The effectiveness of nutrition and health intervention in workplace setting: a systematic review

  • Qonita Rachmah
    Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
    https://orcid.org/0000-0002-6094-4885
  • Tri Martiana
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
  • Mulyono Mulyono
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
  • Indriati Paskarini
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
  • Endang Dwiyanti
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
  • Noeroel Widajati
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Indonesia.
  • Meirina Ernawati
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
  • Yustinus D Ardyanto
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
  • Abdul R. Tualeka
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
  • Dani N. Haqi
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
  • Shintia Y. Arini
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
  • Putri A. Alayyannur
    Department of Occupational Health and Safety, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.

ABSTRACT

Health status of workers are crucial to maintain their productivity and it will impact on output per capita. This systematic review aims to evaluate the effectiveness of nutrition and health intervention in workplace setting and implication for further research. Articles were searched from PubMed, PMC, Cochrane Library (Trial), Science-direct, and Google scholar published from 2005-2020. Inclusion criteria was the intervention subject aged 19-64 years old with experimental randomized control trial (RCT) or non-RCT study design. Several keywords used for literature searching including “nutrition education in workplace”, “nutrition intervention in workplace”, and “workplace intervention”. Data were narratively described. Eleven studies were meet inclusion and exclusion criteria and further be reviewed. Five studies focused on intervene food environment in the workplace, four studies focused on nutrition education using different channels i.e., workplace visiting and emails, the other two interventions were objected to decrease health risk regarding occupational health. Positive outcomes were recorded for all workplace intervention, including increase in nutrition knowledge, self-efficacy, reduce risky behavior, and also improved body mass index and blood biomarkers. Workplace nutrition and health intervention proved to be an effective way to enhanced balanced nutrition behavior and improve health status. This study implies an urgency of nutrition and health intervention in a workplace.

REFERENCES

Office of Disease Prevention and Health Promotion, US Department of Health and Human Services: Social determinants of health. 2020 [cited 2020 March 1]. Available from: https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health

World Health Organization: Global action plan for the prevention and control of noncommunicable disease 2013-2020. 2013 [cited 2020 March 3]. Available from: www.who.int/iris/bitstream/10665/94384/1/9789241506236_eng.pdf

Tompa E. The impact of health on productivity: empirical evidence and policy implications. The review of economic performance and social progress 2002;2:181-182.

Indonesia Ministry of Health. 2015 Occupational health situation. [cited 2020 March 10]. Available from: www.kemkes.go.id

Indonesia Ministry of Health. 2018 National health survey/Laporan Nasional Riskesdas 2018. [cited 2020 March 15]. Available from: http://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf

Rachmah Q, Utari DM. Dominant factors of metabolic syndrome among a sample of school teachers in Jakarta, Indonesia. Indian J Public Health Res Dev 2019;10:1343-9. DOI: https://doi.org/10.5958/0976-5506.2019.02083.7

Special Committee on Health, Productivity, and Disability Management, American College of Occupational and Environmental Medicine. Healthy workforce/healthy economy: the role of health, productivity, and disability management in addressing the nation’s health care crisis: why an emphasis on the health of the workforce is vital to the health of the economy. J Occup Environ Med 2009;51:114. DOI: https://doi.org/10.1097/JOM.0b013e318195dad2

Van Horn L, Carson JAS, Appel LJ, et al. Recommended dietary pattern to achieve adherence to the American Heart Association/American College of Cardiology (AHA/ACC) guidelines: a scientific statement from the American Heart Association. Circulation 2016;134:505–29. DOI: https://doi.org/10.1161/CIR.0000000000000462

Colkesen EB, Niessen MA, Peek N, et al. Initiation of health-behaviour change among employees participating in a web-based health risk assessment with tailored feedback. J Occup Med Toxicol 2011;6:5. DOI: https://doi.org/10.1186/1745-6673-6-5

Groeneveld IF, Proper KI, van der Beek AJ, et al. Short and long term effects of a lifestyle intervention for construction workers at risk for cardiovascular disease: a randomized controlled trial. BMC Public Health 2011;11:836. DOI: https://doi.org/10.1186/1471-2458-11-836

Hochart C, Lang M. Impact of a comprehensive worksite wellness program on health risk, utilization, and health care costs. Popul Health Manag 2011;14:111–6. DOI: https://doi.org/10.1089/pop.2010.0009

