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Worksite Wellness Program for Respiratory Disease Prevention in Heavy-Construction Workers

Hnizdo, Eva PhD; Berry, Angela; Hakobyan, Artak PhD; Beeckman-Wagner, Lu-Ann PhD; Catlett, Larry MD

Journal of Occupational and Environmental Medicine: March 2011 - Volume 53 - Issue 3 - p 274–281
doi: 10.1097/JOM.0b013e31820b0ab1
Original Articles

Objective: To describe a respiratory disease prevention program in a US heavy-construction company.

Methods: The program uses periodic spirometry and questionnaires and is integrated into a worksite wellness program involving individualized intervention. Spirometry Longitudinal Data Analysis (SPIROLA) technology is used to assist the physician with (i) manage-ment and evaluation of longitudinal spirometry and questionnaire data; (ii) designing, recoding, and implementing intervention; and (iii) evaluation of impact of the intervention. Preintervention data provide benchmark results.

Results: Preintervention results on 1224 workers with 5 or more years of follow-up showed that the mean rate of FEV1 decline was 47 mL/year. Age-stratified prevalence of moderate airflow obstruction was higher than that for the US population.

Conclusion: Preintervention results indicate the need for respiratory disease prevention in this construction workforce and provide a benchmark for future evaluation of the intervention.

From the Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WVa (Drs Hnizdo and Beeckman-Wagner), Occupational Medical Consulting, Inc, Leeds, Me (Ms Berry and Dr Catlett), Systems Research Applications International, Inc, Morgantown, WVa (Dr Hakobyan).

Address correspondence to: Eva Hnizdo, PhD, Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, 1095 Willowdale Rd, Morgantown, WV 26505 (

©2011The American College of Occupational and Environmental Medicine