The steps to health employee weight management randomized control trial: rationale, design and baseline characteristics.

The steps to health employee weight management randomized control trial: rationale, design and baseline characteristics.
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健康员工体重管理随机对照试验的步骤:基本原理、设计和基线特征。

DOI:
10.1016/j.cct.2013.04.007
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发表时间:
2013
影响因子:
2.2
通讯作者:
Dement,JohnM
Dement,JohnM
中科院分区:
医学4区
文献类型:
--
作者:
Østbye,Truls;Stroo,Marissa;Brouwer,RebeccaJN;Peterson,BercedisL;Eisenstein,EricL;Fuemmeler,BernardF;Joyner,Julie;Gulley,Libby;Dement,JohnM

文献摘要

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工作场所可能是解决肥胖问题的重要场所。介绍健康阶梯研究(STH)的设计、原理和基线特征,STH是一项随机试验,旨在评估杜克大学和医学中心提供的两个既有员工体重管理项目的有效性。方法550名肥胖(BMI ≥30)员工志愿者按1:1随机分为两个项目。基线数据收集于2011年1月至2012年7月,包括身高/体重、加速度、工伤、医疗保健利用率,以及询问社会认知因素、健康气候感知、身体活动和饮食摄入的问卷调查。在二次分析中,两个项目的参与者还将与肥胖员工的非随机观察对照组进行比较。基线时,平均年龄为45岁,83%为女性,41%为白色,53%为黑人。平均BMI为37.2。参与者平均每天消耗2.37份水果和蔬菜(在过去的一周),参加了11.5分钟的中度到剧烈的体力活动,并花费620分钟被sitentational.CONCLUSIONSTH地址需要评估的工地干预措施,以促进健康的体重。除了对工人的健康有直接的积极影响外,工地计划还有可能提高生产力和降低医疗保健费用。
BACKGROUNDThe workplace can be an important setting for addressing obesity. An increasing number of employers offer weight management programs.PURPOSEPresent the design, rationale and baseline characteristics of the Steps to Health study (STH), a randomized trial to evaluate the effectiveness of two preexisting employee weight management programs offered at Duke University and Medical Center.METHODS550 obese (BMI ≥30) employee volunteers were randomized 1:1 to two programs. Baseline data, collected between January 2011 and July 2012, included height/weight, accelerometry, workplace injuries, health care utilization, and questionnaires querying socio-cognitive factors, perceptions of health climate, physical activity, and dietary intake. In secondary analyses participants in the two programs will also be compared to a non-randomized observational control group of obese employees.RESULTSAt baseline, the mean age was 45years, 83% were female, 41% white, and 53% black. Mean BMI was 37.2. Participants consumed a mean of 2.37 servings of fruits and vegetables per day (in the past week), participated in 11.5min of moderate-to-vigorous physical activity, and spent 620min being sedentary.CONCLUSIONSTH addresses the need for evaluation of worksite interventions to promote healthy weight. In addition to having direct positive effects on workers' health, worksite programs have the potential to increase productivity and reduce health care costs.