Diabetes Prevention and Control in the Workplace
| Autor: | Paula M. Trief, Kalleen Barham, Cynthia B. Morrow, Michael Wade, Ruth S. Weinstock, Susan P. West |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Waist New York Pilot Projects Health Promotion Job Satisfaction law.invention Nursing Quality of life Randomized controlled trial Weight loss law Diabetes mellitus Weight Loss Diabetes Mellitus medicine Humans Obesity Workplace Life Style Occupational Health business.industry Random assignment Health Policy Public Health Environmental and Occupational Health Middle Aged Overweight Emotional eating medicine.disease Physical therapy Female medicine.symptom business Body mass index |
| Zdroj: | Journal of Public Health Management and Practice. 17:233-241 |
| ISSN: | 1078-4659 |
| DOI: | 10.1097/phh.0b013e3181fd4cf6 |
| Popis: | OBJECTIVES To improve nutrition and physical activity of county employees and promote weight loss. DESIGN Random assignment to begin the program when first offered or after 3 months ("wait control" group). SETTING Worksite. PARTICIPANTS Onondaga County employees (n = 45) at risk for diabetes (n = 35) or with diabetes (n = 10). Mean (±SD) age = 51.2 (± 8.0) years and body mass index (BMI) = 37.3 ± (6.8 kg/m). INTERVENTION Twelve weekly healthy lifestyle sessions based on the Diabetes Prevention Program curriculum, followed by monthly sessions for up to 12 months. OUTCOMES Medical: Weight, BMI, waist circumference, blood pressure, fasting glucose, lipid, and hemoglobin A1c levels. Psychosocial/behavioral: Health-related quality of life Short Form-12, Impact of Weight on Quality of Life Scale), physical activity (International Physical Activity Questionnaire), eating behavior (3-Factor Eating Questionnaire, National Cancer Institute Fat Screener), job satisfaction. RESULTS The intervention group lost significant weight compared to the wait control group over the first 3 months (mean [95% CI], -2.23 kg [-3.5 to 0.97]) vs [+ 0.73 kg (+0.17 to +1.28)], with a decrease in BMI (P < .001) and waist circumference (P = .004), an increase in physical activity (International Physical Activity Questionnaire, P = .011) and lower dietary fat intake (P = .018). Over 12 months, 22.5% (9/40) lost more than 5% body weight and 12.5% (5/40) lost more than 7% body weight. After the first 3 months, there was gradual partial weight regain but reduction in waist circumference was maintained. The intervention group demonstrated significant improvement in Impact of Weight on Quality of Life Scale (P < .001), 3-Factor Eating (cognitive restraint P < .001, uncontrolled eating P = .003, and emotional eating P = .001), International Physical Activity Questionnaire (P = .011), and Short Form-12 Physical Component Summary (P = .048). No improvements were observed in blood pressure, lipid, hemoglobin A1c, or glucose levels. Job satisfaction was inversely related to BMI at baseline (P = .001) with a trend for improvement with the modest weight loss. CONCLUSIONS A worksite intervention program can help government employees adopt healthier lifestyles and achieve modest weight loss. |
| Databáze: | OpenAIRE |
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