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Biomedical subjects

J E Fielding

Publications and source records attributed to J E Fielding.

At least 73 records · Page 4Linked to original sources
PubMed1983

The description and initial evaluation of an intensive live-in program in risk reduction.

Drawing upon the epidemiological, clinical, and behavioral studies suggesting the importance and feasibility of multidisciplinary efforts to reduce levels of risk variables for cardiovascular and other chronic diseases, a short-term live-in intervention program was developed. The program includes efforts to reduce smoking, weight, blood lipids, blood pressure, and stress through improving habits of exercise, nutrition, weight management, and stress control delivered to individuals with varying levels of health risk based on measurable biochemical and physiological variables and medical history. Major changes occurred during the 24-day program in 459 individuals enrolled in the program: 68% of smokers ceased, average cholesterol fell from 240 to 200 mg%, ideal body weight fell from 134 to 129% (82 to 79 kg), systolic blood pressure (BP) fell from 131 to 119 mm Hg, diastolic BP fell from 81 to 73 mm Hg. and reported feelings of general well-being increased. Greater changes were observed in the high-risk groups. Follow-up results at 1 year (48% of patients reporting) for those defined as high risk were a net decrease of 22 mg% in cholesterol, 7 mm Hg in systolic BP, 6 mm Hg in diastolic BP, and 6.8% of ideal body weight; 45% of those smoking at admission were still not smoking at 1 year (32% reporting). For those at lower risk there was a general return of risk levels toward baseline values.

Adult↗
PubMed1983

Health promotion programs sponsored by California employers.

A survey of California employers with more than 100 employees at one or more sites was undertaken to determine: 1) the nature and extent of health promotion activities; 2) plans for continuation and/or expansion of these activities; 3) plans for initiation of new activities; and 4) the relationship between reported health promotion activities and other characteristics of employers. Of 511 employers with whom interviews were attempted, 49 possible respondents could not be reached and 38 respondents refused to be interviewed, leaving 424 or 83 per cent. Almost one-half of the sites where interviews were conducted had fewer than 200 employees. A total of 332 (78.3 per cent) of employers offered one or more health promotion activities. The most frequent activities provided were accident prevention (64.9 per cent) and CPR (52.8 per cent) with other frequent programs including alcohol/drug abuse (18.6 per cent), mental health counseling (18.4 per cent), stress management (13.0 per cent), fitness (11.6 per cent), hypertension screening (10.1 per cent), and smoking cessation (8.3 per cent). Employers with at least one activity averaged 2.8 activities. The likelihood of having health promotion activities increased with company size. Establishment of new programs appeared to accelerate rapidly in recent years.

California↗
PubMed1982

Effectiveness of employee health improvement programs.

Evidence of health effects, cost-effectiveness and cost-benefit of smoking cessation, hypertension control, physical fitness and weight management programs are reviewed. For hypertension control programs, health-effectiveness has been established both in community and worksite settings. Smoking cessation programs in clinical settings achieve six to 12-month abstinence of usually 15% to 30%, but occasionally 40% to 60%. Smoking cessation groups are probably cost-beneficial and, assuming average program costs and sustained quit rates, should be able to successfully compete for employer investment dollars with respect to return on investment. One study has reported a cost savings attributable to a corporate fitness program but problems of study design and assumption involved in generating cost estimates render the conclusions somewhat speculative. Credible data regarding cost-effectiveness and cost-benefit of weight management programs in clinical or worksite settings are not yet available.

Body Weight↗
PubMed1981

Description and evaluation of the smoking cessation component of a multiple risk factor intervention program.

The smoking cessation component of a residential program which attempts to concurrently intervene on several risk factors related to chronic disease is described. Seventy-two per cent of the 43 smokers in the first 13 cohorts were abstinent at discharge. Fifty-five per cent were abstinent at two months. Six-month data for the first nine cohorts show 53 per cent abstinence. Possible advantages and disadvantages of a multiple behavior change program in a residential setting are discussed.

Adult↗