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Understanding the Impact of Move Your Way Campaign Exposure on Key Physical Activity Outcomes - Results from a Multi-site Pilot Evaluation. 了解“随心而动”运动暴露对关键体育活动结果的影响-多站点试点评估结果。
Pub Date : 2022-12-23 eCollection Date: 2022-01-01
Kate Olscamp, Laura Pompano, Katrina L Piercy, April Oh, Elizabeth Y Barnett, Morgan S Lee, Dena Gregory Fisher, Frances Bevington

The Move Your Way® campaign was developed to encourage physical activity contemplators to get active. A pilot test of campaign implementation was conducted and evaluated in eight communities between March and October 2020. A web-based, cross-sectional survey of adults collected pilot campaign outcome data after campaign implementation. Differences in outcomes between exposed and unexposed groups across the communities were compared. A total of n = 5,140 responded to the survey. Across eight communities, those who reported campaign exposure had 7.2 (95% CI, 6.1-8.6) greater odds of being aware of the Physical Activity Guidelines for Americans (Guidelines) compared to unexposed respondents. Additionally, they had greater odds of identifying the correct aerobic and muscle-strengthening dosages and had 1.4 (95% CI, 1.1-1.6) greater odds of reporting meeting both the aerobic and muscle-strengthening Guidelines. In this pilot evaluation, reported exposure to Move Your Way is associated with higher odds of being aware of the Guidelines, knowing recommended dosages, likelihood of becoming more active in the future, higher physical activity self-efficacy, making a recent physical activity behavior change, and higher physical activity levels. The Move Your Way campaign can be used in communities to promote physical activity.

Move Your Way®运动旨在鼓励体育活动冥想者积极活动。2020年3月至10月,在八个社区进行了运动实施试点测试并进行了评估。一项基于网络的成人横断面调查收集了运动实施后的试点运动结果数据。比较了不同社区暴露组和未暴露组的结果差异。共有5140人对调查做出了回应。在八个社区中,与未暴露的受访者相比,那些报告竞选活动暴露的人了解《美国人体育活动指南》(指南)的几率高7.2(95%CI,6.1-8.6)。此外,他们确定正确的有氧和增肌剂量的几率更大,报告符合有氧和增强肌肉指南的几率更高1.4(95%CI,1.1-1.6)。在这项试点评估中,据报道,接触Move Your Way与了解指南的几率更高、知道推荐剂量、未来变得更活跃的可能性、更高的体育活动自我效能感、最近的体育活动行为改变以及更高的体力活动水平有关。“移动你的方式”运动可以在社区中用于促进体育活动。
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引用次数: 0
Understanding the Impact of Move Your Way Campaign Exposure on Key Physical Activity Outcomes – Results from a Multi-site Pilot Evaluation 了解“随心而动”运动曝光对关键体育活动结果的影响——多站点试点评估结果
Pub Date : 2022-12-23 DOI: 10.51250/jheal.v2i3.49
Kate Olscamp, Laura Pompano, Katrina L. Piercy, A. Oh, Elizabeth Y. Barnett, Morgan R Lee, D. Fisher, F. Bevington
The Move Your Way® campaign was developed to encourage physical activity contemplators to get active. A pilot test of campaign implementation was conducted and evaluated in eight communities between March and October 2020. A web-based, cross-sectional survey of adults collected pilot campaign outcome data after campaign implementation. Differences in outcomes between exposed and unexposed groups across the communities were compared. A total of n = 5,140 responded to the survey. Across eight communities, those who reported campaign exposure had 7.2 (95% CI, 6.1–8.6) greater odds of being aware of the Physical Activity Guidelines for Americans (Guidelines) compared to unexposed respondents. Additionally, they had greater odds of identifying the correct aerobic and muscle-strengthening dosages and had 1.4 (95% CI, 1.1–1.6) greater odds of reporting meeting both the aerobic and muscle-strengthening Guidelines. In this pilot evaluation, reported exposure to Move Your Way is associated with higher odds of being aware of the Guidelines, knowing recommended dosages, likelihood of becoming more active in the future, higher physical activity self-efficacy, making a recent physical activity behavior change, and higher physical activity levels. The Move Your Way campaign can be used in communities to promote physical activity.
