Clustering of lifestyle risk factors in employees: A quasi-experimental study in Sousse, Tunisia

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Sihem ben Fredj Rim Ghammem Jihen Maatoug Mohamed Ben Rejeb Jihene Sahli Emna Dendana Imed Harrabi Nejib Mrizek Hassen Ghannem



An increased understanding of the prevalence and clustering patterns of multiple lifestyle-related health factors may support efforts to reduce incidence of disease, management of existing chronic disease, and improve overall health outcomes. This study aimed to evaluate the effectiveness of three years based intervention in the workplace on clustering of non communicable diseases’ risk factors.


We based our study on a quasi-experimental intervention study (pre and post assessments with intervention and control groups) in two districts in the governorate of Sousse. The evaluation before and after the intervention focused on attitudes and behaviors of participants. The intervention program team conducted several actions for the employees at workplace days focusing on free physical activity sessions and free smoking cessation consultations.


Participants who had no risk factor increased significantly from 5.9% to 10.3% (p<0.001) in intervention group but not significantly in control group. Those who had only one risk factor increased in intervention group but decreased in control group.


Intervening on two or more risk behavior simultaneously might be more effective than intervening on them separately.


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How to Cite
BEN FREDJ, Sihem et al. Clustering of lifestyle risk factors in employees: A quasi-experimental study in Sousse, Tunisia. Medical Research Archives, [S.l.], v. 5, n. 3, mar. 2017. ISSN 2375-1924. Available at: <>. Date accessed: 19 july 2024.
medical, medicine,research,pharmacology
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