Heterogeneous effects on body mass index in the “checkup championship”: A behavioral science-based health promotion program by health interest level

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports Pub Date : 2025-06-28 DOI:10.1016/j.pmedr.2025.103153

Takuya Yamada , Kumi Sugimoto , Hanae Nagata , Yoshiharu Fukuda , Koryu Sato , Naoki Kondo

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引用次数: 0

Abstract

Objective

Behavioral science principles, including approaches such as gamification, commitment strategies, and nudges, are widely used in health promotion programs to prevent non-communicable diseases. These approaches are expected to influence behavior change regardless of health interest; however, their effectiveness remains unclear. This study evaluated the impact of a behavioral science-based health promotion program on body mass index (BMI) reduction across different levels of health interest.

Methods

This study evaluated the “Checkup Championship,” a program that applies various behavioral science strategies to improve health checkup results for employees at Hakuhodo DY Group in Japan. Participants in the program in 2020 were compared with non-participants. Health interest was classified as low, middle, or high based on a single-question assessment. A linear regression model analyzed BMI changes between 2019 and 2020, using the inverse probability weighting of propensity scores to adjust for background differences between groups.

Results

A total of 410 participants and 390 non-participants were included in the study. BMI reduction was greater among participants than non-participants (−0.36 kg/m² vs. −0.12 kg/m²). A significant BMI reduction was observed in the middle (average treatment effect [ATE]: −0.30 kg/m², 95 % confidence interval [CI]: −0.55, −0.06) and low health interest groups (ATE: −0.34 kg/m², 95 % CI: −0.61, −0.08); however, no clear BMI reduction was seen in the high health interest group.

Conclusions

The “Checkup Championship” demonstrated effectiveness, particularly among individuals with a lower health interest. Health programs incorporating diverse behavioral science strategies may help reduce health disparities.

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“体检冠军赛”对体质指数的异质性影响：基于行为科学的健康促进项目的健康兴趣水平

行为科学原理，包括游戏化、承诺策略和轻推等方法，广泛用于预防非传染性疾病的健康促进计划。无论健康利益如何，这些方法都有望影响行为改变；然而，它们的有效性仍不清楚。本研究评估了基于行为科学的健康促进计划对不同健康兴趣水平的身体质量指数（BMI）降低的影响。方法本研究评估了日本博报堂DY集团的“体检冠军”项目，该项目运用各种行为科学策略来提高员工的健康体检结果。2020年参加该项目的人与未参加的人进行了比较。健康兴趣根据单题评估分为低、中、高三个等级。线性回归模型分析了2019年至2020年之间的BMI变化，使用倾向得分的逆概率加权来调整各组之间的背景差异。结果共纳入受试者410人，非受试者390人。参与者的BMI下降幅度大于非参与者（- 0.36 kg/m2 vs - 0.12 kg/m2）。在中等（平均治疗效果[ATE]:−0.30 kg/m2, 95%可信区间[CI]:−0.55,−0.06）和低健康兴趣组（ATE:−0.34 kg/m2, 95% CI:−0.61,−0.08）中观察到显著的BMI降低；然而，在高健康兴趣组中没有发现明显的BMI下降。结论“体检冠军赛”显示出有效性，特别是在健康兴趣较低的人群中。结合多种行为科学策略的健康项目可能有助于减少健康差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Preventive Medicine Reports Medicine-Public Health, Environmental and Occupational Health

CiteScore

3.90

自引率

0.00%

发文量

353