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. 2007 Nov;15 Suppl 1(Suppl 1):16S-26S.
doi: 10.1038/oby.2007.384.

Work, Weight, and Wellness: the 3W Program: a worksite obesity prevention and intervention trial

Andrew E Williams  1 , Thomas M Vogt, Victor J Stevens, Cheryl A Albright, Claudio R Nigg, Richard T Meenan, Melissa L Finucane
Affiliations

Work, Weight, and Wellness: the 3W Program: a worksite obesity prevention and intervention trial

Andrew E Williams et al. Obesity (Silver Spring). 2007 Nov.

Abstract

Objective: In this paper, we describe the aims, intervention, and design of the Work, Weight, and Wellness program, a group-randomized worksite obesity prevention and intervention trial being conducted at 31 hotels with 11,559 employees on the island of Oahu in Hawaii. We report baseline prevalence of overweight and obesity, and the distribution of BMI (kilograms per meter squared) across sex, race, and job categories. We also describe factors that have influenced intervention adoption and employee participation.

Research methods and procedures: The study's primary outcome is change in BMI among hotel employees over a 2-year intervention period. The intervention includes environmental and group components that target diet, physical activity, and weight management.

Results: Men, Pacific Islanders, and individuals employed in managerial or facility maintenance roles had higher prevalence of obesity and higher mean BMI than women and individuals from other races or in other occupational categories.

Discussion: These results may be helpful in guiding choices about the adoption or design of future worksite and community interventions addressing at-risk ethnically diverse populations and are especially relevant to the hotel industry and similar industries.

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Figures

Figure 1
Figure 1
Obesity prevalence in Hawaii and U.S. obesity; BMI >30. Data are from the Behavioral Risk Factors Surveillance System (1). 1997 Data are interpolated.
Figure 2
Figure 2
Design of 3W study.
Figure 3
Figure 3
Prevalence of obesity and overweight by sex on the left y axis. Mean (95% CI) BMI, and the BMI SD by sex on the right y axis. Obese, BMI >30; overweight, BMI = 25 to 30; UCL, upper confidence limit; LCL, lower confidence limit.
Figure 4
Figure 4
Prevalence of obesity and overweight by sex within job category on the left y axis. Mean baseline BMI (95% CI) by sex within job category on the right y axis. Excludes other job category.
Figure 5
Figure 5
Mean (95% CI) BMI by race within job category on the left y axis. Percentage race within job category on the right y axis. White, light-gray, and dark-gray regions mark BMI <25, overweight, and obese, respectively. Excludes other race and job category.
Figure 6
Figure 6
BMI density and prevalence of obesity and overweight by race and sex. OW, overweight. White, light-gray, and dark-gray regions mark normal weight (BMI <25), overweight (BMI = 25 to 30), and obese (BMI >30), respectively. Excludes other race category.
See this image and copyright information in PMC

References

    1. Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System Survey Data. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2005.
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