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首页> 外文期刊>Journal of public health management and practice: JPHMP >Diabetes prevention and control in the workplace: a pilot project for county employees.
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Diabetes prevention and control in the workplace: a pilot project for county employees.

机译：工作场所的糖尿病预防和控制：县雇员的试点项目。

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OBJECTIVES: To improve nutrition and physical activity of county employees and promote weight loss. DESIGN: Random assignment to begin the program when first offered or after 3 months ("wait control" group). SETTING: Worksite. PARTICIPANTS: Onondaga County employees (n = 45) at risk for diabetes (n = 35) or with diabetes (n = 10). Mean (+/-SD) age = 51.2 (+/- 8.0) years and body mass index (BMI) = 37.3 +/- (6.8 kg/m). INTERVENTION: Twelve weekly healthy lifestyle sessions based on the Diabetes Prevention Program curriculum, followed by monthly sessions for up to 12 months. OUTCOMES: Medical: Weight, BMI, waist circumference, blood pressure, fasting glucose, lipid, and hemoglobin A1c levels. Psychosocial/behavioral: Health-related quality of life Short Form-12, Impact of Weight on Quality of Life Scale), physical activity (International Physical Activity Questionnaire), eating behavior (3-Factor Eating Questionnaire, National Cancer Institute Fat Screener), job satisfaction. RESULTS: The intervention group lost significant weight compared to the wait control group over the first 3 months (mean [95% CI], -2.23 kg [-3.5 to 0.97]) vs [+ 0.73 kg (+0.17 to +1.28)], with a decrease in BMI (P < .001) and waist circumference (P = .004), an increase in physical activity (International Physical Activity Questionnaire, P = .011) and lower dietary fat intake (P = .018). Over 12 months, 22.5% (9/40) lost more than 5% body weight and 12.5% (5/40) lost more than 7% body weight. After the first 3 months, there was gradual partial weight regain but reduction in waist circumference was maintained. The intervention group demonstrated significant improvement in Impact of Weight on Quality of Life Scale (P < .001), 3-Factor Eating (cognitive restraint P < .001, uncontrolled eating P = .003, and emotional eating P = .001), International Physical Activity Questionnaire (P = .011), and Short Form-12 Physical Component Summary (P = .048). No improvements were observed in blood pressure, lipid, hemoglobin A1c, or glucose levels. Job satisfaction was inversely related to BMI at baseline (P = .001) with a trend for improvement with the modest weight loss. CONCLUSIONS: A worksite intervention program can help government employees adopt healthier lifestyles and achieve modest weight loss.
机译：目的：改善县雇员的营养和体育锻炼，促进体重减轻。设计：首次分配时或3个月后随机分配以开始程序（“等待控制”组）。地点：工作地点。参与者：奥内达加县雇员（n = 45）有患糖尿病（n = 35）或患糖尿病（n = 10）的风险。平均（+/- SD）年龄= 51.2（+/- 8.0）岁，体重指数（BMI）= 37.3 +/-（6.8 kg / m）。干预：基于糖尿病预防计划的课程，每周进行十二次健康的生活方式会议，然后每月进行长达12个月的会议。结果：医疗：体重，BMI，腰围，血压，空腹血糖，脂质和血红蛋白A1c水平。社会心理/行为：与健康相关的生活质量简表12，体重对生活质量量表的影响），体育活动（国际体育活动问卷），进食行为（三因素饮食问卷，美国国家癌症研究所脂肪筛查仪），工作满意度。结果：与等待对照组相比，干预组在前三个月的体重减轻了（平均[95％CI]，-2.23 kg [-3.5 to 0.97]），而[+ 0.73 kg（+0.17 to +1.28）] ，其BMI降低（P <.001）和腰围（P = .004），体力活动增加（国际体育活动问卷，P = .011），饮食脂肪摄入降低（P = .018）。在过去的12个月中，有22.5％（9/40）的体重减轻了5％以上，而有12.5％（5/40）的体重减轻了7％以上。在开始的三个月后，体重逐渐恢复，但腰围仍保持减少。干预组显示出体重对生活质量量表的影响（P <.001），三因素饮食（认知约束P <.001，无节制饮食P = .003和情感饮食P = .001）有显着改善，国际体育活动调查表（P = .011）和12表格的简短体育内容摘要（P = .048）。血压，血脂，血红蛋白A1c或葡萄糖水平未见改善。在基线时，工作满意度与BMI呈负相关（P = .001），并且随着体重的减轻，改善的趋势有所提高。结论：现场干预计划可以帮助政府雇员采用更健康的生活方式并实现适度的减肥。

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