Effectiveness of a worksite-based weight loss randomized controlled trial: the worksite study.

Effectiveness of a worksite-based weight loss randomized controlled trial: the worksite study.
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DOI:
10.1002/oby.20899
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发表时间:
2015-04
期刊:
影响因子:
6.9
通讯作者:
Estabrooks, Paul A.
Estabrooks, Paul A.
中科院分区:
医学2区
文献类型:
--
作者:
Almeida, Fabio A.;You, Wen;Harden, Samantha M.;Blackman, Kacie C. A.;Davy, Brenda M.;Glasgow, Russell E.;Hill, Jennie L.;Linnan, Laura A.;Wall, Sarah S.;Yenerall, Jackie;Zoellner, Jamie M.;Estabrooks, Paul A.

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To determine the effectiveness of an individually-targeted Internet-based intervention with monetary incentives (INCENT) at reducing weight of overweight and obese employees when compared to a less-intensive intervention (Livin’ My Weigh [LMW]) 6-months after program initiation. Twenty-eight worksites were randomly assigned to either INCENT or LMW conditions. Both programs used evidence-based strategies to support weight loss. INCENT was delivered via daily e-mails over 12 months while LMW was delivered quarterly via both newsletters and onsite educational sessions. Generalized linear mixed models were conducted for weight change from baseline to 6-month post program and using an intention-to-treat (ITT) analysis to include all participants with baseline weight measurements. Across 28 worksites, 1,790 employees (M=47 years of age; 79% Caucasian; 74% women) participated. Participants lost an average of 2.27 lbs (p<0.001) with a BMI decrease of 0.36 kg/m2 (p<0.001) and 1.30 lbs (p<0.01) and a BMI decrease of 0.20 kg/m2 (p<0.01) in INCENT and LMW, respectively. The difference between INCENT and LMW group in weight loss and BMI reduction were not statistically significant. The current study suggests that INCENT and a minimal intervention alternative may be effective approaches to help decrease the overall obesity burden within worksites.
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