The Association of Employee Engagement at Work With Health Risks and Presenteeism.

Introduction: Employee engagement is a key factor in work performance and employee retention. The current study seeks to examine the relationship between employee engagement and health risks and productivity.

Methods: In 2012, employees of a global financial services corporation participated in a health risk appraisal (HRA) which measured employee engagement, health risks, and on-the-job productivity loss (presenteeism).

Association Between Employee Dental Claims, Health Risks, Workplace Productivity, and Preventive Services Compliance.

Objective: This study examined differences in health risks and workplace outcomes among employees who utilized preventive dental services compared with other employees.

Methods: A retrospective observational study of employees of a large financial services corporation, with data from health risk appraisal questionnaires, medical claims, pharmacy claims, and dental claims.

Results: Employees with no dental claims were significantly more likely to have a variety of health risk factors (such as obesity and tobacco use), health conditions (such as diabetes), absenteeism, and lost on-the-job productivity, and were significantly less likely to be compliant with clinical preventive services compared with those with preventive dental claims.

Association Between Employee Sleep With Workplace Health and Economic Outcomes.

Objective: Poor sleep can impact occupational functioning. The current study examines health risks, medical conditions, and workplace economic outcomes associated with self-reported hours of sleep among employees.

Methods: Employees of a global financial services corporation were categorized on the basis of their self-reported average hours of sleep.

Evaluation of a Workplace-Based Sleep Education Program.

Introduction: Poor sleep is common among working adults. Chronic sleep deprivation is associated with health problems. A healthy sleep educational program (using webinars and other intranet-based resources) was offered to employees of a financial services corporation.

Evaluation of a Workplace-Based Migraine Education Program.

Objective: Migraine affects approximately 10% of working-age adults and is associated with increased health care costs, absenteeism, and presenteeism in the workplace. A migraine education program was offered to United States employees of a global financial services organization.

Methods: Two hundred forty three employees (46% response rate) completed both a baseline and 6-month follow-up migraine questionnaire.

The Portion of Health Care Costs Associated With Lifestyle-Related Modifiable Health Risks Based on a Sample of 223,461 Employees in Seven Industries: The UM-HMRC Study.

Objective: This study estimates the percent of health care costs associated with employees' modifiable health risks.

Methods: Cross-sectional multivariate analysis of 223,461 employees from seven industries who completed a health risk assessment during 2007 to 2012.

Results: Modifiable health risks were associated with 26.

The Future of Health Promotion in the 21st Century: A Focus on the Working Population.

The purpose of this article is to synthesize developments from various disciplines including the medical, wellness, psychology, and sociology fields to shed light on where health promotion is headed in the next 25 years. Lifestyle medicine practitioners will continue to play a large role in helping people achieve the highest levels of wellness, which does not simply mean the absence of disease. New research identifies the important roles of many diverse factors such as relationships, lifestyle behaviors, emotional outlook, positive environment, mind-body connection, use of technology, and work styles, which can help each person achieve the fullness of life, vitality, and flourishing that characterizes a high level of well-being.

A Worksite Occupational Health Clinic-Based Diabetes Mellitus Management Program.

This study is an analysis of a workplace diabetes management program offered to employees of a Fortune 100 financial services corporation located in the United States. The 12-month worksite-based educational program was for employees who were at risk for diabetes, had prediabetes, or were diagnosed with diabetes. This employed population, with health benefits, generally had acceptable control of their diabetes at the start of the program.

The association of self-reported employee physical activity with metabolic syndrome, health care costs, absenteeism, and presenteeism.

Objective: To examine employees' self-reported physical activity and metabolic syndrome (MetS) risks and their association with health-related workplace outcomes.

Methods: Employees participated in a health risk appraisal in 2010. Generalized Linear Modeling was used to test the association between MetS risk factors, physical activity, and the outcome measures while controlling for confounders.

Evaluation of a comprehensive employee wellness program at an organization with a consumer-directed health plan.

Objective: Consumer-directed health plans (CDHPs) are popular among employers in the United States. This study examined an employee wellness program and its association with employee health in an organization that recently initiated a CDHP.

Methods: This retrospective observational analysis compared the health risks, employer-paid health care costs, and short-term disability absences of employees of a large financial services corporation from 2009 to 2010.

The burden and management of dyslipidemia: practical issues.

The objective of this study is to describe briefly the burden of dyslipidemia, and to discuss and present strategies for health professionals to improve dyslipidemia management, based on a review of selected literature focusing on interventions for dyslipidemia treatment adherence. Despite the availability of effective lifestyle and pharmaceutical therapies for dyslipidemias, they continue to present a significant economic burden in the United States. Adherence to evidence-based guidelines for the treatment of dyslipidemias is unsatisfactory.

