Successful Weight Management in a Corporate Environment

Abstract

Fiserv, Inc., a company of 22,000 employees, conducted a health risk assessment in the fall of 2004 that revealed that fewer than 20% of employees and their spouses were getting recommended physical activity and two thirds were overweight or obese, posing potentially large cost consequences for the company. In October 2005, a 4,000-employee division of Fiserv, Inc. launched a pilot of the Healthy You Fitness Challenge for employees. During the 10-week challenge, employees formed teams to track minutes of physical activity and weight. Incentives for participation included a cash prize of $2,500 for the top team and either a half or full day off from work for those who met set goals. The challenge drew 1933 employees or 48% participation. Altogether 82% of participants met goals to win a full day (78%) or a half day (4%) off. In a post-challenge survey, 96% reported moderate or greater daily activity compared to 62% in the pre-challenge survey, 14% reported reduction in chronic disease medications, 70% said they lost weight, 42% reported increased job satisfaction, and 34% reported improved work attendance. The first 100 participating employees with a body mass index (BMI) of 35 or greater who called in were linked with a telephonic health coach for 12 weeks. Of the 102 employees enrolled in the health coaching component, 53 completed the program. Baseline average weight of participants was 247.8 pounds with an average BMI of 40.8. Average weight loss for those completing the program was 6.8 pounds. Almost half of those who completed reported increased fiber intake and 30% or more reported increased activity and lower fat intake.