Improving employee health: evaluation of a worksite lifestyle change program to decrease risk factors for diabetes and cardiovascular disease.

Improving employee health: evaluation of a worksite lifestyle change program to decrease risk factors for diabetes and cardiovascular disease.
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DOI:
10.1097/jom.0000000000000350
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发表时间:
2015-03
影响因子:
3.2
通讯作者:
Kriska AM
Kriska AM
中科院分区:
医学4区
文献类型:
--
作者:
Kramer MK;Molenaar DM;Arena VC;Venditti EM;Meehan RJ;Miller RG;Vanderwood KK;Eaglehouse Y;Kriska AM

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确定在工作场所实施的循证行为生活方式干预计划是否能有效改善 2 型糖尿病和 CVD 危险因素。采用随机六个月延迟控制设计,三分之二的参与者被分配立即开始干预,三分之一的参与者在六个月后开始。这个为期一年的计划(三个月内每周一次,过渡到每月一次)的重点是减肥和增加体力活动。 6 个月时,立即干预组的平均体重减轻幅度大于延迟对照组(-10.4 磅,5.1%,对比 -2.3 磅,1%,p=0.0001),并且活动、HbA1c 和其他危险因素的改善也相对较大。延迟组在完成干预计划后也经历了类似的改善。工作场所行为生活方式干预对于显着改善糖尿病和心血管疾病的危险因素是可行且有效的。
To determine if an evidence-based, behavioral lifestyle intervention program delivered at a worksite setting is effective in improving type 2 diabetes and CVD risk factors. A randomized six-month delayed control design was utilized, with two-thirds of the participants assigned to begin intervention immediately and one-third beginning six months later. The year-long program (weekly for 3 months transitioning to monthly) focused on weight loss and increasing physical activity. The immediate intervention group had greater mean weight loss (−10.4 lbs., 5.1%, vs. −2.3 lbs., 1%, p=0.0001) than the delayed control group at 6 months and relatively greater improvements in activity, HbA1c and other risk factors. The delayed group experienced similar improvements after completing the intervention program. A worksite behavioral lifestyle intervention is feasible and effective in significantly improving risk factors for diabetes and CVD.