“…Also, assessments varied quite substantially with regard to job tasks and activities [46,47]. Historically occupational physical activity has been regarded as beneficial to the cardiovascular system in sports medicine and behavioral medicine [1], as shown by our previous meta-analysis [6 & ]; however, in work physiology and occupational medicine, high physical activity in the workplace in terms of physical job demand is traditionally considered as an occupational health hazard [45,48], as supported by this updated meta-analysis. It needs to be noted that the operationalization of physical activity levels can take a range of different forms, for example, as intensity, duration, or frequency of activity, or as the total amount of energy expenditure by metabolic equivalent value [36,49].…”