Health risk factor modification predicts incidence of diabetes in an employee population: results of an 8-year longitudinal cohort study

J Occup Environ Med. 2013 Apr;55(4):410-5. doi: 10.1097/JOM.0b013e31827cbaec.

Abstract

Objective: To understand risk factor modification effect on Type 2 diabetes incidence in a workforce population.

Methods: Annual health risk assessment data (N = 3125) in years 1 through 4 were used to predict diabetes development in years 5 through 8.

Results: Employees who reduced their body mass index from 30 or more to less than 30 decreased their chances of developing diabetes (odds ratio = 0.22, 95% confidence interval: 0.05 to 0.93), while those who became obese increased their diabetes risk (odds ratio = 8.85, 95% confidence interval: 2.53 to 31.0).

Conclusions: Weight reduction observed over a long period can result in clinically important reductions in diabetes incidence. Workplace health promotion programs may prevent diabetes among workers by encouraging weight loss and adoption of healthy lifestyle habits.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Confidence Intervals
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetes Mellitus, Type 2 / etiology
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Female
  • Health Behavior
  • Health Promotion / methods
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Obesity / complications
  • Odds Ratio
  • Risk Assessment
  • Risk Factors
  • Risk Reduction Behavior*
  • Sedentary Behavior
  • Tennessee / epidemiology