Repeated annual health risk assessments with intervention did not reduce 10-year cardiovascular disease risk A 4-year longitudinal study in 13,737 financial sector employees

dc.contributor.authorHene, Nceba
dc.contributor.authorWood, Paola Silvia
dc.contributor.authorSchwellnus, Martin Peter
dc.contributor.authorJordaan, Esme
dc.contributor.authorLaubscher, Ria
dc.date.accessioned2022-01-21T09:55:31Z
dc.date.issued2021-10
dc.descriptionThis publication was a requirement for Nceba Hene's PhD degree.en_ZA
dc.description.abstractOBJECTIVE : To determine if repeat annual health risk assessments (RAHRAs) with intervention reduce 10-year cardiovascular disease (CVD) risk in financial sector employees. METHODS : Retrospective analysis from RAHRAs in 13,737 employees over 4 years. We report changes in 10-year FRS for CVD (%) and risk factors after 1 (GR1), 2 (GR2), and 3 (GR 3) RAHRAs. RESULTS : Mean FRS increased with RAHRAs (GR1: +0.4%; GR2: +0.7%; GR3: +0.8%) (P < 0.001) and was higher for GR3 versus GR1 (P < 0.001) and GR2 (pairwise: P < 0.0355). RAHRAs were associated with increased inadequate fruit/vegetable intake (GR1: +5.4%; GR2: +9.8%; GR3: +15.8%) (all pairwise: P < 0.001) and overweight (GR1: +5.4% vs GR2: +9.8%) (P < 0.001) and only hypercholesterolemia decreased (GR1: −4.4% vs GR3: −9.6%) (P < 0.001). CONCLUSION : RAHRAs did not reduce 10-year CVD risk in financial sector employees. Role of RAHRAs in chronic disease management requires further study.en_ZA
dc.description.departmentPhysiologyen_ZA
dc.description.departmentSports Medicineen_ZA
dc.description.embargo2022-10-01
dc.description.librarianhj2022en_ZA
dc.description.sponsorshipOglivy South Africa; IOC Research Center (South Africa) and South African Medical Research Council.en_ZA
dc.description.urihttp://www.joem.orgen_ZA
dc.identifier.citationHene, N., Wood, P., Schwellnus, M. et al. 2021, 'Repeated annual health risk assessments with intervention did not reduce 10-year cardiovascular disease risk A 4-year longitudinal study in 13,737 financial sector employees', Journal of Occupational and Environmental Medicine, vol. 63, no. 10, pp. 881–888.en_ZA
dc.identifier.issn1076-2752 (print)
dc.identifier.issn1536-5948 (online)
dc.identifier.other10.1097/JOM.0000000000002251
dc.identifier.urihttp://hdl.handle.net/2263/83414
dc.language.isoenen_ZA
dc.publisherLippincott Williams and Wilkinsen_ZA
dc.rights© 2020 American College of Occupational and Environmental Medicineen_ZA
dc.subjectCardiovascular disease (CVD)en_ZA
dc.subjectRepeat annual health risk assessment (RAHRA)en_ZA
dc.subjectFinancial sectoren_ZA
dc.subjectEmployeesen_ZA
dc.titleRepeated annual health risk assessments with intervention did not reduce 10-year cardiovascular disease risk A 4-year longitudinal study in 13,737 financial sector employeesen_ZA
dc.typePostprint Articleen_ZA

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