition, body mass index, waist circumference, and postural inequalities; and (b) psychosocial variables such as overall and work-related fatigue, overall discomfort, life/work satisfaction, quality of life, and eating behavior. Both the primary and secondary outcomes will be assessed at each assessment point.

DISCUSSION

This study will lean on the use of a sit-stand workstation for 6 months, prompted by an initial psychoeducational session and ongoing motivational prompts. We will aim to contribute to this topic by providing robust data on alternating sitting and standing postures in the workplace.

TRIAL REGISTRATION

The trial was prospectively registered, and the details are at: https://doi.org/10.17605/OSF.IO/JHGPW ; Registered 15 November 2022. OSF Preregistration.

摘要

背景

久坐行为(SB)与多种负面健康结果有关。因此,减少 SB 或打断长时间的 SB 可以提高功能性健身、食物摄入、工作满意度和生产力。通过在工作场所引入促进站立式办公桌的健康增强型环境变化,可以实现减少 SB。主要目标将是在 6 个月的干预期间,测试这种干预在减少和打断 SB 以及改善以办公室为基础的工作者健康结果方面的有效性。

方法

一项双臂(1:1)、优越性平行组群 RCT 将在葡萄牙一所大学的以办公室为基础的工作者样本中进行,以评估这种干预的有效性。干预措施将包括一个心理教育课程、动机提示以及在工作场所使用坐站式办公桌进行的环境变化,为期 6 个月。对照组将在工作场所照常工作,在 6 个月的干预期间没有环境变化或提示。两组都将在三个评估点进行评估,分别是干预前(基线)、干预后和 3 个月的随访。主要结果包括久坐和与身体活动相关的变量,这些变量将通过使用 ActivPAL 在 7 天内进行 24 小时监测进行客观评估。次要结果包括(a)生物指标,如身体成分、体重指数、腰围和姿势不平等;以及(b)心理社会变量,如总体和与工作相关的疲劳、总体不适、生活/工作满意度、生活质量和饮食行为。主要和次要结果都将在每个评估点进行评估。

讨论

这项研究将依赖于在初始心理教育课程和持续的动机提示下,使用坐站式工作站 6 个月。我们将旨在通过提供有关在工作场所交替坐姿和站姿的有力数据来为这一主题做出贡献。

试验注册

该试验是前瞻性注册的,详情见:https://doi.org/10.17605/OSF.IO/JHGPW;2022 年 11 月 15 日注册。OSF 预注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/869d/10245479/115c5b5be707/13063_2023_7407_Fig1_HTML.jpg

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