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Employee Cardiometabolic Risk Following a Cluster-Randomized Workplace Intervention From the Work, Family and Health

Lisa F Berkman1, Erin L Kelly1, Leslie B Hammer1

  • 1Lisa F. Berkman is with the Harvard Center for Population and Development Studies, Cambridge, MA. Erin L. Kelly is with the Massachusetts Institute of Technology Sloan School of Management, Cambridge. Leslie B. Hammer is with the Center for Occupational Health Sciences, Oregon Health Sciences University, Portland. Frank Mierzwa is with RTI International, Research Triangle Park, NC. Todd Bodner is with the Department of Psychology, Portland State University, Portland, OR. Tay McNamara is with the Women's Studies Research Center, Brandeis University, Waltham, MA. Hayami K. Koga is with the Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, Boston, MA. Soomi Lee is with the Department of Human Development and Family Studies, Pennsylvania State University, University Park. Miguel Marino is with the Department of Family Medicine, Oregon Health & Science University, Portland. Laura C. Klein and Orfeu M. Buxton are with the Department of Biobehavioral Health, Pennsylvania State University, University Park. Thomas W. McDade is with the Department of Anthropology, Northwestern University, Evanston, IL. Ginger Hanson is with the Johns Hopkins School of Nursing, Baltimore, MD. Phyllis Moen is with the Department of Sociology, University of Minnesota, Minneapolis.

American Journal of Public Health
|November 8, 2023
PubMed
Summary

Workplace flexibility interventions improved cardiometabolic risk (CRS) for employees with higher baseline risk and older workers. This reduction was equivalent to 5-10 years of age-related changes.

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Area of Science:

  • Occupational Health
  • Public Health
  • Cardiovascular Health

Background:

  • Workplace interventions aim to improve employee health by addressing work-life balance.
  • Cardiometabolic risk factors are significant contributors to chronic disease burden.

Purpose of the Study:

  • To evaluate the impact of workplace interventions on cardiometabolic risk.
  • To assess if increased flexibility and supervisor support reduce work-family conflict and improve health outcomes.

Main Methods:

  • Randomized controlled trial involving 1528 employees in IT and long-term care industries.
  • Intervention focused on workplace flexibility, supervisor support, and reducing work-family conflict.
  • Cardiometabolic risk score (CRS) calculated using blood pressure, HbA1c, HDL, cholesterol, BMI, and smoking status.

Main Results:

  • No overall significant main effect of the intervention on CRS.
  • Significant improvements in CRS observed for participants with higher baseline CRS.
  • Older employees experienced greater reductions in CRS compared to younger employees.

Conclusions:

  • Workplace interventions can effectively reduce cardiometabolic risk in specific employee groups.
  • The intervention demonstrated health benefits equivalent to 5-10 years of age-related risk reduction for high-risk and older employees.