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Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Physical activity initiated by employer and its health effects; an eight week follow-up study

Authors: Marit Skogstad, Lars-Kristian Lunde, Øivind Skare, Asgeir Mamen, Jose Hernán Alfonso, Reidun Øvstebø, Bente Ulvestad

Published in: BMC Public Health | Issue 1/2016

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Abstract

Background

While the health benefits of physical activity are well established, little is known about health effects of physical activity programs initiated by employer.

Methods

Background data and level of physical activity were collected by questionnaire among 78 men and 43 women working in road maintenance pre and post an 8-week physical activity motivational program. As a part of the program steps measured by accelerometer were registered online where team and individual performances could be continuously monitored. The physical activity levels were registered as 1) those physical active ≤1 time per week, 2) 2–3 times per week and 3) ≥4 times a week. Maximal oxygen uptake (VO2max), blood pressure, resting heart rate (RHR) and blood samples (glycosylated hemoglobin, lipids and C-reactive protein) were obtained at baseline and after eight weeks. Mixed models were applied to evaluate associations between physical activity and health parameters.

Results

With ≤1 time per week as reference, exercising 2–3 times per week at baseline was associated with higher levels of VO2max. During follow-up, VO2max increased with 2.8 mL ∙ kg−1∙ min−1 (95 % CI = 1.4, 4.3).
Women had more favorable body mass index (BMI), blood pressure, RHR and lipid profile than men. Total cholesterol, low density lipoprotein (LDL), RHR and diastolic blood pressure (dBP) were lower among participants who exercised 2–3 times per week or ≥4 times a week, compared with those with ≤1 time per week. Half of the participants reported increased daily PA during follow-up, with high intensity PA such as jogging by 8.6 min (SD 14.6) and 8.3 min (SD 18.2), among women and men, respectively. During follow-up dBP increased among men. Further, total cholesterol and LDL were reduced by 0.12 mmol/L and 0.13 mmol/L, respectively (95 % CI = −022, –0.01 and −0.22,–0.04).

Conclusions

Exercise several times a week was associated with lower blood pressure and a favorable lipid status compared to lower weekly activity. During the 8-week follow-up of an employer initiated exercise program VO2max increased, while total cholesterol and LDL were reduced.

