We investigated whether employees (n = 62) selecting a self-report Health Risk Assessment (HRA) would be at increased CVD risk compared to employees (n = 114) choosing an HRA with measurement of cardiovascular (CVD) health indicators. Participants were mostly middle-aged (44.1 ± 0.8 yr) men (71.6%) displaying borderline features of the cardiometabolic syndrome. Although there were no significant differences between the groups regarding their measured CVD health status or self-reported lifestyle habits, employees in both groups consistently over-stated their level of cardiovascular health. Contrary to reports in the literature, cardiovascular health status did not appear to influence employee HRA method of preference.
Editors' Strategic Implications: These findings await replication in other samples, both more diverse and less self-selected. Nonetheless, the authors' methods and their conclusions about workers' over-estimation of their health and the lack of differences across assessment methods will be useful to employers, health professionals, and all practitioners with an interest in health risk assessments.
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REFERENCES
American College of Sports Medicine (2000). ACSM's guidelines for exercise testing and prescription (6th edn.). Philadelphia, PA: Lippincott Williams & Wilkins.
American Diabetes Association (2001). Position statement: Screening for diabetes. Diabetes Care, 24, S21–S24.
American Dietetic Association. Food guide pyramid. Retrieved July 15, 2003, from http://www.eatright.org/Public/NutritionInformation/92_fgp.cfm.
Anderson, D. R., & Staufacker, M. J. (1996). The impact of work-site-based health risk appraisal on health-related outcomes: A review of the literature. American Journal of Health Promotion, 10, 499–508.
Anderson, R. C., & Anderson, K. E. (1991). Worksite health promotion: The benefits of providing personal health status feedback and education programs to employees. American Association of Occupational Health Nurses Journal, 39, 57–61.
Centers for Disease Control and Prevention (2005). Mortality data. Washington, DC: National Center for Chronic Disease Prevention and Health Promotion. Retrieved September 11, 2005, from http://www.cdc.gov/nccdphp/aag/aag_cvd.htm
DelPrete, L., Caldwell, M., English, C., Banspach, S., & Lefebvre, C. (1992). Self-reported and measured weights and heights of participants in community based-weight loss programs. Journal of the American Dietetic Association, 92, 1483–1486.
Duncan, G. E., Sydeman, S. J., Perri, M. G., Limacher, M. C., & Martin, A. D. (2001). Can sedentary adults accurately recall the intensity of their physical activity? Preventive Medicine, 33, 18–26.
Friedewald, W. T., Levy, R. I., & Fredrickson, D. S. (1972). Estimation of concentration of low-density lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge. Clinical Chemistry, 18, 499–502.
Gemson, D., & Sloan, R. (1995). Efficacy of computerized health risk appraisal as part of a periodic health examination at the work-site. American Journal of Health Promotion, 9, 462–466.
Goetzel, R. Z., Kahr, T. Y., Aladana, S. G., & Kenny, G. M. (1996). An evaluation of Duke University's Live for Life health promotion program and its impact on employee health. American Journal of Health Promotion, 10, 340–342.
Henritze, J., Brammell, H. L., & McGloin, J. (1992). Lifecheck: A successful, low touch, low tech, in-plant, cardiovascular disease risk identification and modification program. American Journal of Health Promotion, 7, 129–136.
Jakicic, J. M., Polley, B. A., & Wing, R. R. (1998). Accuracy of self-reported exercise and the relationship with weight loss in overweight women. Medicine and Science in Sports and Exercise, 30, 634–638.
Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (1997). The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (NIH Publication No. 98-4080). Washington, DC: National Institute of Health, National Heart, Lung and Blood Institute, National High Blood Pressure Education Program.
Lichtman, S. W., Pisarska, K., Berman, E. R., Pestone, M., Dowling, H., Offenbacher, E., et al. (1992) Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. The New England Journal of Medicine, 327, 1893–1898.
Lynch, W. D., Golaszewski, T. J., Clearie, A., & Vickery, D. M. (1989). Characteristics of self-selected responders to a Health Risk Appraisal: Generalizability of corporate health assessments. American Journal of Public Health, 7, 887–888.
Musich, S., Adams, L., DeWolf, G., & Edington, D. W. (2001). A case study of 10-year Health Risk Appraisal participation patterns in a comprehensive health promotion program. American Journal of Health Promotion, 15, 237–240.
National Cholesterol Education Program (NCEP) (2001). Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult treatment panel III). Journal of the American Medical Association, 285, 2486–2497.
National Institute of Health, National Heart, Lung and Blood Institute (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: The evidence report. Washington, DC: U.S. Department of Health and Human Services.
Neidhammer, I., Bugel, I., Bonenfant, S., Goldberg, M., & Leclerc, A. (2000). Validity of self-reported weight and height in the French GAZEL cohort. International Journal of Obesity, 24, 1111–1118.
Nice, S. D., & Woodruff, S. I. (1990). Self-selection in responding to a health risk appraisal: Are we preaching to the choir? American Journal of Health Promotion, 4, 367–372.
Pirie, P., Jacobs, D., Jeffery, R., & Hannan, P. (1981). Distortion in self-reported height and weight data. Journal of the American Dietetic Association, 78, 601–606.
Rowland, M. (1990). Self-reported weight and height. American Journal of Clinical Nutrition, 52, 1125–1133.
Stonecipher, L. J., & Hyner, G. C. (1993). The effects of a comprehensive health risk appraisal, basic screening, and interpretational session on employees' health practices: Differences between participants and nonparticipants. American Journal of Health Promotion, 7, 167–169.
Szymanski, L., Pate, R. R., Dowda, M., Blair, S. N., Howe, H. G., Parker, G., et al. (1991). A comparison of questionnaire and physiological data in predicting future chronic disease risk factor status in an employee population. American Journal of Health Promotion, 5, 298–304.
Wilson, P. W. F., D'Agostino, R. B., Levy, D., Belanger, A. M., Silbershatz, H., & Kannel, W. B. (1998). Prediction of coronary heart disease using risk factor categories. Circulation, 97, 1837–1847.
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Marschke, L.M., Allen, G.J., Coble, D.A. et al. Cardiovascular Health Status and Health Risk Assessment Method of Preference Among Worksite Employees. J Primary Prevent 27, 67–79 (2006). https://doi.org/10.1007/s10935-005-0023-7
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DOI: https://doi.org/10.1007/s10935-005-0023-7