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Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Weight loss among female health care workers- a 1-year workplace based randomized controlled trial in the FINALE-health study

Authors: Jeanette R Christensen, Kristian Overgaard, Isabella G Carneiro, Andreas Holtermann, Karen Søgaard

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

Weight management constitutes a substantial problem particularly among groups of low socio-economic status. Interventions at work places may be a solution, but high quality worksite interventions documenting prolonged weight loss are lacking. This paper presents results of an intervention aimed to achieve a 12 months weight loss among overweight health care workers.

Methods

Ninety-eight overweight female health care workers were randomized into an intervention or a reference group. The intervention consisted of diet, physical exercise and cognitive behavioral training during working hours 1 hour/week. The reference group was offered monthly oral presentations. Several anthropometric measures, blood pressure, cardiorespiratory fitness, maximal muscle strength, and musculoskeletal pain were measured before and after the 12-months intervention period. Data were analyzed by intention-to-treat analysis.

Results

The intervention group significantly reduced body weight by 6 kg (p < 0.001), BMI by 2.2 (p < 0.001) and body fat percentage by 2.8 (p < 0.001). There were no statistical reductions in the control group, resulting in significant differences between the two groups over time.

Conclusions

The intervention generated substantial reductions in body weight, BMI and body fat percentage among overweight female health care workers over 12 months. The positive results support the workplace as an efficient arena for weight loss among overweight females.