Kim HJ, Hong JI, Mok HJ, Lee KM. Effect of workplace-visiting nutrition education on anthropometric and clinical measures in male workers. Clin Nutr Res 2012;1:49-57. DOI: https://doi.org/10.7762/cnr.2012.1.1.49

Hassani B, Amani R, Haghighizadeh MH, Araban M. A priority oriented nutrition education program to improve nutritional and cardiometabolic status in the workplace: a randomized field trial. J Occup Med Toxicol 2020;15:1-9. DOI: https://doi.org/10.1186/s12995-020-0252-y

Hossain M, Islam Z, Sultana S, et al. Effectiveness of workplace nutrition programs on anemia status among female readymade garment workers in Bangladesh: A program evaluation. Nutrients 2019;11:1259. DOI: https://doi.org/10.3390/nu11061259

Shih CK, Chen CM, Hsiao TJ, et al. White sweet potato as meal replacement for overweight white-collar workers: a randomized controlled trial. Nutrients 2019;11:65. DOI: https://doi.org/10.3390/nu11010165

Ferrara MH. The effect of self-efficacy, outcome expectations, and social communication on adherence to a meal replacement program. Ph.D. Thesis, Michigan State University 2006.

Gómez-Recasens M, Alfaro-Barrio S, Tarro L, et al. Workplace intervention to reduce alcohol and drug consumption: a nonrandomized single-group study. BMC Public Health 2018;18:1281. DOI: https://doi.org/10.1186/s12889-018-6133-y

Peters SE, Grant MP, Rodgers J, et al.. A cluster randomized controlled trial of a Total Worker Health® intervention on commercial construction sites. Int J Environ Res Public Health 2018;15:2354. DOI: https://doi.org/10.3390/ijerph15112354

Makurat J, Kretz EC, Wieringa FT, et al. Dietary diversity in Cambodian garment workers: the role of free lunch provision. Nutrients 2018;10:1010. DOI: https://doi.org/10.3390/nu10081010

Zebis MK, Andersen LL, Pedersen MT, et al. Implementation of neck/shoulder exercises for pain relief among industrial workers: a randomized controlled trial. BMC musculoskeletal disorders 2011;12:205. DOI: https://doi.org/10.1186/1471-2474-12-205

Plotnikoff RC, McCargar LJ, Wilson PM, Loucaides CA. Efficacy of an e-mail intervention for the promotion of physical activity and nutrition behavior in the workplace context. Am J Health Promot 2005;19:422-9. DOI: https://doi.org/10.4278/0890-1171-19.6.422

Bandoni DH, Sarno F, Jaime PC. Impact of an intervention on the availability and consumption of fruits and vegetables in the workplace. Public Health Nutr 2011;14:975-81.

Geaney F, Clare K, Jessica SDI, et al. The food choice at work study: effectiveness of complex workplace dietary interventions on dietary behaviours and diet-related disease risk-study protocol for a clustered controlled trial. Trials 2013;14:370. DOI: https://doi.org/10.1186/1745-6215-14-370

Ochoa Mangado E, Madoz GA. Consumption of alcohol and other drugs in the occupational environment. Med Segur Trab Madrid 2008;54:25–32. DOI: https://doi.org/10.4321/S0465-546X2008000400003

Byrd-Bredbenner C, Wu F, Spaccarotella K, et al. Systematic review of control groups in nutrition education intervention research. Int J Behav Nutr Phys Act 2017;14:1-26. DOI: https://doi.org/10.1186/s12966-017-0546-3

Steyn NP, Parker W, Lambert EV, Mchiza Z. Nutrition interventions in the workplace: evidence of best practice. South Afr J Clin Nutr 2009;22:111-7. DOI: https://doi.org/10.1080/16070658.2009.11734231

Bandoni DH, Sarno F, Jaime PC. Impact of an intervention on the availability and consumption of fruits and vegetables in the workplace. Public Health Nutr 2011;14:975-81. DOI: https://doi.org/10.1017/S1368980010003460

Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health 2008;29:253-72. DOI: https://doi.org/10.1146/annurev.publhealth.29.020907.090926

