RESUMEN
OBJECTIVE: To determine if scientifically based social network (Facebook) lifestyle interventions reduce 10-year cardiovascular disease (CVD) risk. METHODS: Financial sector employees (nâ=â300) were equally randomly assigned: Facebook plus Health Professionals (FB+HP), Facebook (FB), or control (C). We report changes in 10-year Framingham risk score (FRS) for CVD (%) and risk factors over 12âmonths. RESULTS: FRS did not change within and between groups. Overweight (-7.4% vs -5.6%, Pâ =â0.005) and diabetes risk (-10.7% vs 0.2%, Pâ =â0.011) reduced significantly in FB+HP versus FB and C, respectively. Inadequate fruit/vegetable intake (-9.4% vs 3.6%, Pâ =â0.011) and smoking (-0.7% vs 14.9%) reduced significantly in FB versus C. No significant changes in physical activity, central obesity, hypertension, and hypercholesterolemia between groups. CONCLUSIONS: Scientifically based social network lifestyle intervention programs could be included in workplace health promotional programmes to improve certain non-communicable disease risk factors.
Asunto(s)
Enfermedades Cardiovasculares , Enfermedades no Transmisibles , Enfermedades Cardiovasculares/prevención & control , Humanos , Estilo de Vida , Factores de Riesgo , Red SocialRESUMEN
OBJECTIVE: To determine if repeat annual health risk assessments (RAHRAs) with intervention reduce 10-year cardiovascular disease (CVD) risk in financial sector employees. METHODS: Retrospective analysis from RAHRAs in 13,737 employees over 4 years. We report changes in 10-year FRS for CVD (%) and risk factors after 1 (GR1), 2 (GR2), and 3 (GR 3) RAHRAs. RESULTS: Mean FRS increased with RAHRAs (GR1: +0.4%; GR2: +0.7%; GR3: +0.8%) (Pâ<â0.001) and was higher for GR3 versus GR1 (Pâ<â0.001) and GR2 (pairwise: Pâ<â0.0355). RAHRAs were associated with increased inadequate fruit/vegetable intake (GR1: +5.4%; GR2: +9.8%; GR3: +15.8%) (all pairwise: Pâ<â0.001) and overweight (GR1: +5.4% vs GR2: +9.8%) (Pâ<â0.001) and only hypercholesterolemia decreased (GR1: -4.4% vs GR3: -9.6%) (Pâ<â0.001). CONCLUSION: RAHRAs did not reduce 10-year CVD risk in financial sector employees. Role of RAHRAs in chronic disease management requires further study.
Asunto(s)
Enfermedades Cardiovasculares , Enfermedades Cardiovasculares/epidemiología , Humanos , Estudios Longitudinales , Sobrepeso , Estudios Retrospectivos , Medición de RiesgoRESUMEN
OBJECTIVE: To determine the prevalence of non-communicable disease (NCD) risk factors, total NCD risk category and 10-year risk for cardiovascular diseases (CVD) in financial sector employees. METHODS: This descriptive observational cross-sectional analysis, data from 36,074 employees was analysed. NCD risk factor data was obtained from health risk assessments that included a questionnaire and clinical measures. The 10-year risk for CVD was calculated using the Framingham non-laboratory based equation. RESULTS: Inadequate fruit and vegetable intake (89.3%), insufficient physical activity (77.4%), and being overweight (66.8%) were the most prevalent risk factors. Women had significantly higher prevalence ratios for central obesity (2.28; Pâ<â0.001), insufficient physical activity (1.21; Pâ<â0.001), hypercholesterolaemia (1.15; Pâ<â0.001), and overweight (1.08; Pâ<â0.001) compared with men. CONCLUSION: A more concerted effort is required to provide employees with appropriate tools and education at the workplace to decrease and manage NCDs.