Abstract:
BACKGROUND:Interventions to increase physical activity or reduce sedentary behaviour within the workplace setting have shown mixed effects. This cluster randomised controlled trial assessed whether multi-component interventions, focusing on changes at the individual, environmental, and organisational levels, either increased physical activity or reduced sedentary behaviour, compared to a passive control group. METHODS:Teams of office-workers from two companies participated in one of two interventions (iPA: targeting physical activity; or iSED: targeting sedentary behaviour), or wait-list control group (C). Exclusion criterion was very high physical activity level (MVPA ≥30 min/day in ≥10 min bouts every day). Randomisation occurred at the level of workplace cluster, and groups were randomly allocated (1:1) with stratification for company and cluster size. Personnel involved in data collection and processing were blinded to group allocation. Both interventions included five sessions of cognitive behavioural therapy counselling for 6 months. iPA included counselling focused on physical activity, access to a gym, and encouragement to exercise, and go for lunch walks. iSED included counselling on sedentary behaviour and encouragement to reduce sitting and increase engagement in standing- and walking-meetings. At baseline and the 6-month mark accelerometers were worn on the hip and thigh for 7 days. The primary outcomes were group differences in time spent in moderate-to-vigorous intensity physical activity (%MVPA) and in sedentary behaviour (%), analysed using Bayesian multilevel modelling for those with complete data. RESULTS:Two-hundred and sixty three office workers (73% women, mean age 42 ± 9 years, education 15 ± 2 years) were randomised into 23 cluster teams (iPA n = 84, 8 clusters; iSED n = 87, 7 clusters; C n = 92, 7 clusters). No significant group differences (posterior mean ratios: 95% credible interval) were found after the intervention for %MVPA or for %Sedentary. %MVPA: iPA vs C (0·04: - 0·80-0·82); iSED vs C (0·47: - 0·41-1·32); iPA vs iSED (0·43: - 0·42-1·27). %Sedentary: iPA vs C (1·16: - 1·66-4·02); iSED vs C (- 0·44: - 3·50-2·64); iPA vs iSED (- 1·60: - 4·72-1·47). CONCLUSIONS:The multi-component interventions focusing on either physical activity or sedentary behaviour were unsuccessful at increasing device-measured physical activity or reducing sedentary behaviour compared to a control group. TRIAL REGISTRATION:ISRCTN, ISRCTN92968402 . Registered 27/2/2018, recruitment started 15/03/2018.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Nooijen CFJ,Blom V,Ekblom Ö,Heiland EG,Larisch LM,Bojsen-Møller E,Ekblom MM,Kallings LVdoi
10.1186/s12889-020-09433-7subject
Has Abstractpub_date
2020-09-01 00:00:00pages
1329issue
1issn
1471-2458pii
10.1186/s12889-020-09433-7journal_volume
20pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Follow-up of HIV-exposed children for the delivery of prevention of mother-to-child transmission services and for early diagnosis and treatment of HIV infection is critical to their survival. Despite efforts, uptake of postnatal care for these children remains low in many sub-Saharan African countries. METH...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-1240
更新日期:2014-12-03 00:00:00
abstract:BACKGROUND:In an attempt to evaluate the levels of several cardiovascular risk factors in Greece we conducted a population-based health and nutrition survey, the "ATTICA study". In this work we present the design and the methodology of the study, as well as the status of various baseline characteristics of the particip...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-3-32
更新日期:2003-10-20 00:00:00
abstract:BACKGROUND:Go-Golborne was a three-year pilot programme to test an innovative, community-based 'whole system' approach to preventing overweight in children in Golborne ward, London. Whilst there is a growing interest in local whole systems approaches to obesity, understandings of what they look like in practice are new...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09694-2
更新日期:2020-11-30 00:00:00
abstract:BACKGROUND:In Ethiopia, malaria is one of the public health problems, and it is still among the ten top leading causes of morbidity and mortality among under-five children. However, the studies conducted in the country have been inconclusive and inconsistent. Thus, this study aimed to assess factors associated with mal...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09560-1
更新日期:2020-09-29 00:00:00
abstract:BACKGROUND:Sexual offences are a global public health concern. Recent changes in the law in England and Wales have dramatically altered the legal landscape of sexual offences, but sexual assaults where the victim is voluntarily intoxicated by alcohol continue to have low conviction rates. Worldwide, students are high c...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-216
更新日期:2012-03-20 00:00:00
