title: Images of a Healthy Worksite: A Group-Randomized Trial for Worksite Weight Gain Prevention With Employee Participation in Intervention Design.
abstract: OBJECTIVE
  We assessed the effects of a worksite multiple-component intervention addressing diet and physical activity on employees' mean body mass index (BMI) and the percentage of employees who were overweight or obese.
  
  
  METHODS
  This group-randomized trial (n = 3799) was conducted at 10 worksites in the northeastern United States. Worksites were paired and allocated into intervention and control conditions. Within- and between-groups changes in mean BMIs and in the percentage of overweight or obese employees were examined in a volunteer sample.
  
  
  RESULTS
  Within-group mean BMIs decreased by 0.54 kilograms per meter squared (P = .02) and 0.12 kilograms per meter squared (P = .73) at the intervention and control worksites, respectively, resulting in a difference in differences (DID) decrease of 0.42 kilograms per meter squared (P = .33). The within-group percentage of overweight or obese employees decreased by 3.7% (P = .07) at the intervention worksites and increased by 4.9% (P = .1) at the control worksites, resulting in a DID decline of 8.6% (P = .02).
  
  
  CONCLUSIONS
  Our findings support a worksite population strategy that might eventually reduce the prevalence of overweight and obesity by minimizing environmental exposures to calorically dense foods and increasing exposures to opportunities for energy expenditure within worksite settings.
authors: I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry.
authors: I Diana
authors: ID
authors: Fernandez
authors: I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry.
authors: Nancy P
authors: NP
authors: Chin
authors: I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry.
authors: Carol M
authors: CM
authors: Devine
authors: I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry.
authors: Ann M
authors: AM
authors: Dozier
authors: I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry.
authors: Camille A
authors: CA
authors: Martina
authors: I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry.
authors: Scott
authors: S
authors: McIntosh
authors: I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry.
authors: Kelly
authors: K
authors: Thevenet-Morrison
authors: I. Diana Fernandez, Nancy P. Chin, Ann M. Dozier, Camille A. Martina, Scott McIntosh, and Kelly Thevenet-Morrison are with the Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carol M. Devine is with the Division of Nutritional Sciences, Cornell University, Ithaca, NY. Hongmei Yang is with the Department of Biostatistics and Computational Biology, University of Rochester School of Medicine and Dentistry.
authors: Hongmei
authors: H
authors: Yang
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009511:New England; D009765:Obesity / Q000517:prevention & control*; D009786:Occupational Health Services / Q000458:organization & administration*; D050177:Overweight / Q000517:prevention & control*; D036301:Qualitative Research; D015430:Weight Gain; D017132:Workplace