Background： Physical activity （PA） includes muscle activity during exercise, manual work, and leisure time activities including sport. Conflicting results exist regarding health effects of PA that may deteriorate w...Background： Physical activity （PA） includes muscle activity during exercise, manual work, and leisure time activities including sport. Conflicting results exist regarding health effects of PA that may deteriorate with manual work and elite sports, but improve when performed in moderation in accordance with international guidelines and may additionally enhance well-being and productivity. Methods： In Denmark 15 randomized controlled trials have been conducted, introducing exercise at the workplace enrolling 〉3500 workers. The interventions lasted from 10 to 52 weeks and offered -1 h weekly supervised exercise during working hours according to the concept of intelligent physical exercise training （IPET） that is based on evidenced sports sciences training principles and tailored to work exposure, employee health status, and physical capacity. Questionnaire surveys and health checks including blood and muscle sampling were performed at baseline and follow-up. The job groups included： office and computer workers, dentists, industrial technicians, cleaning personnel, health care workers, construction workers, and fighter/helicopter pilots. Results： In all job groups significant improvements were documented regarding health outcomes. These were job group specific： neck pain was reduced among office and computer workers, dentists, industrial laboratory technicians, health care workers as well as fighter pilots. Cardio- respiratory fitness--a health risk indicator for cardio-metabolic diseases--was improved among office and computer workers, health care workers, and construction workers. Additionally, other improvements were evidenced such as increased muscle strength and balance control. Importantly, productivity increased with improved muscle strength and decreased body mass index. Conclusion： IPET does enhance health if an exercise program with evidenced efficacy is implemented by expert trainees with support of the employer. Accordingly, in every study group outcomes of improved health were documented and the effect sizes were of clinical relevance. Cost effectiveness estimates indicate acceptable cost relative to savings on health expenses and lost productivity.展开更多
面对科技进步、社会发展带来的生活方式转型与体力活动不足的现实困境,王正珍教授从医体结合有利于促进全民健身的视角入手,畅谈了体力活动与健康的关联、静坐少动与慢性疾病的关系、运动是良医(Exercise is Medicine)的理念、以及流行...面对科技进步、社会发展带来的生活方式转型与体力活动不足的现实困境,王正珍教授从医体结合有利于促进全民健身的视角入手,畅谈了体力活动与健康的关联、静坐少动与慢性疾病的关系、运动是良医(Exercise is Medicine)的理念、以及流行病学对体育科研的方法学启示等方面的内容,其相关论点对今后运动人体学科发展及体力活动与健康促进领域研究具有指导价值。展开更多
目的:研究数字化企业车间工人的健康促进生活方式与亚健康水平的相关性,旨在为车间工人采取有针对性的健康促进策略提供参考依据。方法:采取方便抽样方法,选取广州市番禺区6家自动化生产型企业,使用《亚健康评定量表》(SHMS V 1.0)与《...目的:研究数字化企业车间工人的健康促进生活方式与亚健康水平的相关性,旨在为车间工人采取有针对性的健康促进策略提供参考依据。方法:采取方便抽样方法,选取广州市番禺区6家自动化生产型企业,使用《亚健康评定量表》(SHMS V 1.0)与《健康促进生活方式量表第2版修订本》(HPLP-ⅡR)进行问卷调查。采用单因素分析和多因素Logistic回归分析健康促进生活方式与亚健康的关系。结果:947名非慢性病患者的健康促进生活方式(HPLP-ⅡR)总分(98.23±21.48)分,649(68.53%)人处于中等水平;亚健康水平评定总分(130.97±19.02)分,其中亚健康状态755(79.73%)人;多因素Logistic回归分析显示,人际支持中等水平出现亚健康状态的风险是高水平的2.38倍(95%CI:1.54~3.68);体育运动低水平出现亚健康的风险是高水平的5.08倍(95%CI:2.70~9.58)、中等水平出现亚健康的风险与高水平相比,升高77.5%(95%CI:1.05~3.00);自我实现低水平、中等水平出现亚健康的风险分别是高水平的4.85倍(95%CI:2.19~10.75)和2.22倍(95%CI:1.45~3.39)。Cochran-Armitage趋势检验提示人际支持、体育运动、自我实现与亚健康状态也存在线性关系(P<0.001)。结论:随着车间工人的人际支持、体育运动、自我实现等级提高,出现亚健康状态的风险降低。建议企业可考虑重点提升车间工人这几个方面的健康促进生活方式改善其健康状态。展开更多
Background: Regular physical activity(PA) has documented effects in prevention and treatment of many non-communicable diseases(NCDs).Physical inactivity is recognized as the fourth leading risk factor for premature de...Background: Regular physical activity(PA) has documented effects in prevention and treatment of many non-communicable diseases(NCDs).Physical inactivity is recognized as the fourth leading risk factor for premature death, worldwide. Despite these facts, physical inactivity is increasing,not only in high-income, but also in middle-and low-income countries. To address this negative trend, evidence-based methods to increase PA are needed. The purpose of this paper is to describe the implementation and assessment of 4 strategies designed to increase PA in Vietnam.Methods: Four strategies were used: i) introduction and evaluation of an education and training program on the Swedish method of Physical Activity on Prescription(PAP) among health care professionals, ii) translation of the PAP evidence-based handbook, Physical Activity in the Prevention and Treatment of Disease(called FYSS in Swedish) into Vietnamese, iii) launch of a mass-media campaign to promote PA, and iv)advocacy to support development of PA guidelines in Vietnam.Results: The evaluation indicated that the participating health care professionals had a positive attitude to PAP. However, they also reported uncertainty in prescribing PA. FYSS was translated and disseminated successfully to health care professionals. A mass-media campaign identified the beneficial effects of PA to health care professionals, journalists, policy makers, and the public. Last, the process of developing national guidelines on PA was initiated.Conclusion: This project led to enhanced awareness and appreciation of PA in the prevention and treatment of NCDs among health care professionals as well as initiation of national PA guidelines. Important lessons also were learned in the presentation of PAP, which will be considered when designing similar projects in the future.展开更多
