Participation and cardiovascular risk reduction in a voluntary worksite nutrition and physical activity program.
Participation and cardiovascular risk reduction in a voluntary worksite nutrition and physical activity program.
复制标题
参与自愿工作场所营养和身体活动计划并降低心血管风险。
DOI：
10.1016/j.ypmed.2010.11.023
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发表时间：
2011
影响因子：
5.1
通讯作者：
Regan,Susan
中科院分区：
文献类型：
--
作者：
Thorndike,AnneN;Healey,Erica;Sonnenberg,Lillian;Regan,Susan
在一个队列的员工参加了工作场所的营养和体力活动计划，我们比较了方案的完成和心血管危险因素的变化基线body-mass index.METHODSIn 2007年，774名员工参加了为期10周的计划在波士顿，马萨诸塞州的一家医院。在肥胖（体重指数≥30）、超重（体重指数=25-29.9）和正常体重（体重指数<25）的参与者之间比较项目完成情况和体重、胆固醇和血压的变化。计划完成率为82%，体重指数没有差异。项目结束时平均体重减轻1.9 kg（p<0.001），1年时平均体重减轻0.4 kg（p=0.002）。在项目结束时，体重指数≥30的参与者体重减轻了3.0%，体重指数=25-29.9的参与者体重减轻了2.7%，体重指数<25的参与者体重减轻了1.7%（p<0.001），但1年时的体重减轻并没有因体重指数而异。平均胆固醇和血压较低，在年底的程序和1年（所有，p<0.005），但没有不同的身体质量index.CONCLUSIONSWorksite程序可以成功地启动心血管疾病的风险降低员工之间，但更密集的干预措施，需要作出显着改善健康的高风险肥胖员工。
OBJECTIVEIn a cohort of employees participating in a worksite nutrition and physical activity program, we compared program completion and changes in cardiovascular risk factors by baseline body mass index.METHODSIn 2007, 774 employees enrolled in a 10week program at a hospital in Boston, Massachusetts. Program completion and change in weight, cholesterol, and blood pressure were compared between obese (body mass index≥30), overweight (body mass index=25–29.9), and normal weight (body mass index<25) participants.RESULTSAt baseline, 63% were obese or overweight and had higher blood pressure and cholesterol compared to normal weight participants. Program completion was 82% and did not differ by body mass index. Mean weight loss was 1.9kg at end of program (p<0.001) and 0.4kg at 1year (p=0.002). At end of program, participants with body mass index≥30 lost 3.0% body weight vs. 2.7% for body mass index=25–29.9 and 1.7% for body mass index<25 (p<0.001), but weight loss at 1year did not differ by body mass index. Mean cholesterol and blood pressure were lower at end of program and 1year (all, p<0.005) but did not differ by body mass index.CONCLUSIONSWorksite programs can successfully initiate cardiovascular risk reduction among employees, but more intensive interventions are needed to make significant improvements in the health of higher risk obese employees.