The Implementation of a National Physical Activity Intervention in Colombia
The Implementation of a National Physical Activity Intervention in Colombia
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DOI：
10.1123/jpah.2018-0183
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发表时间：
2019-06-01
影响因子：
3.1
通讯作者：
Stoutenberg, Mark
中科院分区：
文献类型：
--
作者：
Gaffney, Lukas K.;Lozano, Oscar D.;Stoutenberg, Mark
背景：2011年，哥伦比亚政府启动了一项全国性计划，“健康生活习惯”（HEVS; Healthy Life Habits），为哥伦比亚各地的个人提供免费的、基于社区的体育活动课程。本研究描述了HEVS计划、参与者特征、拟人化和健康措施的变化。方法：在这项观察性研究中，收集了成年HEVS参与者在基线和项目完成11个月后的人口统计信息、当前健康状况、生活习惯和拟人化措施。使用配对t检验和McNemar检验分别比较了HEVS项目后同一参与者的拟人化和健康测量的变化。结果：共有56,472名成年参与者（86.5%为女性）参加了HEVS项目。年龄在18岁到34岁之间的参与者所占比例最大。参加HEVS之前，平均体重指数和腰围分别为26.3 kg/m(2)和85.7 cm。从17,145个人的项目后数据显示，在统计上，体重指数、腰围和自我报告高血压的患者比例显著降低。结论：HEVS项目成功地吸引了大量哥伦比亚人参加体育活动，并显著改善了他们的健康状况，证明了政府支持的以社区为基础的体育活动项目的有效性。
Background: In 2011, the Colombian government started a nationwide program, Habitos y Estilos de Vida Saludable (HEVS; Healthy Life Habits), providing free, community-based physical activity classes for individuals across Colombia. This study describes the HEVS program, participant characteristics, and changes in anthropomorphic and health measures following the program. Methods: In this observational study, demographic information, current health status, lifestyle habits, and anthropomorphic measures were collected from adult HEVS participants at baseline and after program completion 11 months later. Changes in anthropomorphic and health measurements after the HEVS program were compared in the same participants using a paired t test and McNemar test, respectively. Results: A total of 56,472 adult participants (86.5% female) enrolled in the HEVS program. The greatest proportion of participants was between the ages of 18 and 34 years. Prior to participating in HEVS, mean body mass index and waist circumference were 26.3 kg/m(2) and 85.7 cm, respectively. Postprogram data from 17,145 individuals showed statistically significant decreases in body mass index, waist circumference, and the proportion of patients with self-reported hypertension. Conclusions: The HEVS program successfully engaged a large number of Colombians in physical activity and resulted in significant improvements in their health, demonstrating the effectiveness of a government-supported, community-based physical activity program.