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Careful science? Bodywork and care practices in randomised clinical trials

机译：细心的科学？随机临床试验中的车身和护理实践

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摘要

Concern about obesity has prompted numerous public health campaigns that urge people to be more physically active. The campaigns often include normative statements and attempt to impose restrictions on individuals' lives without considering the complexities of daily life. We suggest that broadening the focus to reflect everyday practices would foster better targeted public health campaigns. This article is based on our participation in FINE, a multidisciplinary Danish research project. The core methodology of FINE was a randomised controlled trial in which 61 moderately overweight men were put into different exercise groups. In this article we analyse the scientific work of the trial as representing entangled processes of bodywork, where data are extracted and objectified bodies are manipulated and care practices address the emotional, social and mundane aspects of the participants' everyday lives. Care practices are an inherent part of producing scientific facts but they are removed from the recognised results of scientific practice and thus from common public health recommendations. However, knowledge about the strategic use of care practices in lifestyle interventions is important for public health initiatives and future efforts should incorporate this aspect.
机译：对肥胖的关注促使人们开展了许多公共卫生运动，这些运动敦促人们更加运动。这些运动经常包括规范性声明，并试图在不考虑日常生活复杂性的情况下对个人的生活施加限制。我们建议，扩大关注范围以反映日常做法将有助于开展更有针对性的公共卫生运动。本文基于我们对FINE（丹麦的一个多学科研究项目）的参与。 FINE的核心方法是一项随机对照试验，其中将61名中度超重的男性分为不同的运动组。在本文中，我们以代表纠缠的车身过程的方式分析了该试验的科学工作，其中提取了数据并操纵了对象化的身体，护理实践解决了参与者日常生活中的情感，社会和世俗的方面。护理实践是产生科学事实的内在组成部分，但已从公认的科学实践结果中删除，因此也从常见的公共卫生建议中删除。但是，有关生活方式干预中策略性使用策略的知识对于公共卫生计划很重要，未来的努力应纳入这一方面。

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