Commenced in January 2007
Paper Count: 30121
A Nutritional Wellness Program for Overweight Health Care Providers in Hospital Setting: A Randomized Controlled Trial Pilot Study
Abstract:Background: The prevalence of workplace obesity is rising worldwide; therefore, the workplace is an ideal venue to implement weight control intervention. This pilot randomized controlled trial aimed to develop, implement, and evaluate a nutritional wellness program for obese health care providers working in a hospital. Methods: This hospital-based nutritional wellness program was an 8-week pilot randomized controlled trial for obese health care providers. The primary outcomes were body weight and body mass index (BMI). The secondary outcomes were serum fasting glucose, fasting cholesterol, triglyceride, high-density (HDL) and low-density (LDL) lipoprotein, body fat percentage, and body mass. Participants were randomly assigned to the intervention (n = 20) or control (n = 22) group. Participants in both groups received individual nutrition counselling and nutrition pamphlets, whereas only participants in the intervention group were given mobile phone text messages. Results: 42 participants completed the study. In comparison with the control group, the intervention group showed approximately 0.98 kg weight reduction after two months. Participants in intervention group also demonstrated clinically significant improvement in BMI, serum cholesterol level, and HDL level. There was no improvement of body fat percentage and body mass for both intervention and control groups. Conclusion: The nutritional wellness program for obese health care providers was feasible in hospital settings. Health care providers demonstrated short-term weight loss, decrease in serum fasting cholesterol level, and HDL level after completing the program.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1130413Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 621
 World health organization (2015). Obesity and overweight. Accessed on 04/11/2016 http://www.who.int/mediacentre/factsheets/fs311/en/.
 National center for chronic disease prevention and health promotion (2015). Division of Nutrition, Physical Activity, and Obesity. Accessed on 04/11/2016 http://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi.
 Mittal TK, Barr S, Grove T, Wood DA, Kotseva K. A cross-sectional survey of cardiovascular health and lifestyle habits of hospital staff in United Kingdom, do we look after ourselves' None. European Journal of Preventive Cardiology. 2016 Sep 1;23(1): S25.
 Sharma SV, Upadhyaya M, Karhade M, Baun WB, Perkison WB, Pompeii LA, Brown HS, Hoelscher DM. Are Hospital Workers Healthy? A Study of Cardiometabolic, Behavioral, and Psychosocial Factors Associated With Obesity Among Hospital Workers. Journal of Occupational and Environmental Medicine. 2016 Dec 1;58(12):1231-8.
 Skaal L, Pengpid S. Obesity and health problems among South African healthcare workers: do healthcare workers take care of themselves? South African Family Practice. 2011 Nov 1;53(6):563-7.
 Chou CF, Johnson PJ. Health disparities among America’s health care providers: evidence from the Integrated Health Interview Series, 1982 to 2004. Journal of occupational and environmental medicine/American College of Occupational and Environmental Medicine. 2008 Jun; 50(6):696.
 Bogossian FE, Hepworth J, Leong GM, Flaws DF, Gibbons KS, Benefer CA, Turner CT. A cross-sectional analysis of patterns of obesity in a cohort of working nurses and midwives in Australia, New Zealand, and the United Kingdom. International journal of nursing studies. 2012 Jun 30;49(6):727-38.
 Goon DT, Maputle MS, Olukoga A, Lebese R, Khoza LB, Ayanwu FC. Overweight, obesity and underweight in nurses in Vhembe and Capricorn districts, Limpopo. South African Journal of Clinical Nutrition. 2013 Nov 14;26(3):147-9.
 Ogunjimi LO, Ikorok MM, Olayinka O. Prevalence of obesity among Nigeria nurses: the Akwa Ibom State experience. International NGO Journal. 2010 Feb 28;5(2):045-9.
 Luckhaupt SE, Cohen MA, Li J, Calvert GM. Prevalence of obesity among US workers and associations with occupational factors. American journal of preventive medicine. 2014 Mar 31;46(3):237-48.
 Han K, Trinkoff AM, Storr CL, Geiger-Brown J, Johnson KL, Park S. Comparison of job stress and obesity in nurses with favorable and unfavorable work schedules. Journal of Occupational and Environmental Medicine. 2012 Aug 1;54(8):928-32.
