Wu L.,Center for Clinical and Translational Science |
Wang Z.,Kern Center for the Science of Health Care Delivery |
Zhu J.,University of Minnesota |
Murad A.L.,Dan Abraham Healthy Living Center |
And 3 more authors.
Nutrition Reviews | Year: 2015
Context: The identification of foods that can decrease the risk of cancer and type 2 diabetes may be helpful in reducing the burden of these diseases. Although nut consumption has been suggested to have a disease-preventive role, current evidence remains inconsistent. Objective: The aim of this systematic review and meta-analysis was to clarify the association between nut consumption and risk of cancer or type 2 diabetes. Data Sources: Six databases were searched for relevant studies from the time of database inception to August 2014. Reference lists of relevant review articles were hand searched, and authors were contacted when data were insufficient. Study Selection: Eligible studies included epidemiological studies (case-control and cohort) or clinical trials that reported an association between nut consumption and the outcome of type 2 diabetes or specific cancers. Data Extraction: Two investigators independently extracted descriptive, quality, and risk data from included studies. Data Synthesis: Random-effects meta-analysis was used to pool relative risks from the included studies. The I2 statistic was used to assess heterogeneity. A total of 36 eligible observational studies, which included 30 708 patients, were identified. The studies had fair methodological quality, and length of follow-up ranged between 4.6 years and 30 years. Comparison of the highest category of nut consumption with the lowest category revealed significant associations between nut consumption and decreased risk of colorectal cancer (3 studies each with separate estimates for males and females, RR 0.76, 95% confidence interval [95%CI] 0.61-0.96), endometrial cancer (2 studies, RR 0.58, 95%CI 0.43-0.79), and pancreatic cancer (1 study, RR 0.68, 95%CI 0.48-0.96). No significant association was found with other cancers or type 2 diabetes. Overall, nut consumption was significantly associated with a reduced risk of cancer incidence (RR 0.85, 95%CI 0.76-0.95). Conclusions: Nut consumption may play a role in reducing cancer risk. Additional studies are needed to more accurately assess the relationship between nut consumption and the prevention of individual types of cancer, given the scarcity of available data. © The Author(s) 2015.
PubMed | Dan Abraham Healthy Living Center, Mayo Medical School and Cancer Center Clinical Research
Type: Journal Article | Journal: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer | Year: 2016
Fatigue is one of the most common and bothersome refractory symptoms experienced by cancer survivors. Mindful exercise interventions such as yoga improve cancer-related fatigue; however, studies of yoga have included heterogeneous survivorship populations, and the effect of yoga on fatigued survivors remains unclear.We randomly assigned 34 early-stage breast cancer survivors with cancer-related fatigue (4 on a Likert scale from 1-10) within 1year from diagnosis to a 12-week intervention of home-based yoga versus strengthening exercises, both presented on a DVD. The primary endpoints were feasibility and changes in fatigue, as measured by the Multidimensional Fatigue Symptom Inventory-Short Form (MFSI-SF). Secondary endpoint was quality of life, assessed by the Functional Assessment of Cancer Therapies-Breast (FACT-B).We invited 401 women to participate in the study; 78 responded, and we enrolled 34. Both groups had significant within-group improvement in multiple domains of the fatigue and quality of life scores from baseline to post-intervention, and these benefits were maintained at 3months post-intervention. However, there was no significant difference between groups in fatigue or quality of life at any assessment time. Similarly, there was no difference between groups in adherence to the exercise intervention.Both DVD-based yoga and strengthening exercises designed for cancer survivors may be good options to address fatigue in breast cancer survivors. Both have reasonable uptake, are convenient and reproducible, and may be helpful in decreasing fatigue and improving quality of life in the first year post-diagnosis in breast cancer patients with cancer-related fatigue.
Steffen M.W.,Mayo Medical School |
Hazelton A.C.,Dan Abraham Healthy Living Center |
Moore W.R.,Center for Sleep Medicine |
Jenkins S.M.,Mayo Medical School |
And 2 more authors.
Journal of Occupational and Environmental Medicine | Year: 2015
OBJECTIVE:: Unhealthy and inadequate sleep is a common and significant problem impacting absenteeism, presenteeism, health, and productivity. This study aimed at analyzing the effect of a worksite-based healthy sleep program. METHODS:: Retrospective analysis of 53 adult members of a worksite wellness center who participated in an 8-week healthy sleep program and completed pre- and postintervention health behavior questionnaires. RESULTS:: Following the intervention participants felt significantly more rested, more confident in their ability to deal with sleep problems, and more knowledgeable about sleep. In addition, they reported a reduction in their stress level, improved quality of life, and increase energy level. CONCLUSIONS:: These results support the effectiveness of worksite programs designed to promote healthy sleep. Future randomized studies are needed to further investigate the effectiveness and optimal delivery of healthy sleep promotion. Copyright © 2015 by American College of Occupational and Environmental.
