Cardiovascular Disease Risk Factors After an Employer-Based Risk Reduction Program: An Observational Cohort Study
The burden of cardiovascular disease (CVD) continues to be a public health concern. Workplace interventions that focus on modifying lifestyle habits may reduce CVD risk factors in people at risk. To determine the effectiveness of a comprehensive lifestyle intervention program that integrated dietary...
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| Veröffentlicht in: | Journal of Osteopathic Medicine (Online) 2017-07, Vol.117 (7), p.425-432 |
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| creator | Holben, David H. Rambo, Chelsea Howe, Cheryl Murray, Deborah H. Shubrook, Jay H. |
| description | The burden of cardiovascular disease (CVD) continues to be a public health concern. Workplace interventions that focus on modifying lifestyle habits may reduce CVD risk factors in people at risk.
To determine the effectiveness of a comprehensive lifestyle intervention program that integrated dietary modification, physical activity, stress management, and behavior modification counseling to reduce the risk of CVD in at-risk adults.
Twelve 1-year cohorts who participated in a comprehensive employer-sponsored lifestyle intervention program targeting diet, exercise, behavior modification, and stress management between 2006 and 2010 at a rural university in Appalachian Ohio were studied. Body composition, fasting glucose and lipid levels, and maximal oxygen consumption were measured at baseline, after 100 days, and at 1 year. Repeated-measures analyses of variance were conducted to compare measures at baseline with measures at 100 days and at 1 year.
Seventy-four participants (57 women [77.1%], 17 men [22.9%]) of 97 completed the program (76.3% completion rate). Body weight (P |
| doi_str_mv | 10.7556/jaoa.2017.088 |
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To determine the effectiveness of a comprehensive lifestyle intervention program that integrated dietary modification, physical activity, stress management, and behavior modification counseling to reduce the risk of CVD in at-risk adults.
Twelve 1-year cohorts who participated in a comprehensive employer-sponsored lifestyle intervention program targeting diet, exercise, behavior modification, and stress management between 2006 and 2010 at a rural university in Appalachian Ohio were studied. Body composition, fasting glucose and lipid levels, and maximal oxygen consumption were measured at baseline, after 100 days, and at 1 year. Repeated-measures analyses of variance were conducted to compare measures at baseline with measures at 100 days and at 1 year.
Seventy-four participants (57 women [77.1%], 17 men [22.9%]) of 97 completed the program (76.3% completion rate). Body weight (P<.001); percentage of body fat (P<.001); fat mass (P<.001); body mass index (P<.001); waist circumference (P<.001); blood levels of high-density lipoprotein (P=.035), low-density lipoprotein (P=.011), and glucose (P=.008); serum triglyceride levels (P=.019); blood pressure (systolic P=.028; diastolic, P=.001); and maximal oxygen consumption (P<.001) improved from baseline to 1 year after the intervention. Lean body mass (P=.111) and total cholesterol (P=.053) did not improve.
This employer-based lifestyle intervention program was effective in reducing CVD risk factors after 1 year of treatment. Future studies should examine the effects of the intervention at 2 and 5 years to further assess long-term adoption of the lifestyle changes and maintenance of health promoted by this program.]]></description><identifier>ISSN: 2702-3648</identifier><identifier>EISSN: 2702-3648</identifier><identifier>EISSN: 1945-1997</identifier><identifier>DOI: 10.7556/jaoa.2017.088</identifier><identifier>PMID: 28662555</identifier><language>eng</language><publisher>United States: American Osteopathic Association</publisher><subject>Adult ; Aged ; Behavior modification ; Cardiovascular disease ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - prevention & control ; Cohort Studies ; Exercise ; Female ; Health Behavior ; Humans ; Intervention ; Life Style ; lifestyle medicine ; Lifestyles ; Male ; Middle Aged ; Occupational Health Services ; Risk Factors ; risk reduction ; Risk Reduction Behavior ; worksite wellness</subject><ispartof>Journal of Osteopathic Medicine (Online), 2017-07, Vol.117 (7), p.425-432</ispartof><rights>2017. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-7015a5553b95b2ca0faa294173232d3d72db18a36387ab6c10e5c5eae8ceca93</citedby><cites>FETCH-LOGICAL-c413t-7015a5553b95b2ca0faa294173232d3d72db18a36387ab6c10e5c5eae8ceca93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28662555$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Holben, David H.</creatorcontrib><creatorcontrib>Rambo, Chelsea</creatorcontrib><creatorcontrib>Howe, Cheryl</creatorcontrib><creatorcontrib>Murray, Deborah H.</creatorcontrib><creatorcontrib>Shubrook, Jay H.</creatorcontrib><title>Cardiovascular Disease Risk Factors After an Employer-Based Risk Reduction Program: An Observational Cohort Study</title><title>Journal of Osteopathic Medicine (Online)</title><addtitle>J Am Osteopath Assoc</addtitle><description><![CDATA[The burden of cardiovascular disease (CVD) continues to be a public health concern. Workplace interventions that focus on modifying lifestyle habits may reduce CVD risk factors in people at risk.
