Workplace Weight Loss Program; Comparing Live and Internet Methods

Touger‐Decker, Riva; Denmark, Robert; Bruno, Maura; O’Sullivan-Maillet, J.; Lasser, Norman L.

doi:10.1097/jom.0b013e3181f9ee8c

Cited by 27 publications

(69 citation statements)

References 35 publications

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“…Telephone/cellphone communications were used most for one-on-one health consultation, but other phone functions (such as sending text messages) were also used as reminders for attending appointments or sessions [36].…”

Section: Resultsmentioning

confidence: 99%

“…In four studies, the internet was used to facilitate communication among participants and health professionals, in the form of weekly e-mail for individual support and self-monitoring reminders, or online interactive message boards [15], [36], [45], [48]. Program websites were created along with the intervention as a comprehensive resource offering eLearning modules and other session materials and tools [35], [49].…”

Section: Resultsmentioning

confidence: 99%

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Strategies for Worksite Health Interventions to Employees with Elevated Risk of Chronic Diseases

Meng

Wolff

Mattick

et al. 2017

Safety and Health at Work

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Chronic disease rates have become more prevalent in the modern American workforce, which has negative implications for workplace productivity and healthcare costs. Offering workplace health interventions is recognized as an effective strategy to reduce chronic disease progression, absenteeism, and healthcare costs as well as improve population health. This review documents intervention and evaluation strategies used for health promotion programs delivered in workplaces. Using predetermined search terms in five online databases, we identified 1,131 published items from 1995 to 2014. Of these items, 27 peer-reviewed articles met the inclusion criteria; reporting data from completed United States-based workplace interventions that recruited at-risk employees based on their disease or disease-related risk factors. A content rubric was developed and used to catalogue these 27 published field studies. Selected workplace interventions targeted obesity (n = 13), cardiovascular diseases (n = 8), and diabetes (n = 6). Intervention strategies included instructional education/counseling (n = 20), workplace environmental change (n = 6), physical activity (n = 10), use of technology (n = 10), and incentives (n = 13). Self-reported data (n = 21), anthropometric measurements (n = 17), and laboratory tests (n = 14) were used most often in studies with outcome evaluation. This is the first literature review to focus on interventions for employees with elevated risk for chronic diseases. The review has the potential to inform future workplace health interventions by presenting strategies related to implementation and evaluation strategies in workplace settings. These strategies can help determine optimal worksite health programs based on the unique characteristics of work settings and the health risk factors of their employee populations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Strategies for Worksite Health Interventions to Employees with Elevated Risk of Chronic Diseases

Meng

Wolff

Mattick

et al. 2017

Safety and Health at Work

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“…[77][78][79][80][81][82] Our meta-analyses show that the interventions significantly decreased body mass (−0. 44,55,57,70,71 (A), total cholesterol 43,55,57,70,71 (B), high-density lipoprotein (HDL) 43,55,57,64,70,71 (C), triglycerides 43,55,57,64 (D), and systolic blood pressure 43,55,57,70,71 (E). CI indicates confidence interval.…”

Section: D) Workplace Physical Activity Interventionsmentioning

confidence: 99%

“…They included counseling, 45,54,72 appointments with occupational nurses 45 or Registered Dieticians, 71 fitness testing, 45 messages/emails providing feedback on PA, diet, or health promotion, 54,55,62,67,69,71 stages of change-based interventions, 47 personal, partner, or team goal-setting, 44,56,63,64,69 self-monitoring of body mass or PA using activity monitors or questionnaires, 55,56,60,[62][63][64][65]67,68,71 team or individual competitions, 56,64,66 online social networks to connect with friends and make public postings, 64 tailored web-based PA advice, 68 incentives, 56,63,65 PA prescriptions, 43,57 knowledge quizzes, 66 educational materials (eg, leaflets, posters, pamphlets, newsletters, reminders, or fridge magnets), 47,62,66 educational sessions, 57,69 expressions of management support, 66 active workstations, …”

Section: Interventionsmentioning

confidence: 99%

“…71 Three of the 24 studies used a single intervention strategy to increase PA: self-monitoring of PA using an activity monitor or monthly calendar 61,70 or tailored emails. 71 which reported changes in MET minutes per week showed increases in MET minutes per week. Finally, 1 RCT showed an increase in the activity score measured using Fitbit devices.…”

Section: Interventionsmentioning

confidence: 99%

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Impact of Workplace Physical Activity Interventions on Physical Activity and Cardiometabolic Health Among Working-Age Women