Multilevel analysis of the physical health perception of employees: community and individual factors.

Purpose: To investigate whether the communities where employees reside are associated with employee perception of overall physical health after adjusting for individual factors.

Design: Retrospective cross-sectional.

Setting: Active employees from a large manufacturing company representing 157 zip code tabulation areas (ZCTAs) in Michigan.

Analysis of the association between metabolic syndrome and disease in a workplace population over time.

Objectives: While research has confirmed an association between metabolic syndrome (MetS) and diseases such as heart disease and diabetes, none of these studies have been conducted in a worksite population. Because corporations are often the primary payer of health-care costs in the United States, they have a vested interest in identifying the magnitude of MetS risk factors in employed populations, and also in knowing if those risk factors are associated with other health risks or medical conditions.

Methods: This study identified the prevalence of MetS risk factors and self-reported disease in employees (N=3285) of a manufacturing corporation who participated in a health risk appraisal and biometric screening in both 2004 and 2006.

The cost and impact of health conditions on presenteeism to employers: a review of the literature.

Employers are becoming concerned with the costs of presenteeism in addition to the healthcare and absenteeism costs that have traditionally been explored. But what is the true impact of health conditions in terms of on-the-job productivity? This article examines the literature to assess the magnitude of presenteeism costs relative to total costs of a variety of health conditions. Searches of MEDLINE, CINAHL and PubMed were conducted in July 2008, with no starting date limitation, using 'presenteeism' or 'work limitations' as keywords.

The association between changes in metabolic syndrome and changes in cost in a workplace population.

Objective: : To determine whether changes in metabolic syndrome (MetS) risks over time are associated with commensurate changes in health care costs, pharmacy costs and short-term disability costs in an employed population.

Methods: : A total of 3270 employees of a Midwestern manufacturing corporation participated in a health risk appraisal, biometric screening and in the company's medical plan in 2004, 2005, and 2006. Changes in their MetS risks over time were compared with changes in costs.

Metabolic syndrome in a workplace: prevalence, co-morbidities, and economic impact.

Background: Although the prevalence of metabolic syndrome has been studied in nationally representative populations, little is known about its prevalence specifically among working adults. Because corporations are often the primary payers of health-care costs in the United States, they have a vested interest in knowing the impact of metabolic syndrome in employed individuals.

Methods: A total of 4188 employees (83.

Effects of an incentive-based online physical activity intervention on health care costs.

Objective: To test whether participation in an incentive-based online physical activity program for employees was associated with a moderation in health care costs.

Methods: Health care claims trends from 2003 to 2005 were analyzed among a matched sample of participants and nonparticipants. Medical and pharmacy costs, hospital inpatient costs, and emergency room costs were examined.

Effectiveness of an incentive-based online physical activity intervention on employee health status.

Objective: The objective of this study was to test whether a financial incentive integrated with health benefits for an online physical activity program was associated with increased employee participation and improved health status among participants compared with nonparticipants.

Methods: Participation in the Virtual Fitness Center (VFC), an online physical activity program associated with a 150 dollars cash rebate, was assessed. Risk status for 2004 VFC participants and nonparticipants was compared using a health risk appraisal.

Participation in employer-sponsored wellness programs before and after retirement.

Objectives: To evaluate wellness program participation before and after retirement.

Methods: This retrospective cohort design compares 3 groups of employees: 1998-1999 retirees (N=6065), 1994-1995 retirees (N=5862), and 21,176 employees who were still active as of 2002. Participation was compared over 2 time periods for high-intensity and low-intensity programs.

Influence of participation in a worksite health-promotion program on disability days.

This study assessed the impact of health-promotion program participation on short-term and long-term disability absence days during a 6-year period in a manufacturing company. Male, hourly, active employees (n = 4189) were analyzed from 1995 to 2000. Disability absences were compared for program participants and nonparticipants from baseline (1995) through 5 years of the program.

The costs of body mass index levels in an employed population.

We studied 3,066 First Chicago NBD employees by using health risk appraisals and personnel data to determine the direct and indirect costs (in 1996 dollars) associated with varying levels of body mass index (BMI). The BMI is the most widely used measure of weight adjusted by height. We found that as BMI increases, so do the number of sick days, medical claims and health care costs and that the mean annual health care costs for the BMI "at risk" population (men with a BMI of > or = 27.