Promoting health and wellness in the workplace: a unique opportunity to establish primary and extended secondary cardiovascular risk reduction programs

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From: Mayo Clinic Proceedings(Vol. 88, Issue 6)
Publisher: Elsevier, Inc.
Document Type: Article
Length: 8,337 words
Lexile Measure: 2000L

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Abstract

Given the burden of cardiovascular disease (CVD), increasing the prevalence of healthy lifestyle choices is a global imperative. Currently, cardiac rehabilitation programs are a primary way that modifiable risk factors are addressed in the secondary prevention setting after a cardiovascular (CV) event/diagnosis. Even so, there is wide consensus that primary prevention of CVD is an effective and worthwhile pursuit. Moreover, continual engagement with individuals who have already been diagnosed as having CVD would be beneficial. Implementing health and wellness programs in the workplace allows for the opportunity to continually engage a group of individuals with the intent of effecting a positive and sustainable change in lifestyle choices. Current evidence indicates that health and wellness programs in the workplace provide numerous benefits with respect to altering CV risk factor profiles in apparently healthy individuals and in those at high risk for or already diagnosed as having CVD. This review presents the current body of evidence demonstrating the efficacy of worksite health and wellness programs and discusses key considerations for the development and implementation of such programs, whose primary intent is to reduce the incidence and prevalence of CVD and to prevent subsequent CV events. Supporting evidence for this review was obtained from PubMed, with no date limitations, using the following search terms: worksite health and wellness, employee health and wellness, employee health risk assessments, and return on investment. The choice of references to include in this review was based on study quality and relevance.

[c] 2013 Mayo Foundation for Medical Education and Research * Mayo Clin Proc. 2013: 88 (6): 605-617

Given the burden of cardiovascular disease (CVD), (1) increasing the prevalence of healthy lifestyle choices is a global imperative. It is widely recognized that cardiac rehabilitation (CR), a primary method for addressing modifiable cardiovascular (CV) risk factors, is an effective approach to positively altering lifestyle choices/habits. (2-4) Even so, there is wide consensus that primary prevention of CVD, specifically identifying and addressing modifiable risk factors before an initial event, is an effective and worthwhile pursuit. (5) Moreover, continual engagement with individuals who have already been diagnosed as having CVD, ideally after a 12-week traditional CR program, would be beneficial. Given the emergence of the Affordable Care Act legislation (6), (7) and its implications for a paradigm shift in health care delivery, the timing for programmatic creativity directed toward CV risk reduction seems highly appropriate.

Implementing health and wellness programs in the workplace allows for the opportunity to continually engage a group of individuals with the intent of effecting a positive and sustainable change in lifestyle choices. Current evidence indicates that health and wellness programs in the workplace provide numerous benefits with respect to altering CV risk factor profiles in apparently healthy individuals. (8), (9) In addition, for individuals with a CVD diagnosis, worksite health and wellness programs may be the ideal setting to provide long-term care and support after discharge from traditional CR services or may serve as the sole means for providing such services after a CV event....

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Gale Document Number: GALE|A335934632