Move Your Way®运动旨在鼓励体育活动冥想者积极活动。2020年3月至10月,在八个社区进行了运动实施试点测试并进行了评估。一项基于网络的成人横断面调查收集了运动实施后的试点运动结果数据。比较了不同社区暴露组和未暴露组的结果差异。共有5140人对调查做出了回应。在八个社区中,与未暴露的受访者相比,那些报告运动暴露的人了解《美国人体育活动指南》(指南)的几率高7.2(95%CI,6.1–8.6)。此外,他们确定正确的有氧和增肌剂量的几率更大,报告符合有氧和增强肌肉指南的几率更高1.4(95%CI,1.1-1.6)。在这项试点评估中,据报道,接触Move Your Way与了解指南的几率更高、知道推荐剂量、未来变得更活跃的可能性、更高的体育活动自我效能感、最近的体育活动行为改变以及更高的体力活动水平有关。“移动你的方式”运动可以在社区中用于促进体育活动。
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引用次数: 1
The impact of COVID-19 on sedentary behavior among Chinese university students:a retrospectively matched cohort study 新冠肺炎对中国大学生久坐行为的影响:回顾性配对队列研究
Pub Date : 2022-12-23 DOI: 10.51250/jheal.v2i3.48
Hongjun Yu, Yiling Song, Xiao-xuan Wang, Xiaolu Feng, Yangyang Wang, Mingzhong Zhou, X. Z. Wen, Chen Fan
Purpose: This study was to estimate the impact of COVID-19 on sedentary behavior for Chinese university students during the pandemic period, as well as explore how sedentary behavior changed as a function of gender. Methods: We conducted an online questionnaire (the Sedentary Behavior Questionnaire) on 1487 (947 males & 513 females; Age 19.72± 1.32yr., BMI = 21.12 ± 4.50) students from one university in China during the pandemic period and students retrospectively recalled pre-pandemic physical activity levels (March 29- April 15, 2020). Sedentary behavior was measured using the short version of the Sedentary Behavior Questionnaire (SBQ). Sedentary behavior of social isolation in a typical week during the COVID-19 pandemic period and before the COVID-19 pandemic were measured based on SBQ. The data were analyzed using a paired-samples t-test. Chi-square tests were to compare categorical variables. Results: Before the COVID-19, on weekdays, survey participants averaged engaged in 11.41 (SD =3.93) hours of SB, 10.97 (SD = 3.85) hours of SB in males, 12.25 (SD =3.94) hours of SB in females; on weekends, survey participants averaged engaged in 13.18 (SD =4.06) hours of SB, 12.74 (SD = 3.96) hours of SB in males, 14.04 (SD =4.11) hours of SB in females. During the COVID-19, on weekdays, survey participants averaged engaged in 13.34 (SD =3.78) hours of SB, 12.90 (SD = 3.67) hours of SB in males, 14.19 (SD =3.83) hours of SB in females; on weekends, survey participants averaged engaged in 14.48 (SD =3.93) hours of SB, 14.10 (SD = 3.81) hours of SB in males, 15.22 (SD =4.04) hours of SB in females. Overall, on weekdays, COVID-19 on average appeared to increase SB by 1.93 (16.91%↑, 95% CI = 1.74, 2.12) hours, an increase in daily total SB by 1.92 (17.50%↑, 95% CI = 1.92, 2.15) hours for males, and an increase 1.94 (15.84%↑, 95% CI = 1.62, 2.27) hours in females. On weekends, COVID-19 on average appeared to increase SB by 1.30 (9.86%↑, 95% CI = 1.12, 1.48) hours, an increase in daily total SB by 1.36 (10.68%↑, 95% CI = 1.13, 1.58) hours for males, and an increase 1.18 (8.40%↑, 95% CI = 0.87, 1.50) hours in females. Conclusions: The COVID-19 led to an increase in sedentary behavior of Chinese university students. The total sedentary time of female students per week was higher than that of male students. Public policy action might be urgently needed to decrease the sedentary behavior of Chinese university students.
