title: Are physical activity and nutrition indicators of the checklist of health promotion environments at worksites (CHEW) associated with employee obesity among hotel workers?
abstract: OBJECTIVE
  Worksites provide opportunities to reach more than 60% of adults in the United States, including populations diverse in race, ethnicity, gender, age, occupation, income, and health status. Employers that provide worksite weight management interventions have the potential to reduce sick leave, health care costs, and workers compensation costs, and increase employee morale and worker efficiency. Hotels specifically, represent a broad cross-section of job categories, and most hotels are staffed and operated similarly around the world. However, from our literature review, there have been no investigations of the association between the hotel environment and employees' obesity.
  
  
  METHODS
  For this study, we tested the relationship between environmental factors in hotels and employees' body mass index (BMI).
  
  
  RESULTS
  Overall no substantial correlations were found on any environmental variable. However, hotel size affected some relationships. Higher BMI was related to greater number of stairs, stair facilitation, and the healthy eating facilitation variables (excluding nutrition signs or posters) in medium sized hotels. Lower BMI was found with greater stair facilitation in small hotels; and with greater number of physical activity (PA) signs, lunch room nutrition signs, and hotel nutrition signs in large hotels. Unionized status affected only two environmental variables. For unionized hotels, BMI was negatively correlated with PA signs and positively correlated with the healthy eating facilitation.
  
  
  CONCLUSIONS
  No logical pattern of association was found between workplace environmental factors and hotel employee BMI levels. Further research should investigate the interaction of the size and structure of the workplace with the impact of environmental efforts to reduce overweight and obesity.
authors.affiliation: Department of Public Health Sciences, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii 96822, USA. cnigg@hawaii.edu
authors.forename: Claudio R
authors.initials: CR
authors.lastname: Nigg
authors.forename: Cheryl
authors.initials: C
authors.lastname: Albright
authors.forename: Rebecca
authors.initials: R
authors.lastname: Williams
authors.forename: Carol
authors.initials: C
authors.lastname: Nichols
authors.forename: Gloria
authors.initials: G
authors.lastname: Renda
authors.forename: Victor J
authors.initials: VJ
authors.lastname: Stevens
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Vogt
mesh_terms: D000328:Adult; D015992:Body Mass Index; D005247:Feeding Behavior; D005260:Female; D006254:Hawaii; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology*; D009752:Nutritional Status; D009765:Obesity / Q000517:prevention & control*; D016272:Occupational Health; D016032:Randomized Controlled Trials as Topic; D017132:Workplace