A conceptual model for worksite intelligent physical exercise training--IPET--intervention for decreasing life style health risk indicators among employees: a randomized controlled trial

Gisela Sjøgaard, Just Bendix Justesen, Mike Murray, Tina Dalager, Karen Søgaard, Gisela Sjøgaard, Just Bendix Justesen, Mike Murray, Tina Dalager, Karen Søgaard

Abstract

Background: Health promotion at the work site in terms of physical activity has proven positive effects but optimization of relevant exercise training protocols and implementation for high adherence are still scanty.

Methods/design: The aim of this paper is to present a study protocol with a conceptual model for planning the optimal individually tailored physical exercise training for each worker based on individual health check, existing guidelines and state of the art sports science training recommendations in the broad categories of cardiorespiratory fitness, muscle strength in specific body parts, and functional training including balance training. The hypotheses of this research are that individually tailored worksite-based intelligent physical exercise training, IPET, among workers with inactive job categories will: 1) Improve cardiorespiratory fitness and/or individual health risk indicators, 2) Improve muscle strength and decrease musculoskeletal disorders, 3) Succeed in regular adherence to worksite and leisure physical activity training, and 3) Reduce sickness absence and productivity losses (presenteeism) in office workers. The present RCT study enrolled almost 400 employees with sedentary jobs in the private as well as public sectors. The training interventions last 2 years with measures at baseline as well as one and two years follow-up.

Discussion: If proven effective, the intelligent physical exercise training scheduled as well as the information for its practical implementation can provide meaningful scientifically based information for public health policy.

Trial registration: ClinicalTrials.gov, number: NCT01366950.

Figures

Figure 1
Figure 1
Relationship between intensity of physical activity and the corresponding ranges for HR and RPE. Exercise intensity terminology and corresponding HR and RPE intervals are presented in accordance with a compromise of two position statements [1,4] and the two arrows for maximum permissible occupational load for 8 hour work day and 1 hr work, respectively, are referring to [8].
Figure 2
Figure 2
Physiological assessment variables as premise for recommendation of IPET for a sustained healthy work force. RFD: rate of force development and HIIT: high intensity interval training.
Figure 3
Figure 3
Flow chart of recruitment of employees.

