Promoting Weight Loss and Blood Pressure Control at Work: Impact of an Education and Intervention Program

Gemson, Donald H.; Commisso, Royanna; Fuente, Jeanette; Newman, Jane; Benson, S.V.

doi:10.1097/jom.0b013e318162f628

Cited by 55 publications

(73 citation statements)

References 45 publications

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“…The baseline survey response suggested that the study group lacked the nutrition knowledge necessary to make healthy food choices. Our findings are consistent with others that have shown that educational approaches focused on nutrition and physical activity can effectively increase healthy behaviors, achieve clinically significant weight loss [50] and improve blood pressure during the intervention and at the one-year follow-up [17].…”

Section: Discussionsupporting

confidence: 81%

“…Health promotion and public health advocates have identified the workplace as a promising setting for addressing excessive adiposity and chronic disease risk [17]. Evidence from best practices recommends that weight management interventions should include health professional-facilitated education and tailored feedback, a work environment that supports behavior changes, and employee involvement in the intervention [19,20].…”

Section: Introductionmentioning

confidence: 99%

“…Yet, most exceed recommended weight norms within 5 years on the job due to lack of regular physical conditioning and unhealthy food environments in correctional facilities [15]. Increased stress and related behavioral risks have been attributed to the overwhelming number of overweight and obese correctional officers [4], increasing risks for coronary heart disease, hypertension, and diabetes [4,[16][17][18].…”

Section: Introductionmentioning

confidence: 99%

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Worksite Weight Loss Intervention for Employees in Stressful Workplaces: A Pilot Study and Baseline Survey Indicators of Success

Faghri¹,

Duffy²,

Benson³

et al. 2012

J Obes Weig los Ther

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Statement of problem: Correctional facilities are stressful, unhealthy and dangerous working environments, which increase the risk of chronic diseases and a shortened lifespan for employees, particularly corrections officers. The need exists for effective worksite interventions to lower chronic disease risk and improve health of correctional employees.Objective: The primary aim was to pilot test eight-week worksite nutrition and physical activity educational intervention for correctional employees and to determine baseline indicators of weight loss success. Methods:Twenty overweight/obese volunteer employees were recruited by convenience sampling. Educational material was tailored to baseline responses on diet and physical activity knowledge, preferences, and behaviors. Adiposity status was both self-rated by the study participants and measured by researchers. The primary indicator was change in adiposity with a goal of 3% loss in weight across the intervention. Results:The group averaged one-pound loss per week; eleven of 20 employees lost ≥3% of body weight. The number of overweight/obese employees with healthy waist circumferences increased from 3 to 8 post-intervention. At baseline, employees who reached the weight loss goal were most likely to: accurately assess their level of adiposity; have lower knowledge about nutrition and healthy eating; report greater preference for discretionary-energy foods but less preference for vegetables; and less confidence in changing their physical activity behaviors. Conclusions:The intervention resulted in clinically meaningful, short-term weight loss among employees in stressful workplaces. Simple baseline survey-assessment defined employees who reported room to change their dietary and physical activity patterns as well as an accurate realization of their level of excessive adiposity.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Worksite Weight Loss Intervention for Employees in Stressful Workplaces: A Pilot Study and Baseline Survey Indicators of Success

Faghri¹,

Duffy²,

Benson³

et al. 2012

J Obes Weig los Ther

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“…Relatively few previous worksite intervention studies included an assessment of cardiovascular disease risk factors over a long period of time (Aldana et al, 2005;Engbers et al, 2007;Gemson et al, 2008;Glasgow et al, 1995Glasgow et al, , 1997Naito et al, 2008;Nilsson et al, 2001;Shimizu et al, 2004), even fewer were conducted in the United States (Aldana et al, 2005;Gemson et al, 2008;Glasgow et al, 1995Glasgow et al, , 1997, and the results were sometimes negative (Glasgow et al, 1995(Glasgow et al, , 1997, despite careful study designs and large sample sizes. One important difference between studies that may help to explain the discrepant findings is that the larger Take Heart trials (Glasgow et al, 1995(Glasgow et al, , 1997 involved numerous worksites, with high variability between worksites in terms of response to the interventions, and their analysis was at the level of the worksite rather than the individual.…”

