title: Prevention of diabetes and cardiovascular diseases in occupational health care: feasibility and effectiveness.
abstract: OBJECTIVE
  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.
authors.affiliation: Finnair Health Services, HEL-IF/67, 01053 Finnair, Finland. Electronic address: katriina.viitasalo@fimnet.fi.
authors.forename: Katriina
authors.initials: K
authors.lastname: Viitasalo
authors.affiliation: National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland. Electronic address: katri.hemio@thl.fi.
authors.forename: Katri
authors.initials: K
authors.lastname: Hemiö
authors.affiliation: Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, FI-00250 Helsinki, Finland. Electronic address: sampsa.puttonen@ttl.fi.
authors.forename: Sampsa
authors.initials: S
authors.lastname: Puttonen
authors.affiliation: Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, FI-00250 Helsinki, Finland. Electronic address: hanna-kaisa.hyvarinen@saunalahti.fi.
authors.forename: Hanna-Kaisa
authors.initials: HK
authors.lastname: Hyvärinen
authors.affiliation: National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland. Electronic address: jaana.leiviska@thl.fi.
authors.forename: Jaana
authors.initials: J
authors.lastname: Leiviskä
authors.affiliation: Finnish Institute of Occupational Health, Topeliuksenkatu 41 a A, FI-00250 Helsinki, Finland. Electronic address: mikko.harma@ttl.fi.
authors.forename: Mikko
authors.initials: M
authors.lastname: Härmä
authors.affiliation: National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland. Electronic address: markku.peltonen@thl.fi.
authors.forename: Markku
authors.initials: M
authors.lastname: Peltonen
authors.affiliation: National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland. Electronic address: jaana.lindstrom@thl.fi.
authors.forename: Jaana
authors.initials: J
authors.lastname: Lindström
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000453:epidemiology / Q000517:prevention & control; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000378:metabolism; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000517:prevention & control*; D015897:Comorbidity; D003376:Counseling; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000517:prevention & control*; D015444:Exercise; D005240:Feasibility Studies; D005260:Female; D005387:Finland / Q000453:epidemiology; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008019:Life Style; D008055:Lipids / Q000097:blood; D008297:Male; D008875:Middle Aged; D009786:Occupational Health Services; D015995:Prevalence; D011314:Preventive Health Services / Q000379:methods*; D012307:Risk Factors; D040242:Risk Reduction Behavior; D057185:Sedentary Behavior; D012890:Sleep; D012907:Smoking / Q000009:adverse effects / Q000453:epidemiology; D016540:Smoking Cessation; D000074606:Smoking Prevention; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D008055:Lipids
keywords: Cardiovascular risk factor; Health check-up; Lifestyle counseling; Occupational healthcare; Type 2 diabetes