Analysis of the intervention effects of health-related indicators for occupational population through prescription-based walking exercise
Objective To evaluate the intervention effect of prescription-based walking exercise on health-related indicators of the occupational population in Shandong Province,and to explore the prevention and control strategies of chronic diseases for the occupational population.Methods From May 11 to August 18,2021,17 579 subjects from 964 government,enterprises,and public institutions units in 50 counties(cities,districts)of 16 prefecture-level cities in Shandong Province were recruited to participate in a 100-day occupational walking intervention project,carrying pedometers daily.Questionnaire surveys,walking measurements,and physical measurements were conducted to compare the changes in health-related indicators before and after the intervention.The impact of compliance with the exercise prescription on the trend of health indicators was analyzed,and the dietary habits and weight control-related knowledge,attitudes,and behaviors of individuals with different changes in body mass after walking were described.Results The health indicators of subjects were improved after participating in the activity,with the degree of decrease in body mass index(BMI)and visceral fat index increasing with the average step count,showing statistically significant differences(F=6.490,7.790,P<0.05).The decrease in body mass was positively associated with the concentration of walking,the rate of achieving 10 000 steps,and the average step count,with statistically significant differences(F=25.270,28.120,20.400,P<0.05).Similar associations were found for hip circumference and waist circumference.The differences were statistically significant(F values were 19.860,22.100,8.740,P<0.05).Compared with those who did not lose weight after walking,those who lost more than 5 percent of their body weight were more likely to be knowledgeable about the recommended daily intake of salt,oil,and sugar for adults,to prefer a lighter diet,to cook with low salt,low oil,and low sugar,to have a balanced diet of meat and vegetables,to be more aware of the normal BMI range of adults and the recommended level of adult physical activity,to consider themselves to be overweight,and to engage in conscious weight control behaviors,with statistically significant differences(P<0.05).Conclusions Prescription-based walking exercise indirectly reduces the risk of chronic diseases by improving relevant health indicators and promoting individual health.In addition to implementing walking intervention programs,strengthening health education related to healthy behaviors and lifestyles can lead to better health benefits after the intervention.
Brisk walkExercise prescriptionOccupational populationHealthy behaviors and lifestylesPedometer