Work-site cholesterol screening and dietary intervention: The Staff Healthy Heart Project

A. Barratt, R. Reznik, L. Irwig, A. Cuff, J.M. Simpson, B. Oldenburg, J. Horvath and D. Sullivan

American Journal of Public Health, 1994, vol. 84, issue 5, 779-782

Abstract: Objectives. The Staff Healthy Heart Project was established to run a work- site cholesterol screening project and a randomized controlled trial of dietary interventions. Methods. Screening was offered to all staff at six Australian hospitals. Participants with blood cholesterol of 5.2 mmol/L (200 mg/dL) or above were randomly allocated to receive screening only (control group), a self-help package, or a nutrition course. Participants were seen 3 and 6 months after intervention to measure blood cholesterol and dietary changes. Results. Eighty percent of available staff (n = 2638) were screened. Of those eligible, 67% (n = 683) entered the trial. Follow-up measures of blood cholesterol and dietary intake were obtained for 63% and 38% of trial participants, respectively. A reduction in reported dietary fat was found for all groups, but there were no significant differences between groups. Reported dietary fiber rose by 0.6 g/MJ/day for those in the nutrition course. There were no changes in total blood or high-density lipoprotein cholesterol. Conclusions. Cholesterol reduction was not demonstrated, but this result is difficult to interpret given the poor ongoing participation rates. Strategies to improve ongoing participation in work-site projects are needed to achieve adequate assessment of dietary interventions used in cholesterol screening.

Date: 1994
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1994:84:5:779-782_2

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