A Web-based Approach to Treating Cardiovascular Disease Risk in Employees With Metabolic Syndrome
A Web-based Approach to Treating Cardiovascular Disease Risk in Employees With Metabolic Syndrome
The purpose of BEHHS is first to assess the baseline sub-clinical disease in a population of
 Baptist Health Employees who have Metabolic Syndrome, a known contributor to cardiovascular
 disease. Second, the investigators wish to encourage a healthy lifestyle through personalized
 nutrition and fitness advice, delivered as part of a web based program, which will in turn
 lead to increases in heart healthy behaviors such as increased consumption of heart healthy
 foods, increased exercise initiation, and more positive attitudes about health. To assess
 this, the investigators plan to randomize 200 employees with Metabolic Syndrome to either the
 new web-based diet and lifestyle program, or to care-as-usual, which is the currently offered
 MyWellnessAdvantage and WebMD websites. The investigators hypothesize that the web-based
 group will show greater improvements in physical health (such as weight loss, cholesterol
 reduction, etc.) as well as increased consumption of heart healthy foods, exercise
 initiation, and quality of sleep as measured by surveys administered at the 4,8, and 12 month
 follow-up appointments.
Inclusion Criteria:

 -  Employee of Baptist Health

 -  Access to Internet

 -  Has a smart phone (Android or Apple supported) with data plan

 -  Has an email address

 -  Diagnosis of three or more of the following:

 1. Waist circumference >=40 inches in and male and >= 35 inches in a female

 2. Fasting triglyceride level > 150 mg/dl*

 3. HDL-C < 40 mg/dl in men or < 50 mg/dl in women*

 4. BP > 130/85 mm Hg*

 5. Fasting blood glucose > 110 mg/dl

 -  Or currently on medication to treat the abnormal condition

 Exclusion Criteria:

 1. Prior history of major cardiovascular events (angina, myocardial infarction, prior
 coronary revascularization

 2. Any woman of childbearing potential who is pregnant, breastfeeding/currently
 lactating, seeking to become pregnant or suspects that she may be pregnant**

 3. Active treatment for cancer

 4. Known history of a bilateral mastectomy

 5. Known history of diabetes (already being treated as high-risk group, would not qualify
 as having Metabolic Syndrome for purposes of our study)

 6. Known history of Chronic Obstructive Pulmonary Disease

 7. Currently in atrial fibrillation

 8. Known history of hypo-tension

 9. Known history of heart failure

 10. Known history of aortic valve stenosis

 11. Known history of heart block

 12. Chest CT scan in the last year

 13. Cognitive inability as judged by the interviewer