Section: Discussionmentioning

confidence: 99%

“…Several worksite programs included an evaluation of cardiovascular disease risk factors, some of which lasted more than 6 months (Engbers et al, 2007;Gemson et al, 2008;Glasgow et al, 1995Glasgow et al, , 1997Naito et al, 2008), but the results were variable. In the present study, we implemented a novel, 1-year worksite intervention called "Worksite Opportunities for Wellness" (WOW) among medical center employees and compared it to an assessment only condition that included personalized health reports.…”

Section: Introductionmentioning

confidence: 99%

Worksite Opportunities for Wellness (WOW): Effects on cardiovascular disease risk factors after 1 year

Racette¹,

Deusinger²,

Inman³

et al. 2009

Preventive Medicine

111

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Objective-To evaluate the effectiveness of a worksite health promotion program on improving cardiovascular disease risk factors. overweight/obese) participated in a cohort-randomized trial comparing assessments + intervention (worksite A) with assessments only (worksite B) for 1 year. All participants received personal health reports containing their assessment results. The intervention was designed to promote physical activity and favorable dietary patterns using pedometers, healthy snack cart, WeightWatchers® meetings, group exercise classes, seminars, team competitions, and participation rewards. Outcomes included BMI, body composition, blood pressure, fitness, lipids, and Framingham 10-year coronary heart disease risk. Methods-InResults-123 participants, aged 45 ± 9 yr, with BMI 32.9 ± 8.8 kg/m 2 completed 1 year. Improvements (P ≤ 0.05) were observed at both worksites for fitness, blood pressure, and total-, HDL-, and LDL-cholesterol. Additional improvements occurred at worksite A in BMI, fat mass, Framingham risk score, and prevalence of the metabolic syndrome; only the changes in BMI and fat mass were different between worksites.Conclusion-A multi-faceted worksite intervention promoted favorable changes in cardiovascular disease risk factors, but many of the improvements were achieved with worksite health assessments and personalized health reports in the absence of an intervention.

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Workplace pedometer interventions for increasing physical activity

Freak‐Poli¹,

Cumpston²,

Peeters³

et al. 2011

Cochrane Database of Systematic Reviews

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Background The World Health Organization and the World Economic Forum have recommended further research to strengthen current knowledge of workplace health programmes, particularly on effectiveness and using simple instruments. A pedometer is one such simple instrument that can be incorporated in workplace interventions. Objectives To assess the effectiveness of pedometer interventions in the workplace for increasing physical activity and improving subsequent health outcomes. Search methods Electronic searches of the Cochrane Central Register of Controlled Trials (671 potential papers), MEDLINE (1001), Embase (965), CINAHL (1262), OSH UPDATE databases (75) and Web of Science (1154) from the earliest record to between 30th January and 6th February 2012 yielded 3248 unique records. Reference lists of articles yielded an additional 34 papers. Contact with individuals and organisations did not produce any further records. Selection criteria We included individual and cluster-randomised controlled trials of workplace health promotion interventions with a pedometer component in employed adults. The primary outcome was physical activity and was part of the eligibility criteria. We considered subsequent health outcomes, including adverse effects, as secondary outcomes. Data collection and analysis Two review authors undertook the screening of titles and abstracts and the full-text papers independently. Two review authors (RFP and MC) independently completed data extraction and risk of bias assessment. We contacted authors to obtain additional data and clarification.

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Promoting Weight Loss and Blood Pressure Control at Work: Impact of an Education and Intervention Program

Abstract: A targeted worksite intervention program may be an effective way to lower BP and promote exercise and weight loss.

Cited by 55 publications

References 45 publications

Worksite Weight Loss Intervention for Employees in Stressful Workplaces: A Pilot Study and Baseline Survey Indicators of Success

Worksite Weight Loss Intervention for Employees in Stressful Workplaces: A Pilot Study and Baseline Survey Indicators of Success

Worksite Opportunities for Wellness (WOW): Effects on cardiovascular disease risk factors after 1 year

Workplace pedometer interventions for increasing physical activity

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