澳大利亚采矿业的健康与福利：RESHAPE 工作场所健康促进计划前后发现的分析。
Health and wellness in the Australian coal mining industry: An analysis of pre-post findings from the RESHAPE workplace health promotion program.
机构信息
Centre for Resources Health and Safety, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, Australia.
School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, Australia.
出版信息
PLoS One. 2023 Jul 7;18(7):e0288244. doi: 10.1371/journal.pone.0288244. eCollection 2023.
OBJECTIVES
Non-communicable diseases are the leading cause of death worldwide, accounting for 71% of deaths in 2021. The chronic and pervasive nature of these diseases spurs the need for novel treatment approaches, including using the workplace as a front for the promotion and dissemination of health messages and activities. Taking this into consideration, this study aimed to assess the efficacy of a workplace health promotion program that targeted nutrition, physical activity, and obesity outcomes in a New South Wales (NSW) coal mine site.
DESIGN
A 12-week quasi-experimental pre-test-post-test study.
SETTING
A coal mine site in rural NSW, Australia.
PARTICIPANTS
At baseline there were n = 389 participants, with similar numbers at follow-up (n = 420) as well as 61 participants from both timepoints (8.2% repeated measures), with 89% of participants being male.
INTERVENTION
A multicomponent wellness intervention was implemented incorporating aspects of education, goal setting, and competition.
OUTCOMES
Physical activity, nutrition, and weight.
RESULTS
The mean BMI at baseline was 30.01 kg/m2, and at follow-up 29.79 kg/m2 (p = 0.39). At follow-up, participants reported 81% lower odds of engaging in the exercise category 'no moderate physical exercise' (OR = 0.09, p < 0.001), as well as 111% higher odds of meeting physical activity and exercise guidelines (OR = 2.11, p = 0.057). There were no changes to diet outcomes and no association between employment characteristics and participating in physical activity.
CONCLUSIONS
Workplace health promotion programs can be an efficacious strategy in improving physical activity outcomes and marginally improving weight outcomes in those in the mining industry. Further research is needed to determine the true effectiveness of these programs long-term, particularly in an environment as challenging and dynamic as the mining industry.
目的
非传染性疾病是全球范围内导致死亡的主要原因，占 2021 年死亡人数的 71%。这些疾病的慢性和普遍性质促使人们需要新的治疗方法，包括利用工作场所作为宣传和传播健康信息和活动的前沿。考虑到这一点，本研究旨在评估一项针对新南威尔士州（NSW）煤矿场营养、身体活动和肥胖结果的工作场所健康促进计划的效果。
设计
一项为期 12 周的准实验前后测试研究。
设置
澳大利亚新南威尔士州农村地区的一个煤矿场。
参与者
基线时有 n = 389 名参与者，随访时有 n = 420 名参与者，还有 61 名来自两个时间点的参与者（8.2%重复测量），参与者中 89%为男性。
干预
实施了一项多成分健康促进干预措施，纳入了教育、目标设定和竞争等方面。
结果
基线时的平均 BMI 为 30.01kg/m2，随访时为 29.79kg/m2（p = 0.39）。随访时，参与者报告说，“没有进行适度的体育锻炼”这一运动类别的参与率降低了 81%（OR = 0.09，p < 0.001），同时符合身体活动和锻炼指南的可能性增加了 111%（OR = 2.11，p = 0.057）。饮食结果没有变化，就业特征与参与身体活动之间没有关联。
结论
工作场所健康促进计划可以成为改善采矿行业体力活动结果和略微改善体重结果的有效策略。需要进一步研究这些计划的长期真正效果，特别是在采矿行业这样具有挑战性和动态的环境中。
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