Obesity Prevention Worksite Wellness Interventions for Health Care Workers: A Narrative Review

Upadhyaya, Mudita; Sharma, Shreela V.; Pompeii, Lisa; Siañez, Mónica; Morgan, Robert O.

doi:10.1177/2165079919863082

Cited by 18 publications

(21 citation statements)

References 83 publications

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“…From the interventions observed, it was possible to deduce that the actions that included several strategies achieved adequate results in the working population. This statement is consistent with the results reported by Upadhyaya et al [71], who concluded that occupational health professionals should continue to be creative in the development of multicomponent interventions (combining behavioral/educational, environmental and organizational support).…”

Section: Discussionsupporting

confidence: 92%

Influence of Nutrition, Food and Diet-Related Interventions in the Workplace: A Meta-Analysis with Meta-Regression

Melián-Fleitas

Franco-Pérez²,

Caballero

et al. 2021

Nutrients

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Objective: To review the scientific literature on the influence of verified nutrition, food and diet interventions on occupational health. Method: This study involved a critical analysis of articles retrieved from MEDLINE (via PubMed), Embase, Cochrane Library, PsycINFO, Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature (LILACS) and Medicina en Español (MEDES) using the descriptors “Diet, Food, and Nutrition” and “Occupational Health” and applying the filters “Clinical Trial”, “Humans” and “Adult: 19+ years”; the search was conducted on 29 May 2021. Results: A total of 401 references were retrieved from the bibliographic databases, with an additional 16 identified through a secondary search; among the studies retrieved, 34 clinical trials were selected after applying the inclusion and exclusion criteria. The interventions were grouped into seven categories: (1) dietary interventions associated with exercise or educational programs; (2) individual environmental interventions or other educational actions; (3) educational interventions oriented toward lifestyle, dietetics, physical activity and stress management; (4) economic incentives; (5) multicomponent interventions (combination of mindfulness, e-coaching and the addition of fruits and vegetables); or dietary interventions (facilitating greater food supply in cafeterias); or interventions focused on physical exercise. Conclusions: Given that most people spend a large part of their time in the workplace and, therefore, eat at least one of their daily meals there, well-planned interventions—preferably including several strategies—have been demonstrated, in general, as useful for combating overweight and obesity. From the meta-regression study, it was observed that the interventions give better results in people who presented high Body Mass Index (BMI) values (obesity). In contrast, intervention 2 (interventions related to workplace environment) would not give the expected results (it would increase the BMI).

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Section: Discussionsupporting

confidence: 92%

Influence of Nutrition, Food and Diet-Related Interventions in the Workplace: A Meta-Analysis with Meta-Regression

Melián-Fleitas

Franco-Pérez²,

Caballero

et al. 2021

Nutrients

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“…Regulations on food labelling can nudge food companies to reformulate or create healthier food products through nutrient profiling and indirectly through increased consumer demand for marked products [70]. In addition, working with local retail outlets to nudge customers towards healthier options and implementing worksite- [71] or school-based interventions [72] to promote healthy food behaviours have been found to be promising. Stronger government policies and local actions that make food environments more conducive to healthy choices through restricted advertising of unhealthy food and beverages, as well as regulated and user-friendly food labelling, could go a long way in changing the foodscapes in these settings, and ultimately in reducing diet-related NCDs [73][74][75][76][77].…”

Section: Implications For Ncd Prevention and Interventionsmentioning

confidence: 99%

Snapshots of Urban and Rural Food Environments: EPOCH-Based Mapping in a High-, Middle-, and Low-Income Country from a Non-Communicable Disease Perspective

et al. 2020

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A changing food environment is implicated as a primary contributor to the increasing levels of non-communicable diseases (NCDs). This study aimed to generate snapshots of selected external food environments to inform intervention strategies for NCD prevention in three countries: Uganda (low income), South Africa (middle income) and Sweden (high income), with one matched pair of urban–rural sites per country. Fifty formal and informal food retail outlets were assessed, and descriptive and comparative statistical analyses were performed. We found that formal food retail outlets in these countries had both positive and negative traits, as they were the main source of basic food items but also made unhealthy food items readily available. The Ugandan setting had predominantly informal outlets, while the Swedish setting had primarily formal outlets and South Africa had both, which fits broadly into the traditional (Uganda), mixed (South Africa) and modern (Sweden) conceptualized food systems. The promotion of unhealthy food products was high in all settings. Uganda had the highest in-community advertising, followed by South Africa and Sweden with the lowest, perhaps related to differences in regulation and implementation. The findings speak to the need to address contextual differences in NCD-related health interventions by incorporating strategies that address the food environment, and for a critical look at regulations that tackle key environment-related factors of food on a larger scale.

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“…Previous reviews of workplace interventions focussing specifically on weight loss found such interventions can produce modest weight loss [ 45 , 46 ]; however, these interventions are often relatively intensive, which may not be appropriate for scale. A recent review of obesity prevention initiatives for health care workers found behavioural interventions delivered by trained professionals via phone, or internet were effective in improving weight-related outcomes [ 47 ]. Such delivery modes could be considered for use in educational settings.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Workplace Interventions on Improving the Dietary, Physical Activity and Sleep Behaviours of School and Childcare Staff: A Systematic Review

Nathan

Murawski

Hope

et al. 2020

IJERPH

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There is a need for effective interventions that improve the health and wellbeing of school and childcare staff. This review examined the efficacy of workplace interventions to improve the dietary, physical activity and/or sleep behaviours of school and childcare staff. A secondary aim of the review was to assess changes in staff physical/mental health, productivity, and students’ health behaviours. Nine databases were searched for controlled trials including randomised and non-randomised controlled trials and quasi-experimental trials published in English up to October 2019. PRISMA guidelines informed screening and study selection procedures. Data were not suitable for quantitative pooling. Of 12,396 records screened, seven articles (based on six studies) were included. Most studies used multi-component interventions including educational resources, work-based wellness committees and planned group practice (e.g., walking groups). Multiple outcomes were assessed, findings were mixed and on average, there was moderate risk of bias. Between-group differences in dietary and physical activity behaviours (i.e., fruit/vegetable intake, leisure-time physical activity) favoured intervention groups, but were statistically non-significant for most outcomes. Some of the studies also showed differences favouring controls (i.e., nutrient intake, fatty food consumption). Additional robust studies testing the efficacy of workplace interventions to improve the health of educational staff are needed.

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Obesity Prevention Worksite Wellness Interventions for Health Care Workers: A Narrative Review

Cited by 18 publications

References 83 publications

Influence of Nutrition, Food and Diet-Related Interventions in the Workplace: A Meta-Analysis with Meta-Regression

Influence of Nutrition, Food and Diet-Related Interventions in the Workplace: A Meta-Analysis with Meta-Regression

Snapshots of Urban and Rural Food Environments: EPOCH-Based Mapping in a High-, Middle-, and Low-Income Country from a Non-Communicable Disease Perspective

The Efficacy of Workplace Interventions on Improving the Dietary, Physical Activity and Sleep Behaviours of School and Childcare Staff: A Systematic Review

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