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Environmental changes to control obesity: a randomized controlled trial in manufacturing companies.

Publication ,  Journal Article
Brehm, BJ; Gates, DM; Singler, M; Succop, PA; D'Alessio, DA
Published in: Am J Health Promot
2011

PURPOSE: To determine the effects of an environmental intervention on obesity, disease risk factors, and dietary intake in an employee population. DESIGN: Randomized controlled community trial. SETTING: Eight manufacturing companies in Kentucky with ∼150 to 350 employees each. SUBJECTS: Randomly selected employees. INTERVENTION: Multicomponent environmental intervention that included employee advisory committees, point-of-decision prompts, walking paths, cafeteria/vending changes, and educational materials. MEASURES: Height; weight; body fat; blood pressure; fasting lipids, glucose and insulin; and dietary intake were assessed prior to and 3, 6, and 12 months after initiation of the intervention. ANALYSIS: Mixed-model repeat-measure analyses of covariance were used to analyze data collected over the study period. Categorical data were analyzed in contingency tables. A p value of .05 was used to judge statistical significance. RESULTS: There were no intervention effects for outcome variables, with the exception of lower intake of saturated fat and dietary cholesterol in the intervention group compared to the control group. Over the course of the study, changes in anthropometry and biomeasures were similar in both groups. CONCLUSIONS: Findings indicate that subtle environmental changes alone may not impact employees' weight and health; however, such institutional-level approaches may be essential to support healthy lifestyle habits that are initiated by more intensive efforts. Academic researchers should continue to partner with employers and practitioners to develop, implement, and evaluate innovative health promotion strategies including environmental interventions.

Duke Scholars

Published In

Am J Health Promot

DOI

EISSN

2168-6602

Publication Date

2011

Volume

25

Issue

5

Start / End Page

334 / 340

Location

United States

Related Subject Headings

  • Workplace
  • Risk Reduction Behavior
  • Risk Factors
  • Public Health
  • Outcome Assessment, Health Care
  • Obesity
  • Male
  • Life Style
  • Kentucky
  • Industry
 

Citation

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ICMJE
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Brehm, B. J., Gates, D. M., Singler, M., Succop, P. A., & D’Alessio, D. A. (2011). Environmental changes to control obesity: a randomized controlled trial in manufacturing companies. Am J Health Promot, 25(5), 334–340. https://doi.org/10.4278/ajhp.090128-QUAN-37
Brehm, Bonnie J., Donna M. Gates, Mary Singler, Paul A. Succop, and David A. D’Alessio. “Environmental changes to control obesity: a randomized controlled trial in manufacturing companies.Am J Health Promot 25, no. 5 (2011): 334–40. https://doi.org/10.4278/ajhp.090128-QUAN-37.
Brehm BJ, Gates DM, Singler M, Succop PA, D’Alessio DA. Environmental changes to control obesity: a randomized controlled trial in manufacturing companies. Am J Health Promot. 2011;25(5):334–40.
Brehm, Bonnie J., et al. “Environmental changes to control obesity: a randomized controlled trial in manufacturing companies.Am J Health Promot, vol. 25, no. 5, 2011, pp. 334–40. Pubmed, doi:10.4278/ajhp.090128-QUAN-37.
Brehm BJ, Gates DM, Singler M, Succop PA, D’Alessio DA. Environmental changes to control obesity: a randomized controlled trial in manufacturing companies. Am J Health Promot. 2011;25(5):334–340.
Journal cover image

Published In

Am J Health Promot

DOI

EISSN

2168-6602

Publication Date

2011

Volume

25

Issue

5

Start / End Page

334 / 340

Location

United States

Related Subject Headings

  • Workplace
  • Risk Reduction Behavior
  • Risk Factors
  • Public Health
  • Outcome Assessment, Health Care
  • Obesity
  • Male
  • Life Style
  • Kentucky
  • Industry