Olsen K.D.,Northwestern University |
Warren B.A.,Dan Abraham Healthy Living Center
ACSM's Health and Fitness Journal | Year: 2011
Learning objective: Learn how Mayo Clinic is leveraging a medical fitness facility and staff to change the patient experience. Learn how technology can engage patients in their health. Copyright © 201 Lippincott Williams & Wilkins.
PubMed | Dan Abraham Healthy Living Center, Mayo Medical School and Survey Research Center
Type: Journal Article | Journal: Mayo Clinic proceedings | Year: 2014
To learn more about the potential psychosocial benefits of wellness coaching. Although wellness coaching is increasing in popularity, there are few published outcome studies.In a single-cohort study design, 100 employees who completed the 12-week wellness coaching program were of a mean age of 42 years, 90% were women, and most were overweight or obese. Three areas of psychosocial functioning were assessed: quality of life (QOL; 5 domains and overall), depressive symptoms (Patient Health Questionnaire-9), and perceived stress level (Perceived Stress Scale-10). Participants were recruited from January 1, 2011, through December 31, 2011; data were collected up to July 31, 2012, and were analyzed from August 1, 2012, through October 31,2013.These 100 wellness coaching completers exhibited significant improvements in all 5 domains of QOL and overall QOL (P<.0001), reduced their level of depressive symptoms (P<.0001), and reduced their perceived stress level (P<.001) after 12 weeks of in-person wellness coaching, and they maintained these improvements at the 24-week follow-up.In this single-arm cohort study (level 2b evidence), participating in wellness coaching was associated with improvement in 3 key areas of psychosocial functioning: QOL, mood, and perceived stress level. The results from this single prospective cohort study suggest that these areas of functioning improve after participating in wellness coaching; however, randomized clinical trials involving large samples of diverse individuals are needed to establish level 1 evidence for wellness coaching.
Clark M.M.,Mayo Medical School |
Jenkins S.M.,Mayo Medical School |
Limoges K.A.,Dan Abraham Healthy Living Center |
Hagen P.T.,Mayo Medical School |
And 5 more authors.
American Journal of Health Promotion | Year: 2013
Purpose. There is limited documentation regarding the potential quality of life (QOL) benefits associated with use of a worksite wellness center. Therefore, the aim of this study was to examine the relationship between potential QOL change and use of a worksite wellness center during a 12-month period. Design. Analysis of an annual QOL wellness center member survey and wellness center use during a 12-month time period. Setting. A worksite wellness center. Participants. A total of 1151 employee wellness center members, average age of 39.5 years, 69.7% female, and 43.5% reported being overweight. Intervention. Members of the worksite wellness center have access to a range of fitness options, including exercise classes, water aerobics, an indoor track, strength training, and aerobic conditioning equipment. Additionally, nutritional classes are offered, and there is a wellness café. For resiliency, members can participate in wellness coaching or a stress-reduction group program. Method. Participants completed a baseline QOL survey and a second QOL survey 1 year later. An electronic entry system tracked use of the wellness center. Results. Participants were divided into four wellness center use quartiles: low users (less than once every 2 weeks), below-average users, above-average users, and high users (two to three visits per week). High users reported experiencing improvements in their physical QOL (p < .0001) compared with the low users. Additionally, low users experienced a greater decline in their mental QOL (p = .05) compared with high users. Conclusion. In a large sample of employees, use of a wellness center during a 12-month period was associated with benefits for physical QOL. QOL is an important domain of wellness; therefore, in addition to measuring physiologic changes, examining potential QOL changes may be another important outcome measure for wellness centers. Copyright © 2013 by American Journal of Health Promotion, Inc.
Clark M.M.,Dan Abraham Healthy Living Center |
Clark M.M.,Mayo Medical School |
Warren B.A.,Dan Abraham Healthy Living Center |
Hagen P.T.,Dan Abraham Healthy Living Center |
And 7 more authors.
American Journal of Health Promotion | Year: 2011
Purpose. Examine the relationship between stress level and quality of life at a worksite wellness center. Design. A survey completed when joining the wellness center. Setting. Employee wellness center. Subjects. Survey that inquired about stress, health behaviors, and quality of life of more than 13,000 employees joining a wellness center. Measures. A series of questions about current health status and health behaviors. Analysis. Two-sample t-tests assuming unequal variances. Results. A total of 2147 of these employees reported having high stress levels. Employees with high stress levels had statistically significant lower quality of life, more fatigue, and poorer health compared with employees with low stress levels. In terms of their ability and motivation to participate in wellness programs, the high-stress employees were also less active and had less healthy nutritional habits, less support, and less confidence in their ability to be active. They also reported having more health problems, including high blood pressure, high blood sugar, high cholesterol, and overweight. Conclusions. It appears that employees with high stress levels - those who might most benefit from participation in wellness programs - may experience the greatest difficulty participating actively in wellness programs because of their lack of support, low confidence, and numerous health problems. Perhaps offering tailored stress reduction programs for these employees would be beneficial. Copyright © 2011 by American Journal of Health Promotion, Inc.
