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The Effectiveness of Worksite Nutrition and Physical Activity Interventions for Controlling Employee Overweight and Obesity
Abstract
This report presents the results of a systematic review of the effectiveness of worksite nutrition and physical activity programs to promote healthy weight among employees. These results form the basis for the recommendation by the Task Force on Community Preventive Services on the use of these interventions. Weight-related outcomes, including weight in pounds or kilograms, BMI, and percentage body fat were used to assess effectiveness of these programs. This review found that worksite nutrition and physical activity programs achieve modest improvements in employee weight status at the 6-12-month follow-up. A pooled effect estimate of -2.8 pounds (95% CI=-4.6, -1.0) was found based on nine RCTs, and a decrease in BMI of -0.5 (95% CI=-0.8, -0.2) was found based on six RCTs. The findings appear to be applicable to both male and female employees, across a range of worksite settings. Most of the studies combined informational and behavioral strategies to influence diet and physical activity; fewer studies modified the work environment (e.g., cafeteria, exercise facilities) to promote healthy choices. Information about other effects, barriers to implementation, cost and cost effectiveness of interventions, and research gaps are also presented in this article. The findings of this systematic review can help inform decisions of employers, planners, researchers, and other public health decision makers.
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“Such worksite dietary and/or physical activity interventions also demonstrated improvements in adiposity measures,267,268 eg, pooled reductions in weight of 1.26 kg (95% confidence interval [CI], −4.6, −1.0) and in BMI of 0.5 kg/m2 (95% CI, −0.8, −0.2) in 1 meta-analysis.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [267]
In the citing paper
“In contrast, the combination of such labeling or other prompts together with additional environmental changes, such as types and locations of foods and beverages served, positively affected purchasing behaviors at worksites.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [267]
In the citing paper
“Overall, these studies suggested that use of worksite cafeteria or vending machine labels or icons alone had little effect on improving diet, consistent with findings for labeling and consumer information approaches in other settings (Table 4).”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [267]
In the citing paper
“A systematic review of randomized controlled trials on worksite wellness programs demonstrated a statistically significant 3-lb weight reduction and 0.5 kg/m 2 BMI reduction over 6 to 12 months (81).”
From The CardioMetabolic Health Alliance (2015) · cites this paper as [81]
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Metadata
- Authors
- Anderson, L. M., Quinn, T. A., Glanz, K., Ramirez, G., Kahwati, L. C., Johnson, D. B., Buchanan, L. R., Archer, W. R., Chattopadhyay, S., Kalra, G. P., & Katz, D. L.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Emory University (US)
- United States Department of Veterans Affairs (US)
- University of Washington (US)
- Yale University (US)
- Corresponding author
- Anderson, Laurie M.
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2009-10
- Volume
- 37
- Issue
- 4
- Pages
- 340-357
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W2165463105
- Cited by
- 623
- References
- 98
- Citations by year
- 2026: 10 · 2025: 13 · 2024: 11 · 2023: 15 · 2022: 22 · 2021: 28 · 2020: 79 · 2019: 38 · 2018: 46 · 2017: 41 · 2016: 48 · 2015: 49 · 2014: 55 · 2013: 56 · 2012: 41
- FWCI
- 6.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Keywords
- nutrition programs, physical activity programs, obesity prevention, weight status, body mass index, body fat percentage, workplace health promotion, employer-sponsored programs, cost-effectiveness
- MeSH terms
- Adult, Cost-Benefit Analysis, Female, Health Promotion, Humans, Male, Middle Aged, Obesity, Physical Education and Training, Weight Loss, Body Mass Index, Randomized Controlled Trials as Topic, Outcome Assessment, Health Care, Workplace, Overweight, Nutritional Sciences, Young Adult
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