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Employers should disband employee weight control programs
Alfred Lewis1, Vikram Khanna, Shana Montrose
1Disease Management Purchasing Consortium, 890 Winter St, Waltham, MA 02451.
The American Journal of Managed Care
|April 17, 2015
Summary
Corporate wellness programs focusing on weight control lack evidence of positive health or economic impact. These programs may harm employee morale and health, suggesting a need for reevaluation and regulatory changes.
Area of Science:
- Occupational Health
- Health Economics
- Public Health Policy
Background:
- Corporate wellness programs are widespread, reaching 90% of workers in large US organizations.
- These programs predominantly focus on employee weight control through incentives and penalties.
- Existing evidence does not support the efficacy of these weight-centric approaches.
Purpose of the Study:
- To evaluate the effectiveness of corporate wellness programs targeting employee weight control.
- To assess the impact of these programs on long-term weight loss, healthcare costs, and economic productivity.
- To provide recommendations for corporate wellness program design and public health policy.
Main Methods:
- Review of existing scientific literature and economic data.
- Analysis of studies examining the effects of financial incentives on employee weight.
- Examination of evidence linking population obesity rates to economic growth and productivity.
Main Results:
- No published evidence demonstrates positive effects of corporate weight-control programs on long-term weight loss or reduced healthcare utilization.
- Financial incentives and penalties for weight control have not yielded demonstrable savings or health improvements.
- Evidence suggests population obesity does not significantly hinder economic growth; conversely, aggressive dieting can negatively impact employee health and morale.
Conclusions:
- Corporations should disband or significantly reconfigure weight-focused wellness initiatives.
- The Affordable Care Act should be amended to mandate harm-avoidance guidelines for wellness programs.
- A shift from weight-centric to holistic employee well-being strategies is recommended.
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