目的:本研究旨在评估新冠肺炎疫情对中国大学生久坐行为的影响,并探讨久坐行为随性别的变化情况。方法:对1487人(男性947人,女性513人;年龄19.72±1.32岁。(BMI = 21.12±4.50),这些学生回顾了大流行前(2020年3月29日至4月15日)的身体活动水平。久坐行为采用短版的久坐行为问卷(SBQ)进行测量。基于SBQ测量COVID-19大流行期间和COVID-19大流行前典型一周的社会隔离久坐行为。数据采用配对样本t检验进行分析。卡方检验用于比较分类变量。结果:调查对象在新冠肺炎前工作日平均SB活动时间为11.41 (SD =3.93)小时,男性平均SB活动时间为10.97 (SD = 3.85)小时,女性平均SB活动时间为12.25 (SD =3.94)小时;周末平均睡眠时间为13.18 (SD =4.06)小时,男性为12.74 (SD = 3.96)小时,女性为14.04 (SD =4.11)小时。新冠肺炎疫情期间,调查对象工作日平均睡眠时间为13.34 (SD =3.78)小时,男性平均睡眠时间为12.90 (SD = 3.67)小时,女性平均睡眠时间为14.19 (SD =3.83)小时;周末平均睡眠时间14.48小时(SD =3.93),男性14.10小时(SD = 3.81),女性15.22小时(SD =4.04)。总体而言,在工作日,COVID-19平均使男性每日总SB增加1.93(16.91%↑,95% CI = 1.74, 2.12)小时,女性每日总SB增加1.92(17.50%↑,95% CI = 1.92, 2.15)小时,女性增加1.94(15.84%↑,95% CI = 1.62, 2.27)小时。在周末,COVID-19平均使男性每日总SB增加1.30(9.86%↑,95% CI = 1.12, 1.48)小时,每日总SB增加1.36(10.68%↑,95% CI = 1.13, 1.58)小时,女性增加1.18(8.40%↑,95% CI = 0.87, 1.50)小时。结论:新型冠状病毒肺炎导致中国大学生久坐行为增加。女生每周总久坐时间高于男生。迫切需要采取公共政策行动来减少中国大学生的久坐行为。
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引用次数: 0
Physical Education Teachers’ Perceived Effectiveness in Association with Student Attendance, Teacher Adaptability, External Educational Supports, and Teaching Format During the COVID-19 Pandemic 新冠肺炎大流行期间体育教师感知有效性与学生出勤率、教师适应性、外部教育支持和教学形式的关系
Pub Date : 2022-12-23 DOI: 10.51250/jheal.v2i3.50
A. Kuhn, Hannah R Thompson, Collin A Webster, C. Burgeson, J. Chriqui, Tevin Okutoyi, E. Hager
Spring 2020 pandemic-control policies included an abrupt shift to remote teaching, which may have affected physical education (PE) teachers’ perceived effectiveness. This study examined K-12 PE teachers’ perceived effectiveness in association with student attendance, teacher adaptability, PE supports, teaching format (in-person, remote synchronous, remote asynchronous, etc.), and teacher- and school-level demographics at three time points (pre-pandemic 2019–early 2020, Spring 2020, 2020–2021 school year). An electronic survey was developed by an expert panel and distributed to U.S. public school PE teachers (convenience sampling via school health-related organizations). For analyses, teacher perceived effectiveness was dichotomized (very/extremely effective= “1”; not at all/slightly/moderately effective= “0”). Logistic regression models assessed associations between perceived effectiveness and independent variables (student attendance, teacher adaptability, PE supports, teaching format, and demographic variables) at each time point. Respondents (n=134; M age=46) were mostly female (62%), general PE teachers (82%, versus adapted), had a graduate degree (66%), had >11 years of teaching experience (63%), and from 26 states. Perception of being very/extremely effective was highest pre-pandemic 2019–early 2020 (93%), lowest in Spring 2020 (12%), and recovered somewhat in 2020–2021 (45%). During the 2020–2021 school year, teachers had greater odds of perceiving they were more effective if they reported having higher student attendance (OR 1.06 [CI:1.02–1.09], p>.001) and higher adaptability (OR 1.22 [CI: 1.09–1.37], p>.001), adjusting for gender, education level, years of experience, grade level taught, and Title I status. Professional development opportunities are needed for remote teaching of PE to enhance teachers’ adaptability and perceived effectiveness during potential future school closures.
