Impact of Lifestyle Intervention on Lost Productivity and Disability: Improving Control with Activity and Nutrition
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Objective: To evaluate the effectiveness of a lifestyle intervention (LI) in reducing work loss and disability days.
Methods: One year randomized controlled trial of health plan members (n = 147) with type 2 diabetes and obesity. Members were randomized to modest-cost LI or usual care (UC). Outcomes were group differences in cumulative days either missed at work or with disability using Mann-Whitney U-tests and Poisson regression models.
Results: LI reduced the risk of workdays lost by 64.3% (P <or= 0.001) compared to UC (annual accumulation: UC: 3.49 days vs LI: 0.92 days, P = 0.01). LI decreased the risk of disability days by 87.2% (P = 0.0003) compared to UC (annual accumulation: UC: 5.3 days vs LI: 0.94 days, P <or= 0.001). Similar trends were observed among the subset of people with depression.
Conclusion: LIs reduce work loss and disability days associated with diabetes and obesity.
Hewko S Health Serv Insights. 2022; 15:11786329221080039.
PMID: 35221693 PMC: 8874207. DOI: 10.1177/11786329221080039.
Lucini D, Pagani E, Capria F, Galliano M, Marchese M, Cribellati S Int J Environ Res Public Health. 2021; 18(17).
PMID: 34501580 PMC: 8430491. DOI: 10.3390/ijerph18178991.
Beasley J, Sardina P, Johnston E, Ganguzza L, Padikkala J, Bagheri A BMJ Nutr Prev Health. 2020; 3(1):24-30.
PMID: 33235968 PMC: 7664487. DOI: 10.1136/bmjnph-2019-000046.
Sustaining Work Participation Across the Life Course.
Pransky G, Fassier J, Besen E, Blanck P, Ekberg K, Feuerstein M J Occup Rehabil. 2016; 26(4):465-479.
PMID: 27704342 PMC: 5104763. DOI: 10.1007/s10926-016-9670-1.
Virtanen M, Kivimaki M, Zins M, Dray-Spira R, Oksanen T, Ferrie J Diabet Med. 2015; 32(10):1335-41.
PMID: 25916382 PMC: 4975699. DOI: 10.1111/dme.12787.