title: A worksite diabetes prevention program: two-year impact on employee health.
abstract: The purpose of this study was to determine the 2-year impact of a worksite-based diabetes prevention program. Thirty-seven pre-diabetic and previously undiagnosed diabetic employees participating in a 12-month worksite diabetes prevention program were included. Weight, body mass index, waist circumference, oral glucose tolerance testing, fasting insulin, blood lipids, and aerobic fitness had improved significantly after 6 months. Much of this improvement continued through 12 months. One year following the intervention, oral glucose tolerance and aerobic fitness had improved significantly. Of the 22 employees remaining in the study through 24 months, more than half had normal results on glucose tolerance testing. Worksite diabetes prevention programs may reduce blood glucose below pre-diabetic and diabetic levels. Improvements in diabetes risk factors persisted for at least 2 years in most of these employees.
authors.affiliation: Department of Exercise Sciences, Brigham Young University, Provo, UT, USA.
authors.forename: Steven
authors.initials: S
authors.lastname: Aldana
authors.forename: Marilyn
authors.initials: M
authors.lastname: Barlow
authors.forename: Rebecca
authors.initials: R
authors.lastname: Smith
authors.forename: Frank
authors.initials: F
authors.lastname: Yanowitz
authors.forename: Ted
authors.initials: T
authors.lastname: Adams
authors.forename: LaDonne
authors.initials: L
authors.lastname: Loveday
authors.forename: Ray M
authors.initials: RM
authors.lastname: Merrill
mesh_terms: D001786:Blood Glucose / Q000378:metabolism; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000209:etiology / Q000517:prevention & control*; D005081:Exercise Therapy / Q000458:organization & administration; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000458:organization & administration; D008875:Middle Aged; D015999:Multivariate Analysis; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D009765:Obesity / Q000150:complications / Q000175:diagnosis / Q000517:prevention & control*; D009785:Occupational Health Nursing / Q000458:organization & administration; D009786:Occupational Health Services / Q000458:organization & administration*; D010353:Patient Education as Topic / Q000458:organization & administration; D010809:Physical Fitness; D011236:Prediabetic State / Q000150:complications / Q000175:diagnosis / Q000517:prevention & control*; D011322:Primary Prevention / Q000458:organization & administration; D015397:Program Evaluation; D014589:Utah; D017132:Workplace / Q000458:organization & administration*
chemical_list: D001786:Blood Glucose