职业定制、基于网络的消防员营养与体力活动计划：群组随机试验及体重结果
Occupationally Tailored, Web-Based, Nutrition and Physical Activity Program for Firefighters: Cluster Randomized Trial and Weight Outcome.
机构信息
The University of Texas Health Science Center at Houston (UTHealth) School of Public Health, Division of Epidemiology, Human Genetics, & Environmental Sciences, Southwest Center for Occupational and Environmental Health, Michael & Susan Dell Center for Healthy Living, Houston, Texas (Dr Day); National Development and Research Institutes, Inc., Center for Fire, Rescue & EMS Health Research, Institute for Biobehavioral Health Research, Lee's Summit, Missouri (Dr Jahnke, Dr Haddock, Dr Kaipust, Dr Jitnarin, and Dr Poston).
出版信息
J Occup Environ Med. 2019 Oct;61(10):841-848. doi: 10.1097/JOM.0000000000001685.
OBJECTIVE
The aim of this study was to determine the efficacy of an occupationally tailored, web-based health and wellness program, The First Twenty® (TF20), for weight change among volunteer firefighters.
METHODS
The impact of TF20 on firefighters' 6-month weight change was tested in a cluster, randomized controlled trial, using a crossover design of firefighters in 10 departments. TF20 has web-based nutrition, physical activity, and behavioral health components.
RESULTS
An adjusted treatment-induced weight loss from 1.7 to 2.8 lb was observed for all participants and 2.3 to 3.1 lb among overweight and obese participants. An average weight gain was observed among firefighters in the control condition and weight loss for those in the treatment condition.
CONCLUSIONS
TF20 supports firefighters' weight loss. Firefighters need wellness interventions to improve nutrition and physical activity given their high prevalence of obesity.
目的
本研究旨在确定一项针对职业人群、基于网络的健康和保健计划——The First Twenty®（TF20）在志愿者消防员体重变化方面的效果。
方法
采用 10 个部门的消防员交叉设计的群组随机对照试验，检验 TF20 对消防员 6 个月体重变化的影响。TF20 具有基于网络的营养、身体活动和行为健康组成部分。
结果
所有参与者的调整后治疗诱导体重减轻了 1.7 至 2.8 磅，超重和肥胖参与者的体重减轻了 2.3 至 3.1 磅。对照组消防员的平均体重增加，而治疗组消防员的体重则减轻。
结论
TF20 支持消防员的体重减轻。鉴于肥胖症在消防员中高发，消防员需要健康干预措施来改善营养和身体活动。
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