References

    1. Garber CE, Blissmer B, Deschenes MR, Franklin BA, LaMonte MJ, Lee IM, Nieman DC, Swain DP. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43:1334–1359.
    1. National Research Council and the Institute of medicine. Musculoskeletal Disorders and the Workplace. Washington, D.C.: National Academy Press; 2001.
    1. Holtermann A, Hansen JV, Burr H, Sogaard K, Sjogaard G. The health paradox of occupational and leisure-time physical activity. Br J Sports Med. 2012;46:291–295.
    1. Norton K, Norton L, Sadgrove D. Position statement on physical activity and exercise intensity terminology. J Sci Med Sport. 2010;13:496–502.
    1. Paffenbarger RS Jr, Laughlin ME, Gima AS, Black RA. Work activity of longshoremen as related to death from coronary heart disease and stroke. N Engl J Med. 1970;282:1109–1114.
    1. MORRIS JN, HEADY JA, RAFFLE PA, ROBERTS CG, PARKS JW. Coronary heart-disease and physical activity of work. Lancet. 1953;265:1111–1120.
    1. Paffenbarger RS Jr, Blair SN, Lee IM. A history of physical activity, cardiovascular health and longevity: the scientific contributions of Jeremy N Morris, DSc, DPH, FRCP. Int J Epidemiol. 2001;30:1184–1192.
    1. Bonjer FH. In: Encyclopedia of Occupational Health and Safety. 2. Parmeggiani L, editor. Geneva: International Labour Organisation; 1971. Energy expenditure; pp. 458–460.
    1. Sjol A, Thomsen KK, Schroll M, Andersen LB. Secular trends in acute myocardial infarction in relation to physical activity in the general Danish population. Scand J Med Sci Sports. 2003;13:224–230.
    1. Korshoj M, Krustrup P, Jespersen T, Sogaard K, Skotte JH, Holtermann A. A 24-h assessment of physical activity and cardio-respiratory fitness among female hospital cleaners: a pilot study. Ergonomics. 2013;56:935–943.
    1. European Foundation for the Improvement of Working and Living Conditions. Fourth European Working Conditions Survey. 2005. . 2013. Ref Type: Online Source.
    1. World Health Organization. Protecting Workers' Health Series No. 5, Preventing musculoskeletal disorders in the workplace. . 2003. Ref Type: Online Source.
    1. Stewart WF, Ricci JA, Chee E, Morganstein D, Lipton R. Lost productive time and cost due to common pain conditions in the US workforce. JAMA. 2003;290:2443–2454.
    1. Proper KI, Koning M, van der Beek AJ, Hildebrandt VH, Bosscher RJ, van Mechelen W. The effectiveness of worksite physical activity programs on physical activity, physical fitness, and health. Clin J Sport Med. 2003;13:106–117.
    1. Proper KI, Staal BJ, Hildebrandt VH, van der Beek AJ, van Mechelen W. Effectiveness of physical activity programs at worksites with respect to work-related outcomes [review] Scand J Work Environ Health. 2002;28:75–84.
    1. Blangsted AK, Søgaard K, Hansen EA, Hannerz H, Sjøgaard G. One-year randomized controlled trail with different physical-activity programs to reduce musculoskeletal symptoms in the neck and shoulders among office workers. Scand J Work Environ Health. 2008;34:55–65.
    1. Andersen LL, Kjaer M, Søgaard K, Hansen L, Kryger A, Sjøgaard G. Effect of two contrasting types of physical exercises on chronic neck muscle pain. Arthritis Rheum. 2008;59:84–91.
    1. Andersen CH, Andersen LL, Gram B, Pedersen MT, Mortensen OS, Zebis MK, Sjogaard G. Influence of frequency and duration of strength training for effective management of neck and shoulder pain: a randomised controlled trial. Br J Sports Med. 2012;46:1004–1010.
    1. Zebis MK, Andersen LL, Pedersen MT, Mortensen P, Andersen CH, Pedersen MM, Roessler KK, Hannerz H, Mortensen OS, Sjogaard G. Implementation of neck/shoulder exercises for pain relief among industrial workers: a randomized controlled trial. BMC Musculoskelet Disord. 2011;12:205.
    1. Jorgensen MB, Ektor-Andersen J, Sjogaard G, Holtermann A, Sogaard K. A randomised controlled trial among cleaners–effects on strength, balance and kinesiophobia. BMC Public Health. 2011;11:776.
    1. Christensen JR, Overgaard K, Carneiro IG, Holtermann A, Sogaard K. Weight loss among female health care workers–a 1-year workplace based randomized controlled trial in the FINALE-health study. BMC Public Health. 2012;12:625.
    1. Gram B, Holtermann A, Sogaard K, Sjogaard G. Effect of individualized worksite exercise training on aerobic capacity and muscle strength among construction workers - a randomized controlled intervention study. Scand J Work Environ Health. 2012;38:467–475.
    1. Lange B, Toft P, Myburgh C, Sjogaard G. Effect of Targeted Strength, Endurance, and Coordination Exercise on Neck and Shoulder Pain Among Fighter Pilots: A Randomized-controlled Trial. Clin J Pain. 2013;29:50–59.
    1. Pedersen MT, Andersen LL, Jorgensen MB, Sogaard K, Sjogaard G. Effect of specific resistance training on musculoskeletal pain symptoms: dose–response relationship. J Strength Cond Res. 2013;27:229–235.
    1. Lack DM. Presenteeism revisited. A complete review. AAOHN J. 2011;59:77–89.
