Research Summary
Analyzed using Evidence Intelligence™

Worksite intervention improves metabolic health in prediabetes

Last updated September 1, 2026

Key finding

Mean weight loss was greater in the intervention (−5.5% [0.6%]) than in the control (−0.4% [0.5%]) group (P < .001).

This study evaluated the efficacy of a 16-week lifestyle intervention on metabolic and behavioral risk factors compared to usual care. The intervention group showed significant improvements in weight and fasting glucose levels.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the efficacy of a 16-week lifestyle intervention on metabolic and behavioral risk factors compared to usual care. The intervention group showed significant improvements in weight and fasting glucose levels.

Clinical relevance

These findings highlight the potential of structured lifestyle interventions in workplace settings to effectively reduce metabolic risk factors. By improving weight and glucose levels, such interventions can contribute to better long-term health outcomes and reduce the risk of chronic diseases.

Keep in mind

Limited generalizability due to specific population characteristics Short duration of the intervention may not reflect long-term effects Potential for unmeasured confounders affecting outcomes

Published in

Journal Reference

Publication details and source links for this paper.

Kellie RW, Carla KM, David GM, Haikady NN, Brian CF, Gregg MG. Efficacy of a Worksite Lifestyle Intervention on Metabolic and Behavioral Risk Factors Compared with Usual Care. Preventing Chronic Disease. 2015;12:E210. doi:10.5888/pcd12.150301

Main Effects

Mean weight loss was greater in the intervention group (−5.5%) compared to the control group (−0.4%)

Fasting glucose levels decreased more in the intervention group (−8.6 mg/dL) than in the control group (−3.7 mg/dL)

Total energy intake decreased significantly postintervention

Dietary fiber intake increased significantly postintervention

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Lifestyle intervention for prediabetes, Usual care and Fasting Plasma Glucose (FPG), Fiber intake, UPF percentage contribution to total energy intake at follow-up, and 1 more.

Primary intervention

Lifestyle intervention for prediabetes

Primary outcomes

  • Fasting Plasma Glucose (FPG)
  • Fiber intake
  • UPF percentage contribution to total energy intake at follow-up

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

5
Evidence pairs
5
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

3

Related topics

5

Evidence pairs

1032

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Fasting Blood Glucose

matched_outcome

Related evidence

Evidence topic

Glycemic Control

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Fasting Plasma Glucose (FPG)

Lifestyle intervention for prediabetes → Fasting Plasma Glucose (FPG)

Lifestyle intervention for prediabetes → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 4 studies
ImpactScore™
69
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Fiber intake

Lifestyle intervention for prediabetes → Fiber intake

Lifestyle intervention for prediabetes → Fiber intake

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

UPF percentage contribution to total energy intake at follow-up

Lifestyle intervention for prediabetes → UPF percentage contribution to total energy intake at follow-up

Lifestyle intervention for prediabetes → UPF percentage contribution to total energy intake at follow-up

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Weight change

Lifestyle intervention for prediabetes → Weight change

Lifestyle intervention for prediabetes → Weight change

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

Usual care → Fasting Plasma Glucose (FPG)

Usual care → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
85
Strong
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 5 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Intervention group lost an average of 5.5% of body weight (p < .001)
  • Fasting glucose levels reduced by 8.6 mg/dL in the intervention group (p = .02)
  • Total energy intake decreased significantly postintervention (p < .01)
who this applies

Who this applies to

  • Adults participating in workplace wellness programs
  • Individuals at risk for metabolic syndrome
  • Participants seeking lifestyle modifications for weight management
keep in mind

Keep in Mind

  • Results may not be applicable to populations outside the study's demographic
  • The intervention's effectiveness over a longer period remains uncertain
  • Further research is needed to explore the sustainability of lifestyle changes
between the lines

Between the Lines

  • Limited generalizability due to specific population characteristics
  • Short duration of the intervention may not reflect long-term effects
  • Potential for unmeasured confounders affecting outcomes

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Usual care and Fasting Glucose, Lifestyle intervention for prediabetes and Fasting Glucose.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Usual care improve fasting plasma glucose (FPG)?

Strong Evidence

Current evidence does not show a clear benefit of Usual care for fasting plasma glucose (FPG).

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Strong | EvidenceScore™ 84.7 | neutral | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve fasting plasma glucose (FPG)?

Strong Evidence

Lifestyle intervention for prediabetes may improve fasting plasma glucose (FPG).

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve weight change?

Moderate Evidence

Lifestyle intervention for prediabetes may improve weight change.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Weight change

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve fiber intake?

Emerging Evidence

Lifestyle intervention for prediabetes appears to improve fiber intake.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Fiber intake

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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