文摘Background： Physical activity （PA） includes muscle activity during exercise, manual work, and leisure time activities including sport. Conflicting results exist regarding health effects of PA that may deteriorate with manual work and elite sports, but improve when performed in moderation in accordance with international guidelines and may additionally enhance well-being and productivity. Methods： In Denmark 15 randomized controlled trials have been conducted, introducing exercise at the workplace enrolling 〉3500 workers. The interventions lasted from 10 to 52 weeks and offered -1 h weekly supervised exercise during working hours according to the concept of intelligent physical exercise training （IPET） that is based on evidenced sports sciences training principles and tailored to work exposure, employee health status, and physical capacity. Questionnaire surveys and health checks including blood and muscle sampling were performed at baseline and follow-up. The job groups included： office and computer workers, dentists, industrial technicians, cleaning personnel, health care workers, construction workers, and fighter/helicopter pilots. Results： In all job groups significant improvements were documented regarding health outcomes. These were job group specific： neck pain was reduced among office and computer workers, dentists, industrial laboratory technicians, health care workers as well as fighter pilots. Cardio- respiratory fitness--a health risk indicator for cardio-metabolic diseases--was improved among office and computer workers, health care workers, and construction workers. Additionally, other improvements were evidenced such as increased muscle strength and balance control. Importantly, productivity increased with improved muscle strength and decreased body mass index. Conclusion： IPET does enhance health if an exercise program with evidenced efficacy is implemented by expert trainees with support of the employer. Accordingly, in every study group outcomes of improved health were documented and the effect sizes were of clinical relevance. Cost effectiveness estimates indicate acceptable cost relative to savings on health expenses and lost productivity.
文摘面对科技进步、社会发展带来的生活方式转型与体力活动不足的现实困境,王正珍教授从医体结合有利于促进全民健身的视角入手,畅谈了体力活动与健康的关联、静坐少动与慢性疾病的关系、运动是良医(Exercise is Medicine)的理念、以及流行病学对体育科研的方法学启示等方面的内容,其相关论点对今后运动人体学科发展及体力活动与健康促进领域研究具有指导价值。
文摘目的:研究数字化企业车间工人的健康促进生活方式与亚健康水平的相关性,旨在为车间工人采取有针对性的健康促进策略提供参考依据。方法:采取方便抽样方法,选取广州市番禺区6家自动化生产型企业,使用《亚健康评定量表》(SHMS V 1.0)与《健康促进生活方式量表第2版修订本》(HPLP-ⅡR)进行问卷调查。采用单因素分析和多因素Logistic回归分析健康促进生活方式与亚健康的关系。结果:947名非慢性病患者的健康促进生活方式(HPLP-ⅡR)总分(98.23±21.48)分,649(68.53%)人处于中等水平;亚健康水平评定总分(130.97±19.02)分,其中亚健康状态755(79.73%)人;多因素Logistic回归分析显示,人际支持中等水平出现亚健康状态的风险是高水平的2.38倍(95%CI:1.54~3.68);体育运动低水平出现亚健康的风险是高水平的5.08倍(95%CI:2.70~9.58)、中等水平出现亚健康的风险与高水平相比,升高77.5%(95%CI:1.05~3.00);自我实现低水平、中等水平出现亚健康的风险分别是高水平的4.85倍(95%CI:2.19~10.75)和2.22倍(95%CI:1.45~3.39)。Cochran-Armitage趋势检验提示人际支持、体育运动、自我实现与亚健康状态也存在线性关系(P<0.001)。结论:随着车间工人的人际支持、体育运动、自我实现等级提高,出现亚健康状态的风险降低。建议企业可考虑重点提升车间工人这几个方面的健康促进生活方式改善其健康状态。
基金funded by the Swedish International Development Cooperation Agency (Sida), Department for Development Partnership (No. AKT-2010-045)
文摘Background: Regular physical activity(PA) has documented effects in prevention and treatment of many non-communicable diseases(NCDs).Physical inactivity is recognized as the fourth leading risk factor for premature death, worldwide. Despite these facts, physical inactivity is increasing,not only in high-income, but also in middle-and low-income countries. To address this negative trend, evidence-based methods to increase PA are needed. The purpose of this paper is to describe the implementation and assessment of 4 strategies designed to increase PA in Vietnam.Methods: Four strategies were used: i) introduction and evaluation of an education and training program on the Swedish method of Physical Activity on Prescription(PAP) among health care professionals, ii) translation of the PAP evidence-based handbook, Physical Activity in the Prevention and Treatment of Disease(called FYSS in Swedish) into Vietnamese, iii) launch of a mass-media campaign to promote PA, and iv)advocacy to support development of PA guidelines in Vietnam.Results: The evaluation indicated that the participating health care professionals had a positive attitude to PAP. However, they also reported uncertainty in prescribing PA. FYSS was translated and disseminated successfully to health care professionals. A mass-media campaign identified the beneficial effects of PA to health care professionals, journalists, policy makers, and the public. Last, the process of developing national guidelines on PA was initiated.Conclusion: This project led to enhanced awareness and appreciation of PA in the prevention and treatment of NCDs among health care professionals as well as initiation of national PA guidelines. Important lessons also were learned in the presentation of PAP, which will be considered when designing similar projects in the future.
