A Web-based Approach to Treating Cardiovascular Disease Risk in Employees With Metabolic Syndrome



Status:Completed
Conditions:Obesity Weight Loss, Peripheral Vascular Disease, Cardiology, Endocrine
Therapuetic Areas:Cardiology / Vascular Diseases, Endocrinology
Healthy:No
Age Range:18 - Any
Updated:5/5/2014
Start Date:August 2013
End Date:March 2015
Contact:Lara L Roberson, MPH
Email:larar@baptisthealth.net
Phone:305-209-6406

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Baptist Employee Healthy Heart Study (BEHHS) - A Novel Web-based Approach to Reduce Cardiovascular Disease Risk in a Diverse Employee Population With Metabolic Syndrome Via Diet and Lifestyle Change

The purpose of BEHHS is first to assess the baseline sub-clinical disease in a population of
Baptist Health Employees who have Metabolic Syndrome, a known contributor to cardiovascular
disease. Second, the investigators wish to encourage a healthy lifestyle through
personalized nutrition and fitness advice, delivered as part of a web based program, which
will in turn lead to increases in heart healthy behaviors such as increased consumption of
heart healthy foods, increased exercise initiation, and more positive attitudes about
health. To assess this, the investigators plan to randomize 200 employees with Metabolic
Syndrome to either the new web-based diet and lifestyle program, or to care-as-usual, which
is the currently offered MyWellnessAdvantage and WebMD websites. The investigators
hypothesize that the web-based group will show greater improvements in physical health (such
as weight loss, cholesterol reduction, etc.) as well as increased consumption of heart
healthy foods, exercise initiation, and quality of sleep as measured by surveys administered
at the 4,8, and 12 month follow-up appointments.


Inclusion Criteria:

- Employee of Baptist Health

- Access to Internet

- Has a smart phone (Android or Apple supported) with data plan

- Has an email address

- Diagnosis of three or more of the following:

1. Waist circumference >=40 inches in and male and >= 35 inches in a
female

2. Fasting triglyceride level > 150 mg/dl*

3. HDL-C < 40 mg/dl in men or < 50 mg/dl in women*

4. BP > 130/85 mm Hg*

5. Fasting blood glucose > 110 mg/dl

- Or currently on medication to treat the abnormal condition

Exclusion Criteria:

1. Prior history of major cardiovascular events (angina, myocardial infarction, prior
coronary revascularization

2. Any woman of childbearing potential who is pregnant, breastfeeding/currently
lactating, seeking to become pregnant or suspects that she may be pregnant**

3. Active treatment for cancer

4. Known history of a bilateral mastectomy

5. Known history of diabetes (already being treated as high-risk group, would not
qualify as having Metabolic Syndrome for purposes of our study)

6. Known history of Chronic Obstructive Pulmonary Disease

7. Currently in atrial fibrillation

8. Known history of hypo-tension

9. Known history of heart failure

10. Known history of aortic valve stenosis

11. Known history of heart block

12. Chest CT scan in the last year

13. Cognitive inability as judged by the interviewer
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