Employee Dietary Initiative Improved Chronic Symptoms

Nancy L. Sudak MD , Melissa L. Harry MSW, PhD
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Abstract

With the awareness that the Standard American Diet is a critical contributor to chronic diseases, this initiative aimed to assess the effects of a 28-day dietary challenge health care improvement project on health system employee energy level, sleep quality, gastrointestinal function, ability to concentrate, and aches/pains, including the impact of adherence level, during a period of restricted intake of gluten, dairy, and sugar offered annually from 2021 to 2023. A total of 754 employees completed the pre-challenge survey; analyses included 354 employees who completed both pre-challenge and post-challenge surveys in at least 1 year of this project. Wilcoxon signed rank tests compared presurvey and postsurvey responses to self-reported energy level, sleep quality, gastrointestinal function, ability to concentrate, and aches/pains. Analysis of variance with Tukey’s honestly significant difference tests compared self-reported adherence level with change scores, with η2 representing effect size. In each challenge year, the mean rank levels of energy, sleep quality, gastrointestinal function, concentration, and aches/pains improved significantly between pre-surveys and post-surveys (all P<.001). Although an association between significant positive change and diet adherence level was found for all items in at least 1 challenge year, those who mostly or completely adhered to the challenge diet restrictions reported significantly greater positive change in energy levels and gastrointestinal symptoms than those who did not or minimally adhered in all challenge years, with small to medium effect sizes. In conclusion, Essentia Health’s employee challenge appeared to improve self-reported outcomes in 5 symptom domains, with energy levels and gastrointestinal symptoms correlating most favorably to adherence to the challenge. These findings have health and cost implications, which could be confirmed by formal research in employee and other populations.

员工饮食倡议改善慢性症状
由于意识到 "美国标准饮食 "是慢性疾病的重要诱因,该项目旨在评估在 2021 年至 2023 年每年限制麸质食品、乳制品和糖的摄入期间,为期 28 天的饮食挑战保健改善项目对卫生系统员工的能量水平、睡眠质量、肠胃功能、集中注意力的能力以及疼痛/痛楚的影响,包括对坚持程度的影响。共有 754 名员工完成了挑战前调查;其中 354 名员工在本项目的至少 1 年中完成了挑战前和挑战后调查。Wilcoxon 符号秩检验比较了调查前和调查后对自我报告的能量水平、睡眠质量、肠胃功能、集中注意力的能力和疼痛/痛楚的反应。利用Tukey诚实显著差异检验进行的方差分析比较了自我报告的依从性水平和变化得分,η2代表效应大小。在每个挑战年中,能量、睡眠质量、肠胃功能、注意力和疼痛/痛楚的平均等级水平在调查前和调查后都有显著改善(均为 P<.001)。虽然在至少一个挑战年的所有项目中都发现了明显的积极变化与坚持饮食水平之间的关联,但在所有挑战年中,大部分或完全坚持挑战饮食限制的人在能量水平和胃肠道症状方面的积极变化明显大于未坚持或极少坚持的人,影响大小为小到中等。总之,Essentia Health 的员工挑战赛似乎改善了 5 个症状领域的自我报告结果,其中能量水平和胃肠道症状与坚持挑战赛的相关性最大。这些发现对健康和成本有影响,可以通过对员工和其他人群的正式研究加以证实。
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来源期刊
Mayo Clinic proceedings. Innovations, quality & outcomes
Mayo Clinic proceedings. Innovations, quality & outcomes Surgery, Critical Care and Intensive Care Medicine, Public Health and Health Policy
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