2020年春季疫情控制政策包括突然转向远程教学,这可能影响了体育教师的有效性。本研究在三个时间点(2019 - 2020年初、2020年春季、2020 - 2021学年)调查了K-12体育教师的感知有效性与学生出勤、教师适应性、体育支持、教学形式(面对面、远程同步、远程异步等)以及教师和学校层面的人口统计数据的关系。一个专家小组开发了一份电子调查,并分发给美国公立学校的体育教师(通过学校健康相关组织进行方便抽样)。为了进行分析,教师感知有效性被一分为二(非常/非常有效=“1”;完全没有/稍微有效/中等有效=“0”)。逻辑回归模型评估了每个时间点感知有效性与自变量(学生出勤率、教师适应性、体育支持、教学形式和人口变量)之间的关联。受访者(n = 134;M年龄=46岁),主要是女性(62%),普通体育教师(82%,与适应),拥有研究生学位(66%),有11年的教学经验(63%),来自26个州。对非常/极其有效的看法在2019 - 2020年初大流行前最高(93%),在2020年春季最低(12%),并在2020 - 2021年有所恢复(45%)。在2020-2021学年,如果教师报告有更高的学生出勤率(OR: 1.06 [CI: 1.02-1.09], p>.001)和更高的适应性(OR: 1.22 [CI: 1.09-1.37], p>.001),调整性别,教育水平,经验年数,教学年级水平和第一职称地位,他们认为自己更有效的几率更大。体育远程教学需要专业发展机会,以提高教师在未来可能的学校关闭期间的适应性和感知有效性。
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引用次数: 0
Beyond Walking: An Assessment and Description of Streets as Potential Physical Activity Places in Low-Income Communities 超越步行:对街道作为低收入社区潜在体育活动场所的评估和描述
Pub Date : 2022-12-23 DOI: 10.51250/jheal.v2i3.41
M. Renée, U. Meyer, T. Prochnow, K. Ylitalo, L. Gómez, Joseph R. Sharkey
Low-income communities often have fewer quality community-level physical activity places (PAPs) or resources (e.g., parks, playgrounds). When present, barriers like traffic, distance, and crime often prevent access. Creative solutions and better understanding of current and potential realistic PAPs are necessary for children and families to be active. Streets are rarely considered potential PAPs despite their ubiquity and accessibility. This article describes street segments as potential PAPs in two low-income Mexican-heritage colonias communities along the Texas-Mexico border. Promotora-researchers conducted PAP assessments of all street segments (n=867) in the two communities to describe the availability and quality of their physical activity features (e.g., basketball hoops, bicycles), amenities (e.g., paved driveways, yard space), and incivilities (e.g., vandalism, loose dogs). Streets in these communities did contain features and amenities associated with physical activity promotion. On average, street segments had 6.10 (SD=7.20) physical activity-promoting features, 27.65 (SD=27.30) physical activity-promoting amenities, and both were assessed as good-to-fair quality. Future physical activity programming should consider incorporating streets as potential PAPs to enhance physical activity and active play. Further, evaluating streets as PAPs in this way may provide insight into locations for temporary place-based programs such as Play Streets. Future research should also examine residents’ perceptions of their streets as PAPs for safe physical activity and active play, not just as places to walk, and which PAP characteristics matter for safe physical activity and active play to occur on streets.
低收入社区通常拥有较少的社区级体育活动场所(PAP)或资源(如公园、游乐场)。当存在交通、距离和犯罪等障碍时,通常会阻止进入。创造性的解决方案和更好地了解当前和潜在的现实PAP对于儿童和家庭的积极性是必要的。街道很少被认为是潜在的PAP,尽管它们无处不在,无障碍。这篇文章描述了得克萨斯-墨西哥边境两个低收入墨西哥裔殖民地社区的街道片段作为潜在的PAP。Promotora的研究人员对这两个社区的所有街道路段(n=867)进行了PAP评估,以描述他们的体育活动特征(如篮球圈、自行车)、便利设施(如铺好的车道、庭院空间)和不文明行为(如故意破坏、流浪狗)的可用性和质量。这些社区的街道确实包含了与体育活动推广相关的特色和便利设施。平均而言,街道路段有6.10个(SD=7.20)促进体育活动的功能,27.65个(SD=27.30)促进体育运动的设施,两者都被评估为质量良好至尚可。未来的体育活动规划应考虑将街道作为潜在的PAP,以加强体育活动和积极玩耍。此外,以这种方式将街道评估为PAP可以提供对临时基于地点的项目(例如Play streets)的位置的深入了解。未来的研究还应检查居民对街道的看法,即他们的街道是安全体育活动和积极玩耍的PAP,而不仅仅是步行的地方,以及哪些PAP特征对街道上的安全体育活动或积极玩耍很重要。
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引用次数: 1
Interventions to Improve Pedestrian and Cyclist Safety in Latin America: a Systematic Review and Metasummary 拉丁美洲改善行人和骑自行车者安全的干预措施:系统综述和元综述
Pub Date : 2022-08-25 DOI: 10.51250/jheal.v2i2.45
Kathleen Trejo Tello, S. M. Hughey, S. Porto, Molly Hart, Anna Benson
Road user fatalities account for a leading cause of preventable death in Latin America with pedestrians and bicyclists at higher risk for more extensive injuries as compared to other road users. Despite these vulnerable road user (VRU) risks, encouraging individuals to walk and cycle is an important public health strategy for addressing the region’s obesity epidemic through promoting physical activity via active transportation (AT). However, in order to promote AT as a viable source of physical activity, safety of the VRU must be considered. The purpose of this systematic review and metasummary is to describe the effectiveness of interventions that have been implemented in Latin America to improve pedestrian and bicyclist safety. A systematic search of public health, policy, and engineering databases was completed using terms generated through the PICO method. The PRISMA framework was used for article screening. Eight articles detailing nine interventions across four countries were included for final synthesis and organized according to the Three E’s Model of Injury Prevention, including three education-based interventions, two engineering, three enforcements, and one utilizing all Three E’s. VRU outcomes assessed ranged from attitudes and behaviors to fatal injuries, with only enforcement-based interventions reporting on the latter. No interventions reported on non-fatal injury outcomes. Interventions rooted in each arm of the Three E’s demonstrated limited ability to improve VRU outcomes, with enforcement-based interventions providing the strongest body of evidence. Findings demonstrate the limited research on VRU safety in Latin America, and further efforts should be of urgent public health priority.
道路使用者的死亡是拉丁美洲可预防死亡的主要原因,与其他道路使用者相比,行人和骑自行车的人受到更大范围伤害的风险更高。尽管存在这些易受伤害的道路使用者(VRU)风险,但鼓励个人步行和骑自行车是通过积极交通促进体育活动来应对该地区肥胖流行病的一项重要公共卫生战略。然而,为了促进AT成为一种可行的体育活动来源,必须考虑VRU的安全性。本系统综述和元综述的目的是描述拉丁美洲为改善行人和骑自行车者的安全而实施的干预措施的有效性。使用PICO方法生成的术语完成了对公共卫生、政策和工程数据库的系统搜索。PRISMA框架用于文章筛选。八篇文章详细介绍了四个国家的九项干预措施,并根据三个E的伤害预防模式进行了最终综合整理,包括三项基于教育的干预措施、两项工程、三项实施措施和一项利用所有三个E。评估的VRU结果从态度和行为到致命伤害不等,只有基于执法的干预措施报告了后者。没有关于非致命性损伤结果的干预措施报告。植根于三个E的每一个分支的干预措施表明,改善VRU结果的能力有限,基于执法的干预措施提供了最有力的证据。研究结果表明,拉丁美洲对VRU安全性的研究有限,进一步的努力应成为公共卫生的当务之急。
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引用次数: 0
Investigating Knowledge on Calcium and Preferences for Dairy vs. Plant-Based Alternatives 调查钙的知识和乳制品与植物性替代品的偏好
Pub Date : 2022-08-25 DOI: 10.51250/jheal.v2i2.42
Sarah G. Geller, B. Clark, Lizzy Pope, M. Niles, E. Belarmino
