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Occupational Medicine 52:25-30 (2002)
Copyright © 2002 Society of Occupational Medicine

Original Paper

Four worksite weight loss programs with high-stress occupations using a meal replacement product

C. Winick, D. Q. Rothacker and R. L. Norman

Department of Sociology, City University of New York Graduate School, 365 Fifth Avenue, New York, NY 10016
SDA Enterprises, Matawan, NJ
New York State Office of Alcoholism and Substance Abuse Services, New York, NY, USA

Abstract

The objective was to evaluate the efficacy of worksite weight reduction programs at high-stress worksites. We employed a longitudinal study based on two meal replacements daily with subjects choosing a third ‘sensible’ meal. The subjects were 492 healthy, overweight men and women working in high-stress occupations (police, hospital health professionals, flight crew members, firefighters). The mean group ages ranged from 32.17 ± 5.70 to 44.50 ± 16.40 years; the mean group body mass indexes (BMIs) ranged from 27.40 ± 2.54 to 32.90 ± 3.39 kg/m2. The completion rate for the 12 weeks was 79.8%. Reductions in mean weight and mean BMI were greater than in medically supervised clinical trials with non-worksite adults. Firefighters lost the most weight and medical personnel the least. Follow-up found considerable retention of weight loss. Men lost significantly more weight than women (p < 0.006). We conclude that employees in some high-stress settings may participate productively in worksite weight reduction and maintenance programs that use meal replacements.

Keywords      High-stress occupations; meal replacement products; weight loss and maintenance


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