Worksite Health Promotion: The Value of the Tune Up Your Heart Program
Abstract
Successful wellness initiatives at DaimlerChrysler Canada Incorporated (DCCI) led to a unique partnership between key stakeholders that allowed implementation of Tune Up Your Heart, a program aimed at improving workforce cardiovascular disease (CVD) risk. Volunteers were screened and stratified according to their CVD risk. Interventions were tailored to risk level and included goal setting, monitoring progress, and company-wide education programs. Outcome data (CVD risk and components of risk) were collected at study entry and after 18 months. The economic impact of the program was determined using a model based on subject movement across risk categories and historical claims data for life insurance, short- and long-term disability, prescription drugs, and casual absenteeism. Intervention participants (N = 343) demonstrated a significant ( P = .0113) relative CVD risk reduction of 12.7%; 36% of participants lost weight, and average body mass index decreased from 28.4 to 28.2 ( P = .0419). Average systolic and diastolic blood pressure significantly decreased ( P < .0001 and P = .0221, respectively). Subjects reported increased adherence to recommended exercise and diet regimens, and the number of smokers decreased by 14%. The majority of subjects reported satisfaction with the program. Annual savings were estimated at Can$793 for the intervention group and Can$18,461 when projected to the entire workforce (N = 13,629). Savings were sensitive to cost weighting when subjects moved to a lower risk class but more robust to other parameters. The Tune Up Your Heart program significantly improved employee CVD risk profile, and was associated with savings for DCCI. ( Population Health Management 2009;12:297–304)
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Studies provide relatively consistent evidence that comprehensive worksite wellness programs improve health behaviors and related clinical risk factors.
“In sum, these studies provide relatively consistent evidence that such programs improve health behaviors and related clinical risk factors (Table 6).”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [279]
Comprehensive worksite wellness programs improve diet, including increased consumption of fruits and vegetables and reduced consumption of saturated fat and fatty meats.
“Examples of findings include improved diet (increased consumption of fruits and vegetables, reduced consumption of saturated fat and fatty meats), increased daily activity and walking, reduced smoking (14% reduction), reduced systolic blood pressure (≈7 mm Hg reduction) and body fat (9% reduction), and lower estimated global CVD risk (≈13% reduction).”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [279]
Comprehensive worksite wellness programs lower estimated global CVD risk by ≈13%.
“Examples of findings include improved diet (increased consumption of fruits and vegetables, reduced consumption of saturated fat and fatty meats), increased daily activity and walking, reduced smoking (14% reduction), reduced systolic blood pressure (≈7 mm Hg reduction) and body fat (9% reduction), and lower estimated global CVD risk (≈13% reduction).”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [279]
Comprehensive worksite wellness programs reduce systolic blood pressure by ≈7 mm Hg.
“Examples of findings include improved diet (increased consumption of fruits and vegetables, reduced consumption of saturated fat and fatty meats), increased daily activity and walking, reduced smoking (14% reduction), reduced systolic blood pressure (≈7 mm Hg reduction) and body fat (9% reduction), and lower estimated global CVD risk (≈13% reduction).”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [279]
Comprehensive worksite wellness programs reduce body fat by 9%.
“Examples of findings include improved diet (increased consumption of fruits and vegetables, reduced consumption of saturated fat and fatty meats), increased daily activity and walking, reduced smoking (14% reduction), reduced systolic blood pressure (≈7 mm Hg reduction) and body fat (9% reduction), and lower estimated global CVD risk (≈13% reduction).”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [279]
Comprehensive worksite wellness programs increase daily activity and walking.
“Examples of findings include improved diet (increased consumption of fruits and vegetables, reduced consumption of saturated fat and fatty meats), increased daily activity and walking, reduced smoking (14% reduction), reduced systolic blood pressure (≈7 mm Hg reduction) and body fat (9% reduction), and lower estimated global CVD risk (≈13% reduction).”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [279]
Comprehensive worksite wellness programs reduce smoking by 14%.
“Examples of findings include improved diet (increased consumption of fruits and vegetables, reduced consumption of saturated fat and fatty meats), increased daily activity and walking, reduced smoking (14% reduction), reduced systolic blood pressure (≈7 mm Hg reduction) and body fat (9% reduction), and lower estimated global CVD risk (≈13% reduction).”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [279]
Interventions targeting higher-risk employees appear especially effective.
“Interventions targeting higher-risk employees appear especially effective.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [279]
Limitations of comprehensive worksite wellness program studies include inconsistent methodology across trials, often relatively small sizes (N<400), and short durations of follow-up (typically <6 months, with a few studies having follow-up of 12 to 18 months).
“However, limitations were noted, including inconsistent methodology across trials, often relatively small sizes (N<400), and short durations of follow-up (typically <6 months, with a few studies having a follow-up of 12 to 18 months).”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [279]
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- Authors
- Chung, M., Melnyk, P., Blue, D., Renaud, D., & Breton, M.-C.
- Affiliations
- Pfizer (Canada) (CA)
- BioMedCom Consultants inc.
- Aon Consulting Inc.
- SOLUTIONS in Health Inc.
- Corresponding author
- Breton, Marie-Claude
- Venue
- Population Health Management
- Publisher
- SAGE Publications
- Published
- 2009-12
- Volume
- 12
- Issue
- 6
- Pages
- 297-304
- ISSN
- 1942-7891 (ISSN-L)
- 1942-7905
- OpenAlex
- W1993883142
- Cited by
- 25
- References
- 26
- Citations by year
- 2026: 1 · 2023: 2 · 2019: 1 · 2018: 1 · 2017: 5 · 2016: 1 · 2015: 1 · 2014: 4 · 2013: 3 · 2012: 3
- FWCI
- 3.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Population Health Management (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Pfizer
- Pfizer Canada
- Topics
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- workplace health promotion, cardiovascular risk, employee wellness, cardiovascular risk screening, goal setting, blood pressure reduction, weight loss, smoking cessation
- MeSH terms
- Canada, Cardiovascular Diseases, Female, Health Promotion, Humans, Male, Middle Aged, Program Evaluation, Program Development, Workplace, Risk Reduction Behavior
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