title: The Effectiveness of a Worksite Lifestyle Intervention Program on High-Risk Individuals as Potential Candidates for Bariatric Surgery: My Unlimited Potential (MyUP).
abstract: This is a single-arm, pre and post effectiveness study that evaluated the impact of a comprehensive workplace lifestyle program on severe obesity among high cardiovascular disease risk individuals in a large, diverse employee population. Employees of Baptist Health South Florida were considered eligible to participate if they had 2 or more of the following cardiometabolic risk factors: total cholesterol ≥200 mg/dL, systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg, hemoglobin A1c ≥6.5%, body mass index ≥30kg/m(2). Participants received a personalized diet plan and physical activity intervention, and were followed for 1 year. Data on anthropometric measurements, blood pressure, blood glucose, and other biochemical measures were collected. Participants' body mass index was calculated and their eligibility for bariatric surgery (BS) also assessed. A total of 297 persons participated in the program; 160 participants completed all procedures through 12 months of follow-up. At baseline, 34% (n = 100) of all participants were eligible for BS. In an intention-to-treat analysis, 27% (n = 27) of BS eligible participants at baseline became ineligible after 12 months. Considering program completers only, 46% of BS eligible participants at baseline became ineligible. Irrespective of BS eligibility at 12 months, mean values of cardiometabolic risk factors among program completers improved after the follow-up period. Workplace wellness programs provide an important option for weight loss that can obviate the need for BS, reduce cardiovascular disease risk, and potentially reduce costs. However, in designing future worksite lifestyle interventions, measures should be taken to improve participation and retention rates in such programs.
authors.affiliation: 1 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.|2 Department of Epidemiology, Robert Stempel College of Public Health, Florida International University , Miami, Florida.
authors.forename: Chukwuemeka U
authors.initials: CU
authors.lastname: Osondu
authors.affiliation: 1 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.|2 Department of Epidemiology, Robert Stempel College of Public Health, Florida International University , Miami, Florida.|3 Department of Internal Medicine, Mount Sinai Medical Center , Miami Beach, Florida.
authors.forename: Ehimen C
authors.initials: EC
authors.lastname: Aneni
authors.affiliation: 1 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.
authors.forename: Sameer
authors.initials: S
authors.lastname: Shaharyar
authors.affiliation: 1 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.
authors.forename: Lara
authors.initials: L
authors.lastname: Roberson
authors.affiliation: 4 Wellness Advantage Administration, Baptist Health South Florida , Miami, Florida.
authors.forename: Maribeth
authors.initials: M
authors.lastname: Rouseff
authors.affiliation: 4 Wellness Advantage Administration, Baptist Health South Florida , Miami, Florida.
authors.forename: Sankalp
authors.initials: S
authors.lastname: Das
authors.affiliation: 5 Center for Outcomes Research and Evaluation, Yale-New Haven Hospital , New Haven, Connecticut.
authors.forename: Erica
authors.initials: E
authors.lastname: Spatz
authors.affiliation: 1 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.
authors.forename: Adnan
authors.initials: A
authors.lastname: Younus
authors.affiliation: 6 Employee Health Management, Baptist Health South Florida , Miami, Florida.
authors.forename: Henry
authors.initials: H
authors.lastname: Guzman
authors.affiliation: 6 Employee Health Management, Baptist Health South Florida , Miami, Florida.
authors.forename: Doris
authors.initials: D
authors.lastname: Brown
authors.affiliation: 6 Employee Health Management, Baptist Health South Florida , Miami, Florida.
authors.forename: Joann
authors.initials: J
authors.lastname: Santiago-Charles
authors.affiliation: 6 Employee Health Management, Baptist Health South Florida , Miami, Florida.
authors.forename: Teresa
authors.initials: T
authors.lastname: Ochoa
authors.affiliation: 7 Baptist Health South Florida , Miami, Florida.
authors.forename: Joseph
authors.initials: J
authors.lastname: Mora
authors.affiliation: 6 Employee Health Management, Baptist Health South Florida , Miami, Florida.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Gilliam
authors.affiliation: 6 Employee Health Management, Baptist Health South Florida , Miami, Florida.
authors.forename: Virginia
authors.initials: V
authors.lastname: Lehn
authors.affiliation: 6 Employee Health Management, Baptist Health South Florida , Miami, Florida.
authors.forename: Shoshana
authors.initials: S
authors.lastname: Sherriff
authors.affiliation: 8 Center for Performance Excellence , Baptist Health South Florida, Miami, Florida.
authors.forename: Thinh
authors.initials: T
authors.lastname: Tran
authors.affiliation: 9 Department of Surgery, Baptist Hospital of Miami , Miami, Florida.|10 Department of Surgery, Herbert Wertheim College of Medicine, Florida International University , Miami, Florida.
authors.forename: Anthony
authors.initials: A
authors.lastname: Gonzalez
authors.affiliation: 11 Section of Cardiology, Department of Medicine, Baylor College of Medicine , Houston, Texas.
authors.forename: Salim
authors.initials: S
authors.lastname: Virani
authors.affiliation: 1 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.|12 Department of Medicine, Herbert Wertheim College of Medicine, Florida International University , Miami, Florida.
authors.forename: Theodore
authors.initials: T
authors.lastname: Feldman
authors.affiliation: 1 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.|12 Department of Medicine, Herbert Wertheim College of Medicine, Florida International University , Miami, Florida.
authors.forename: Arthur S
authors.initials: AS
authors.lastname: Agatston
authors.affiliation: 1 Center for Healthcare Advancement and Outcomes , Baptist Health South Florida, Miami, Florida.|2 Department of Epidemiology, Robert Stempel College of Public Health, Florida International University , Miami, Florida.|12 Department of Medicine, Herbert Wertheim College of Medicine, Florida International University , Miami, Florida.|13 Miami Cardiac and Vascular Institute , Baptist Health South Florida, Miami, Florida.|14 The Johns Hopkins Ciccarone Center for the Prevention of Heart Disease , Baltimore, Maryland.
authors.forename: Khurram
authors.initials: K
authors.lastname: Nasir
mesh_terms: D000328:Adult; D050110:Bariatric Surgery; D005260:Female; D006293:Health Promotion / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000517:prevention & control*; D015397:Program Evaluation; D040242:Risk Reduction Behavior; D017132:Workplace