Background Adult obesity is globally recognized as a public health concern. As adults spend most of their weekdays at work, worksite wellness programs may include topics of nutrition education and physical activity to improve an employee's body composition. However, results are inconsistent with the impact they have on employees' body composition. Objective The purpose of this systematic review was to evaluate worksite wellness nutrition and physical activity programs and their subsequent impact on participants' body composition. Methods Extraction of articles was completed through 4 databases: PubMed, CINAHL, SCOPUS, and PsycINFO using keywords such as “nutrition and physical activity interventions/programs” and “weight.” A 9-point inclusion criterion was established. Evaluation of the articles was assessed using the Academy of Nutrition and Dietetics Evidence-Based Manual. Results A total of 962 articles were identified. Twenty-three met the inclusion criterion. Seventeen studies resulted in a change in body composition (e.g., decreased BMI (kg/m2), waist circumference, and body fat percentage), and six studies did not show any changes. Programs that had professionals frequently interact with participants, regardless if the interactions were done daily, weekly, or monthly, led to a change in body composition. Additionally, programs that incorporated a motivation theory and provided content relevant to participants' needs resulted in a change in body composition. Conclusion Evidence supports that future worksite wellness programs that are designed using a motivational theory and content that is created relevant to participants' needs and that has frequent interactions with participants may result in a change in body composition.

Background (Background, Rationale, Prior Research, and/or Theory): Garden-based nutrition education programs are viewed as a promising strategy to promote nutrition and physical activity for families. Objective: To evaluate the impact of a 10-week, familyfocused, garden-based, nutrition education program. Study Design, Setting, Participants, Intervention: The Growing Gardens, Growing Health program was a 10week program that promoted healthier lifestyles to families through gardening. It was implemented by University of Connecticut's Expanded Food and Nutrition Education Program (EFNEP), the Norwalk Health Department, two Certified Master Gardener volunteers, and a Rutgers PhD student. Each 90-minute session included a Master Gardener designed gardening component and a Registered Dietitian designed nutrition education/cooking component. During 2017, 29 families were recruited through flyers and emails. Outcome Measures and Analysis: Parent pre/postintervention surveys assessed their: fruit and vegetable (FV) consumption; physical activity (PA) behaviors, selfefficacy and readiness to change FV consumption, PA and gardening behaviors; and their children's FV consumption. Post-program satisfaction was also assessed. Descriptive statistics and Wilcoxon signed-rank test were performed using SAS 9.4. Results: Of the parents (n = 17) who completed the program, 82% indicated they were extremely satisfied with the program and 94% would strongly recommend the program. Significant increases in parents' median confidence levels regarding FV gardening were noted (Z = 18, P = .0078). Although parents' reported FV consumption didn't increase significantly, their confidence in consuming at least five servings of FV daily did (Z = 14, P = .0156). For those who cook with fresh FV <4 times/week preintervention, 50% cooked more at post-intervention. Among those whose children who ate FV <2 times/day, 62.5% reported that their children were eating more fruits, and 45% reported their children were eating more vegetables, post-intervention. Parents' readiness to exercise for at least 30 minutes/day on most days also increased (Z = 14, P = .0156). Conclusions and Implications: This family-focused, garden-based nutrition education program may have the potential to increase participants FV intake and PA behaviors. Further research is needed to identify if a longer intervention would result in additional improvements.