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Intelligent physical exercise training intervention at the workplace for health promotion among office workers: A randomized controlled trial
Friday 17 October Papers / Journal of Science and Medicine in Sport 18S (2014) e108–e135
Discussion: Activity-permissive workstations can be effective to reduce workplace sedentary time, without compromising work performance. However, larger and longer-term randomisedcontrolled trials are needed to understand the sustainability of the sedentary time reductions and the potential for sustained impacts on health-related and work-related outcomes. http://dx.doi.org/10.1016/j.jsams.2014.11.101 44 Intelligent physical exercise training intervention at the workplace for health promotion among office workers: A randomized controlled trial G. Sjøgaard ∗ , B. Justesen University of Southern Denmark, Denmark Background: Health promotion at the workplace can be effective by introducing physical exercise training for preventing lifestyle diseases such as cardiovascular, metabolic, and musculoskeletal disorders. The present aim was to assess the effects of individually tailored intelligent physical exercise programs for office workers on cardiovascular health risk indicators. Methods: The study was a randomized controlled trial among office workers allocated to either a training (N = 194) or a control group (N = 195). The intervention lasted one year, and the training group trained one hour high intensity dynamic exercise every week during working hours and were recommended 30 min of moderate intensity physical activity 6 days a week during leisure time. Before and after the intervention participants completed a health check including a standardized submaximal bicycle test with heart rate monitoring for indirect estimate of maximal oxygen uptake (VO2max ), body mass, BMI, blood pressure (BP), and blood profile. Data from the first health check were used to individually tailor the intelligent physical exercise training. Trial registration was in ClinicalTrials.gov, number: NCT01366950. Results: At baseline, the training group had a (mean ± SD) VO2max of 3.3 ± 0.9 l/min and a fitness level (VO2max per body mass) of 36 ± 11 (ml/min/kg), systolic/diastolic BP 124 ± 17/82 ± 11 mmHg, blood glucose 5.3 ± 1 mmol/l, and blood cholesterol 5.1 ± 0.9 mmol/l. An intention-to-treat analysis showed a significant 5% increase in VO2max and fitness level in the training group compared with the control group. Furthermore, within the training group a significant decrease occurred in systolic/diastolic BP of 3.4/2.8 mmHg, and blood glucose of 0.2 mmol/l. No intervention effect was found on BMI, blood cholesterol, and triglycerides. In a per protocol analysis among employees in the training group with an adherence ≥70% (N = 102) compared to the control group showed a significant 10% increase in VO2max and fitness level. Further, within the high adherence group a decrease in systolic/diastolic BP of 4.4/3.3 mmHg, and blood cholesterol of 0.2 mmol/l was seen. Discussion: High intensity intelligent physical exercise training combined with recommendations of moderate intensity physical activity significantly increased VO2max and fitness level. The magnitude of increase implied a decrease in cardiovascular health risk based on findings in larger epidemiological studies. Of note is that this increase was larger among those with the highest adherence. Within the training group deceases in systolic BP and blood glucose/cholesterol additionally indicated decreased health risks. In all this study was effective in decreasing health risk indicators among office workers. http://dx.doi.org/10.1016/j.jsams.2014.11.102
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45 Australian Psychological Society’s College of Sport & Exercise Psychologists Panel Forum Australian College of Sport & Exercise Psychologists The Unique Environment of Travelling with Clients in a Sport/Performance Setting The roles, responsibilities and experiences of travelling with individual athletes and/or sporting teams as one’s client is a unique environment in which sport and exercise psychologists regularly find themselves. The forum will provide an overview of specific considerations and issues that challenges the ethical parameters under which psychologists are trained including professional boundaries. The panellists have extensive experience travelling with clients across various sports and performance settings and will provide a valuable insight into these situations and professional guidelines in managing them. The forum will also provide an opportunity for open discussion and sharing of insights, experiences, and recommendations for ethical and other considerations. http://dx.doi.org/10.1016/j.jsams.2014.11.103 Symposium 46 Sacroiliac joint and pelvis T. Wisbey-Roth Wisbey-Roth Consulting, Australia The sacroiliac joint has been a diagnostic and therapeutic challenge and remains controversial. The absence of objective and differential diagnosis for the loss of biomechanical SIJ function has made specific treatment a significant challenge. The integrated model of form and force closure proposed by A. Vleeming an D. Lee (1998) has now been validated by clinical research conducted by a team of researchers in Australia who will present their findings as a National SMA symposium. Clinical examination of SIJ dysfunction can be specifically targeted with a multi test protocol, and backed up by cutting edge SPECT CT imaging techniques both specific and sensitive to “SIJ Incompetence” 80% of research patients responded to a specifically targeted exercise programme, while 20% progressed to additional Prolotherapy intervention under Fluoroscopy. Details of the research protocol of clinical assessment, SPECT CT findings and targeted/progressed exercise structure will be presented and demonstrated in this interactive symposium. Discussion of common enthesopathies also associated with the maladaptive lumbopelvic muscle function will be discussed. http://dx.doi.org/10.1016/j.jsams.2014.11.104
