Four Worksite Weight Loss Programs With High-stress Occupations Using a Meal Replacement Product

Winick C, et al. Occup Med. 2002;52:25-30.

Objective

To evaluate the efficacy of worksite weight reduction programs at high-stress worksites.

Methods

Volunteers from 4 high-stress occupations (New York City police, n=286; Connecticut firefighters, n=31; hospital professionals in Florida, n=150; and pilots and flight attendants based at Newark International Airport in New Jersey, n=25) were enrolled in a 12-week weight loss program which utilized 2 meal replacements (MR, Slim·Fast) and a sensible daily meal. Each participant received a package containing 14 portion-controlled sachets to be reconstituted with skim milk and 12 snack bars every week. Participants were instructed in the use of the MR program and the preparation of a sensible meal (~500 kcal). Caloric recommendations over the 12-week period were approximately 1200 kcal/d.

Results

Weight Loss and Body Mass Index (BMI) change males had a significantly greater weight loss (P<0.006) than females. The program was well accepted with an 80% retention rate.



Occupation

Mean Weight Loss in kg (lb)

Mean BMI Loss





Police
  Male
  Female


8.62 ± 5.30 (18.9 ± 11.6)
6.81 ± 4.40 (14.9 ± 8.8)


2.61
3.02




Healthcare
  Male
  Female


6.37 ± 2.90 (14.0 ± 6.3)
4.35 ± 3.40 (9.6 ± 7.4)


NA
NA

Flight Crew
  Male
  Female


10.48 ± 2.30 (23 ± 4.4)
7.07 ± 3.90 (15.4 ± 8.5)


2.99
2.60

Firefighters
  Male


11.15 ± 4.60 (24.5 ± 10.1)


3.60

NA=BMI data not available.

Conclusion

High-stress occupations/lifestyles make adherence to a weight-management regimen difficult. This study demonstrates that, given the proper tools, individuals are able to lose significant amounts of weight.

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