A 30-month worksite-based lifestyle program to promote cardiovascular health in middle-aged bank employees: Design of the TANSNIP-PESA randomized controlled trial

Am Heart J. 2017 Feb:184:121-132. doi: 10.1016/j.ahj.2016.11.002. Epub 2016 Nov 10.

Abstract

Background: Cardiovascular disease (CVD) is the leading cause of death worldwide. With atherosclerosis as the underlying cause for many CVD events, prevention or reduction of subclinical atherosclerotic plaque burden (SAPB) through a healthier lifestyle may have substantial public health benefits.

Objective: The objective was to describe the protocol of a randomized controlled trial investigating the effectiveness of a 30-month worksite-based lifestyle program aimed to promote cardiovascular health in participants having a high or a low degree of SAPB compared with standard care.

Methods: We will conduct a randomized controlled trial including middle-aged bank employees from the Progression of Early Subclinical Atherosclerosis cohort, stratified by SAPB (high SAPB n=260, low SAPB n=590). Within each stratum, participants will be randomized 1:1 to receive a lifestyle program or standard care. The program consists of 3 elements: (a) 12 personalized lifestyle counseling sessions using Motivational Interviewing over a 30-month period, (b) a wrist-worn physical activity tracker, and (c) a sit-stand workstation. Primary outcome measure is a composite score of blood pressure, physical activity, sedentary time, body weight, diet, and smoking (ie, adapted Fuster-BEWAT score) measured at baseline and at 1-, 2-, and 3-year follow-up.

Conclusions: The study will provide insights into the effectiveness of a 30-month worksite-based lifestyle program to promote cardiovascular health compared with standard care in participants with a high or low degree of SAPB.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Atherosclerosis / prevention & control*
  • Blood Pressure
  • Body Weight
  • Cardiovascular Diseases / prevention & control*
  • Diet
  • Exercise
  • Female
  • Fitness Trackers*
  • Health Promotion / methods*
  • Humans
  • Life Style
  • Male
  • Middle Aged
  • Motivational Interviewing*
  • Occupational Health Services / methods*
  • Posture
  • Risk Reduction Behavior*
  • Sedentary Behavior
  • Smoking
  • Smoking Cessation
  • Treatment Outcome
  • Workplace