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A worksite vitality intervention to improve older workers' lifestyle and vitality-related outcomes: results of a randomised controlled trial [with consumer summary]
Strijk JE, Proper KI, van der Beek AJ, van Mechelen W
Journal of Epidemiology and Community Health 2012 Nov;66(11):1071-1078
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To evaluate the effectiveness of a worksite vitality intervention on vigorous physical activity (VPA), fruit intake, aerobic capacity, mental health and need for recovery after work among older hospital workers (ie, 45 years and older). METHODS: The 6-month intervention was evaluated using a randomised controlled trial design. Workers who were randomised to the intervention group (n = 367; control: n = 363) received the Vital@Work intervention containing (1) a vitality exercise program (VEP) combined with (2) three visits to personal vitality coach. The VEP consisted of a weekly yoga session, a weekly workout session and weekly unsupervised aerobic exercising. Free fruit was provided at the VEP. Data on the outcome measures were collected (ie, year 2009 to 2010) at baseline (n = 730) and 6 months of follow-up after baseline (n = 575) using questionnaires, accelerometers and 2 km walk tests. Effects were analysed according to the intention-to-treat principle with complete cases (n = 575) and imputed data (n = 730) using linear regression analyses. Additional analyses were performed for high yoga and workout compliance (ie, > mean number of sessions). RESULTS: Effects were found for sports activities (beta = 40.4 min/week, 95% CI 13.0 to 67.7) and fruit intake (beta = 2.7 pieces/week, 95% CI 0.07 to 4.7) and were stronger for workers with high compliance to yoga (sport: beta = 49.6 min/week, 95% CI 13.9 to 85.2; fruit: beta = 3.8 pieces/week, 95% CI 1.1 to 6.4) and workout sessions (sport: beta = 72.9 min/week, 95% CI 36.1 to 109.8; fruit: beta = 4.0 pieces/week, 95% CI 1.1 to 6.4). The intervention group lowered their need for recovery, when compared to controls (beta = -3.5, 95% CI -6.4 to -0.54), with stronger effects for high workout compliance (beta = -5.3, 95% CI -9.3 to -1.3). No effects were found on VPA, aerobic capacity or mental health. CONCLUSIONS: Implementation of worksite yoga and workout facilities and minimal fruit interventions should be considered by employers to promote transitions into healthier lifestyles and thereby health.
Reproduced with permission from the BMJ Publishing Group.

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