Trial registration

NCT01015716.
Appendix
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Literature
1.
go back to reference Pohjonen T: Age-related physical fitness and the predictive values of fitness tests for work ability in home care work. J Occup Environ Med. 2001, 43: 723-730. 10.1097/00043764-200108000-00011.CrossRefPubMed Pohjonen T: Age-related physical fitness and the predictive values of fitness tests for work ability in home care work. J Occup Environ Med. 2001, 43: 723-730. 10.1097/00043764-200108000-00011.CrossRefPubMed
2.
go back to reference Anderson LM, Quinn TA, Glanz K, Ramirez G, Kahwati LC, Johnson DB, et al: The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review. Am J Prev Med. 2009, 37: 340-357. 10.1016/j.amepre.2009.07.003.CrossRefPubMed Anderson LM, Quinn TA, Glanz K, Ramirez G, Kahwati LC, Johnson DB, et al: The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review. Am J Prev Med. 2009, 37: 340-357. 10.1016/j.amepre.2009.07.003.CrossRefPubMed
3.
go back to reference Kautiainen S, Koivisto AM, Koivusilta L, Lintonen T, Virtanen SM, Rimpela A: Sociodemographic factors and a secular trend of adolescent overweight in Finland. Int J Pediatr Obes. 2009, 4: 360-370. 10.3109/17477160902811173.CrossRefPubMed Kautiainen S, Koivisto AM, Koivusilta L, Lintonen T, Virtanen SM, Rimpela A: Sociodemographic factors and a secular trend of adolescent overweight in Finland. Int J Pediatr Obes. 2009, 4: 360-370. 10.3109/17477160902811173.CrossRefPubMed
4.
go back to reference Dalle GR, Calugi S, Centis E, El GM, Marchesini G: Cognitive-behavioral strategies to increase the adherence to exercise in the management of obesity. J Obes. 2011, 201 (1): 348293- Dalle GR, Calugi S, Centis E, El GM, Marchesini G: Cognitive-behavioral strategies to increase the adherence to exercise in the management of obesity. J Obes. 2011, 201 (1): 348293-
5.
go back to reference Franz MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W, et al: Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc. 2007, 107: 1755-1767. 10.1016/j.jada.2007.07.017.CrossRefPubMed Franz MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W, et al: Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc. 2007, 107: 1755-1767. 10.1016/j.jada.2007.07.017.CrossRefPubMed
6.
go back to reference Blair SN, Church TS: The fitness, obesity, and health equation: is physical activity the common denominator?. JAMA. 2004, 292: 1232-1234. 10.1001/jama.292.10.1232.CrossRefPubMed Blair SN, Church TS: The fitness, obesity, and health equation: is physical activity the common denominator?. JAMA. 2004, 292: 1232-1234. 10.1001/jama.292.10.1232.CrossRefPubMed
7.
go back to reference Han TS, Schouten JS, Lean ME, Seidell JC: The prevalence of low back pain and associations with body fatness, fat distribution and height. Int J Obes Relat Metab Disord. 1997, 21: 600-607. 10.1038/sj.ijo.0800448.CrossRefPubMed Han TS, Schouten JS, Lean ME, Seidell JC: The prevalence of low back pain and associations with body fatness, fat distribution and height. Int J Obes Relat Metab Disord. 1997, 21: 600-607. 10.1038/sj.ijo.0800448.CrossRefPubMed
8.
go back to reference van Duijvenbode DC, Hoozemans MJ, van Poppel MN, Proper KI: The relationship between overweight and obesity, and sick leave: a systematic review 3. Int J Obes (Lond). 2009, 33: 807-816. 10.1038/ijo.2009.121.CrossRef van Duijvenbode DC, Hoozemans MJ, van Poppel MN, Proper KI: The relationship between overweight and obesity, and sick leave: a systematic review 3. Int J Obes (Lond). 2009, 33: 807-816. 10.1038/ijo.2009.121.CrossRef
9.
go back to reference Cash SW, Beresford SA, Henderson JA, McTiernan A, Xiao L, Wang CY, et al: Dietary and physical activity behaviours related to obesity-specific quality of life and work productivity: baseline results from a worksite trial 1. Br J Nutr. 2011, 1-9. Cash SW, Beresford SA, Henderson JA, McTiernan A, Xiao L, Wang CY, et al: Dietary and physical activity behaviours related to obesity-specific quality of life and work productivity: baseline results from a worksite trial 1. Br J Nutr. 2011, 1-9.
10.
go back to reference van den Berg TI, Elders LA, de Zwart BC, Burdorf A: The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med. 2009, 66: 211-220.CrossRefPubMed van den Berg TI, Elders LA, de Zwart BC, Burdorf A: The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med. 2009, 66: 211-220.CrossRefPubMed
11.
