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Improving employee health: evaluation of a worksite lifestyle change program to decrease risk factors for diabetes
M Kaye Kramer1, Donald M Molenaar, Vincent C Arena
1From 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.
A worksite lifestyle intervention significantly improves type 2 diabetes and cardiovascular disease risk factors. This evidence-based program promotes weight loss and physical activity for better health outcomes.
Area of Science:
- Public Health
- Preventive Medicine
- Behavioral Science
Background:
- Type 2 diabetes and cardiovascular disease pose significant public health challenges.
- Lifestyle factors are critical in managing and preventing these conditions.
- Worksite interventions offer a promising avenue for population-level health improvement.
Purpose of the Study:
- To evaluate the effectiveness of a behavioral lifestyle intervention delivered in a worksite setting.
- To assess the program's impact on type 2 diabetes and cardiovascular disease risk factors.
- To determine the feasibility of implementing such programs in the workplace.
Main Methods:
- Randomized controlled trial with a 6-month delayed control group design.
- A year-long program focused on weight loss and increased physical activity.
- Intervention delivered weekly for 3 months, then monthly.
Main Results:
- The immediate intervention group showed significantly greater weight loss (-10.4 lb, 5.1%) compared to the delayed group (-2.3 lb, 1%) at 6 months (P=0.0001).
- Improvements were observed in physical activity, HbA1c, and other cardiovascular risk factors.
- The delayed group achieved similar positive outcomes after completing the intervention.
Conclusions:
- A worksite behavioral lifestyle intervention is feasible and effective.
- Significant improvements in risk factors for type 2 diabetes and cardiovascular disease were achieved.
- Workplace-based programs can be a valuable strategy for chronic disease prevention.
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