Calcium is a nutrient of public health concern and commonly associated with dairy foods. In recent years, plant-based alternatives to dairy products have grown in popularity. This study examines public understanding of dietary calcium in dairy products and plant-based alternatives and explores whether knowledge is associated with product preference. In 2018, the U.S. Food and Drug Administration (FDA) solicited comments on the labeling of plant-based dairy alternatives (FDA-2018-N-3522), including input on consumer understanding of the nutritional content of dairy foods and plant-based products. All 11,906 submissions were obtained and 8,052 were retained after duplicate and near-duplicate comments were removed. Comments were coded for major nutrition themes and those that mentioned calcium and were analyzed for three calcium-specific themes: knowledge and beliefs about calcium content, calcium bioavailability, and health outcomes associated with intake. Submissions were examined in relation to each commenter’s preference for dairy products or plant-based alternatives. 244 unique submissions (3.0%) mentioned calcium. Over half (51.2%) of commenters who mentioned calcium preferred plant-based alternatives. Comments mentioning calcium often reflected preference. Most commenters had an accurate understanding of calcium content in dairy and plant-based products. However, several commenters—especially those who preferred plant-based alternatives—misunderstood calcium metabolism and health outcomes related to calcium. Given declining consumption of fluid dairy milk—a key source of dietary calcium—and increasing consumption of plant-based alternatives, addressing gaps in nutrition knowledge and misunderstanding related to dairy and calcium intake is critical and has implications for nutrition education and policy.
钙是一种公众健康关注的营养素,通常与乳制品有关。近年来,以植物为基础的乳制品替代品越来越受欢迎。本研究考察了公众对乳制品和植物性替代品中膳食钙的认识,并探讨了这种认识是否与产品偏好有关。2018年,美国食品和药物管理局(FDA)征求了关于植物性乳制品替代品标签(FDA-2018- n -3522)的意见,包括消费者对乳制品和植物性产品营养成分的理解。收到了全部11,906份意见书,在删除重复和接近重复的评论后保留了8,052份意见书。对主要营养主题和提到钙的评论进行编码,并对三个钙特定主题进行分析:关于钙含量的知识和信念、钙的生物利用度以及与摄入相关的健康结果。根据每位评论者对乳制品或植物性替代品的偏好,对提交的意见进行了审查。244份独特意见书(3.0%)提到了钙。超过一半(51.2%)提到钙的评论者更喜欢植物性替代品。提到钙的评论通常反映了人们的偏好。大多数评论者对乳制品和植物性产品中的钙含量有准确的理解。然而,一些评论者——尤其是那些偏爱植物性替代品的人——误解了钙的代谢和与钙相关的健康结果。鉴于液态牛奶(膳食钙的主要来源)的消费量下降,以及植物性替代品的消费量增加,解决营养知识的差距和与乳制品和钙摄入相关的误解至关重要,并对营养教育和政策产生影响。
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引用次数: 0
Pilot study and cumulative risk framework to advance long-haul driver health 促进长途驾驶员健康的试点研究和累积风险框架
Pub Date : 2022-08-25 DOI: 10.51250/jheal.v2i2.43
M. Fox, Teresa Penbrooke, Reza Farzaneh, Mariya Rahman, T. Ramani, J. Zietsman
Commercial drivers are essential to the economic recovery, yet their work exposes them to many health and safety hazards. Research to improve driver health should be designed with an understanding of both the complex occupational environment and the risk management context. We present results from a small pilot study of driver health concerns and behaviors to illustrate concepts and frameworks from human health risk assessment and management that may assist in the design and translation of driver and other worker health research. The pilot study surveyed 18 long-haul truck drivers at a truck stop using an instrument adapted from the International Physical Activity Questionnaire and a transient community needs assessment developed for the US Antarctic Program Recreation and Wellness Survey. Respondents’ characteristics and health concerns reflect existing literature: mostly male of older age with musculoskeletal and chronic health conditions. The two most common barriers to physical activity were lack of time and physical limitations. Applying cumulative risk assessment and risk-based decision-making frameworks, we suggest that preventive health management opportunities can be improved for these transient workers through actions of employers, truck stop owners and their communities. Considering lessons learned in implementing the pilot, cumulative risk assessment, and risk-based decision making in research design can facilitate holistic research considering co-exposures, risk factors and mitigators across multiple domains of health to inform worker protection.
