Using an online, personalized program reduces cardiovascular risk factor profiles in a motivated, adherent population of participants

R. Jay Widmer, Thomas G. Allison, Brendie Keane, Anthony Dallas, Lilach O Lerman, Amir Lerman

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background Cardiovascular disease (CVD) is the leading cause of morbidity, mortality, and cost in Western society. Employer-sponsored work health programs (WHPs) and Web-based portals for monitoring and providing guidance based on participants' health risk assessments are emerging, yet online technologies to improve CVD health in the workplace are relatively unproven. We hypothesized that an online WHP, comprehensively addressing multiple facets of CVD, can be successfully implemented and improve the health of participants. Methods A cohort of employees in Tennessee (n = 1,602) was subjected to a health risk assessment at baseline. Those who did not meet all 5 healthy benchmarks (n = 836) - body mass index, blood pressure, glucose, total cholesterol, and smoking status - were prospectively assigned to a Web-based personal health assistant and had repeat measurements taken at 90 days. Results Of those who both completed the personal health assistant program and underwent baseline plus 90-day assessments (508/836, 61%), 75% were female, mean age was 46.5 ± 11.1 years, and the mean number of risk factors at baseline was 1.1 ± 0.9 with a mean 10-year Framingham Risk Score of 2.9%. This cohort demonstrated a significant reduction in total cholesterol (P <.0001), low-density lipoprotein cholesterol (P <.0001), triglycerides (P <.0001), systolic blood pressure (P =.009), glucose (P =.004), weight (P =.001), and body mass index (P =.001). Most of the participants improved at least 1 risk factor. Framingham Risk 10-year cardiovascular risk percentages were significantly reduced (P =.003). Conclusions This study in a prospective cohort of community-dwelling employees suggests that an online WHP can provide a viable means to improve surrogates of CVD risk factors.

Original languageEnglish (US)
Pages (from-to)93-100
Number of pages8
JournalAmerican Heart Journal
Volume167
Issue number1
DOIs
StatePublished - Jan 2014

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Health
Population
Cardiovascular Diseases
Blood Pressure
Body Mass Index
Cholesterol
Independent Living
Benchmarking
Workplace
LDL Cholesterol
Blood Glucose
Triglycerides
Smoking
Technology
Morbidity
Weights and Measures
Costs and Cost Analysis
Glucose
Mortality

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Using an online, personalized program reduces cardiovascular risk factor profiles in a motivated, adherent population of participants. / Widmer, R. Jay; Allison, Thomas G.; Keane, Brendie; Dallas, Anthony; Lerman, Lilach O; Lerman, Amir.

In: American Heart Journal, Vol. 167, No. 1, 01.2014, p. 93-100.

Research output: Contribution to journalArticle

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