title: Health risk factor modification predicts incidence of diabetes in an employee population: results of an 8-year longitudinal cohort study.
abstract: OBJECTIVE
  To understand risk factor modification effect on Type 2 diabetes incidence in a workforce population.
  
  
  METHODS
  Annual health risk assessment data (N = 3125) in years 1 through 4 were used to predict diabetes development in years 5 through 8.
  
  
  RESULTS
  Employees who reduced their body mass index from 30 or more to less than 30 decreased their chances of developing diabetes (odds ratio = 0.22, 95% confidence interval: 0.05 to 0.93), while those who became obese increased their diabetes risk (odds ratio = 8.85, 95% confidence interval: 2.53 to 31.0).
  
  
  CONCLUSIONS
  Weight reduction observed over a long period can result in clinically important reductions in diabetes incidence. Workplace health promotion programs may prevent diabetes among workers by encouraging weight loss and adoption of healthy lifestyle habits.
authors.affiliation: Health & Wellness, Vanderbilt University, Nashville, TN 37212, USA.
authors.forename: Lori
authors.initials: L
authors.lastname: Rolando
authors.forename: Daniel W
authors.initials: DW
authors.lastname: Byrne
authors.forename: Paula W
authors.initials: PW
authors.lastname: McGown
authors.forename: Ron Z
authors.initials: RZ
authors.lastname: Goetzel
authors.forename: Tom A
authors.initials: TA
authors.lastname: Elasy
authors.forename: Mary I
authors.initials: MI
authors.lastname: Yarbrough
mesh_terms: D000328:Adult; D016001:Confidence Intervals; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D016017:Odds Ratio; D018570:Risk Assessment; D012307:Risk Factors; D040242:Risk Reduction Behavior; D057185:Sedentary Behavior; D013714:Tennessee / Q000453:epidemiology