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Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa

BACKGROUND: Globally 71% of deaths are attributed to non-communicable diseases (NCD). The workplace is an opportune setting for health promotion programs and interventions that aim to prevent NCDs. However, much of the current evidence is from high-income countries. OBJECTIVE: The aim of this study...

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Autores principales: Schouw, Darcelle, Mash, Robert, Kolbe-Alexander, Tracy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7594846/
https://www.ncbi.nlm.nih.gov/pubmed/33076762
http://dx.doi.org/10.1080/16549716.2020.1827363
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author Schouw, Darcelle
Mash, Robert
Kolbe-Alexander, Tracy
author_facet Schouw, Darcelle
Mash, Robert
Kolbe-Alexander, Tracy
author_sort Schouw, Darcelle
collection PubMed
description BACKGROUND: Globally 71% of deaths are attributed to non-communicable diseases (NCD). The workplace is an opportune setting for health promotion programs and interventions that aim to prevent NCDs. However, much of the current evidence is from high-income countries. OBJECTIVE: The aim of this study was to evaluate changes in NCD risk factors, associated with the Healthy Choices at Work programme (HCWP), at a commercial power plant in South Africa. METHODS: This was a before-and-after study in a randomly selected sample of 156 employees at baseline and 137 employees at 2-years. The HCWP focused on food services, physical activity, health and wellness services and managerial support. Participants completed questionnaires on tobacco smoking, harmful alcohol use, fruit and vegetable intake, physical activity, psychosocial stress and history of NCDs. Clinical measures included blood pressure, total cholesterol, random blood glucose, body mass index, waist circumference and waist-to-hip ratio. The 10-year cardiovascular risk was calculated using a validated algorithm. Sample size calculations evaluated the power of the sample to detect meaningful changes in risk factors RESULTS: Paired data was obtained for 137 employees, the mean age was 42.7 years (SD 9.7) and 64% were male. The prevalence of sufficient fruit and vegetable intake increased from 27% to 64% (p < 0.001), those meeting physical activity guidelines increased from 44% to 65% (p < 0.001). Harmful alcohol use decreased from 21% to 5% (p = 0.001). There were clinical and statistically significant improvements in systolic and diastolic blood pressure (mean difference −10.2 mmHg (95%CI: −7.3 to −13.2); and −3.9 mmHg (95%CI: −1.8 to −5.8); p < 0.001) and total cholesterol (mean difference −0.45 mmol/l (−0.3 to −0.6)). There were no significant improvements in BMI. Psychosocial stress from relationships with colleagues, personal finances, and personal health improved significantly. The cardiovascular risk score decreased by 4.5% (> 0.05). CONCLUSION: The HCWP was associated with clinically significant reductions in behavioural, metabolic and psychosocial risk factors for NCDs.
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spelling pubmed-75948462020-11-10 Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa Schouw, Darcelle Mash, Robert Kolbe-Alexander, Tracy Glob Health Action Original Article BACKGROUND: Globally 71% of deaths are attributed to non-communicable diseases (NCD). The workplace is an opportune setting for health promotion programs and interventions that aim to prevent NCDs. However, much of the current evidence is from high-income countries. OBJECTIVE: The aim of this study was to evaluate changes in NCD risk factors, associated with the Healthy Choices at Work programme (HCWP), at a commercial power plant in South Africa. METHODS: This was a before-and-after study in a randomly selected sample of 156 employees at baseline and 137 employees at 2-years. The HCWP focused on food services, physical activity, health and wellness services and managerial support. Participants completed questionnaires on tobacco smoking, harmful alcohol use, fruit and vegetable intake, physical activity, psychosocial stress and history of NCDs. Clinical measures included blood pressure, total cholesterol, random blood glucose, body mass index, waist circumference and waist-to-hip ratio. The 10-year cardiovascular risk was calculated using a validated algorithm. Sample size calculations evaluated the power of the sample to detect meaningful changes in risk factors RESULTS: Paired data was obtained for 137 employees, the mean age was 42.7 years (SD 9.7) and 64% were male. The prevalence of sufficient fruit and vegetable intake increased from 27% to 64% (p < 0.001), those meeting physical activity guidelines increased from 44% to 65% (p < 0.001). Harmful alcohol use decreased from 21% to 5% (p = 0.001). There were clinical and statistically significant improvements in systolic and diastolic blood pressure (mean difference −10.2 mmHg (95%CI: −7.3 to −13.2); and −3.9 mmHg (95%CI: −1.8 to −5.8); p < 0.001) and total cholesterol (mean difference −0.45 mmol/l (−0.3 to −0.6)). There were no significant improvements in BMI. Psychosocial stress from relationships with colleagues, personal finances, and personal health improved significantly. The cardiovascular risk score decreased by 4.5% (> 0.05). CONCLUSION: The HCWP was associated with clinically significant reductions in behavioural, metabolic and psychosocial risk factors for NCDs. Taylor & Francis 2020-10-20 /pmc/articles/PMC7594846/ /pubmed/33076762 http://dx.doi.org/10.1080/16549716.2020.1827363 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Schouw, Darcelle
Mash, Robert
Kolbe-Alexander, Tracy
Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa
title Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa
title_full Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa
title_fullStr Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa
title_full_unstemmed Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa
title_short Changes in risk factors for non-communicable diseases associated with the ‘Healthy choices at work’ programme, South Africa
title_sort changes in risk factors for non-communicable diseases associated with the ‘healthy choices at work’ programme, south africa
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7594846/
https://www.ncbi.nlm.nih.gov/pubmed/33076762
http://dx.doi.org/10.1080/16549716.2020.1827363
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