Institutional members access full text with Ovid®

Improving Employee Health: Evaluation of a Worksite Lifestyle Change Program to Decrease Risk Factors for Diabetes and Cardiovascular Disease

Kramer, M. Kaye DrPH; Molenaar, Donald M. MD; Arena, Vincent C. PhD; Venditti, Elizabeth M. PhD; Meehan, Rebecca J. MS, RD, LDN; Miller, Rachel G. MS; Vanderwood, Karl K. PhD; Eaglehouse, Yvonne MS; Kriska, Andrea M. PhD

Journal of Occupational & Environmental Medicine: March 2015 - Volume 57 - Issue 3 - p 284–291
doi: 10.1097/JOM.0000000000000350
Original Articles

Objective: To determine whether an evidence-based, behavioral lifestyle intervention program delivered at a worksite setting is effective in improving type 2 diabetes and cardiovascular disease risk factors.

Methods: A randomized 6-month delayed control design was utilized, with two thirds of the participants assigned to begin intervention immediately, and one third beginning 6 months later. The year-long program (weekly for 3 months transitioning to monthly) focused on weight loss and increasing physical activity.

Results: The immediate intervention group had greater mean weight loss (−10.4 lb, 5.1%, vs −2.3 lb, 1%; P = 0.0001) than the delayed control group at 6 months and relatively greater improvements in activity, HbA1c, and other risk factors. The delayed group experienced similar improvements after completing the intervention program.

Conclusions: A worksite behavioral lifestyle intervention is feasible and effective in significantly improving risk factors for type 2 diabetes and cardiovascular disease.

From the Department of Epidemiology (Drs Kramer, Kriska, and Vanderwood, Ms Meehan, Ms Miller, and Ms Eaglehouse), University of Pittsburgh Graduate School of Public Health, Pa; Department of Medicine (Dr Molenaar), Veterans Health Administration, Minneapolis, Minn; Department of Biostatistics (Dr Arena), University of Pittsburgh Graduate School of Public Health; and Western Psychiatric Institute and Clinic (Dr Venditti), Pittsburgh, Pa.

Address correspondence to: M. Kaye Kramer, DrPH, Department of Epidemiology, University of Pittsburgh Graduate School of Public Health, 3512 Fifth Ave, Pittsburgh, PA 15213 (mkk3@pitt.edu).

This work was funded by NIH-NIDDK (R18 DK081323–04).

The authors report no conflicts of interest.

Copyright © 2015 by the American College of Occupational and Environmental Medicine