商业司机对经济复苏至关重要,但他们的工作使他们面临许多健康和安全隐患。改善驾驶员健康的研究应在了解复杂的职业环境和风险管理背景的情况下进行。我们介绍了一项关于驾驶员健康问题和行为的小型试点研究的结果,以说明人类健康风险评估和管理的概念和框架,这些概念和框架可能有助于驾驶员和其他工人健康研究的设计和翻译。这项试点研究使用了一种改编自国际体育活动问卷的工具,以及为美国南极项目娱乐和健康调查开发的临时社区需求评估,对卡车停靠站的18名长途卡车司机进行了调查。受访者的特征和健康问题反映了现有文献:大多数是患有肌肉骨骼和慢性健康状况的老年男性。身体活动最常见的两个障碍是缺乏时间和身体限制。应用累积风险评估和基于风险的决策框架,我们建议,通过雇主、卡车停靠站所有者及其社区的行动,可以改善这些临时工人的预防性健康管理机会。在研究设计中考虑在实施试点、累积风险评估和基于风险的决策方面的经验教训,可以促进综合研究,考虑多个健康领域的共同暴露、风险因素和缓解措施,为工人保护提供信息。
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引用次数: 0
Investigating Knowledge on Calcium and Preferences for Dairy vs. Plant-Based Alternatives. 调查钙的知识和对乳制品与植物替代品的偏好。
Pub Date : 2022-08-25 eCollection Date: 2022-01-01
Sarah G Geller, Bridget E Clark, Lizzy Pope, Meredith T Niles, Emily H Belarmino

Calcium is a nutrient of public health concern and commonly associated with dairy foods. In recent years, plant-based alternatives to dairy products have grown in popularity. This study examines public understanding of dietary calcium in dairy products and plant-based alternatives and explores whether knowledge is associated with product preference. In 2018, the U.S. Food and Drug Administration (FDA) solicited comments on the labeling of plant-based dairy alternatives (FDA-2018-N-3522), including input on consumer understanding of the nutritional content of dairy foods and plant-based products. All 11,906 submissions were obtained and 8,052 were retained after duplicate and near-duplicate comments were removed. Comments were coded for major nutrition themes and those that mentioned calcium and were analyzed for three calcium-specific themes: knowledge and beliefs about calcium content, calcium bioavailability, and health outcomes associated with intake. Submissions were examined in relation to each commenter's preference for dairy products or plant-based alternatives. 244 unique submissions (3.0%) mentioned calcium. Over half (51.2%) of commenters who mentioned calcium preferred plant-based alternatives. Comments mentioning calcium often reflected preference. Most commenters had an accurate understanding of calcium content in dairy and plant-based products. However, several commenters-especially those who preferred plant-based alternatives-misunderstood calcium metabolism and health outcomes related to calcium. Given declining consumption of fluid dairy milk-a key source of dietary calcium-and increasing consumption of plant-based alternatives, addressing gaps in nutrition knowledge and misunderstanding related to dairy and calcium intake is critical and has implications for nutrition education and policy.

