职业健康促进计划对心脏代谢风险因素的有效性:系统审查和三级元分析
Alessandro Godono1, Veruscka Leso2, Ettore Paradisi1
1Department of Public Health and Paediatric Sciences, University of Turin, Turin, Italy.
La Medicina del lavoro
|December 16, 2025
概括
工作场所健康计划显著改善了心脏代谢健康,降低了成年工人的BMI,血压和胆固醇. 这些发现支持将此类计划纳入职业健康战略.
科学领域:
- 职业健康 职业健康 职业健康
- 公共卫生 公共卫生
- 心血管健康 心血管健康
背景情况:
- 心脏代谢风险因素对公众健康构成重大挑战.
- 工作场所健康促进计划提供了潜在的干预途径.
研究的目的:
- 系统地评估工作场所健康促进计划的有效性.
- 评估对成年工人的心脏代谢风险因素的影响.
主要方法:
- 一个系统的审查和三级随机效应的元分析,遵循PRISMA指南.
- 包括2019年1月至2024年9月期间发表的随机对照试验 (RCT) 和准实验 (QE) 研究.
- 证据确定性的GRADE评估和异质性探索的元回归.
主要成果:
- 分析了44项涉及49813名参与者的研究.
- 在12个心脏代谢结局中的9个显著改善,包括BMI,体重,腰围,体脂,血压和脂质 (HDL,LDL) 概况.
- 中等至高确定性的证据支持了大多数重要的发现,显著的异质性是由干预特征解释的.
结论:
- 工作场所健康促进计划有效地改善心脏代谢健康指标.
- 针对高风险人群,由卫生专业人员实施的干预措施显示出更高的有效性.
- 调查结果支持将这些计划纳入职业健康政策和公共卫生战略.
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