Discussion: Activity-permissive workstations can be effective to reduce workplace sedentary time, without compromising work performance. However, larger and longer-term randomisedcontrolled trials are needed to understand the sustainability of the sedentary time reductions and the potential for sustained impacts on health-related and work-related outcomes. http://dx.doi.org/10.1016/j.jsams.2014.11.101 44 Intelligent physical exercise training intervention at the workplace for health promotion among office workers: A randomized controlled trial G. Sjøgaard ∗ , B. Justesen University of Southern Denmark, Denmark Background: Health promotion at the workplace can be effective by introducing physical exercise training for preventing lifestyle diseases such as cardiovascular, metabolic, and musculoskeletal disorders. The present aim was to assess the effects of individually tailored intelligent physical exercise programs for office workers on cardiovascular health risk indicators. Methods: The study was a randomized controlled trial among office workers allocated to either a training (N = 194) or a control group (N = 195). The intervention lasted one year, and the training group trained one hour high intensity dynamic exercise every week during working hours and were recommended 30 min of moderate intensity physical activity 6 days a week during leisure time. Before and after the intervention participants completed a health check including a standardized submaximal bicycle test with heart rate monitoring for indirect estimate of maximal oxygen uptake (VO2max ), body mass, BMI, blood pressure (BP), and blood profile. Data from the first health check were used to individually tailor the intelligent physical exercise training. Trial registration was in ClinicalTrials.gov, number: NCT01366950. Results: At baseline, the training group had a (mean ± SD) VO2max of 3.3 ± 0.9 l/min and a fitness level (VO2max per body mass) of 36 ± 11 (ml/min/kg), systolic/diastolic BP 124 ± 17/82 ± 11 mmHg, blood glucose 5.3 ± 1 mmol/l, and blood cholesterol 5.1 ± 0.9 mmol/l. An intention-to-treat analysis showed a significant 5% increase in VO2max and fitness level in the training group compared with the control group. Furthermore, within the training group a significant decrease occurred in systolic/diastolic BP of 3.4/2.8 mmHg, and blood glucose of 0.2 mmol/l. No intervention effect was found on BMI, blood cholesterol, and triglycerides. In a per protocol analysis among employees in the training group with an adherence ≥70% (N = 102) compared to the control group showed a significant 10% increase in VO2max and fitness level. Further, within the high adherence group a decrease in systolic/diastolic BP of 4.4/3.3 mmHg, and blood cholesterol of 0.2 mmol/l was seen. Discussion: High intensity intelligent physical exercise training combined with recommendations of moderate intensity physical activity significantly increased VO2max and fitness level. The magnitude of increase implied a decrease in cardiovascular health risk based on findings in larger epidemiological studies. Of note is that this increase was larger among those with the highest adherence. Within the training group deceases in systolic BP and blood glucose/cholesterol additionally indicated decreased health risks. In all this study was effective in decreasing health risk indicators among office workers. http://dx.doi.org/10.1016/j.jsams.2014.11.102
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45 Australian Psychological Society’s College of Sport & Exercise Psychologists Panel Forum Australian College of Sport & Exercise Psychologists The Unique Environment of Travelling with Clients in a Sport/Performance Setting The roles, responsibilities and experiences of travelling with individual athletes and/or sporting teams as one’s client is a unique environment in which sport and exercise psychologists regularly find themselves. The forum will provide an overview of specific considerations and issues that challenges the ethical parameters under which psychologists are trained including professional boundaries. The panellists have extensive experience travelling with clients across various sports and performance settings and will provide a valuable insight into these situations and professional guidelines in managing them. The forum will also provide an opportunity for open discussion and sharing of insights, experiences, and recommendations for ethical and other considerations. http://dx.doi.org/10.1016/j.jsams.2014.11.103 Symposium 46 Sacroiliac joint and pelvis T. Wisbey-Roth Wisbey-Roth Consulting, Australia The sacroiliac joint has been a diagnostic and therapeutic challenge and remains controversial. The absence of objective and differential diagnosis for the loss of biomechanical SIJ function has made specific treatment a significant challenge. The integrated model of form and force closure proposed by A. Vleeming an D. Lee (1998) has now been validated by clinical research conducted by a team of researchers in Australia who will present their findings as a National SMA symposium. Clinical examination of SIJ dysfunction can be specifically targeted with a multi test protocol, and backed up by cutting edge SPECT CT imaging techniques both specific and sensitive to “SIJ Incompetence” 80% of research patients responded to a specifically targeted exercise programme, while 20% progressed to additional Prolotherapy intervention under Fluoroscopy. Details of the research protocol of clinical assessment, SPECT CT findings and targeted/progressed exercise structure will be presented and demonstrated in this interactive symposium. Discussion of common enthesopathies also associated with the maladaptive lumbopelvic muscle function will be discussed. http://dx.doi.org/10.1016/j.jsams.2014.11.104