職場の柔軟性が心血管疾患のリスク低下と関連(Workplace flexibility associated with lower risk of cardiovascular disease)

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2023-11-08 ペンシルベニア州立大学(PennState)

◆ヘルスケアに焦点を当てた最新研究では、柔軟な職場環境が従業員の心血管疾患リスクを低減する可能性があることが示されました。
◆職場の介入が個人の仕事とプライベートの調和を図り、基準値が高い従業員でも心血管疾患のリスクが5~10歳若返るほどに低減したことが観察されました。この研究は、社会的な職場環境の変化が心血管代謝リスクに影響を与えるかを評価した、主要な介入研究の一環です。

<関連情報>

クラスター無作為化職場介入後の従業員の心代謝リスク Work, Family and Health Network, 2009-2013より Employee Cardiometabolic Risk Following a Cluster-Randomized Workplace Intervention From the Work, Family and Health Network, 2009–2013

Lisa F. Berkman,Erin L. Kelly,Leslie B. Hammer,Frank Mierzwa,Todd Bodner,Tay McNamara,Hayami K. Koga,T. H. Chan,Soomi Le,Miguel Marino,Laura C. Klein,Orfeu M. Buxton,Thomas W. McDade,Ginger Hanson,Phyllis Moen
American Journal of Public Health   Published:December 2023
DOI:https://doi.org/10.2105/AJPH.2023.307413

Objectives. To examine whether workplace interventions to increase workplace flexibility and supervisor support and decrease work–family conflict can reduce cardiometabolic risk.

Methods. We randomly assigned employees from information technology (n = 555) and long-term care (n = 973) industries in the United States to the Work, Family and Health Network intervention or usual practice (we collected the data 2009–2013). We calculated a validated cardiometabolic risk score (CRS) based on resting blood pressure, HbA1c (glycated hemoglobin), HDL (high-density lipoprotein) and total cholesterol, height and weight (body mass index), and tobacco consumption. We compared changes in baseline CRS to 12-month follow-up.

Results. There was no significant main effect on CRS associated with the intervention in either industry. However, significant interaction effects revealed that the intervention improved CRS at the 12-month follow-up among intervention participants in both industries with a higher baseline CRS. Age also moderated intervention effects: older employees had significantly larger reductions in CRS at 12 months than did younger employees.

Conclusions. The intervention benefited employee health by reducing CRS equivalent to 5 to 10 years of age-related changes for those with a higher baseline CRS and for older employees.

Trial Registration. ClinicalTrials.gov Identifier: NCT02050204. (Am J Public Health. 2023;113(12):1322–1331. https://doi.org/10.2105/AJPH.2023.307413)

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