abstract:BACKGROUND:Vitamin D levels may differ between migrant and non-migrant populations, especially among non-western immigrants living in a country with limited sun exposure such as Germany. This study examined serum vitamin D concentration and associated factors among Berliners with and without Turkish background. METHOD...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6446-5
更新日期:2019-01-28 00:00:00
abstract:BACKGROUND:Previous studies have shown that there may be gender disparities in the prevalence of hypertension; however, these studies do not address the spatial information contained in the sample which may limit the analytical results. Our study extends the existing Shared Component Model (SCM) and compares its utilit...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3121-y
更新日期:2016-05-26 00:00:00
abstract:BACKGROUND:The aim of this study was to examine the relationships between demographic and socioeconomic characteristics and engaging in multiple risk behaviours among adolescents in Republic of Serbia. METHODS:This study presents a cross sectional study of 683 adolescents aged 15 to 19 attending high school. The datab...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1509-8
更新日期:2015-02-19 00:00:00
abstract:BACKGROUND:In late January, a worldwide crisis known as COVID-19 was declared a Public Health Emergency of International Concern by the WHO. Within only a few weeks, the outbreak took on pandemic proportions, affecting over 100 countries. It was a significant issue to prevent and control COVID-19 on both national and g...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09924-7
更新日期:2020-12-03 00:00:00
abstract:BACKGROUND:The World Health Organization (WHO) Department of HIV/AIDS led the development of public health guidelines for delivering an evidence-based, essential package of interventions for the prevention and treatment of HIV and other sexually transmitted infections (STIs) among men who have sex with men (MSM) and tr...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-12-386
更新日期:2012-05-28 00:00:00
abstract:BACKGROUND:Tungiasis is a relatively frequent ectoparasitosis in low-income settings, yet its morbidity and social impact are still not well understood due to the scarcity of information. In Rwanda, data on the magnitude and conditions leading to the tungiasis is rare. This study sought to determine the prevalence and ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7481-y
更新日期:2019-08-29 00:00:00
abstract:BACKGROUND:Crop residue burning adversely affects air quality and consequently human health. India, being one of the largest agro-economies of the world, produces around 500 Million tonnes of crop residue annually most of which is burnt on-farm. However, integrated studies that simultaneously quantify the effects of cr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09844-6
更新日期:2020-11-30 00:00:00
abstract:BACKGROUND:Previous research has shown large and increasing relative differences in mortality by marital status in several countries, but few studies have considered trends in cause-specific mortality by marital status among elderly people. METHODS:The author uses discrete-time hazard regression and register data cove...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-537
更新日期:2011-07-06 00:00:00
abstract:BACKGROUND:Previous studies show large variations in physical activity (PA) levels among adolescents. However, the number of studies is limited and even fewer studies have assessed PA in adolescents by accelerometer devices. This study aimed to describe accelerometer-measured PA levels in adolescents in a population-ba...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09171-w
更新日期:2020-07-17 00:00:00
abstract:BACKGROUND:The aim of this paper is to provide the rationale for an evaluation design for a complex intervention program targeting loneliness among non-institutionalized elderly people in a Dutch community. Complex public health interventions characteristically use the combined approach of intervening on the individual...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-552
更新日期:2010-09-13 00:00:00
abstract:BACKGROUND:In tuberculosis (TB) control, early disclosure is recommended for the purposes of treatment as well as a means of reducing or preventing person-to-person transmission of the bacteria. However, disclosure maybe avoided as a means of escaping stigma, and possible discrimination. This study aimed at providing i...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3842-y
更新日期:2016-11-25 00:00:00
abstract:BACKGROUND:Illegal migration is an increasing problem worldwide and the so-called undocumented migrants encounter major problems in access to prevention and health care. The objective of the study was to compare the use of preventive measures and pregnancy care of undocumented pregnant migrants with those of women from...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-93
更新日期:2008-03-19 00:00:00
abstract:BACKGROUND:Puberty is a transition period making physiological development a challenge adolescents have to face. Early pubertal development could be associated with higher risks of poor health. Our objective was to examine risk behaviours, physical and psychological determinants associated with early menarche (<11 year...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-175
