title: High Stress and Negative Health Behaviors: A Five-Year Wellness Center Member Cohort Study.
abstract: The aim of this study was to examine the association between having a high stress level and health behaviors in employees of an academic medical center.
  
  
  
  Beginning January 1, 2009, through December 31, 2013, an annual survey was completed by 676 worksite wellness members.
  
  
  
  Each year, about one-sixth of members had a high stress level, high stress individuals visited the wellness center less often, and most years there was a significant relationship (P < 0.05) between stress level and poor physical health behaviors (physical activity level and confidence, strength, climbing stairs), low mental health (quality of life, support, spiritual well-being and fatigue), poor nutritional habits (habits and confidence), and lower perceived overall health.
  
  
  
  High stress is associated with negative health behavior, and future studies, therefore, should explore strategies to effectively engage high stress employees into comprehensive wellness programs.
authors.affiliation: Department of Psychiatry and Psychology (Drs Clark, Vickers Douglas); Division of Biomedical Statistics and Informatics, Department of Health Sciences Research (Ms Jenkins); Division of Preventive, Occupational, and Aerospace Medicine, Department of Internal Medicine (Ms Hagen); Dan Abraham Healthy Living Center, Mayo Clinic, Rochester (Ms Riley, Ms Eriksen, Ms Heath, Ms Werneburg, Dr Olsen); StayWell, St. Paul (Ms Eriksen); Division of Cardiovascular Diseases (Dr Lopez-Jimenez); Division of General Internal Medicine (Dr Sood); Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine (Dr Benzo); and Department of Otorhinolaryngology, Mayo Clinic, Rochester, Minnesota (Dr Olsen).
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Clark
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Jenkins
authors.forename: Philip T
authors.initials: PT
authors.lastname: Hagen
authors.forename: Beth A
authors.initials: BA
authors.lastname: Riley
authors.forename: Caleigh A
authors.initials: CA
authors.lastname: Eriksen
authors.forename: Amy L
authors.initials: AL
authors.lastname: Heath
authors.forename: Kristin S
authors.initials: KS
authors.lastname: Vickers Douglas
authors.forename: Brooke L
authors.initials: BL
authors.lastname: Werneburg
authors.forename: Francisco
authors.initials: F
authors.lastname: Lopez-Jimenez
authors.forename: Amit
authors.initials: A
authors.lastname: Sood
authors.forename: Roberto P
authors.initials: RP
authors.lastname: Benzo
authors.forename: Kerry D
authors.initials: KD
authors.lastname: Olsen
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D020446:Fitness Centers; D015438:Health Behavior; D006293:Health Promotion; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D013315:Stress, Psychological / Q000453:epidemiology*