Geaney F, Kelly C, Di Marrazzo JS, et al. The effect of complex workplace dietary interventions on employees’ dietary intakes, nutrition knowledge and health status: a cluster-controlled trial. Prev Med 2016;89:76-83. DOI: https://doi.org/10.1016/j.ypmed.2016.05.005

Salinardi TC, Batra P, Roberts SB, et al. Lifestyle intervention reduces body weight and improves cardiometabolic risk factors in worksites. Oxford University Press, 2013. DOI: https://doi.org/10.3945/ajcn.112.046995

Rachmah Q, Setyaningtyas SW, Rifqi MA, et al. Self-efficacy to engage in physical activity and overcome barriers, sedentary behavior, and their relation to body mass index among elderly Indonesians with diabetes. J Prev Med Public Health 2019;52:242. DOI: https://doi.org/10.3961/jpmph.19.003

Oenema A, Brug J, Lechner L. Web-based tailored nutrition education: results of a randomized controlled trial. Health Educ Res 2001;16:647–60. DOI: https://doi.org/10.1093/her/16.6.647

Damen I, Brombacher H, Lallemand C, et al. A scoping review of digital tools to reduce sedentary behavior or increase physical activity in knowledge workers. Int J Environ Res Public Health 2020;17:499. DOI: https://doi.org/10.3390/ijerph17020499

Metzner CE, Folberth-Vogele A, Bitterlich N, et al. Effect of a conventional energy-restricted modified diet with or without meal replacement on weight loss and cardiometabolic risk profile in overweight women. Nutr Metab 2011;8:64. DOI: https://doi.org/10.1186/1743-7075-8-64

Winick C, Rotfhacker DQ, Norman RL. Four worksite weight loss programs with high‐stress occupations using a meal replacement product. Occup Med (Lond) 2002;52:25-30. DOI: https://doi.org/10.1093/occmed/52.1.25

Hackl LS, Abizari AR, Speich C, et al. Micronutrient-fortified rice can be a significant source of dietary bioavailable iron in schoolchildren from rural Ghana. Sci Adv 2019;5:1-9. DOI: https://doi.org/10.1126/sciadv.aau0790

Wallace LJ, Summerlee AJ, Dewey CE, et al. Women’s nutrient intakes and food-related knowledge in rural Kandal province, Cambodia. Asia Pac J Clin Nutr 2014;23:263-71.

Thorp AA, Healy GN, Winkler E, et al. Prolonged sedentary time and physical activity in workplace and non-work contexts: a cross-sectional study of office, customer service and call centre employees. Int J Behav Nutr Phys Act 2012;9:128. DOI: https://doi.org/10.1186/1479-5868-9-128

Hadgraft NT, Brakenridge CL, LaMontagne AD, et al. Feasibility and acceptability of reducing workplace sitting time: a qualitative study with Australian office workers. BMC Public Health 2016;16:933. DOI: https://doi.org/10.1186/s12889-016-3611-y

Conn VS, Hafdahl AR, Cooper PS, et al. Meta-analysis of workplace physical activity interventions. Am J Prev Med 2009;37:330-9. DOI: https://doi.org/10.1016/j.amepre.2009.06.008

Pronk, Nicolaas P. Implementing movement at the workplace: Approaches to increase physical activity and reduce sedentary behavior in the context of work. Prog Cardiovasc Dis 2020. DOI: https://doi.org/10.1016/j.pcad.2020.10.004

Glanz K, Seewald-Klein T. Nutrition at the worksite: an overview. J Nutr Educ 1986;18:S1-S12. DOI: https://doi.org/10.1016/S0022-3182(86)80084-X

Murimi MW, Kanyi M, Mupfudze T, et al. Factors influencing efficacy of nutrition education interventions: a systematic review. J Nutr Educ Behav 2017;49:142-65. DOI: https://doi.org/10.1016/j.jneb.2016.09.003

Robroek SJ, Van Lenthe FJ, Van Empelen P, Burdorf A. Determinants of participation in worksite health promotion programmes: a systematic review. Int J Behav Nutr Phys Act 2009;6:26. DOI: https://doi.org/10.1186/1479-5868-6-26

Jensen JD. Can worksite nutritional interventions improve productivity and firm profitability? A literature review. Perspect Public Health 2011;131:184-92. DOI: https://doi.org/10.1177/1757913911408263