Effectiveness of Workplace Weight Management Interventions: a Systematic Review

Effectiveness of Workplace Weight Management Interventions: a Systematic Review
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DOI:
10.1007/s13679-016-0205-z
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发表时间:
2016-06-01
影响因子:
8.8
通讯作者:
Das, Sai Krupa
Das, Sai Krupa
中科院分区:
医学2区
文献类型:
--
作者:
Weerasekara, Yasoma Kumari;Roberts, Susan B.;Das, Sai Krupa

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对工作场所体重管理干预措施的随机试验进行了系统评价,包括饮食,体力活动,环境,行为和激励成分的试验。主要结果定义为体重相关指标的变化。使用与体重管理和工作场所干预相关的关键词搜索相关数据库,并使用数据提取表和质量评估清单详细审查了23项合格研究。这些试验主要在美国和欧洲进行,另外还有四个国家。干预措施大多是多方面的,在两性和一系列就业类别中实施。干预效果似乎与世界地区无关,在6-12个月的试验中最高。结果范围很广,从一项试验中临床显著的8.8公斤体重减轻到其他试验中比对照治疗效果差。一些工作场所的干预措施取得了临床显着的好处,需要进一步的研究,以复制这些结果在更广泛的社会文化和地理环境。
A systematic review was conducted of randomized trials of workplace weight management interventions, including trials with dietary, physical activity, environmental, behavioral, and incentive-based components. Main outcomes were defined as change in weight-related measures. Keywords related to weight management and workplace interventions were used to search relevant databases, and 23 eligible studies were reviewed in detail using a data extraction form and quality assessment checklist. The trials were conducted mainly in the USA and Europe, with four additional countries represented. Interventions were mostly multicomponent and were implemented in both sexes and in a range of employment categories. Intervention effectiveness appeared unrelated to region of the world and was highest in 6-12-month trials. The results ranged widely from clinically significant 8.8-kg weight loss in one trial to less effective than the control treatment in others. Some workplace interventions achieve clinically significant benefits, and further studies are needed to replicate those results in wider sociocultural and geographical contexts.