Trial registration

Current Controlled Trials ISRCTN13033050. Registered 21 August 2015.
Literature
1.
go back to reference Morris JN, Heady JA, Raffle PA, Roberts CG, Parks JW. Coronary heart-disease and physical activity of work. Lancet. 1953;265(6796):1111–20.CrossRefPubMed Morris JN, Heady JA, Raffle PA, Roberts CG, Parks JW. Coronary heart-disease and physical activity of work. Lancet. 1953;265(6796):1111–20.CrossRefPubMed
2.
go back to reference Paffenbarger Jr RS, Hyde RT, Wing AL, Hsieh CC. Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med. 1986;314(10):605–13.CrossRefPubMed Paffenbarger Jr RS, Hyde RT, Wing AL, Hsieh CC. Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med. 1986;314(10):605–13.CrossRefPubMed
3.
go back to reference Manson JE, Nathan DM, Krolewski AS, Stampfer MJ, Willett WC, Hennekens CH. A prospective study of exercise and incidence of diabetes among US male physicians. JAMA. 1992;268(1):63–7.CrossRefPubMed Manson JE, Nathan DM, Krolewski AS, Stampfer MJ, Willett WC, Hennekens CH. A prospective study of exercise and incidence of diabetes among US male physicians. JAMA. 1992;268(1):63–7.CrossRefPubMed
4.
go back to reference Wei M, Kampert JB, Barlow CE, Nichaman MZ, Gibbons LW, Paffenbarger Jr RS, Blair SN. Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men. JAMA. 1999;282(16):1547–53.CrossRefPubMed Wei M, Kampert JB, Barlow CE, Nichaman MZ, Gibbons LW, Paffenbarger Jr RS, Blair SN. Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men. JAMA. 1999;282(16):1547–53.CrossRefPubMed
5.
go back to reference Sui X, LaMonte MJ, Laditka JN, Hardin JW, Chase N, Hooker SP, Blair SN. Cardiorespiratory fitness and adiposity as mortality predictors in older adults. JAMA. 2007;298(21):2507–16.CrossRefPubMedPubMedCentral Sui X, LaMonte MJ, Laditka JN, Hardin JW, Chase N, Hooker SP, Blair SN. Cardiorespiratory fitness and adiposity as mortality predictors in older adults. JAMA. 2007;298(21):2507–16.CrossRefPubMedPubMedCentral
6.
go back to reference Blair SN, Wei M, Lee CD. Cardiorespiratory fitness determined by exercise heart rate as a predictor of mortality in the Aerobics Center Longitudinal Study. J Sport Sci. 1998;16(Suppl):S47–55.CrossRef Blair SN, Wei M, Lee CD. Cardiorespiratory fitness determined by exercise heart rate as a predictor of mortality in the Aerobics Center Longitudinal Study. J Sport Sci. 1998;16(Suppl):S47–55.CrossRef
7.
go back to reference Leon AS, Sanchez OA. Response of blood lipids to exercise training alone or combined with dietary intervention. Med Sci Sports Exerc. 2001;33(6 Suppl):S502–15. discussion S528–509.CrossRefPubMed Leon AS, Sanchez OA. Response of blood lipids to exercise training alone or combined with dietary intervention. Med Sci Sports Exerc. 2001;33(6 Suppl):S502–15. discussion S528–509.CrossRefPubMed
8.
go back to reference Moore SC, Patel AV, Matthews CE, de Berrington Gonzalez A, Park Y, Katki HA, Linet MS, Weiderpass E, Visvanathan K, Helzlsouer KJ, et al. Leisure time physical activity of moderate to vigorous intensity and mortality: a large pooled cohort analysis. PLoS Med. 2012;9(11):e1001335.CrossRefPubMedPubMedCentral Moore SC, Patel AV, Matthews CE, de Berrington Gonzalez A, Park Y, Katki HA, Linet MS, Weiderpass E, Visvanathan K, Helzlsouer KJ, et al. Leisure time physical activity of moderate to vigorous intensity and mortality: a large pooled cohort analysis. PLoS Med. 2012;9(11):e1001335.CrossRefPubMedPubMedCentral
9.
go back to reference Vigen R, Ayers C, Willis B, DeFina L, Berry JD. Association of cardiorespiratory fitness with total, cardiovascular, and noncardiovascular mortality across 3 decades of follow-up in men and women. Circ Cardiovasc Qual Outcomes. 2012;5(3):358–64.CrossRefPubMedPubMedCentral Vigen R, Ayers C, Willis B, DeFina L, Berry JD. Association of cardiorespiratory fitness with total, cardiovascular, and noncardiovascular mortality across 3 decades of follow-up in men and women. Circ Cardiovasc Qual Outcomes. 2012;5(3):358–64.CrossRefPubMedPubMedCentral
10.
go back to reference Holme I, Anderssen SA. [Physical activity, smoking and mortality among men who participated in the Oslo studies of 1972 and. Tidsskr Nor Laegeforen. 2000;134(18):1743–8.CrossRef Holme I, Anderssen SA. [Physical activity, smoking and mortality among men who participated in the Oslo studies of 1972 and. Tidsskr Nor Laegeforen. 2000;134(18):1743–8.CrossRef
11.
go back to reference Owen N, Salmon J, Koohsari MJ, Turrell G, Giles-Corti B. Sedentary behaviour and health: mapping environmental and social contexts to underpin chronic disease prevention. Br J Sports Med. 2014;48(3):174–7.CrossRefPubMed Owen N, Salmon J, Koohsari MJ, Turrell G, Giles-Corti B. Sedentary behaviour and health: mapping environmental and social contexts to underpin chronic disease prevention. Br J Sports Med. 2014;48(3):174–7.CrossRefPubMed