To determine the effectiveness of a comprehensive lifestyle intervention program that integrated dietary modification, physical activity, stress management, and behavior modification counseling to reduce the risk of CVD in at-risk adults.
Twelve 1-year cohorts who participated in a comprehensive employer-sponsored lifestyle intervention program targeting diet, exercise, behavior modification, and stress management between 2006 and 2010 at a rural university in Appalachian Ohio were studied. Body composition, fasting glucose and lipid levels, and maximal oxygen consumption were measured at baseline, after 100 days, and at 1 year. Repeated-measures analyses of variance were conducted to compare measures at baseline with measures at 100 days and at 1 year.
Seventy-four participants (57 women [77.1%], 17 men [22.9%]) of 97 completed the program (76.3% completion rate). Body weight (P<.001); percentage of body fat (P<.001); fat mass (P<.001); body mass index (P<.001); waist circumference (P<.001); blood levels of high-density lipoprotein (P=.035), low-density lipoprotein (P=.011), and glucose (P=.008); serum triglyceride levels (P=.019); blood pressure (systolic P=.028; diastolic, P=.001); and maximal oxygen consumption (P<.001) improved from baseline to 1 year after the intervention. Lean body mass (P=.111) and total cholesterol (P=.053) did not improve.
This employer-based lifestyle intervention program was effective in reducing CVD risk factors after 1 year of treatment. Future studies should examine the effects of the intervention at 2 and 5 years to further assess long-term adoption of the lifestyle changes and maintenance of health promoted by this program.]]></description><subject>Adult</subject><subject>Aged</subject><subject>Behavior modification</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cardiovascular Diseases - prevention & control</subject><subject>Cohort Studies</subject><subject>Exercise</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Humans</subject><subject>Intervention</subject><subject>Life Style</subject><subject>lifestyle medicine</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Occupational Health Services</subject><subject>Risk Factors</subject><subject>risk reduction</subject><subject>Risk Reduction Behavior</subject><subject>worksite wellness</subject><issn>2702-3648</issn><issn>2702-3648</issn><issn>1945-1997</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptkE1PAjEQhhujEYMcvZomnhf7QbfFeEEENSHBIPfNbFtwcaHQ7mL495aAHwdP82by5J3Jg9AVJW0pRHq7AAdtRqhsE6VO0AWThCU87ajTP7mBWiEsCCFMUM4YPUcNptKUCSEu0KYP3hRuC0HXJXj8WAQLweJJET7wEHTlfMC9WWU9hhUeLNel21mfPETGHKCJNbWuCrfCr97NPSzvcG-Fx3mwfgv7PZS4796dr_BbVZvdJTqbQRls6zibaDocTPvPyWj89NLvjRLdobxKJKEC4os874qcaSAzANbtUMkZZ4YbyUxOFfCUKwl5qimxQgsLVmmrocub6OZQu_ZuU9tQZQtX-_hMyDhRKRFKURWp5EBp70LwdpatfbEEv8soyfaKs73ibK84i4ojf31srfOlNT_0t9AI3B-ATyijNGPnvt7F8Hv932JKpewwwb8AAPWLjA</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Holben, David H.</creator><creator>Rambo, Chelsea</creator><creator>Howe, Cheryl</creator><creator>Murray, Deborah H.</creator><creator>Shubrook, Jay H.</creator><general>American Osteopathic Association</general><general>Walter de Gruyter GmbH</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20170701</creationdate><title>Cardiovascular Disease Risk Factors After an Employer-Based Risk Reduction Program: An Observational Cohort Study</title><author>Holben, David H. ; Rambo, Chelsea ; Howe, Cheryl ; Murray, Deborah H. ; Shubrook, Jay H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c413t-7015a5553b95b2ca0faa294173232d3d72db18a36387ab6c10e5c5eae8ceca93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Behavior modification</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - prevention & control</topic><topic>Cohort Studies</topic><topic>Exercise</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Humans</topic><topic>Intervention</topic><topic>Life Style</topic><topic>lifestyle medicine</topic><topic>Lifestyles</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Occupational Health Services</topic><topic>Risk Factors</topic><topic>risk reduction</topic><topic>Risk Reduction Behavior</topic><topic>worksite wellness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Holben, David H.