Reed

Prince

Elliott

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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C ardiovascular disease (CVD) is the leading cause of death among women in high-income countries defined as those with a gross national income per capita of $12 476 or more (ie, Canada, United States, Finland, Italy, etc.) and is projected to be the leading cause of death worldwide by 2030. 1,2 Ironically, over half of women lack knowledge of CVD risk factors; the majority (80%) are uninformed when it comes to their own level of risk.3 An alarming number of working-age women in high-income countries are overweight or obese and possess other risk factors for CVD (eg, high blood pressure, high cholesterol, and diabetes mellitus). [4][5][6][7][8][9][10][11][12][13] Physical activity (PA) is protective for CVD. Regular PA has been shown to prevent CVD, overweight and obesity, high blood pressure, high cholesterol, diabetes mellitus, certain cancers, and premature death.14-17 Current guidelines recommend that adults accumulate at least 150 min/wk of moderate-intensity aerobic PA or at least 75 min/wk of vigorous-intensity aerobic PA or an equivalent combination of moderate-to-vigorous-intensity Background-Cardiovascular disease is the leading cause of death among women in high-income Organization for Economic Co-operation and Development countries. Physical activity is protective for cardiovascular disease. The realities of modern life require working-age women to address work-related, family, and social demands. Few working-age women meet current moderate-to-vigorous-intensity physical activity (MVPA) recommendations. Given that working-age women spend a substantial proportion of their waking hours at work, places of employment may be an opportune and a controlled setting to implement programs, improving MVPA levels and enhancing cardiometabolic health. Methods and Results-Eight electronic databases were searched to identify all prospective cohort and experimental studies reporting an MVPA outcome of workplace interventions for working-age women (mean age, 18-65 years) in high-income Organization for Economic Co-operation and Development countries. Risk of bias was assessed using the Cochrane risk of bias tool; quality of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation approach. A qualitative synthesis was performed for all studies, and meta-analyses were conducted where possible. Twenty-four studies met the inclusion criteria; 20 studies were included in the meta-analyses. Workplace interventions significantly increased minutes per week of metabolic equivalents (4 studies; standardized mean differences, 2.07; 95% confidence interval [CI], 1.44 to 2.69), but not minutes per week of MVPA (13 studies; standardized mean differences, 0.38; 95% CI, −0.15 to 0.92) or metabolic equivalents per week (3 studies; standardized mean differences, 0.11; 95% CI, −0.48 to 0.71). Workplace interventions also significantly decreased body mass (7 studies; mean differences, −0.83 kg; 95% CI, −1.64 to −0.02), body mass index (6 studies; mean differences, −0.35 kg/m 2 ; 95% CI, −0.62...

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Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people

Wieland

Falzon

Sciamanna

et al. 2012

Cochrane Database of Systematic Reviews

172

220

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Background The World Health Organization (WHO) estimates that the number of obese or overweight individuals worldwide will increase to 1.5 billion by 2015. Chronic diseases associated with overweight or obesity include diabetes, heart disease, hypertension and stroke. Objectives To assess the effects of interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people. Search methods We searched several electronic databases, including CENTRAL, MEDLINE, EMBASE, CINAHL, LILACS and PsycINFO, through 25 May 2011. We also searched clinical trials registries to identify studies. We scanned reference lists of included studies and relevant systematic reviews. Selection criteria Studies were included if they were randomized controlled trials or quasi-randomized controlled trials that evaluated interactive computer-based weight loss or weight maintenance programs in adults with overweight or obesity. We excluded trials if the duration of the intervention was less than four weeks or the loss to follow-up was greater than 20% overall. Data collection and analysis Two authors independently extracted study data and assessed risk of bias. Where interventions, control conditions, outcomes and time frames were similar between studies, we combined study data using meta-analysis. Main results We included 14 weight loss studies with a total of 2537 participants, and four weight maintenance studies with a total of 1603 participants. Treatment duration was between four weeks and 30 months. At six months, computer-based interventions led to greater weight loss than minimal interventions (mean difference (MD) −1.5 kg; 95% confidence interval (CI) −2.1 to −0.9; two trials) but less weight loss than in-person treatment (MD 2.1 kg; 95% CI 0.8 to 3.4; one trial). At six months, computer-based interventions were superior to a minimal control intervention in limiting weight regain (MD −0.7 kg; 95% CI −1.2 to −0.2; two trials), but not superior to infrequent in-person treatment (MD 0.5 kg; 95% −0.5 to 1.6; two trials). We did not observe consistent differences in dietary or physical activity behaviors between intervention and control groups in either weight loss or weight maintenance trials. Three weight loss studies estimated the costs of computer-based interventions compared to usual care, however two of the studies were 11 and 28 years old, and recent advances in technology render these estimates unlikely to be applicable to current or future interventions, while the third study was conducted in active duty military personnel, and it is unclear whether the costs are relevant to other settings. One weight loss study reported the cost-effectiveness ratio for a weekly in-person weight loss intervention relative to a computer-based intervention as USD 7177 (EUR 5678) per life year gained (80% CI USD 3055 to USD 60,291 (EUR 2417 to EUR 47,702)). It is unclear whether this could be extrapolated to other studies. No data were identified on adverse events, morbidity, complications or health-rel...

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Workplace Weight Loss Program; Comparing Live and Internet Methods

Abstract: Improvements in some outcomes following a 12-week WIP were independent of delivery method.

Cited by 27 publications

References 35 publications

Strategies for Worksite Health Interventions to Employees with Elevated Risk of Chronic Diseases

Strategies for Worksite Health Interventions to Employees with Elevated Risk of Chronic Diseases

Impact of Workplace Physical Activity Interventions on Physical Activity and Cardiometabolic Health Among Working-Age Women

Interactive computer-based interventions for weight loss or weight maintenance in overweight or obese people

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