go back to reference Miyatake N, Miyachi M, Tabata I, Sakano N, Hirao T, Numata T: Realtionship between muscle strength and anthropometric, body composition parameters in Japanese adolescents. Health. 2012, 4 (1): Miyatake N, Miyachi M, Tabata I, Sakano N, Hirao T, Numata T: Realtionship between muscle strength and anthropometric, body composition parameters in Japanese adolescents. Health. 2012, 4 (1):
12.
go back to reference Winkler A, Hebestrelt A, Ahrens W: Körperliche aktivität und adipositas (Physical activity and obesity). Bundesgesundheitblatt. 2011, 55: 24-34.CrossRef Winkler A, Hebestrelt A, Ahrens W: Körperliche aktivität und adipositas (Physical activity and obesity). Bundesgesundheitblatt. 2011, 55: 24-34.CrossRef
13.
go back to reference Capodaglio P, Castelnuovo G, Brunani A, Vismara L, Villa V, Capodaglio EM: Functional limitations and occupational issues in obesity: a review. Int J Occup Saf Ergon. 2010, 16: 507-523.CrossRefPubMed Capodaglio P, Castelnuovo G, Brunani A, Vismara L, Villa V, Capodaglio EM: Functional limitations and occupational issues in obesity: a review. Int J Occup Saf Ergon. 2010, 16: 507-523.CrossRefPubMed
14.
go back to reference Christensen JR, Faber A, Ekner D, Overgaard K, Holtermann A, Sogaard K: Diet, physical exercise and cognitive behavioral training as a combined workplace based intervention to reduce body weight and increase physical capacity in health care workers - a randomized controlled trial. BMC Public Health. 2011, 11: 671-10.1186/1471-2458-11-671.CrossRefPubMedPubMedCentral Christensen JR, Faber A, Ekner D, Overgaard K, Holtermann A, Sogaard K: Diet, physical exercise and cognitive behavioral training as a combined workplace based intervention to reduce body weight and increase physical capacity in health care workers - a randomized controlled trial. BMC Public Health. 2011, 11: 671-10.1186/1471-2458-11-671.CrossRefPubMedPubMedCentral
15.
go back to reference Holtermann A, Jorgensen MB, Gram B, Christensen JR, Faber A, Overgaard K, et al: Worksite interventions for preventing physical deterioration among employees in job-groups with high physical work demands: background, design and conceptual model of FINALE. BMC Public Health. 2010, 10: 120-10.1186/1471-2458-10-120.CrossRefPubMedPubMedCentral Holtermann A, Jorgensen MB, Gram B, Christensen JR, Faber A, Overgaard K, et al: Worksite interventions for preventing physical deterioration among employees in job-groups with high physical work demands: background, design and conceptual model of FINALE. BMC Public Health. 2010, 10: 120-10.1186/1471-2458-10-120.CrossRefPubMedPubMedCentral
16.
go back to reference Basiotis PP, Welsh SO, Cronin FJ, Kelsay JL, Mertz W: Number of days of food intake records required to estimate individual and group nutrient intakes with defined confidence. J Nutr. 1987, 117: 1638-1641.PubMed Basiotis PP, Welsh SO, Cronin FJ, Kelsay JL, Mertz W: Number of days of food intake records required to estimate individual and group nutrient intakes with defined confidence. J Nutr. 1987, 117: 1638-1641.PubMed
17.
go back to reference Azadbakht L, Surkan PJ, Esmaillzadeh A, Willett WC: The Dietary Approaches to Stop Hypertension eating plan affects C-reactive protein, coagulation abnormalities, and hepatic function tests among type 2 diabetic patients. J Nutr. 2011, 141: 1083-1088. 10.3945/jn.110.136739.CrossRefPubMedPubMedCentral Azadbakht L, Surkan PJ, Esmaillzadeh A, Willett WC: The Dietary Approaches to Stop Hypertension eating plan affects C-reactive protein, coagulation abnormalities, and hepatic function tests among type 2 diabetic patients. J Nutr. 2011, 141: 1083-1088. 10.3945/jn.110.136739.CrossRefPubMedPubMedCentral
18.
go back to reference Nordic Nutrition Recommendation 2004. Norden. 2004, 1-436. Nordic Nutrition Recommendation 2004. Norden. 2004, 1-436.
19.
go back to reference Seagle HM, Strain GW, Makris A, Reeves RS: American Dietetic Association. Position of the American Dietetic Association: weight management. J Am Diet Assoc. 2009, 109 (2): 330-46.CrossRefPubMed Seagle HM, Strain GW, Makris A, Reeves RS: American Dietetic Association. Position of the American Dietetic Association: weight management. J Am Diet Assoc. 2009, 109 (2): 330-46.CrossRefPubMed
20.
go back to reference Linton SJ, Bradley LA, Jensen I, Spangfort E, Sundell L: The secondary prevention of low back pain: a controlled study with follow-up. Pain. 1989, 36: 197-207. 10.1016/0304-3959(89)90024-9.CrossRefPubMed Linton SJ, Bradley LA, Jensen I, Spangfort E, Sundell L: The secondary prevention of low back pain: a controlled study with follow-up. Pain. 1989, 36: 197-207. 10.1016/0304-3959(89)90024-9.CrossRefPubMed