12.
go back to reference Oja P, Titze S, Kokko S, Kujala UM, Heinonen A, Kelly P, Koski P, Foster C. Health benefits of different sport disciplines for adults: systematic review of observational and intervention studies with meta-analysis. Br J Sports Med. 2015;49(7):434–40.CrossRefPubMed Oja P, Titze S, Kokko S, Kujala UM, Heinonen A, Kelly P, Koski P, Foster C. Health benefits of different sport disciplines for adults: systematic review of observational and intervention studies with meta-analysis. Br J Sports Med. 2015;49(7):434–40.CrossRefPubMed
13.
go back to reference Semlitsch T, Jeitler K, Hemkens LG, Horvath K, Nagele E, Schuermann C, Pignitter N, Herrmann KH, Waffenschmidt S, Siebenhofer A. Increasing physical activity for the treatment of hypertension: a systematic review and meta-analysis. Sports Med. 2013;43(10):1009–23.CrossRefPubMed Semlitsch T, Jeitler K, Hemkens LG, Horvath K, Nagele E, Schuermann C, Pignitter N, Herrmann KH, Waffenschmidt S, Siebenhofer A. Increasing physical activity for the treatment of hypertension: a systematic review and meta-analysis. Sports Med. 2013;43(10):1009–23.CrossRefPubMed
14.
go back to reference Hagner-Derengowska M, Kałużny K, Hagner W, Plaskiewicz A, Bronisz A, Borkowska A, Budzyński J. Effects of Nordic Walking and Pilates exercise programs on blood glucose and lipid profile in overweight and obese postmenopausal women in an experimental, nonrandomized, open-label, prospective controlled trial. Menopause (New York, NY) 2015. Climacteric. 2015;18(6):835-40. doi:10.3109/13697137.2015.1058354 Hagner-Derengowska M, Kałużny K, Hagner W, Plaskiewicz A, Bronisz A, Borkowska A, Budzyński J. Effects of Nordic Walking and Pilates exercise programs on blood glucose and lipid profile in overweight and obese postmenopausal women in an experimental, nonrandomized, open-label, prospective controlled trial. Menopause (New York, NY) 2015. Climacteric. 2015;18(6):835-40. doi:10.​3109/​13697137.​2015.​1058354
15.
go back to reference Lieber BA, Taylor B, Appelboom G, Prasad K, Bruce S, Yang A, et al. Meta-analysis of telemonitoring to improve HbA1c levels: Promise for stroke survivors. J Clin Neurosci. 2015;22(5):807–11. Lieber BA, Taylor B, Appelboom G, Prasad K, Bruce S, Yang A, et al. Meta-analysis of telemonitoring to improve HbA1c levels: Promise for stroke survivors. J Clin Neurosci. 2015;22(5):807–11.
16.
go back to reference Ridker PM. Cardiology Patient Page. C-reactive protein: a simple test to help predict risk of heart attack and stroke. Circulation. 2003;108(12):e81–5.CrossRefPubMed Ridker PM. Cardiology Patient Page. C-reactive protein: a simple test to help predict risk of heart attack and stroke. Circulation. 2003;108(12):e81–5.CrossRefPubMed
18.
go back to reference Korshoj M, Lidegaard M, Skotte JH, Krustrup P, Krause N, Sogaard K, Holtermann A. Does aerobic exercise improve or impair cardiorespiratory fitness and health among cleaners? A cluster randomized controlled trial. Scand J Work Environ Health. 2015;41(2):140–52.CrossRefPubMed Korshoj M, Lidegaard M, Skotte JH, Krustrup P, Krause N, Sogaard K, Holtermann A. Does aerobic exercise improve or impair cardiorespiratory fitness and health among cleaners? A cluster randomized controlled trial. Scand J Work Environ Health. 2015;41(2):140–52.CrossRefPubMed
19.
go back to reference Andersen LL, Sundstrup E, Boysen M, Jakobsen MD, Mortensen OS, Persson R. Cardiovascular health effects of internet-based encouragements to do daily workplace stair-walks: randomized controlled trial. J Med Internet Res. 2013;15(6):e127.CrossRefPubMedPubMedCentral Andersen LL, Sundstrup E, Boysen M, Jakobsen MD, Mortensen OS, Persson R. Cardiovascular health effects of internet-based encouragements to do daily workplace stair-walks: randomized controlled trial. J Med Internet Res. 2013;15(6):e127.CrossRefPubMedPubMedCentral
20.
go back to reference Groeneveld IF, Proper KI, van der Beek AJ, Hildebrandt VH, van Mechelen W. Lifestyle-focused interventions at the workplace to reduce the risk of cardiovascular disease--a systematic review. Scand J Work Environ Health. 2010;36(3):202–15.CrossRefPubMed Groeneveld IF, Proper KI, van der Beek AJ, Hildebrandt VH, van Mechelen W. Lifestyle-focused interventions at the workplace to reduce the risk of cardiovascular disease--a systematic review. Scand J Work Environ Health. 2010;36(3):202–15.CrossRefPubMed
21.
go back to reference Moholdt T, Wisloff U, Lydersen S, Nauman J. Current physical activity guidelines for health are insufficient to mitigate long-term weight gain: more data in the fitness versus fatness debate (The HUNT study, Norway). Br J Sports Med. 2014;48(20):1489–96.CrossRefPubMed Moholdt T, Wisloff U, Lydersen S, Nauman J. Current physical activity guidelines for health are insufficient to mitigate long-term weight gain: more data in the fitness versus fatness debate (The HUNT study, Norway). Br J Sports Med. 2014;48(20):1489–96.CrossRefPubMed
