Katriina Viitasalo1, Katri Hemiö2, Sampsa Puttonen3, Hanna-Kaisa Hyvärinen4, Jaana Leiviskä5, Mikko Härmä6, Markku Peltonen7, Jaana Lindström8. 1. Finnair Health Services, HEL-IF/67, 01053 Finnair, Finland. Electronic address: katriina.viitasalo@fimnet.fi. 2. National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland. Electronic address: katri.hemio@thl.fi. 3. Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, FI-00250 Helsinki, Finland. Electronic address: sampsa.puttonen@ttl.fi. 4. Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, FI-00250 Helsinki, Finland. Electronic address: hanna-kaisa.hyvarinen@saunalahti.fi. 5. National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland. Electronic address: jaana.leiviska@thl.fi. 6. Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, FI-00250 Helsinki, Finland. Electronic address: mikko.harma@ttl.fi. 7. National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland. Electronic address: markku.peltonen@thl.fi. 8. National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland. Electronic address: jaana.lindstrom@thl.fi.
Abstract
AIMS: To evaluate feasibility and effectiveness of lifestyle counseling in occupational setting on decreasing risk for diabetes and cardiovascular disease. METHODS: A health check-up including physical examination, blood tests, questionnaires and health advice was completed on 2312 employees of an airline company. Participants with elevated risk for type 2 diabetes based on FINDRISC score and/or blood glucose measurement (n=657) were offered 1-3 additional lifestyle counseling sessions and 53% of them agreed to participate. After 2.5 years, 1347 employees of 2199 invited participated in a follow-up study. RESULTS: Among women and men with low baseline diabetes risk, cardiovascular risk factors increased slightly during follow-up. Larger proportion of the men who attended interventions lost weight at least 5% compared with the non-attendees (18.4% vs. 8.4%, p=0.031) and their FINDRISC score increased less (0.6 vs. 1.5, p=0.037). Older age associated with participation in follow-up and higher baseline FINDRISC score and presence of clinical and lifestyle risk factors and problems in sleep and mood increased attendance in interventions. CONCLUSIONS: Identification of employees with cardiovascular and diabetes risk, and the low intensity lifestyle intervention were feasible in occupational health-care setting. However, the health benefits were modest and observed only for men with increased risk.
AIMS: To evaluate feasibility and effectiveness of lifestyle counseling in occupational setting on decreasing risk for diabetes and cardiovascular disease. METHODS: A health check-up including physical examination, blood tests, questionnaires and health advice was completed on 2312 employees of an airline company. Participants with elevated risk for type 2 diabetes based on FINDRISC score and/or blood glucose measurement (n=657) were offered 1-3 additional lifestyle counseling sessions and 53% of them agreed to participate. After 2.5 years, 1347 employees of 2199 invited participated in a follow-up study. RESULTS: Among women and men with low baseline diabetes risk, cardiovascular risk factors increased slightly during follow-up. Larger proportion of the men who attended interventions lost weight at least 5% compared with the non-attendees (18.4% vs. 8.4%, p=0.031) and their FINDRISC score increased less (0.6 vs. 1.5, p=0.037). Older age associated with participation in follow-up and higher baseline FINDRISC score and presence of clinical and lifestyle risk factors and problems in sleep and mood increased attendance in interventions. CONCLUSIONS: Identification of employees with cardiovascular and diabetes risk, and the low intensity lifestyle intervention were feasible in occupational health-care setting. However, the health benefits were modest and observed only for men with increased risk.
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