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针对男性的工作场所健康促进计划:吸烟、营养、身体活动和肥胖的系统评价和随机对照试验荟萃分析。

Workplace Health Promotion Programs Targeting Smoking, Nutrition, Physical Activity, and Obesity in Men: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

机构信息

Centre for Resources Health and Safety, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, 2308, Australia.

School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, 2308, Australia.

出版信息

Health Educ Behav. 2024 Feb;51(1):113-127. doi: 10.1177/10901981231208396. Epub 2023 Nov 27.

DOI:10.1177/10901981231208396
PMID:38009189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10785566/
Abstract

The workplace has been highlighted as a potential setting to deliver health promotion programs to target modifiable health behaviors that contribute to chronic disease. This review evaluated the effectiveness of interventions implemented within the workplace that targeted either smoking, nutrition, alcohol, physical activity, and/or overweight and obesity in men. A review protocol was prospectively registered through PROSPERO (CRD42021293398). Five electronic bibliographic databases were searched for randomized controlled trials conducted in the workplace assessing chronic disease risk factors in men from January 2010 to August 2021. Eleven studies were included, reporting on overweight and obesity = 8, physical activity = 7, nutrition = 4, alcohol = 3, smoking = 3, with eight studies assessing multiple outcomes. Results were mixed. Narrative synthesis highlighted studies reporting improvements to snacking frequency, sugar sweetened beverage consumption, and physical activity (METs and Vo2 max). Meta-analysis highlighted pooled mean decrease in body weight of -0.28 kg up to 3 months; -1.38 kg for >3 months, and pooled mean decrease in body mass index 0.06 kg/m up to 3 months; -0.27 kg/m for >3 months. Despite the encouraging direction of the relationship, results were not statistically significant ( > .05). Findings underscore the potential of workplace health promotion programs targeting certain chronic disease risk factors in men; however, future research should consider long-term study designs to assess the efficacy of workplace health programs as a solution to the growing burden of global disease.

摘要

工作场所已被强调为提供健康促进计划的潜在场所,以针对可改变的健康行为,这些行为会导致慢性病。本综述评估了在工作场所实施的针对男性吸烟、营养、酒精、身体活动和/或超重和肥胖的干预措施的有效性。综述方案通过 PROSPERO(CRD42021293398)进行了前瞻性注册。从 2010 年 1 月至 2021 年 8 月,在五个电子文献数据库中搜索了在工作场所进行的评估男性慢性病危险因素的随机对照试验。纳入了 11 项研究,其中 8 项研究报告了超重和肥胖,7 项研究报告了身体活动,4 项研究报告了营养,3 项研究报告了酒精,3 项研究报告了吸烟,有 8 项研究评估了多个结果。结果不一。叙述性综合强调了报告改善零食频率、含糖饮料消费和身体活动(METs 和 Vo2 max)的研究。荟萃分析强调了截至 3 个月时体重平均下降 0.28 公斤;超过 3 个月时体重下降 1.38 公斤,截至 3 个月时体重指数平均下降 0.06 公斤/米;超过 3 个月时体重指数下降 0.27 公斤/米。尽管关系的方向令人鼓舞,但结果没有统计学意义(> 0.05)。研究结果强调了针对男性某些慢性病危险因素的工作场所健康促进计划的潜力;然而,未来的研究应考虑长期研究设计,以评估工作场所健康计划作为解决全球疾病负担日益增加的解决方案的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7899/10785566/863956089a7d/10.1177_10901981231208396-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7899/10785566/7497bb475783/10.1177_10901981231208396-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7899/10785566/b6f35e833dd7/10.1177_10901981231208396-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7899/10785566/863956089a7d/10.1177_10901981231208396-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7899/10785566/7497bb475783/10.1177_10901981231208396-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7899/10785566/b6f35e833dd7/10.1177_10901981231208396-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7899/10785566/863956089a7d/10.1177_10901981231208396-fig3.jpg

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