A 7-month intervention was undertaken to determine the impact of education and coaching on lifestyle choices and lipid values among employees with hyperlipemia. Four classes over 2 months at the worksite during work time and two telephone interventions were provided with pre, mid, and post data collection. Total cholesterol and low-density lipoprotein values improved during the intervention. Positive lifestyle changes were made involving exercise and diet. Appropriate physician visits and continuous health care increased. Lipid-based interventions at the worksite can elicit positive changes in lifestyle, appropriate health care use, and improved lipid values.
References
1.
AldanaS. G.GreenlawR.DiehlH. A.EnglertH., & JacksonR. (2002). Impact of the Coronary Health Improvement Project (CHIP) on several employee populations. Journal of Occupational and Environmental Medicine, 44(9), 831–839.
BaerJ. T. (1993). Improved plasma cholesterol levels in men after a nutrition education program at the worksite. Journal of the American Dietetic Association, 93(6), 658–663.
6.
BarterP. (2002). Treatment of dyslipidemia in high-risk patients: Too little, too late. International Journal of Clinical Practice, 130(Suppl.), 15–19.
7.
BlobelB. (2007). Comparing approaches for advanced e-health security infrastructures. International Journal of Health Informatics, 76, 454–459.
8.
BlochM. J.ArmstrongD. S.DettlingL.HardyA.CaterinoK., & BarrieS. (2006). Partners in lowering cholesterol: Comparison of a multidisciplinary educational program, monetary incentives, or usual care in the treatment of dyslipidemia identified among employees. Journal of Occupational and Environmental Medicine, 48, 675–681.
9.
DespresJ. P.LemieuxI.DagenaisG. R.CantinB., & LamarcheB. (2000). HDL-cholesterol as a marker of coronary heart disease risk: The Quebec cardiovascular study. Arthrosclerosis, 153(2), 263–272.
10.
EmmonsK. M.LinnanL. A.ShadelW. G.MarcusB., & AbramsD. B. (1999). The working health project: A worksite health-promotion trial targeting physical activity, diet and smoking. Journal of Occupational and Environmental Medicine, 41, 545–550.
11.
GlanzK.SorensenG., & FarmerA. (1996). The health impact of worksite nutrition and cholesterol intervention programs. American Journal of Health Promotion, 10(6), 453–470.
12.
GoetzelR. Z.HawkinsK.OzminkowskiR. J., & WangS. (2003). The health and productivity cost burden of the “top 10” physical and mental health conditions affecting six large U.S. employers in 1999. Journal of Occupational and Environmental Medicine, 45(1), 5–14.
13.
GouldA. L.RossouwJ. E.SantanelloN. C.HeyseJ. F., & FurbergC. D. (1995). Cholesterol reduction yields clinical benefit: A new look at old data. Circulation, 91(8), 2274–2282.
14.
GreeneG. W., & StrycharI. (1992). Participation in a worksite cholesterol education program in a university setting. Journal of the American Dietetic Association, 92, 1376–1381.
15.
HartmanT. J.HimesJ. H.McCarthyP. R., & KusheL. H. (1995). Effects of a low-fat, worksite intervention on blood lipids and lipoproteins. Journal of Occupational and Environmental Medicine, 37(6), 690–696.
16.
HayJ. W., & SterlingK. L. (2005). Cost effectiveness of treating low HDL-cholesterol in the primary prevention of coronary heart disease. Pharmacoeconomics, 23(2), 133–141.
17.
Huot, I., Paradis, G., Ledoux, M., & Quebec Heart Health Demonstration Project Research Group. (2004). Effects of the Quebec heart health demonstration project on adult dietary behaviours. Preventive Medicine, 38, 137–148.
18.
HymanD. J.ParadisG., & FloraJ. A. (1992). A comparison of participants and nonparticipants in a worksite cholesterol screening. Retrieved December 1, 2008, from www.i2-health.org/ehealth-iop/what-is-eHealth
19.
KarlenhagenS., & OhlsonC. G. (2003). Primary prevention of cardiovascular disease by an occupational health service. Preventive Medicine, 37, 219–225.
20.
KellerD. L.WrightJ., & PaceH. A. (2008). Impact of health literacy on health outcomes in ambulatory care patients: A systematic review. Annals of Pharmacotherapy, 42, 1271–1281.
21.
LawM. R.WaldN. J., & ThompsonS. G. (1994). By how much and how quickly does reduction in serum cholesterol concentration lower risk of ischemic heart disease. BMJ, 308(6925), 367–372.
22.
MansonJ. E.TostesonH.RidkerP. M.SatterfieldS.HebertP.O'ConnorG. T. (1992). The primary prevention of myocardial infarction. New England Journal of Medicine, 326(21), 1406–1416.
23.
National Cholesterol Education Program. (2002). Third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol (Adult Treatment Panel III) final report. Circulation, 106(25), 3143–3421.
24.
National Heart, Lung and Blood Institute. (2008). Third report of the Expert Panel on Detection, Evaluation and Treatment of High Cholesterol in Adults (ATP III final report). Retrieved May 30, 2008, from www.nhlbi.nih.gov/guidelines/cholesterol/atp3rpt.htm
OzminkowskiR. J.GoetzelR. Z.SantoroJ.SaenzB. J.EleyC., & GorskyB. (2004). Estimating risk reduction required to break even in a health promotion program. American Journal of Health Promotion, 18(4), 316–325.
27.
PearsonT. A., & PetersT. D. (1997). The treatment gap in coronary artery disease and heart failure: Community standards and the post-discharge patient. American Journal of Cardiology, 80(8B), 45H–52H.
28.
PerovichN. J., & SandovalW. M. (1995). Outcomes of a worksite cholesterol education program over a 5-year period. Journal of the American Dietetic Association, 95(5), 589–590.
29.
PerriM. G.SearsS. F.Jr., & ClarkJ. E. (1993). Strategies for improving weight loss: Toward a continuous model of obesity management. Diabetes Care, 16, 200–209.
30.
PescatelloL. S.MurphyD.VollonoJ.LynchE.BerneneJ., & CostanzoD. (2001). The cardiovascular health impact of an incentive worksite health promotion program. American Journal of Health Promotion, 16(1), 16–20.
31.
PooleK.KumpferK., & PettM. (2001). The impact of an incentive based worksite health promotion program on modifiable health risk factors. American Journal of Health Promotion, 16(1), 21–26.
32.
RobinsS. J. (2001). Targeting low-high density lipoprotein cholesterol for therapy: Lessons from the Veterans Affairs high-density lipoprotein intervention trial. American Journal of Cardiology, 88(12A), 19N–23N.
33.
RobinsS. J.RubinsH. B.FaasF. H.SchaeferE. J.ElamM. B.AndersonJ. W. (2003). Insulin resistance and cholesterol events with low HDL cholesterol. Diabetes Care, 26, 1513–1517.
34.
RothM. T., & IveyJ. L. (2005). Self-reported medication use in community-residing older adults: A pilot study. American Journal of Geriatric Pharmacotherapy, 3(3), 196–204.
35.
WangF.McDonaldT.ChampagneL. J., & EdingtonD. W. (2004). Relationship of body mass index and physical activity to health care costs among employees. Journal of Occupational and Environmental Medicine, 46(5), 428–436.
36.
WierzbickiA. S., & MikhailidisD. P. (2002). Beyond LDL-C: The importance of raising HDL-C. Current Medical Research and Opinion, 18(1), 36–44.
37.
WingR. R. (1993). Behavioral treatment of obesity: Its application to type II diabetes. Diabetes Care, 16, 193–199.
