Abstract P034: Assessing and Managing Abdominal Adiposity and Cardiorespiratory Fitness at the Workplace : Results from the “Grand Défi Entreprise”
Introduction: Chronic metabolic diseases such as type 2 diabetes, hypertension and other cardiovascular diseases are highly prevalent conditions in large companies. Such disorders have huge financial consequences related to absenteeism, health costs and lost productivity. These costly chronic diseases are largely related lifestyle diseases. However, most companies have adopted disease management programs based on the evaluation of traditional risk factors rather than preventive approaches also considering the assessment of important markers of behaviours such as waist circumference (as a marker of abdominal adiposity) and cardiorespiratory fitness (as a marker of vigorous physical activities).
Hypothesis: We tested the hypothesis that assessment of waist circumference and of cardiorespiratory fitness is important in order to make them key targets of preventive approaches designed to reduce cardiometabolic risk of workforce.
Method: Four companies (492 men and 146 women) were involved in a pilot project of the « Grand Défi Entreprise » (Great Corporate Challenge). The challenge was conducted within each company and involved a 3-month friendly in-house competition among teams of five employees to favour peer support in the adoption of healthier lifestyle habits (Eat better, Move more and Quit smoking). For that purpose, the participating companies offered a free and comprehensive cardiometabolic and cardiorespiratory health assessment provided by a mobile risk assessment unit before and after the contest (medical history, lifestyle habit questionnaire including nutritional quality and physical activity level, resting blood pressure, anthropometric measurements including waist circumference, lipid profile, cardiorespiratory fitness assessed by a submaximal treadmill test, etc.).
Results: After the 3-month contest, waist circumference was significantly reduced (-4.4 3.9cm, p 0.0001) and cardiorespiratory fitness improved as indicated by a significantly reduced heart rate assessed at a standardized submaximal workload (-4 10 bpm, p 0.0001). The prevalence of undiagnosed Stage 1 and 2 hypertension was high (25%) and was reduced by half following the intervention. Prevalence of hypertriglyceridemic waist, a marker of high-risk visceral obesity, decreased by 30%.
Conclusion: Results of this Grand Défi Entreprise pilot study show the added value of measuring and targeting waist circumference and cardiorespiratory fitness to reduce cardiometabolic risk at the workplace. Results also suggest that putting in place an “ecosystem” within the company favouring mobilization of employees based on peer support may represent a relevant approach to promote the adoption of healthier lifestyle habits.
- © 2013 by American Heart Association, Inc.