    1. Pronk NP, Martinson B, Kessler RC, Beck AL, Simon GE, Wang P. The association between work performance and physical activity, cardiorespiratory fitness, and obesity. J Occup Environ Med. 2004;46:19–25.
    1. Tuomi K, Ilmarinen J, Seitsamo J, Huuhtanen P, Martikainen R, Nygard CH, Klockars M. Summary of the Finnish research project (1981–1992) to promote the health and work ability of aging workers. Scand J Work Environ Health. 1997;23(Suppl 1):66–71.
    1. Krustrup P, Aagaard P, Nybo L, Petersen J, Mohr M, Bangsbo J. Recreational football as a health promoting activity: a topical review. Scand J Med Sci Sports. 2010;20(Suppl 1):1–13.
    1. Schulz KF, Altman DG, Moher D. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMC Med. 2010;8:18.
    1. Shiner M. Defining peer education. J Adolesc. 1999;22:555–566.
    1. Harris GF, Wertsch JJ. Procedures for gait analysis. Arch Phys Med Rehabil. 1994;75:216–225.
    1. Astrom M, Arvidson T. Alignment and joint motion in the normal foot. J Orthop Sports Phys Ther. 1995;22:216–222.
    1. Lee R, Evans J. An in vivo study of the intervertebral movements produced by posteroanterior mobilization. Clin Biomech (Bristol, Avon) 1997;12:400–408.
    1. O'Sullivan PB. Lumbar segmental 'instability': clinical presentation and specific stabilizing exercise management. Man Ther. 2000;5:2–12.
    1. Niere KR, Torney SK. Clinicians' perceptions of minor cervical instability. Man Ther. 2004;9:144–150.
    1. Cook JL, Khan KM, Kiss ZS, Purdam CR, Griffiths L. Reproducibility and clinical utility of tendon palpation to detect patellar tendinopathy in young basketball players. Victorian Institute of Sport tendon study group. Br J Sports Med. 2001;35:65–69.
    1. Wolf EM, Agrawal V. Transdeltoid palpation (the rent test) in the diagnosis of rotator cuff tears. J Shoulder Elbow Surg. 2001;10:470–473.
    1. Andersen LL, Zebis MK, Pedersen MT, Roessler KK, Andersen CH, Pedersen MM, Feveile H, Mortensen OS, Sjogaard G. Protocol for Work place adjusted Intelligent physical exercise reducing Musculoskeletal pain in Shoulder and neck (VIMS): a cluster randomized controlled trial. BMC Musculoskelet Disord. 2010;11:173.
    1. Åstrand P-O, Ryhming I. A nomogram for calculation of aerobic capacity (physical fitness) from pulse rate during submaximal work. J Appl Physiol. 1954;7:218–221.
    1. Astrand I. Aerobic work capacity in men and women with special reference to age. Acta Physiol Scand Suppl. 1960;169:1–92.
    1. Faber A, Hansen K, Christensen H. Muscle strength and aerobic capacity in a representative sample of employees with and without repetitive monotonous work. Int Arch Occup Environ Health. 2006;79:33–41.
    1. Essendrop M, Schibye B, Hansen K. Reliability of isometric muscle strength tests for the trunk, hands and shoulders. Int J Ind Erg. 2001;28:379–387.
    1. Jorgensen MB, Skotte JH, Holtermann A, Sjogaard G, Petersen NC, Sogaard K. Neck pain and postural balance among workers with high postural demands - a cross-sectional study. BMC Musculoskelet Disord. 2011;12:176.
    1. De KL, Merchant AT, Pogue J, Anand SS. Waist circumference and waist-to-hip ratio as predictors of cardiovascular events: meta-regression analysis of prospective studies. Eur Heart J. 2007;28:850–856.
    1. Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr. 2000;72:694–701.
    1. Appleyard M. The Copenhagen City heart study. Østerbroundersøgelsen. A book of tables with data from the first examination (1976–78) and a five year follow-up (1981–83) Stockholm: The Almqvist & Wiksell Periodical Company; 1989.
    1. Kristensen TS, Hannerz H, Hogh A, Borg V. The Copenhagen Psychosocial Questionnaire–a tool for the assessment and improvement of the psychosocial work environment. Scand J Work Environ Health. 2005;31:438–449.
    1. Ware JE Jr, Gandek B. Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA) Project. J Clin Epidemiol. 1998;51:903–912.
    1. Saltin B, Grimby G. Physiological analysis af middle-aged and old former athletes. Circulation. 1968;38:1104–1115.
    1. Kuorinka I, Jonsson B, Kilbom Å, Vinterberg H, Biering-Sørensen F, Andersson G, Jørgensen K. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergo. 1987;18:233–237.
    1. Church TS, Blair SN, Cocreham S, Johannsen N, Johnson W, Kramer K, Mikus CR, Myers V, Nauta M, Rodarte RQ, Sparks L, Thompson A, Earnest CP. Effects of aerobic and resistance training on hemoglobin A1c levels in patients with type 2 diabetes: a randomized controlled trial. JAMA. 2010;304:2253–2262.
    1. O'Hara J. How I do it: sample size calculations. Clin Otolaryngol. 2008;33:145–149.
    1. Morss GM, Jordan AN, Skinner JS, Dunn AL, Church TS, Earnest CP, Kampert JB, Jurca R, Blair SN. Dose Response to Exercise in Women aged 45–75 yr (DREW): design and rationale. Med Sci Sports Exerc. 2004;36:336–344.
    1. Church TS, Earnest CP, Skinner JS, Blair SN. Effects of different doses of physical activity on cardiorespiratory fitness among sedentary, overweight or obese postmenopausal women with elevated blood pressure: a randomized controlled trial. JAMA. 2007;297:2081–2091.

Source: PubMed

3
Předplatit