Effectiveness of Comprehensive Health Education Combining Lifestyle Education and Hot Spa Bathing for Male White-Collar Employees: A Randomized Controlled Trial with 1-Year Follow-Up

محفوظ في:
التفاصيل البيبلوغرافية
الحاوية / القاعدة:Journal of Epidemiology vol. 19, no. 5 (2009), p. 219
المؤلف الرئيسي: Kamioka, Hiroharu
مؤلفون آخرون: Nakamura, Yosikazu, Okada, Shinpei, Kitayuguchi, Jun, Kamada, Masamitsu, Honda, Takuya, Matsui, Yuzuru, Mutoh, Yoshiteru
منشور في:
Japan Epidemiological Association
الموضوعات:
الوصول للمادة أونلاين:Citation/Abstract
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022 |a 1349-9092 
024 7 |a 10.2188/jea.JE20081020  |2 doi 
035 |a 863578010 
045 2 |b d20090901  |b d20091031 
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084 |a 144946  |2 nlm 
100 1 |a Kamioka, Hiroharu 
245 1 |a Effectiveness of Comprehensive Health Education Combining Lifestyle Education and Hot Spa Bathing for Male White-Collar Employees: A Randomized Controlled Trial with 1-Year Follow-Up 
260 |b Japan Epidemiological Association  |c 2009 
513 |a Journal Article 
520 3 |a Background: Physical activity is known to prevent obesity and metabolic syndrome in middle-aged and elderly people; however, the effectiveness of a comprehensive health education program for male white-collar employees is uncertain. Methods: Forty-three men volunteered to participate in this study and were randomly assigned into 2 groups. The intervention group participated in a 2-hour program comprising comprehensive health education and hot spa bathing, offered once every 2 weeks, in addition to individualized programs once a week, for 24 weeks. The control group received only general health guidance. We compared their lifestyle characteristics and physical and mental health criteria at baseline, immediately after the intervention, and 1 year after the end of the intervention. Results: Rates of adherence to individualized programs were 60.0 ± 27.2% and 30.5 ± 29.6% at the end of the intervention and at 1 year after the end of the intervention, respectively. Significant (P < 0.05) interaction of criteria was observed for cluster of differentiation 4+ (CD4+) cells and the ratio of cluster of differentiation 4+ to 8+ (CD4/8) cells, which were used to represent the participants' immunological function. We divided the intervention group into 2 subgroups on the basis of their attendance. Among the resulting 3 groups, significant interaction of criteria was observed for CD4+ and CD4/8 cells. In addition, the high attendance group had the highest CD4+ count and CD4/8 ratio. Conclusions: Participants who attended classes and/or performed the supplementary individualized programs tended to maintain their immunological function and to experience a decrease in body fat percentage. However, few effects were noted in participants with poor adherence, even in the intervention group. [PUBLICATION ABSTRACT]   Physical activity is known to prevent obesity and metabolic syndrome in middle-aged and elderly people; however, the effectiveness of a comprehensive health education program for male white-collar employees is uncertain. Forty-three men volunteered to participate in this study and were randomly assigned into 2 groups. The intervention group participated in a 2-hour program comprising comprehensive health education and hot spa bathing, offered once every 2 weeks, in addition to individualized programs once a week, for 24 weeks. The control group received only general health guidance. We compared their lifestyle characteristics and physical and mental health criteria at baseline, immediately after the intervention, and 1 year after the end of the intervention. Rates of adherence to individualized programs were 60.0 +/- 27.2% and 30.5 +/- 29.6% at the end of the intervention and at 1 year after the end of the intervention, respectively. Significant (P < 0.05) interaction of criteria was observed for cluster of differentiation 4+ (CD4+) cells and the ratio of cluster of differentiation 4+ to 8+ (CD4/8) cells, which were used to represent the participants' immunological function. We divided the intervention group into 2 subgroups on the basis of their attendance. Among the resulting 3 groups, significant interaction of criteria was observed for CD4+ and CD4/8 cells. In addition, the high attendance group had the highest CD4+ count and CD4/8 ratio. Participants who attended classes and/or performed the supplementary individualized programs tended to maintain their immunological function and to experience a decrease in body fat percentage. However, few effects were noted in participants with poor adherence, even in the intervention group. 
650 2 2 |a Adult 
650 1 2 |a Balneology  |x methods 
650 2 2 |a Employment 
650 2 2 |a Follow-Up Studies 
650 1 2 |a Health Education  |x methods 
650 2 2 |a Health Status 
650 2 2 |a Humans 
650 2 2 |a Japan  |x epidemiology 
650 2 2 |a Life Style 
650 2 2 |a Male 
650 2 2 |a Middle Aged 
650 2 2 |a Obesity  |x prevention & control 
650 1 2 |a Program Evaluation 
650 2 2 |a Socioeconomic Factors 
653 |a Lifestyles 
653 |a Males 
653 |a Exercise 
653 |a Health promotion 
653 |a Metabolic disorders 
653 |a Resorts & spas 
653 |a Intervention 
653 |a Education 
653 |a White collar workers 
653 |a Social 
700 1 |a Nakamura, Yosikazu 
700 1 |a Okada, Shinpei 
700 1 |a Kitayuguchi, Jun 
700 1 |a Kamada, Masamitsu 
700 1 |a Honda, Takuya 
700 1 |a Matsui, Yuzuru 
700 1 |a Mutoh, Yoshiteru 
773 0 |t Journal of Epidemiology  |g vol. 19, no. 5 (2009), p. 219 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/863578010/abstract/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/863578010/fulltextPDF/embedded/75I98GEZK8WCJMPQ?source=fedsrch