0
February 21, 1986, Vol 255, No. 7 >
ARTICLE | February 21, 1986

A Public Health Intervention Model for Work-Site Health Promotion: Title and subTitle BreakImpact on Exercise and Physical Fitness in a Health Promotion Plan After 24 Months FREE

Steven N. Blair, PED; Philip V. Piserchia, MS; Curtis S. Wilbur, PhD; James H. Crowder, MPH
[+] Author Affiliations

Reprint requests to Institute for Aerobics Research, 12200 Preston Road, Dallas, TX 75230 (Dr Blair).


JAMA. 1986;255(7):921-926. doi:10.1001/jama.1986.03370070075029
Text Size: A A A
Published online
Article
References

We need effective ways of getting adults to exercise if we are to meet the Surgeon General's 1990 health goals for the nation. This study reports a comprehensive effort to evaluate the sustained effect of a public health intervention model to achieve these health goals. Employees at four companies (N=2,600) were exposed to a health promotion program, while employees at three comparison companies (N=1,700) were offered an annual health screen. Daily energy expenditure in vigorous activity increased 104% among employees at companies offering the health promotion program, compared with a 33% increase among employees at comparison companies. Changes in exercise habits were corroborated by estimates of maximal oxygen uptake. Exercise and physical fitness improvements were distributed throughout the work force. Meaningful population changes in exercise and physical fitness can be produced at the work site and are of a magnitude that makes it possible to meet the 1990 goals for exercise and physical fitness.

(JAMA 1986;255:921-926)