21.
go back to reference Linton SJ, Andersson T: Can chronic disability be prevented? A randomized trial of a cognitive-behavior intervention and two forms of information for patients with spinal pain. Spine (Phila Pa 1976). 2000, 25: 2825-2831. 10.1097/00007632-200011010-00017.CrossRef Linton SJ, Andersson T: Can chronic disability be prevented? A randomized trial of a cognitive-behavior intervention and two forms of information for patients with spinal pain. Spine (Phila Pa 1976). 2000, 25: 2825-2831. 10.1097/00007632-200011010-00017.CrossRef
22.
go back to reference Appleyard M, Hansen T, Schnohr P, Jensen G, Nyboe J: The Copenhagen City Heart Study: Østerbroundersøgelsen: a book of tables with data from the first examination (1976-78) and a five year follow-up (1981-83). Scand J Soc Med. 1989, 170 (suppl 41): 1-160. Appleyard M, Hansen T, Schnohr P, Jensen G, Nyboe J: The Copenhagen City Heart Study: Østerbroundersøgelsen: a book of tables with data from the first examination (1976-78) and a five year follow-up (1981-83). Scand J Soc Med. 1989, 170 (suppl 41): 1-160.
23.
go back to reference Andersen LB: A maximal cycle exercise protocol to predict maximal oxygen uptake. Scand J Med Sci Sports. 1995, 5: 143-146.CrossRefPubMed Andersen LB: A maximal cycle exercise protocol to predict maximal oxygen uptake. Scand J Med Sci Sports. 1995, 5: 143-146.CrossRefPubMed
24.
go back to reference Essendrop M, Maul I, Laubli T, Riihimaki H, Schibye B: Measures of low back function: a review of reproducibility studies. Clin Biomech (Bristol, Avon). 2002, 17: 235-249. 10.1016/S0268-0033(02)00022-0.CrossRef Essendrop M, Maul I, Laubli T, Riihimaki H, Schibye B: Measures of low back function: a review of reproducibility studies. Clin Biomech (Bristol, Avon). 2002, 17: 235-249. 10.1016/S0268-0033(02)00022-0.CrossRef
25.
go back to reference Schibye B, Hansen AF, Sogaard K, Christensen H: Aerobic power and muscle strength among young and elderly workers with and without physically demanding work tasks. Appl Ergon. 2001, 32: 425-431. 10.1016/S0003-6870(01)00034-5.CrossRefPubMed Schibye B, Hansen AF, Sogaard K, Christensen H: Aerobic power and muscle strength among young and elderly workers with and without physically demanding work tasks. Appl Ergon. 2001, 32: 425-431. 10.1016/S0003-6870(01)00034-5.CrossRefPubMed
26.
go back to reference Fairfax AH, Balnave R, Adams RD: Variability of grip strength during isometric contraction. Ergonomics. 1995, 38: 1819-1830. 10.1080/00140139508925229.CrossRefPubMed Fairfax AH, Balnave R, Adams RD: Variability of grip strength during isometric contraction. Ergonomics. 1995, 38: 1819-1830. 10.1080/00140139508925229.CrossRefPubMed
27.
go back to reference Backman E, Johansson V, Hager B, Sjoblom P, Henriksson KG: Isometric muscle strength and muscular endurance in normal persons aged between 17 and 70 years. Scand J Rehabil Med. 1995, 27: 109-117.PubMed Backman E, Johansson V, Hager B, Sjoblom P, Henriksson KG: Isometric muscle strength and muscular endurance in normal persons aged between 17 and 70 years. Scand J Rehabil Med. 1995, 27: 109-117.PubMed
28.
go back to reference Yates JW, Kamon E, Rodgers SH, Champney PC: Static lifting strength and maximal isometric voluntary contractions of back, arm and shoulder muscles. Ergonomics. 1980, 23: 37-47. 10.1080/00140138008924716.CrossRefPubMed Yates JW, Kamon E, Rodgers SH, Champney PC: Static lifting strength and maximal isometric voluntary contractions of back, arm and shoulder muscles. Ergonomics. 1980, 23: 37-47. 10.1080/00140138008924716.CrossRefPubMed
29.
go back to reference Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, et al: Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987, 18: 233-237. 10.1016/0003-6870(87)90010-X.CrossRefPubMed Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, et al: Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987, 18: 233-237. 10.1016/0003-6870(87)90010-X.CrossRefPubMed
30.
go back to reference Videman T, Nurminen T, Tola S, Kuorinka I, Vanharanta H, Troup JD: Low-back pain in nurses and some loading factors of work. Spine (Phila Pa 1976). 1984, 9: 400-404. 10.1097/00007632-198405000-00013.CrossRef Videman T, Nurminen T, Tola S, Kuorinka I, Vanharanta H, Troup JD: Low-back pain in nurses and some loading factors of work. Spine (Phila Pa 1976). 1984, 9: 400-404. 10.1097/00007632-198405000-00013.CrossRef
31.
go back to reference Brownell KD, Cohen RY, Stunkard AJ, Felix MR, Cooley NB: Weight loss competitions at the work site: impact on weight, morale and cost-effectiveness. Am J Public Health. 1984, 74: 1283-1285. 10.2105/AJPH.74.11.1283.CrossRefPubMedPubMedCentral Brownell KD, Cohen RY, Stunkard AJ, Felix MR, Cooley NB: Weight loss competitions at the work site: impact on weight, morale and cost-effectiveness. Am J Public Health. 1984, 74: 1283-1285. 10.2105/AJPH.74.11.1283.CrossRefPubMedPubMedCentral
32.
go back to reference Peregrin T: Weighing in on corporate wellness programs and their impact on obesity. J Am Diet Assoc. 2005, 105: 1192-1194. 10.1016/j.jada.2005.06.012.CrossRefPubMed Peregrin T: Weighing in on corporate wellness programs and their impact on obesity. J Am Diet Assoc. 2005, 105: 1192-1194. 10.1016/j.jada.2005.06.012.CrossRefPubMed
33.
go back to reference Rigsby A, Gropper DM, Gropper SS: Success of women in a worksite weight loss program: Does being part of a group help?. Eat Behav. 2009, 10: 128-130. 10.1016/j.eatbeh.2009.01.002.CrossRefPubMed Rigsby A, Gropper DM, Gropper SS: Success of women in a worksite weight loss program: Does being part of a group help?. Eat Behav. 2009, 10: 128-130. 10.1016/j.eatbeh.2009.01.002.CrossRefPubMed
34.
go back to reference Malone M, Alger-Mayer SA, Anderson DA: The lifestyle challenge program: a multidisciplinary approach to weight management. Ann Pharmacother. 2005, 39: 2015-2020. 10.1345/aph.1G287.CrossRefPubMed Malone M, Alger-Mayer SA, Anderson DA: The lifestyle challenge program: a multidisciplinary approach to weight management. Ann Pharmacother. 2005, 39: 2015-2020. 10.1345/aph.1G287.CrossRefPubMed
35.
go back to reference Benedict MA, Arterburn D: Worksite-based weight loss programs: a systematic review of recent literature. Am J Health Promot. 2008, 22: 408-416. 10.4278/ajhp.22.6.408.CrossRefPubMed Benedict MA, Arterburn D: Worksite-based weight loss programs: a systematic review of recent literature. Am J Health Promot. 2008, 22: 408-416. 10.4278/ajhp.22.6.408.CrossRefPubMed
36.
go back to reference Pescatello LS, Murphy D, Vollono J, Lynch E, Bernene J, Costanzo D: The cardiovascular health impact of an incentive worksite health promotion program. Am J Health Promot. 2001, 16: 16-20. 10.4278/0890-1171-16.1.16.CrossRefPubMed Pescatello LS, Murphy D, Vollono J, Lynch E, Bernene J, Costanzo D: The cardiovascular health impact of an incentive worksite health promotion program. Am J Health Promot. 2001, 16: 16-20. 10.4278/0890-1171-16.1.16.CrossRefPubMed
37.
go back to reference Henriksen M, Christensen R, Danneskiold-Samsoe B, Bliddal H: Changes in lower extremity muscle mass and muscle strength after weight loss in obese patients with knee osteoarthritis: a prospective cohort study. Arthritis Rheum. 2012, 64: 438-442. 10.1002/art.33394.CrossRefPubMed Henriksen M, Christensen R, Danneskiold-Samsoe B, Bliddal H: Changes in lower extremity muscle mass and muscle strength after weight loss in obese patients with knee osteoarthritis: a prospective cohort study. Arthritis Rheum. 2012, 64: 438-442. 10.1002/art.33394.CrossRefPubMed
38.
go back to reference Atlantis E, Chow CM, Kirby A, Fiatarone Singh MA: Worksite intervention effects on physical health: a randomized controlled trial. Health Promot Int. 2006, 21: 191-200. 10.1093/heapro/dal012.CrossRefPubMed Atlantis E, Chow CM, Kirby A, Fiatarone Singh MA: Worksite intervention effects on physical health: a randomized controlled trial. Health Promot Int. 2006, 21: 191-200. 10.1093/heapro/dal012.CrossRefPubMed
39.
go back to reference Shimizu T, Horiguchi I, Kato T, Nagata S: Relationship between an interview-based health promotion program and cardiovascular risk factors at Japanese companies. J Occup Health. 2004, 46: 205-212. 10.1539/joh.46.205.CrossRefPubMed Shimizu T, Horiguchi I, Kato T, Nagata S: Relationship between an interview-based health promotion program and cardiovascular risk factors at Japanese companies. J Occup Health. 2004, 46: 205-212. 10.1539/joh.46.205.CrossRefPubMed
Metadata
Title
Weight loss among female health care workers- a 1-year workplace based randomized controlled trial in the FINALE-health study
Authors
Jeanette R Christensen
Kristian Overgaard
Isabella G Carneiro
Andreas Holtermann
Karen Søgaard
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-625

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