 Kim MJ, Son KH, Park HY, Choi DJ, Yoon CH, Lee HY, Cho EY, Cho MC. Association between shift work and obesity among female nurses: Korean Nurses’ Survey. BMC Public Health. 2013 Dec 20;13(1):1.
 Amani R, Gill T. Shiftworking, nutrition and obesity: implications for workforce health-a systematic review. Asia Pacific journal of clinical nutrition. 2013;22(4):698.
 Yusuf S, Hawken S, Ounpuu S, Bautista L, Franzosi MG, Commerford P, Lang CC, Rumboldt Z, Onen CL, Lisheng L, Tanomsup S. Obesity and the risk of myocardial infarction in 27 000 participants from 52 countries: a case-control study. The Lancet. 2005 Nov 11;366(9497):1640-9.
 Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ. Overweight, obesity, and mortality from cancer in a prospectively studied cohort of US adults. New England Journal of Medicine. 2003 Apr 24;348(17):1625-38.
 Bray GA. Medical consequences of obesity. The Journal of Clinical Endocrinology & Metabolism. 2004 Jun 1;89(6):2583-9.
 Moreau M, Valente F, Mak R, Pelfrene E, De Smet P, De Backer G, Kornitzer M. Obesity, body fat distribution and incidence of sick leave in the Belgian workforce: the Belstress study. International journal of obesity. 2004 Apr 1;28(4):574-82.
 Gates DM, Succop P, Brehm BJ, Gillespie GL, Sommers BD. Obesity and presenteeism: the impact of body mass index on workplace productivity. Journal of Occupational and Environmental Medicine. 2008 Jan 1;50(1):39-45.
 Finkelstein EA, daCosta DiBonaventura M, Burgess SM, Hale BC. The costs of obesity in the workplace. Journal of Occupational and Environmental Medicine. 2010 Oct 1;52(10):971-6.
 Katz DL, O’Connell M, Yeh MC, Nawaz H, Njike V, Anderson LM, Cory S, Dietz W, Task Force on Community Preventive Services. Public health strategies for preventing and controlling overweight and obesity in school and worksite settings. MMWR Recomm Rep. 2005 Oct 7;54(2).
 Lemon SC, Zapka J, Li W, Estabrook B, Rosal M, Magner R, Andersen V, Borg A, Hale J. Step ahead: a worksite obesity prevention trial among hospital employees. American journal of preventive medicine. 2010 Jan 31;38(1):27-38.
 Kigaru DM, Loechl C, Moleah T, Macharia-Mutie CW, Ndungu ZW. Nutrition knowledge, attitude and practices among urban primary school children in Nairobi City, Kenya: a KAP study. BMC Nutrition. 2015 Dec 29;1(1):1.
 Kaufer-Horwitz M, Villa M, Pedraza J, Domínguez-García J, Vázquez-Velázquez V, Méndez JP, García-García E. Knowledge of appropriate foods and beverages needed for weight loss and diet of patients in an Obesity Clinic. European journal of clinical nutrition. 2015 Jan 1;69(1):68-72.
 Kerr DA, Harray AJ, Pollard CM, Dhaliwal SS, Delp EJ, Howat PA, Pickering MR, Ahmad Z, Meng X, Pratt IS, Wright JL. The connecting health and technology study: a 6-month randomized controlled trial to improve nutrition behaviours using a mobile food record and text messaging support in young adults. International Journal of Behavioral Nutrition and Physical Activity. 2016 Apr 21;13(1):1.
 Spring B, Duncan JM, Janke EA, Kozak AT, McFadden HG, DeMott A, Pictor A, Epstein LH, Siddique J, Pellegrini CA, Buscemi J. Integrating technology into standard weight loss treatment: a randomized controlled trial. JAMA internal medicine. 2013 Jan 28;173(2):105-11.
 Guth E. Healthy Weight Loss. Jama. 2014 Sep 3;312(9):974-.
 Bosy-Westphal A, Geisler C, Onur S, Korth O, Selberg O, Schrezenmeir J, Müller MJ. Value of body fat mass vs anthropometric obesity indices in the assessment of metabolic risk factors. International Journal of Obesity. 2006 Mar 1;30(3):475-83.