Work, Weight, and Wellness: The 3W Program: A Worksite Obesity Prevention and Intervention Trial

Obesity - Tập 15 Số S1 - 2007
Andrew E. Williams1, Thomas Vogt, Victor J. Stevens, Cheryl Albright, Claudio R. Nigg, Richard T. Meenan, Melissa L. Finucane
1Kaiser Permanente Center for Health Research, Hawaii, 501 Alakawa Street, Suite 201, Honolulu, HI 96817, USA. [email protected]

Tóm tắt

AbstractObjective: In this paper, we describe the aims, intervention, and design of the Work, Weight, and Wellness program, a group‐randomized worksite obesity prevention and intervention trial being conducted at 31 hotels with 11,559 employees on the island of Oahu in Hawaii. We report baseline prevalence of overweight and obesity, and the distribution of BMI (kilograms per meter squared) across sex, race, and job categories. We also describe factors that have influenced intervention adoption and employee participation.Research Methods and Procedures: The study's primary outcome is change in BMI among hotel employees over a 2‐year intervention period. The intervention includes environmental and group components that target diet, physical activity, and weight management.Results: Men, Pacific Islanders, and individuals employed in managerial or facility maintenance roles had higher prevalence of obesity and higher mean BMI than women and individuals from other races or in other occupational categories.Discussion: These results may be helpful in guiding choices about the adoption or design of future worksite and community interventions addressing at‐risk ethnically diverse populations and are especially relevant to the hotel industry and similar industries.

Từ khóa


Tài liệu tham khảo

Centers for Disease Control and Prevention (CDC), 2005, Behavioral Risk Factor Surveillance System Survey Data

10.1097/00000441-200604000-00002

10.1046/j.1440-6047.11.s8.6.x

10.1002/j.1550-8528.1998.tb00322.x

Finkelstein EA, 2003, National medical spending attributable to overweight and obesity: how much, and who's paying?, Health Aff., 10.1377/hlthaff.W3.219

National Heart, Lung, and Blood Institute, 1998, Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report: U.S. Department of Health and Human Services, National Institutes of Health

10.1016/S0749-3797(01)00317-8

Centers for Disease Control and Prevention, 2004, Prevalence of overweight and obesity among adults with diagnosed diabetes: United States, 1988–1994 and 1999–2002, MMWR, 53, 1066

10.1136/jech.2003.015651

10.1038/oby.2001.138

10.2105/AJPH.90.2.251

10.1002/hec.881

10.1001/jama.286.10.1195

10.1001/jama.295.13.1549

10.1038/oby.2004.183

10.1136/bmj.333.7564.362

10.1038/sj.ijo.0803321

10.1016/j.puhe.2006.05.023

10.1159/000084171

10.1038/sj.ijo.0802964

10.1038/sj.ejcn.1602433

10.1381/096089203765887598

World Health Organization, 2000, Obesity, Preventing and Managing a Global Epidemic: Technical Report Series

Centers for Disease Control and Prevention, 2005, Behavioral Risk Factor Surveillance System Survey Data

10.1001/archinte.165.9.1069-b

Cho J., 2006, Assessing overweight and obesity risk among Korean Americans in California using World Health Organization body mass index criteria for Asians, Prev Chronic Dis., 3, A79

Centers for Disease Control and Prevention, 2000, Behavioral Risk Factor Surveillance System Survey Data

Office of Hawaiian Affairs, 1998, Native Hawaiian Data Book

DeJoy D., 1993, An integrative perspective on worksite health promotion, J Occup Med., 35, 1221

Abrams DB, 1991, Proceedings of the International Conference on Promoting Dietary Change in Communities, 173

Blewett V., 1995, Health promotion, handle with care: issues for health promotion in the workplace, J Occup Health Saf Aust N Z., 11, 461

10.1111/j.1467-842X.1997.tb01718.x

Katz DL, 2005, Public health strategies for preventing and controlling overweight and obesity in school and worksite settings: a report on recommendations of the Task Force on Community Preventive Services, MMWR, 54, 1

10.1097/00043764-200101000-00009

10.1097/01.jom.0000174303.85442.bf

10.7326/0003-4819-134-1-200101020-00007

10.1001/archinte.1993.00410070039006

10.1016/1047-2797(94)00060-7

10.1017/CBO9780511609978.012

10.1016/S0002-8223(99)00411-3

10.4278/0890-1171-16.5.288

10.4278/0890-1171-19.4.TAHP-1

10.4278/0890-1171-15.5.289

10.1177/1090198103254340

10.1177/216507999404200406

10.1177/109019810102800506

Weight Control Information Network, Statistics Related to Overweight and Obesity

10.1038/sj.ijo.0802877

Department of Health and Human Services, 2004, Think Tank on Enhancing Obesity Research at the National Heart, Lung, and Blood Institute: Department of Health and Human Services

10.1038/oby.2006.82

Fujimoto W., 1995, Diabetes in Asian and Pacific Islander Americans, Diabetes in America, 661

Yancey AK, 2004, Population‐based interventions engaging communities of color in healthy eating and active living: a review, Prev Chronic Dis., 1, A09

10.2105/AJPH.2004.050112

10.1300/J013v19n04_03

10.1177/1090198104271970

Department of Health and Human Services, 2001, Surgeon General's Call to Action to Prevent and Decrease Overweight and Obesity

10.1097/01.hjr.0000114707.27531.48

Katzmarzyk PT, 2004, Overweight and obesity mortality trends in Canada, 1985–2000, Can J Public Health, 95, 16, 10.1007/BF03403627

10.1016/0091-7435(86)90028-9

Thông tin
Thông tin xuất bản

Obesity

Tập 15 Số S1

Thông tin tác giả