REFERENCES

1 +
Promoting Health/Preventing Disease: Objectives for the Nation . Public Health Service, 1980;.
2 +
 Promoting health/preventing disease: Public Health Service implementation plans for attaining the objectives for the nation . Public Health Rep 1983;;98( (September) -October suppl):155-167.
3 +
Stephens T, Jacobs DR Jr, White CC:  A descriptive epidemiology of exercise . Public Health Rep 1985;;100:147-158.
4 +
The Perrier Study: Fitness in America . New York, Perrier-Great Waters of France Inc, 1979;.
5 +
Haskell WL, Blair SN:  The physical activity component of health promotion in occupational settings . Public Health Rep 1980;;95:109-118.
6 +
Pate RR, Blair SN:  Physical fitness programming for health promotion at the worksite . Prev Med 1983;;12:632-643.
7 +
Iverson DC, Fielding JE, Crow RS, et al:  The promotion of physical activity in the U.S. population: The status of programs in medical, worksite, community and school settings . Public Health Rep 1985;;100:212-224.
8 +
Blair SN, Collingwood TR, Reynolds R, et al:  Health promotion for educations: Impact on health behaviors, satisfaction, and general well-being . Am J Public Health 1984;;74:147-149.
9 +
Cox M, Shepherd RM, Corey P:  Influence of an employee fitness program upon fitness, productivity and absenteeism . Ergonomics 1981;; 24:795-806.
10 +
Pauly J, Palmer J, Wright CC, et al:  The effect of a 14-week employee fitness program on selected physiological and psychological parameters . J Occup Med 1982;;24:457-463.
11 +
Wilbur CS:  The Johnson & Johnson program . Prev Med 1983;;12:672-681.
12 +
Settergren SK, Wilbur CS, Hartwell TD, et al:  Comparison of respondents and nonrespondents to a worksite health screen . J Occup Med 1983;;25:475-480.
13 +
Blair SN:  How to assess exercise habits and physical fitness , in Matarazzo JD, Weiss SM, Herd JA, et al (eds): Behavioral Health: A Handbook of Health Enhancements and Disease Prevention . New York, John Wiley & Sons Inc, 1984;, pp 424-447.
14 +
LaPorte RE, Montoye HJ, Caspersen CJ:  Assessment of physical activity in epidemiologic research: Problems and prospects . Public Health Rep 1985;;100:131-146.
15 +
American College of Sports Medicine:  Position statement on the recommended quantity and quality of exercise for developing and maintaining fitness in healthy adults . Med Sci Sports Exerc 1978;;10:VII-X.
16 +
Blair SN, Haskell WL, Ho P, et al:  Assessment of habitual physical activity by a seven-day recall in a community survey and controlled experiments . Am J Epidemiol 1985;;122:794-804.
17 +
Taylor CB, Coffey T, Berra K, et al:  Seven-day activity and self-report compared to a direct measure of physical activity . Am J Epidemiol 1984;;120:818-824.
18 +
Sallis JF, Haskell WL, Wood PD, et al:  Physical activity assessment methodology in the Five City Project . Am J Epidemiol 1985;;121:91-106.
19 +
Helwig JT, Council KA (eds): SAS User's Guide: 1979 Edition . Raleigh, NC, SAS Institute, 1979;.
20 +
Wood PD, Haskell WL, Blair SN, et al:  Increased exercise level and plasma lipoprotein concentrations: A one-year randomized, controlled study in sedentary, middle-aged men . Metabolism 1983;;32:31-39.
21 +
Meyer AJ, Nash JD, McAlister AL, et al:  Skills training in a cardiovascular health education campaign . J Consult Clin Psychol 1980;; 48:129-142.
22 +
Sedgwick AW, Brotherhood JR, Harris-Davidson A, et al:  Long term effects of physical training programme on risk factors for coronary heart disease in otherwise sedentary men . Br J Med 1980;;2:7-10.
23 +
Oldridge NB:  Compliance and exercise in primary and secondary prevention of coronary heart disease: A review . Prev Med 1982;;11:56-70.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Promoting Health/Preventing Disease: Objectives for the Nation . Public Health Service, 1980;.
2 +
 Promoting health/preventing disease: Public Health Service implementation plans for attaining the objectives for the nation . Public Health Rep 1983;;98( (September) -October suppl):155-167.
3 +
Stephens T, Jacobs DR Jr, White CC:  A descriptive epidemiology of exercise . Public Health Rep 1985;;100:147-158.
4 +
The Perrier Study: Fitness in America . New York, Perrier-Great Waters of France Inc, 1979;.
5 +
Haskell WL, Blair SN:  The physical activity component of health promotion in occupational settings . Public Health Rep 1980;;95:109-118.
6 +
Pate RR, Blair SN:  Physical fitness programming for health promotion at the worksite . Prev Med 1983;;12:632-643.
7 +
Iverson DC, Fielding JE, Crow RS, et al:  The promotion of physical activity in the U.S. population: The status of programs in medical, worksite, community and school settings . Public Health Rep 1985;;100:212-224.
8 +
Blair SN, Collingwood TR, Reynolds R, et al:  Health promotion for educations: Impact on health behaviors, satisfaction, and general well-being . Am J Public Health 1984;;74:147-149.
9 +
Cox M, Shepherd RM, Corey P:  Influence of an employee fitness program upon fitness, productivity and absenteeism . Ergonomics 1981;; 24:795-806.
10 +
Pauly J, Palmer J, Wright CC, et al:  The effect of a 14-week employee fitness program on selected physiological and psychological parameters . J Occup Med 1982;;24:457-463.
11 +
Wilbur CS:  The Johnson & Johnson program . Prev Med 1983;;12:672-681.
12 +
Settergren SK, Wilbur CS, Hartwell TD, et al:  Comparison of respondents and nonrespondents to a worksite health screen . J Occup Med 1983;;25:475-480.
13 +
Blair SN:  How to assess exercise habits and physical fitness , in Matarazzo JD, Weiss SM, Herd JA, et al (eds): Behavioral Health: A Handbook of Health Enhancements and Disease Prevention . New York, John Wiley & Sons Inc, 1984;, pp 424-447.
14 +
LaPorte RE, Montoye HJ, Caspersen CJ:  Assessment of physical activity in epidemiologic research: Problems and prospects . Public Health Rep 1985;;100:131-146.
15 +
American College of Sports Medicine:  Position statement on the recommended quantity and quality of exercise for developing and maintaining fitness in healthy adults . Med Sci Sports Exerc 1978;;10:VII-X.
16 +
Blair SN, Haskell WL, Ho P, et al:  Assessment of habitual physical activity by a seven-day recall in a community survey and controlled experiments . Am J Epidemiol 1985;;122:794-804.
17 +
Taylor CB, Coffey T, Berra K, et al:  Seven-day activity and self-report compared to a direct measure of physical activity . Am J Epidemiol 1984;;120:818-824.
18 +
Sallis JF, Haskell WL, Wood PD, et al:  Physical activity assessment methodology in the Five City Project . Am J Epidemiol 1985;;121:91-106.
19 +
Helwig JT, Council KA (eds): SAS User's Guide: 1979 Edition . Raleigh, NC, SAS Institute, 1979;.
20 +
Wood PD, Haskell WL, Blair SN, et al:  Increased exercise level and plasma lipoprotein concentrations: A one-year randomized, controlled study in sedentary, middle-aged men . Metabolism 1983;;32:31-39.
21 +
Meyer AJ, Nash JD, McAlister AL, et al:  Skills training in a cardiovascular health education campaign . J Consult Clin Psychol 1980;; 48:129-142.
22 +
Sedgwick AW, Brotherhood JR, Harris-Davidson A, et al:  Long term effects of physical training programme on risk factors for coronary heart disease in otherwise sedentary men . Br J Med 1980;;2:7-10.
23 +
Oldridge NB:  Compliance and exercise in primary and secondary prevention of coronary heart disease: A review . Prev Med 1982;;11:56-70.

Letters

Submit a Letter
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2012 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems