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Effectiveness of a Worksite-Based Lifestyle Intervention on Employees’ Obesity Control and Prevention in China: A Group Randomized Experimental Study

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  • Jingxia Kong

    (Department of Investment and Insurance, Zhejiang Financial College, Hangzhou 310018, China)

  • Ying Chen

    (Department of Social Medicine, Zhejiang University School of Public Health, Hangzhou 310058, China)

  • Yingjing Zheng

    (Department of Social Medicine, Zhejiang University School of Public Health, Hangzhou 310058, China)

  • Lin Zhu

    (Shanghai Health Development Research Centre (Shanghai Medical Information Centre), Shanghai 200031, China)

  • Boyan Chen

    (Department of Social Medicine, Zhejiang University School of Public Health, Hangzhou 310058, China)

  • Xiao Cheng

    (Department of Social Medicine, Zhejiang University School of Public Health, Hangzhou 310058, China)

  • Mengna Song

    (Department of Social Medicine, Zhejiang University School of Public Health, Hangzhou 310058, China)

  • Donald L. Patrick

    (Department of Health Systems and Population Health, University of Washington, Seattle, WA 98195, USA)

  • Shirley A. A. Beresford

    (Department of Epidemiology, University of Washington, Seattle, WA 98195, USA)

  • Hongmei Wang

    (Department of Social Medicine, Zhejiang University School of Public Health, Hangzhou 310058, China)

Abstract

Background : This study was to culturally adapt a lifestyle intervention for employees’ obesity control and prevention using a participatory process, and evaluate the effectiveness of the project at worksites. Methods : A group randomized experimental study included four worksites (two intervention, two control) in the Yangtze River Delta in China was conducted. A total of 388 participants (216 in the intervention worksites and 172 in the control worksites) were finally recruited from 955 employees at the four worksites (464 in the intervention worksites and 491 in the control worksites). The final evaluation was completed by two hundred and seventy-eight employees (159 in the intervention worksites and 119 in the control worksites, respectively). Data of demographic information, weight, BMI, waist circumference, hip circumference and weight-related behaviors including diary behaviors and physical activities were collected before and after a 12-month intervention and analyzed using descriptive statistics, t -test, chi-square test, linear mixed regression and logistic mixed regression. Results : Although the intervention worksites had a reduction in body mass index (23.21 to 22.95, p < 0.01), hip circumference (95.97 to 95.28, p = 0.03) and waist-to-height ratio (0.49 to 0.48, p = 0.01), the differential changes compared to those of the control group were not statistically significant. The frequency of sweet beverages (−1.81, 95%CI: −0.52, −3.11), frequency of vegetable intake (5.66, 95%CI: 1.59, 9.74), daily servings of vegetables (0.53, 95%CI: 0.24, 0.82), frequency of fruit intake (3.68, 95%CI: 1.25, 6.12), daily servings of fruit (0.26, 95%CI: 0.44, 0.92), daily servings of vegetables and fruit (0.79, 95%CI: 0.43, 1.16), daily steps (863.19, 95%CI: 161.42, 1564.97) and self-efficacy to change physical activity (OR = 1.91, 95%CI: 1.02,3.60) were more improved in the intervention group than were those measures in the control group. Conclusions : The worksite-based lifestyle intervention project for obesity control and prevention improved several employees’ dietary behaviors and physical activities at worksites in China in a short time. Long-term intervention with larger samples in more worksites should be further examined.

Suggested Citation

  • Jingxia Kong & Ying Chen & Yingjing Zheng & Lin Zhu & Boyan Chen & Xiao Cheng & Mengna Song & Donald L. Patrick & Shirley A. A. Beresford & Hongmei Wang, 2022. "Effectiveness of a Worksite-Based Lifestyle Intervention on Employees’ Obesity Control and Prevention in China: A Group Randomized Experimental Study," IJERPH, MDPI, vol. 19(11), pages 1-16, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:11:p:6738-:d:829140
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    References listed on IDEAS

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    4. Cornwall, Andrea & Jewkes, Rachel, 1995. "What is participatory research?," Social Science & Medicine, Elsevier, vol. 41(12), pages 1667-1676, December.
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