钙是一种公众健康关注的营养素,通常与乳制品有关。近年来,乳制品的植物替代品越来越受欢迎。这项研究考察了公众对乳制品和植物替代品中膳食钙的理解,并探讨了知识是否与产品偏好有关。2018年,美国食品药品监督管理局(FDA)就植物性乳制品替代品(FDA-2018-N-3522)的标签征求意见,包括就消费者对乳制品和植物性产品营养成分的理解提供意见。在删除了重复和近乎重复的评论后,获得了所有11906份提交材料,保留了8052份。对主要营养主题和提到钙的主题进行了编码,并对三个钙特定主题进行了分析:关于钙含量的知识和信念、钙的生物利用度以及与摄入相关的健康结果。根据每位评论者对乳制品或植物替代品的偏好对提交的材料进行了审查。244份独特的意见书(3.0%)提到了钙。超过一半(51.2%)提到钙的评论者更喜欢植物替代品。提及钙的评论往往反映了偏好。大多数评论者对乳制品和植物性产品中的钙含量有着准确的了解。然而,一些评论者,尤其是那些喜欢植物替代品的人,误解了钙代谢和与钙相关的健康结果。鉴于液态奶(膳食钙的主要来源)的消费量下降,以及植物替代品的消费量增加,解决与乳制品和钙摄入相关的营养知识差距和误解至关重要,并对营养教育和政策产生影响。
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引用次数: 0
Interventions to Improve Pedestrian and Cyclist Safety in Latin America: a Systematic Review and Metasummary. 拉丁美洲改善行人和骑自行车者安全的干预措施:系统综述和元综述。
Pub Date : 2022-08-25 eCollection Date: 2022-01-01
Kathleen Trejo Tello, Sarah M Hughey, Sarah C Porto, Molly Hart, Anna Benson

Road user fatalities account for a leading cause of preventable death in Latin America with pedestrians and bicyclists at higher risk for more extensive injuries as compared to other road users. Despite these vulnerable road user (VRU) risks, encouraging individuals to walk and cycle is an important public health strategy for addressing the region's obesity epidemic through promoting physical activity via active transportation (AT). However, in order to promote AT as a viable source of physical activity, safety of the VRU must be considered. The purpose of this systematic review and metasummary is to describe the effectiveness of interventions that have been implemented in Latin America to improve pedestrian and bicyclist safety. A systematic search of public health, policy, and engineering databases was completed using terms generated through the PICO method. The PRISMA framework was used for article screening. Eight articles detailing nine interventions across four countries were included for final synthesis and organized according to the Three E's Model of Injury Prevention, including three education-based interventions, two engineering, three enforcements, and one utilizing all Three E's. VRU outcomes assessed ranged from attitudes and behaviors to fatal injuries, with only enforcement-based interventions reporting on the latter. No interventions reported on non-fatal injury outcomes. Interventions rooted in each arm of the Three E's demonstrated limited ability to improve VRU outcomes, with enforcement-based interventions providing the strongest body of evidence. Findings demonstrate the limited research on VRU safety in Latin America, and further efforts should be of urgent public health priority.

道路使用者的死亡是拉丁美洲可预防死亡的主要原因,与其他道路使用者相比,行人和骑自行车的人受到更大范围伤害的风险更高。尽管存在这些易受伤害的道路使用者(VRU)风险,但鼓励个人步行和骑自行车是通过积极交通促进体育活动来应对该地区肥胖流行病的一项重要公共卫生战略。然而,为了促进AT成为一种可行的体育活动来源,必须考虑VRU的安全性。本系统综述和元综述的目的是描述拉丁美洲为改善行人和骑自行车者的安全而实施的干预措施的有效性。使用PICO方法生成的术语完成了对公共卫生、政策和工程数据库的系统搜索。PRISMA框架用于文章筛选。八篇文章详细介绍了四个国家的九项干预措施,并根据三个E的伤害预防模式进行了最终综合整理,包括三项基于教育的干预措施、两项工程、三项实施措施和一项利用所有三个E。评估的VRU结果从态度和行为到致命伤害不等,只有基于执法的干预措施报告了后者。没有关于非致命性损伤结果的干预措施报告。植根于三个E的每一个分支的干预措施表明,改善VRU结果的能力有限,基于执法的干预措施提供了最有力的证据。研究结果表明,拉丁美洲对VRU安全性的研究有限,进一步的努力应成为公共卫生的当务之急。
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引用次数: 0
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Journal of healthy eating and active living
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