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“UP 项目”的研究方案和原理:评估主动休息对伏案工作者健康指标的有效性。

Study protocol and rationale of "the UP project": evaluating the effectiveness of active breaks on health indicators in desk-based workers.

机构信息

IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile.

School of Physical Therapy Faculty of Medicine, Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.

出版信息

Front Public Health. 2024 Mar 19;12:1363015. doi: 10.3389/fpubh.2024.1363015. eCollection 2024.

Abstract

BACKGROUND

Excessive sedentary time has been negatively associated with several health outcomes, and physical activity alone does not seem to fully counteract these consequences. This panorama emphasizes the essential of sedentary time interruption programs. "The Up Project" seeks to assess the effectiveness of two interventions, one incorporating active breaks led by a professional and the other utilizing a computer application (self-led), of both equivalent duration and intensity. These interventions will be compared with a control group to evaluate their impact on physical activity levels, sedentary time, stress perception, occupational pain, and cardiometabolic risk factors among office workers.

METHODS

This quasi-experimental study includes 60 desk-based workers from universities and educational institutes in Valparaiso, Chile, assigned to three groups: (a) booster breaks led by professionals, (b) computer prompts that are unled, and (c) a control group. The intervention protocol for both experimental groups will last 12 weeks (only weekdays). The following measurements will be performed at baseline and post-intervention: cardiometabolic risk based on body composition (fat mass, fat-free mass, and bone mass evaluated by DXA), waist circumference, blood pressure, resting heart rate, and handgrip strength. Physical activity and sedentary time will be self-reported and device-based assessed using accelerometry. Questionnaires will be used to determine the perception of stress and occupational pain.

DISCUSSION

Governments worldwide are addressing health issues associated with sedentary behavior, particularly concerning individuals highly exposed to it, such as desk-based workers. Despite implementing certain strategies, there remains a noticeable gap in comprehensive research comparing diverse protocols. For instance, studies that contrast the outcomes of interventions led by professionals with those prompted by computers are scarce. This ongoing project is expected to contribute to evidence-based interventions targeting reduced perceived stress levels and enhancing desk-based employees' mental and physical well-being. The implications of these findings could have the capacity to lay the groundwork for future public health initiatives and government-funded programs.

摘要

背景

久坐时间过长与多种健康结果呈负相关,而单纯的身体活动似乎并不能完全抵消这些后果。这种情况强调了久坐时间中断计划的重要性。“Up Project”旨在评估两种干预措施的效果,一种是由专业人员引导的主动休息,另一种是使用计算机应用程序(自我引导),两种干预措施的持续时间和强度相同。这两种干预措施将与对照组进行比较,以评估它们对办公室工作人员的身体活动水平、久坐时间、压力感知、职业性疼痛和心血管代谢危险因素的影响。

方法

这是一项准实验研究,纳入了智利瓦尔帕莱索的大学和教育机构的 60 名伏案工作者,将他们分为三组:(a)由专业人员引导的强化休息组,(b)无引导的计算机提示组,和(c)对照组。两个实验组的干预方案将持续 12 周(仅工作日)。在基线和干预后将进行以下测量:基于身体成分的心血管代谢风险(通过 DXA 评估体脂肪量、去脂体重和骨量)、腰围、血压、静息心率和握力。身体活动和久坐时间将通过自我报告和基于加速度计的设备评估进行测量。使用问卷来确定压力和职业性疼痛的感知。

讨论

世界各国政府都在解决与久坐行为相关的健康问题,特别是针对那些高度暴露于久坐行为的人群,如伏案工作者。尽管已经实施了某些策略,但在比较不同方案的综合研究方面仍存在明显差距。例如,比较专业人员引导的干预措施与计算机提示的干预措施结果的研究相对较少。正在进行的这项研究有望为针对降低感知压力水平和提高伏案员工的心理和身体健康的干预措施提供证据。这些发现的意义可能为未来的公共卫生倡议和政府资助计划奠定基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f632/10985339/a79e418943f2/fpubh-12-1363015-g001.jpg

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