22.
go back to reference Tudor-Locke C, Bassett Jr DR. How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 2004;34(1):1–8.CrossRefPubMed Tudor-Locke C, Bassett Jr DR. How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 2004;34(1):1–8.CrossRefPubMed
23.
go back to reference Saxena A, Minton D, Lee DC, Sui X, Fayad R, Lavie CJ, Blair SN. Protective role of resting heart rate on all-cause and cardiovascular disease mortality. Mayo Clin Proc. 2013;88(12):1420–6.CrossRefPubMedPubMedCentral Saxena A, Minton D, Lee DC, Sui X, Fayad R, Lavie CJ, Blair SN. Protective role of resting heart rate on all-cause and cardiovascular disease mortality. Mayo Clin Proc. 2013;88(12):1420–6.CrossRefPubMedPubMedCentral
24.
go back to reference Hanssen H, Nussbaumer M, Moor C, Cordes M, Schindler C, Schmidt-Trucksass A. Acute effects of interval versus continuous endurance training on pulse wave reflection in healthy young men. Atherosclerosis. 2015;238(2):399–406.CrossRefPubMed Hanssen H, Nussbaumer M, Moor C, Cordes M, Schindler C, Schmidt-Trucksass A. Acute effects of interval versus continuous endurance training on pulse wave reflection in healthy young men. Atherosclerosis. 2015;238(2):399–406.CrossRefPubMed
25.
go back to reference Tjonna AE, Lee SJ, Rognmo O, Stolen TO, Bye A, Haram PM, Loennechen JP, Al-Share QY, Skogvoll E, Slordahl SA, et al. Aerobic interval training versus continuous moderate exercise as a treatment for the metabolic syndrome: a pilot study. Circulation. 2008;118(4):346–54.CrossRefPubMedPubMedCentral Tjonna AE, Lee SJ, Rognmo O, Stolen TO, Bye A, Haram PM, Loennechen JP, Al-Share QY, Skogvoll E, Slordahl SA, et al. Aerobic interval training versus continuous moderate exercise as a treatment for the metabolic syndrome: a pilot study. Circulation. 2008;118(4):346–54.CrossRefPubMedPubMedCentral
26.
go back to reference Whelton SP, Chin A, Xin X, He J. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med. 2002;136(7):493–503.CrossRefPubMed Whelton SP, Chin A, Xin X, He J. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med. 2002;136(7):493–503.CrossRefPubMed
27.
go back to reference Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002;360(9349):1903–13.CrossRefPubMed Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002;360(9349):1903–13.CrossRefPubMed
28.
go back to reference Miller MR, Shaw CA, Langrish JP. From particles to patients: oxidative stress and the cardiovascular effects of air pollution. Future Cardiol. 2012;8(4):577–602.CrossRefPubMed Miller MR, Shaw CA, Langrish JP. From particles to patients: oxidative stress and the cardiovascular effects of air pollution. Future Cardiol. 2012;8(4):577–602.CrossRefPubMed
29.
go back to reference Clays E, Lidegaard M, De Bacquer D, Van Herck K, De Backer G, Kittel F, de Smet P, Holtermann A. The Combined Relationship of Occupational and Leisure-Time Physical Activity With All-Cause Mortality Among Men, Accounting for Physical Fitness. Am J Epidemiol. 2013;179(5):559–66.CrossRefPubMed Clays E, Lidegaard M, De Bacquer D, Van Herck K, De Backer G, Kittel F, de Smet P, Holtermann A. The Combined Relationship of Occupational and Leisure-Time Physical Activity With All-Cause Mortality Among Men, Accounting for Physical Fitness. Am J Epidemiol. 2013;179(5):559–66.CrossRefPubMed
30.
go back to reference Holtermann A, Marott JL, Gyntelberg F, Sogaard K, Suadicani P, Mortensen OS, Prescott E, Schnohr P. Occupational and leisure time physical activity: risk of all-cause mortality and myocardial infarction in the Copenhagen City Heart Study. A prospective cohort study. BMJ Open. 2012;2(1):e000556.CrossRefPubMedPubMedCentral Holtermann A, Marott JL, Gyntelberg F, Sogaard K, Suadicani P, Mortensen OS, Prescott E, Schnohr P. Occupational and leisure time physical activity: risk of all-cause mortality and myocardial infarction in the Copenhagen City Heart Study. A prospective cohort study. BMJ Open. 2012;2(1):e000556.CrossRefPubMedPubMedCentral
31.
go back to reference Ainsworth B, Cahalin L, Buman M, Ross R. The current state of physical activity assessment tools. Prog Cardiovasc Dis. 2015;57(4):387–95.CrossRefPubMed Ainsworth B, Cahalin L, Buman M, Ross R. The current state of physical activity assessment tools. Prog Cardiovasc Dis. 2015;57(4):387–95.CrossRefPubMed
Metadata
Title
Physical activity initiated by employer and its health effects; an eight week follow-up study
Authors
Marit Skogstad
Lars-Kristian Lunde
Øivind Skare
Asgeir Mamen
Jose Hernán Alfonso
Reidun Øvstebø
Bente Ulvestad
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3035-8

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