</creatorcontrib><creatorcontrib>Rambo, Chelsea</creatorcontrib><creatorcontrib>Howe, Cheryl</creatorcontrib><creatorcontrib>Murray, Deborah H.</creatorcontrib><creatorcontrib>Shubrook, Jay H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Journal of Osteopathic Medicine (Online)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Holben, David H.</au><au>Rambo, Chelsea</au><au>Howe, Cheryl</au><au>Murray, Deborah H.</au><au>Shubrook, Jay H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiovascular Disease Risk Factors After an Employer-Based Risk Reduction Program: An Observational Cohort Study</atitle><jtitle>Journal of Osteopathic Medicine (Online)</jtitle><addtitle>J Am Osteopath Assoc</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>117</volume><issue>7</issue><spage>425</spage><epage>432</epage><pages>425-432</pages><issn>2702-3648</issn><eissn>2702-3648</eissn><eissn>1945-1997</eissn><abstract><![CDATA[The burden of cardiovascular disease (CVD) continues to be a public health concern. Workplace interventions that focus on modifying lifestyle habits may reduce CVD risk factors in people at risk.
To determine the effectiveness of a comprehensive lifestyle intervention program that integrated dietary modification, physical activity, stress management, and behavior modification counseling to reduce the risk of CVD in at-risk adults.
Twelve 1-year cohorts who participated in a comprehensive employer-sponsored lifestyle intervention program targeting diet, exercise, behavior modification, and stress management between 2006 and 2010 at a rural university in Appalachian Ohio were studied. Body composition, fasting glucose and lipid levels, and maximal oxygen consumption were measured at baseline, after 100 days, and at 1 year. Repeated-measures analyses of variance were conducted to compare measures at baseline with measures at 100 days and at 1 year.
Seventy-four participants (57 women [77.1%], 17 men [22.9%]) of 97 completed the program (76.3% completion rate). Body weight (P<.001); percentage of body fat (P<.001); fat mass (P<.001); body mass index (P<.001); waist circumference (P<.001); blood levels of high-density lipoprotein (P=.035), low-density lipoprotein (P=.011), and glucose (P=.008); serum triglyceride levels (P=.019); blood pressure (systolic P=.028; diastolic, P=.001); and maximal oxygen consumption (P<.001) improved from baseline to 1 year after the intervention. Lean body mass (P=.111) and total cholesterol (P=.053) did not improve.
This employer-based lifestyle intervention program was effective in reducing CVD risk factors after 1 year of treatment. Future studies should examine the effects of the intervention at 2 and 5 years to further assess long-term adoption of the lifestyle changes and maintenance of health promoted by this program.]]></abstract><cop>United States</cop><pub>American Osteopathic Association</pub><pmid>28662555</pmid><doi>10.7556/jaoa.2017.088</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Behavior modification Cardiovascular disease Cardiovascular Diseases - etiology Cardiovascular Diseases - prevention & control Cohort Studies Exercise Female Health Behavior Humans Intervention Life Style lifestyle medicine Lifestyles Male Middle Aged Occupational Health Services Risk Factors risk reduction Risk Reduction Behavior worksite wellness |
| title | Cardiovascular Disease Risk Factors After an Employer-Based Risk Reduction Program: An Observational Cohort Study |
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