更新日期:2010-03-30 00:00:00
abstract:BACKGROUND:Religion plays an important role in youth behaviours, making it a significant factor in the discourse on youth sexuality in sub-Saharan Africa. Several studies have found that religion and religiosity play an important role in the sexual behaviours of young people. However, little research in Nigeria has exa...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6732-2
更新日期:2019-04-18 00:00:00
abstract:BACKGROUND:Smoking is a UK public health threat but GPs can be effective in helping patients to quit; consequently, the Quality and Outcomes Framework (QOF) incentivises the recording of smoking status and delivery of cessation advice in patients' medical records. This study investigates the association between smoking...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-329
更新日期:2012-07-10 00:00:00
abstract:BACKGROUND:In China, thousands of children die from unintentional injury each year: the incidence rate of injury is from 19.4 to 64.3% which is the leading cause of mortality for children. An important factor to injury may be inadequate supervision. Thus, a linguistic and culturally appropriated, validated instrument t...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7362-4
更新日期:2019-09-02 00:00:00
abstract:BACKGROUND:Social inequalities in labor force participation are well established, but the causes of these inequalities are not fully understood. The present study aims to investigate the association between educational qualification and labor market marginalization (LMM) among mature-aged working men and to examine to ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09899-5
更新日期:2020-11-25 00:00:00
abstract:BACKGROUND:There is some evidence of the benefits of breastfeeding to masticatory function, but no studies have evaluated the influence of breastfeeding duration on the quality of this function. The objective of this study was to investigate the association between duration of breastfeeding and quality of masticatory f...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-934
更新日期:2012-10-31 00:00:00
abstract:BACKGROUND:The high level of premature death due to non-communicable diseases has been associated with unhealthful lifestyles, including poor diet. The effectiveness of public health strategies designed to promote health via messages focusing on food and diets depends largely on the perception of the messages by the pu...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1884-1
更新日期:2015-06-23 00:00:00
abstract:BACKGROUND:To achieve the WHO End TB Strategy targets, it is necessary to detect and treat more people with active TB early. Scale-up of active case finding (ACF) may be one strategy to achieve that goal. Given human resource constraints in the health systems of most high TB burden countries, volunteer community health...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09042-4
更新日期:2020-06-15 00:00:00
abstract:BACKGROUND:Influenza is one of the most common vaccine-preventable diseases in travellers. By performing two cross-sectional questionnaire surveys during winter 2009 and winter 2010 among European travellers to resource-limited destinations, we aimed to investigate knowledge, attitudes and practices (KAP) regarding sea...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-402
更新日期:2010-07-07 00:00:00
abstract:BACKGROUND:Global obesity prevalence is increasing and population health programs are required to support changes to modifiable lifestyle risk factors. Such interventions benefit from mass-communications to promote their use. The Get Healthy Information and Coaching Service ® (GHS) utilised mass-reach media advertising...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-762
更新日期:2012-09-11 00:00:00
abstract:BACKGROUND:Despite being curable, tuberculosis is still a stigmatized disease. Not only is TB patients' suffering due to its clinical manifestations, but also because of society's prejudice, embarrassing situations, and even self-discrimination. This study aims to investigate psychosocial experiences of patients who ha...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-595
更新日期:2013-06-19 00:00:00
abstract:BACKGROUND:Genital warts (GW) are the most common sexually transmitted infections. To date, few studies using a human papillomavirus (HPV)-specific questionnaire have focused on the impact of quality of life (QoL) among patients with GW in developing countries. The origins of GW related psychosocial burdens and variati...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2458-14-739
更新日期:2014-07-21 00:00:00
abstract:BACKGROUND:Emotional abuse is central to other forms of abuse. The primary objective of this paper was to estimate the prevalence of emotional abuse among pupils in basic education schools and the risk factors associated with it in Aden governorate, Yemen. METHODS:Four districts were randomly selected from across the ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-647
更新日期:2012-08-13 00:00:00