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iConcept Journal of Emerging Issues in Medical Diagnosis and Treatment
Title
iConcept Journal of Emerging Issues in Medical Diagnosis and Treatment
Editor
Eugenia Giannopoulou
ISSN
2309-3528
Publisher
iConcept Press

iConcept Journal of Emerging Issues in Medical Diagnosis and Treatment

The Impact on Cardiovascular Risk Factors after Incentivizing Healthy Employees During 2009-2012 in a Pediatric Hospital Wellness Program

by Lilly Ramphal Naley, Jun Zhang and Sumihiro Suzuki

Volume: 2 (2013); Issue: 10

Abstract

We analyzed the wellness data of 7,684 participants from 2009 to 2012 for the prevalence of the metabolic syndrome (MS) in order to measure whether the Hospital Wellness Program was having any impact on decreasing cardiovascular risk. The employees were 89% female, average age 39 years, 11% were male,average age 42 years. Data that meet the criteria for the MS were collected for four years and analyzed according to the International Diabetes Federation ( IDF) criteria. Variables included waist circumference, fasting glucose, triglyceride, high density lipoprotein (HDL), systolic and diastolic blood pressure (SBP and DBP). Four or more of these were required on two consecutive years for employees to be reimbursed a monetary award on an annual basis. MS is defined by a complex set of measures that represent cardiovascular risks. Each year these indicators were measured by a vendor, then employees were referred to their primary care physician to improve their cardiovascular risk factors on a voluntary basis until the following year. No other intervention was attempted. The monetary incentive provided motivation to reduce risk. The MS is a well known measure of disease risk. However to our knowledge, it has never been used as a measure of risk reduction towards wellness. The purpose of this study is to measure the MS in the employee base as an index of improvement or no improvement in risk over a period of four years, as measured by the IDF criteria among the employees of the hospital.

Author Details

Lilly Ramphal Naley
Occupational Health Department, Cook Children’s Hospital, Fort Worth Texas, USA
Jun Zhang
Department of Biostatistics, University of North Texas, USA, USA
Sumihiro Suzuki
Department of Biostatistics, University of North Texas, USA, USA

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