Osondu Chukwuemeka U, Aneni Ehimen C, Shaharyar Sameer, Roberson Lara, Rouseff Maribeth, Das Sankalp, Spatz Erica, Younus Adnan, Guzman Henry, Brown Doris, Santiago-Charles Joann, Ochoa Teresa, Mora Joseph, Gilliam Cynthia, Lehn Virginia, Sherriff Shoshana, Tran Thinh, Gonzalez Anthony, Virani Salim, Feldman Theodore, Agatston Arthur S, Nasir Khurram
1 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.
2 Department of Epidemiology, Robert Stempel College of Public Health, Florida International University , Miami, Florida.
Popul Health Manag. 2016 Oct;19(5):368-75. doi: 10.1089/pop.2015.0111. Epub 2016 Jan 13.
This is a single-arm, pre and post effectiveness study that evaluated the impact of a comprehensive workplace lifestyle program on severe obesity among high cardiovascular disease risk individuals in a large, diverse employee population. Employees of Baptist Health South Florida were considered eligible to participate if they had 2 or more of the following cardiometabolic risk factors: total cholesterol ≥200 mg/dL, systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg, hemoglobin A1c ≥6.5%, body mass index ≥30kg/m(2). Participants received a personalized diet plan and physical activity intervention, and were followed for 1 year. Data on anthropometric measurements, blood pressure, blood glucose, and other biochemical measures were collected. Participants' body mass index was calculated and their eligibility for bariatric surgery (BS) also assessed. A total of 297 persons participated in the program; 160 participants completed all procedures through 12 months of follow-up. At baseline, 34% (n = 100) of all participants were eligible for BS. In an intention-to-treat analysis, 27% (n = 27) of BS eligible participants at baseline became ineligible after 12 months. Considering program completers only, 46% of BS eligible participants at baseline became ineligible. Irrespective of BS eligibility at 12 months, mean values of cardiometabolic risk factors among program completers improved after the follow-up period. Workplace wellness programs provide an important option for weight loss that can obviate the need for BS, reduce cardiovascular disease risk, and potentially reduce costs. However, in designing future worksite lifestyle interventions, measures should be taken to improve participation and retention rates in such programs.
这是一项单臂前后疗效研究，评估了一项全面的职场生活方式计划对南佛罗里达浸信会健康中心大量不同员工群体中高心血管疾病风险个体严重肥胖的影响。如果南佛罗里达浸信会健康中心的员工有以下2种或更多心血管代谢危险因素，则被认为有资格参与：总胆固醇≥200mg/dL、收缩压≥140mmHg或舒张压≥90mmHg、糖化血红蛋白≥6.5%、体重指数≥30kg/m²。参与者接受个性化饮食计划和体育活动干预，并随访1年。收集了人体测量、血压、血糖和其他生化指标的数据。计算参与者的体重指数，并评估他们接受减肥手术（BS）的资格。共有297人参与该计划；160名参与者完成了所有程序并接受了12个月的随访。基线时，所有参与者中有34%（n = 100）符合减肥手术条件。在意向性分析中，基线时符合减肥手术条件的参与者中有27%（n = 27）在12个月后不再符合条件。仅考虑完成计划者，基线时符合减肥手术条件的参与者中有46%不再符合条件。无论12个月时是否符合减肥手术条件随访期后，完成计划者中心血管代谢危险因素平均值均有所改善。职场健康计划为减肥提供了一个重要选择，可以避免进行减肥手术、降低心血管疾病风险并可能降低成本。然而，在设计未来的工作场所生活方式干预措施时，应采取措施提高此类计划的参与率和留存率。
