Participation and cardiovascular risk reduction in a voluntary worksite nutrition and physical activity program

Thorndike, Anne N.; Healey, Erica; Sonnenberg, Lillian; Regan, Susan

doi:10.1016/j.ypmed.2010.11.023

Cited by 24 publications

(56 citation statements)

References 14 publications

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“…The details of this program have been previously described. 26 Approximately 150 employees (six teams) participate during each 10-week Be Fit program. The teams meet together weekly at a 30-minute “rally,” and individual teams meet for 45 minutes with a nutritionist and personal trainer.…”

Section: Methodsmentioning

confidence: 99%

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Prevention of Weight Gain Following a Worksite Nutrition and Exercise Program

Thorndike

Sonnenberg

Healey

et al. 2012

American Journal of Preventive Medicine

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Background Many employers are now providing wellness programs to help employees make changes in diet and exercise behaviors. Improving health outcomes and reducing costs will depend on whether employees sustain lifestyle changes and maintain a healthy weight over time. Purpose To determine if a 9-month maintenance intervention immediately following a 10-week worksite exercise and nutrition program would prevent regain of the weight lost during the program. Design RCT. Setting/participants In 2008, a total of 330 employees from 24 teams completed a 10-week exercise and nutrition program at a large hospital worksite and were randomized by team to maintenance or control (usual care) for 9 months. Intervention Internet support with a website for goal-setting and self-monitoring of weight and exercise plus minimal personal support. Main outcome measures Weight loss, percentage weight loss, time spent in physical activity, and frequency of consumption of fruits/vegetables, fatty foods, and sugary foods at 1 year compared to baseline. One-year follow-up was completed in 2010, and data were analyzed in 2011. Results At 1 year, 238 subjects (72%) completed follow-up assessments. Mean baseline BMI was 27.6 and did not differ between intervention and control. Compared to baseline, both groups lost weight during the 10-week program and maintained 65% of weight loss at 1 year (p<0.001). There was no difference in weight loss between groups at end of the 10-week program (4.8 lbs vs 4.3 lbs, p=0.53 for group×time interaction) or end of maintenance at 1 year (3.4 lbs vs 2.5 lbs, p=0.40 for group×time interaction). All subjects had improvements in physical activity and nutrition (increased fruits/vegetables and decreased fat and sugar intake) at 1 year but did not differ by group. Conclusions An intensive 10-week team-based worksite exercise and nutrition program resulted in moderate weight loss and improvements in diet and exercise behaviors at 1 year, but an Internet-based maintenance program immediately following the 10-week program did not improve these outcomes.

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Section: Methodsmentioning

confidence: 99%

“…26 The purpose of the current study was to conduct an RCT to test the efficacy of a 9-month Internet-based intervention to prevent weight gain immediately following the 10-week nutrition and exercise program.…”

Section: Introductionmentioning

confidence: 99%

Prevention of Weight Gain Following a Worksite Nutrition and Exercise Program

Thorndike

Sonnenberg

Healey

et al. 2012

American Journal of Preventive Medicine

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“…A total of 10 studies report the impact of interventions to improve the physical health of health care employees . One study was rated good and another 5 were rated as fair in quality . Four studies were quality assessed as poor …”

Section: Resultsmentioning

confidence: 99%

Interventions to improve employee health and well‐being within health care organizations: A systematic review

Williams

Malik

Nicolay

et al. 2017

J of Healthc Risk Manag

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In response to an increasing body of evidence on the importance of employee health and well-being (HWB) within health care, there has been a shift in focus from both policymakers and individual organizations toward improving health care employee HWB. However, there is something of a paucity of evidence regarding the impact and value of specific HWB interventions within a health care setting. The aim of this article was to systematically review the literature on this topic utilizing the EMBASE, Global Health, Health Management Information Consortium, MEDLINE, and PsycINFO databases. Forty-four articles were identified and, due to a large degree of heterogeneity, were considered under different headings as to the type of intervention employed: namely, those evaluating changing ways of working, physical health promotion, complementary and alternative medicine, and stress management interventions, and those utilizing multimodal interventions. Our results consider both the efficacy and reliability of each intervention in turn and reflect on the importance of careful study design and measure selection when evaluating the impact of HWB interventions.

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“…Nonetheless, other studies of ongoing weight loss programs do not necessarily demonstrate such outcomes. For example, in a study conducted by employees of Massachusetts General Hospital (MGH) that participated in a structured 10-week wellness program to improve nutrition and exercise habits demonstrated an average weight loss of 0.4 kg (0.88 lbs)at one year follow-up [23]. A second possible explanation of the relative effectiveness of the DEWL approach may be the comprehensive nature of the program, with multiple weekly contacts, including group educational sessions, exercise classes and the provision of calorie-controlled meals.…”

Section: Discussionmentioning

confidence: 99%

The Duke Employee Weight Loss Program: Report of a Duke Diet and Fitness Center Pilot Study

Corsino

Hazelton

Eisenson

et al. 2016

Int J Occup Safety & Health

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Abstract:Background: Obesity is increasingly prevalent in the industrialized world. Obese workers have two times the number of workers' compensation claims as those of non-obese workers. Worksite interventions may be especially effective because employees spend a large part of their day in the work environment, and both employee and employer have incentives to improve the employees' health. Objective: To assess the impact of a 4 week employee intervention in participant's weight, body fat and blood pressure. Methods: This was a pilot study. We assessed feasibility and impact compared to baseline at 4 weeks, 6 months, and 12 months post-program. The primary outcomes were weight and body mass index. Secondary outcomes included percent body fat and blood pressure. Results: Forty participants consented to be part of the study. Baseline weight was 97.8 kg [SD ± 17.05]. Twelve months post-intervention weight loss averaged 2.7 kg [SD ± 6.35]. One-way repeated measures ANOVA showed a significant effect of participation on weight, body mass index, and percent body fat. Conclusion: Significant improvements in the primary outcomes were observed in participants completing our worksite pilot study, indicating that a worksite weight loss intervention is potentially effective.

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Participation and cardiovascular risk reduction in a voluntary worksite nutrition and physical activity program

Cited by 24 publications

References 14 publications

Prevention of Weight Gain Following a Worksite Nutrition and Exercise Program

Prevention of Weight Gain Following a Worksite Nutrition and Exercise Program

Interventions to improve employee health and well‐being within health care organizations: A systematic review

The Duke Employee Weight Loss Program: Report of a Duke Diet and Fitness Center Pilot Study

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