Matera S, Filetti V, Rapisarda V, Kaźmierczak-Siedlecka K, Rapisarda L, Dounias G, Vecchio M, Musumeci G, Roggio F, Vitale E
Department of Clinical and Experimental Medicine, Occupational Medicine, University of Catania, Catania, Italy.
Eur Rev Med Pharmacol Sci. 2023 Oct;27(19):9346-9354. doi: 10.26355/eurrev_202310_33962.
Obesity is a multifactorial disease that is one of the major public health problems. It is the result of the interaction between behavioral, social and endocrine-metabolic components. Already in the 80s, it was highlighted by the World Health Organization (WHO) that the workplace is an ideal setting for introducing health promotion programs. The aim of the present study was to implement a health promotion program among healthcare workers (HCWs) operating in an Emergency Hospital in Southern Italy, combining diet, sports activity and motivational support over a 24-month period.
Participants were HCWs operating in an Emergency Hospital in Southern Italy. The inclusion criteria were as follows: overweight or obesity, i.e., body mass index (BMI) >25 kg/m2, or waist circumference >102 cm (males), >88 cm (females); dyslipidemia without pharmacological treatment, i.e., total cholesterol >220 mg/dL, or high-density lipoprotein (HDL) cholesterol <35 mg/dL, or low-density lipoprotein cholesterol (LDL) >130 mg/dL, or triglycerides >200 mg/dL; fasting glucose levels >120 mg/dl and/or reduced tolerance to glucose or diabetes mellitus, without pharmacological treatment was determined through HbA1c.
The analysis was conducted on 36 participants. Follow-up was performed after twelve (T12) and twenty-four months (T24). The average systolic blood pressure (SBP) and diastolic blood pressure (DBP) values decreased during the time period. The average BMI of both male and female HCWs was significantly reduced from T0 to T12 and from T0 to T24. The triglyceride levels gradually decreased, but not significantly, from T0 to T24. The average blood glucose values decreased from T0 to T12 and from T12 to T24. The number of subjects who started to perform physical activity increased significantly between T0 and T12 and between T0 and T24.
The findings have led to a significant change in HCWs' lifestyles and body perceptions, as well as their ability to work.
肥胖是一种多因素疾病，是主要的公共卫生问题之一。它是行为、社会和内分泌代谢因素相互作用的结果。早在80年代，世界卫生组织（WHO）就强调工作场所是推行健康促进计划的理想场所。本研究的目的是在意大利南部一家急诊医院工作的医护人员（HCWs）中实施一项健康促进计划，在24个月的时间里结合饮食、体育活动和动机支持。
参与者为在意大利南部一家急诊医院工作的医护人员。纳入标准如下：超重或肥胖，即体重指数（BMI）>25kg/m²，或腰围>102cm（男性），>88cm（女性）；未经药物治疗的血脂异常，即总胆固醇>220mg/dL，或高密度脂蛋白（HDL）胆固醇<35mg/dL，或低密度脂蛋白胆固醇（LDL）>130mg/dL，或甘油三酯>200mg/dL；空腹血糖水平>120mg/dl和/或葡萄糖耐量降低或糖尿病，未经药物治疗通过糖化血红蛋白（HbA1c）测定。
对36名参与者进行了分析。在12个月（T12）和24个月（T24）后进行随访。在此期间，平均收缩压（SBP）和舒张压（DBP）值下降。男性和女性医护人员的平均BMI从T0到T12以及从T0到T24均显著降低。甘油三酯水平从T0到T24逐渐下降，但不显著。平均血糖值从T0到T12以及从T12到T24均下降。开始进行体育活动的受试者数量在T0和T12之间以及T0和T24之间显著增加。
研究结果导致医护人员的生活方式、身体认知以及工作能力发生了显著变化。
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