Short and long term effects of a lifestyle intervention for construction workers at risk for cardiovascular disease: a randomized controlled trial.
Short and long term effects of a lifestyle intervention for construction workers at risk for cardiovascular disease: a randomized controlled trial.
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DOI：
10.1186/1471-2458-11-836
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发表时间：
2011-10-31
影响因子：
4.5
通讯作者：
van Mechelen W
中科院分区：
文献类型：
--
作者：
Groeneveld IF;Proper KI;van der Beek AJ;Hildebrandt VH;van Mechelen W
在建筑行业的工人中，超重和心血管疾病（CVD）风险升高的患病率相对较高。改善生活方式可以降低心血管疾病的风险，并可能有与工作相关的好处。本研究的目的是评估生活方式干预对心血管疾病（CVD）风险升高的建筑行业男性工人的身体活动（PA）、饮食和吸烟的影响。在一项随机对照试验中，包括816名心血管疾病风险较高的建筑行业男性蓝领和白领，将常规护理与6个月的生活方式干预进行比较。干预包括使用动机性访谈技术的个人咨询，并由职业医生或职业护士提供。在三次面对面和四次电话联系中，讨论了参与者的风险概况、个人决定因素和行为改变的障碍，并设定了个人目标。参与者可以选择节食和减肥，也可以选择吸烟。在基线和6个月和12个月后，通过问卷调查收集数据。为了分析数据，进行了线性和逻辑回归分析。干预在6个月时对零食摄入量（β-1.9, 95%CI -3.7; -0.02）和水果摄入量（β 1.7, 95%CI 0.6; 2.9）有统计学上显著的有益影响。对零食摄入量的影响持续到12个月；干预结束后6个月（β -1.9, 95%CI -3.6; -0.2）。干预对休闲时间PA和代谢当量分钟的影响无统计学意义。吸烟的有益效果在6个月时具有统计学意义（OR吸烟0.3,95%CI 0.1;0.7），但在12个月时无统计学意义（OR 0.8, 95%CI 0.4; 1.6）。对心血管疾病风险较高的男性建筑工人进行基于个人的生活方式干预，可以对吸烟、水果和零食摄入产生有益影响。未来的研究应该在提高休闲时间PA的策略和维持改变的行为的决定因素上进行。考虑到不健康生活方式和心血管疾病的患病率上升，特别是在老龄化人口中，建议在职业卫生保健机构实施这种干预措施。当前对照试验ISRCTN60545588
The prevalence of overweight and elevated cardiovascular disease (CVD) risk among workers in the construction industry is relatively high. Improving lifestyle lowers CVD risk and may have work-related benefits. The purpose of the study was to evaluate the effects on physical activity (PA), diet, and smoking of a lifestyle intervention consisting of individual counseling among male workers in the construction industry with an elevated risk of cardiovascular disease (CVD). In a randomized controlled trial including 816 male blue- and white-collar workers in the construction industry with an elevated risk of CVD, usual care was compared to a 6-month lifestyle intervention. The intervention consisted of individual counseling using motivational interviewing techniques, and was delivered by an occupational physician or occupational nurse. In three face to face and four telephone contacts, the participant's risk profile, personal determinants, and barriers for behavior change were discussed, and personal goals were set. Participants chose to aim at either diet and PA, or smoking. Data were collected at baseline and after six and 12 months, by means of a questionnaire. To analyse the data, linear and logistic regression analyses were performed. The intervention had a statistically significant beneficial effect on snack intake (β-1.9, 95%CI -3.7; -0.02) and fruit intake (β 1.7, 95%CI 0.6; 2.9) at 6 months. The effect on snack intake was sustained until 12 months; 6 months after the intervention had ended (β -1.9, 95%CI -3.6; -0.2). The intervention effects on leisure time PA and metabolic equivalent-minutes were not statistically significant. The beneficial effect on smoking was statistically significant at 6 (OR smoking 0.3, 95%CI 0.1;0.7), but not at 12 months (OR 0.8, 95%CI 0.4; 1.6). Beneficial effects on smoking, fruit, and snack intake can be achieved by an individual-based lifestyle intervention among male construction workers with an elevated risk of CVD. Future research should be done on strategies to improve leisure time PA and on determinants of maintenance of changed behavior. Considering the rising prevalence of unhealthy lifestyle and CVD, especially in the aging population, implementation of this intervention in the occupational health care setting is recommended. Current Controlled Trials ISRCTN60545588
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影响因子：
4.5
作者：
Groeneveld IF;Proper KI;van der Beek AJ;van Duivenbooden C;van Mechelen W
通讯作者：
van Mechelen W
影响因子：
8.9
作者：
Brown, T.;Avenell, A.;Summerbell, C.
通讯作者：
Summerbell, C.
影响因子：
6.3
作者：
Nilsson, PM;Klasson, EB;Nyberg, P
通讯作者：
Nyberg, P
DOI：
10.3109/10641969009073509
发表时间：
1990-01-01
期刊：
CLINICAL AND EXPERIMENTAL HYPERTENSION PART A-THEORY AND PRACTICE
影响因子：
--
作者：
MANCIA, G;GROPPELLI, A;PARATI, G
通讯作者：
PARATI, G
影响因子：
5.1
作者：
Prochaska, James O.;Butterworth, Susan;Prochaska, Janice M.
通讯作者：
Prochaska, Janice M.