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Prev Chronic Dis. 2015 Nov 25;12:E210. doi: 10.5888/pcd12.150301.

A Randomized Controlled Trial Translating the Diabetes Prevention Program to a University Worksite, Ohio, 2012-2014.

Author information

1
The Ohio State University, Columbus, Ohio.
2
The Ohio State University, 1787 Neil Ave, 325 Campbell Hall, Columbus, OH 43210. Email: miller.4453@osu.edu.
3
Indiana University School of Medicine, Indianapolis, Indiana.
4
The Ohio State University Health Plan, Inc, Columbus, Ohio.

Abstract

INTRODUCTION:

Working adults spend much time at the workplace, an ideal setting for wellness programs targeting weight loss and disease prevention. Few randomized trials have evaluated the efficacy of worksite diabetes prevention programs. This study evaluated the efficacy of a worksite lifestyle intervention on metabolic and behavioral risk factors compared with usual care.

METHODS:

A pretest-posttest control group design with 3-month follow-up was used. Participants with prediabetes were recruited from a university worksite and randomized to receive a 16-week lifestyle intervention (n = 35) or usual care (n = 34). Participants were evaluated at baseline, postintervention, and 3-month follow-up. Dietary intake was measured by a food frequency questionnaire and level of physical activity by accelerometers. Repeated measures analysis of variance compared the change in outcomes between and within groups.

RESULTS:

Mean (standard error [SE]) weight loss was greater in the intervention (-5.5% [0.6%]) than in the control (-0.4% [0.5%]) group (P < .001) postintervention and was sustained at 3-month follow-up (P < .001). Mean (SE) reductions in fasting glucose were greater in the intervention (-8.6 [1.6] mg/dL) than in the control (-3.7 [1.6] mg/dL) group (P = .02) postintervention; both groups had significant glucose reductions at 3-month follow-up (P < .001). In the intervention group, the intake of total energy and the percentage of energy from all fats, saturated fats, and trans fats decreased, and the intake of dietary fiber increased (all P < .01) postintervention.

CONCLUSION:

The worksite intervention improved metabolic and behavioral risk factors among employees with prediabetes. The long-term impact on diabetes prevention and program sustainability warrant further investigation.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT01682954.

PMID:
26605710
PMCID:
PMC4674443
DOI:
10.5888/pcd12.150301
[Indexed for MEDLINE]
Free PMC Article

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