Worksite interventions: improving lifestyle habits among Latin American adults.
Worksite interventions: improving lifestyle habits among Latin American adults.
复制标题
工作场所干预：改善拉丁美洲成年人的生活习惯。
DOI：
10.1016/j.amepre.2013.01.015
复制
发表时间：
2013
影响因子：
5.5
通讯作者：
Elder,JohnP
中科院分区：
文献类型：
--
作者：
Mehta,Setoo;Dimsdale,Jonathan;Nagle,Brian;Holub,ChristinaK;Woods,Corinne;Barquera,Simón;Elder,JohnP
事实证明，基于工作场所的干预措施能够持续显着改善在职成年人口的体重和健康相关结果；然而，研究的适用性和有效性往往因年龄和种族报告不充分而受到限制。本研究旨在考察美国和拉丁美洲的拉丁裔人群中基于工作的干预措施。证据获取数据是从 2010 年 1 月至 2011 年 12 月期间的“家长”研究《拉丁美洲和美国肥胖预防指南》(GOL) 中提取（并分析）的。根据干预措施的纳入标准对 1965 年至 2010 年的手稿进行了评估，包括至少 50% 的样本人群拉丁裔或按种族分层的结果，在干预前后评估至少一项与肥胖相关的结果指标，以及干预组与非干预组的工作场所设置和比较（包括前后设计）。证据综合在提取的 105 项干预措施中，有 5 项是基于工作的干预措施。参与者的平均年龄为 45 岁，其中平均 58% 为女性。五项干预措施中有四项采用前后研究设计，获得了公平的执行分数和最低的设计适用性分数，而一组 RCT 干预措施具有最高的设计适用性和良好的执行力。对于两项研究，Cohen 的 d 效应大小范围为 0.09 至 0.603。无法计算其中三种干预措施的效果大小。三种干预措施对体重指数有显着影响，三种干预措施对体重有显着影响，两种干预措施对腰围有显着影响，一项对腰臀比有显着影响。结论很少有研究重点关注专门针对拉丁裔的基于工作的干预措施。这篇综述确定了减少工作场所肥胖的有前景的策略。
CONTEXTWorksite-based interventions have been shown to result consistently in significant improvements in weight- and health-related outcomes among the working adult population; however, applicability and effectiveness of studies has often been limited by inadequate reporting of age and ethnicity. This study aimed to examine work-based interventions among Latinos in the U.S. and Latin America.EVIDENCE ACQUISITIONData were abstracted (and analyzed) from “parent” study Guide to Obesity Prevention in Latin American and the U.S. (GOL), between January 2010 and December 2011. Manuscripts from 1965 to 2010 were evaluated according to inclusion criteria for interventions, including a sample population of at least 50% Latinos or results stratified by ethnicity, at least one obesity-related outcome measure evaluated before and after intervention, and worksite setting and comparison of an intervention group to a non-intervention group (including pre–post designs).EVIDENCE SYNTHESISOf 105 interventions abstracted, five were work-based interventions. The average participant age was 45 years, with an average of 58% women. Four of the five interventions had a pre–post study design that received a fair execution score and lowest design-suitability score, whereas one group RCT intervention had the greatest design suitability and good execution. For two studies, Cohen's d effect sizes ranged from 0.09 to 0.603. Effect sizes could not be calculated for three of the interventions. Three interventions found significant outcomes for BMI, three for weight, two for waist circumference, and one for waist-to-hip ratio.CONCLUSIONSFew studies have focused on work-based interventions specifically aimed at Latinos. This review identified promising strategies for reducing obesity in the workplace.