Thomley B.S.,Mayo Medical School |
Ray S.H.,Dan Abraham Healthy Living Center |
Cha S.S.,Mayo Medical School |
Bauer B.A.,Mayo Medical School
Explore: The Journal of Science and Healing | Year: 2011
Objective: The aim of this study was to determine whether a comprehensive, yoga-based wellness program could positively affect multiple markers of health and wellness in an employee population. Design Self-selected employees who enrolled in a new wellness class were invited to participate in a yoga-based wellness program. Participants met six days per week (Monday through Saturday) at 5:10 am. Sessions lasted for at least one hour, and the program was six weeks long. Each session consisted of power yoga interwoven with philosophical concepts and instruction about the benefits of mindfulness, breath, and meditation. Certain classes each week incorporated large and small group sharing, journal writing, and mindful eating exercises. Main outcome measures were biometric measures (height, weight, blood pressure, flexibility, body fat) and quality-of-life measures (physical, emotional, and spiritual well-being). Results Fifty-nine employees were invited to join the program; 50 consented to participate, of which 37 (74%) attended more than 90% of classes. Participant age ranged from 24 to 76 years. Statistically significant improvements were observed in weight (-4.84 ± 5.24 kg; P < .001), diastolic blood pressure (-2.66 ±8.31 mm/Hg; P = .03), flexibility score (relative change 11% ± 20.92; P <.001), body fat percentage (-1.94 ±2.68; P < .001), and overall quality of life (linear analog self-assessment [LASA] score 3.73 ± 8.11; P = .03). Conclusions This pilot study suggests that a yoga-based, comprehensive wellness program is both feasible and efficacious in creating positive, short-term improvements in multiple domains of health and wellness for a population of employees. © 2011 Elsevier Inc. All rights reserved.
Cruz P.,Mayo Medical School |
Johnson B.D.,Mayo Medical School |
Karpinski S.C.,Dan Abraham Healthy Living Center |
Limoges K.A.,Dan Abraham Healthy Living Center |
And 6 more authors.
Obesity | Year: 2011
The accuracy of weight loss in estimating successful changes in body composition (BC), namely fat mass (FM) loss, is not known and was addressed in our study. To assess the correlation between change in body weight and change in FM, fat% and fat-free mass (FFM), 465 participants (41% male; 41 13 years), who met the criteria for weight change assessment at a wellness center, underwent air-displacement plethysmography (ADP). Body weight and BC were measured at the same time. We categorized the change in body weight, FM and FFM as an increase if there was > 1kg gain, a decrease if there was ≤ 1kg loss and no change if the difference was > 1kg. We estimated the diagnostic performance of weight change to identify improvement in BC. After a median time of 132 days, there was a mean weight change was 2.4kg. From the 255 people who lost > 1kg of weight, 216 (84.7%) had lost > 1kg of FM, but 69 (27.1%) had lost > 1kg of FFM. Of the 143 people with no weight change, 42 (29.4%) had actually lost > 1kg of FM. Of the 67 who gained > 1kg of weight at follow-up, in 23 (34.3%) this was due to an increase in FFM but not in FM. Weight change had a NPV of 73%. Our results indicate that favorable improvements in BC may go undetected in almost one-third of people whose weight remains the same and in one-third of people who gain weight after attending a wellness center. These results underscore the potential role of BC measurements in people attempting lifestyle changes. © 2011 The Obesity Society.
PubMed | Dan Abraham Healthy Living Center, Mayo Medical School and Center for the Science of Health Care Delivery
Type: Journal Article | Journal: American journal of health behavior | Year: 2016
Wellness champions have potential to be a high-reach, low-cost intervention for improving employee health, but research is needed to support this premise. Therefore, this project assessed the impact of a worksite wellness champions program at a large integrated healthcare organization.A total of 2315 employees responded (56% response rate) to a survey.Program participants (N = 666) were more likely to agree that the organization provides a supportive environment to live a healthy lifestyle (82.7% vs 69.4%, p < .001), more likely to agree co-workers support one another in practicing a healthy lifestyle (76.8% vs 53.7%, p < .001), and to rate their overall health and wellness higher (p < .005) compared to those not familiar with the wellness champions program (N = 675).Employees participating in wellness champion activities have increased their awareness of wellness opportunities, feel supported for having a healthy lifestyle, and rate their perceived health and wellness higher.