Lifestyle-focused interventions at the workplace to reduce the risk of cardiovascular disease – a systematic review

Groeneveld, Iris F.; Proper, Karin I.; Beek, Allard J. van der; Hildebrandt, V.H.; Mechelen, Willem van

doi:10.5271/sjweh.2891

Cited by 146 publications

(129 citation statements)

References 75 publications

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“…25,26 When looking at changes in risk factors, it is important to be cognizant of the participant's baseline values and the presence of, or concurrent changes in, other health-related risk factors over the intervention time course. 27 In Steps Ahead, the risk factor mean baseline values were within the acceptable range (Table 1) on the basis of recent cut points. However, as mentioned above, 33% had high blood pressure, 33% had low HDL-C, 17% had high TGs, and 23% had high fasting glucose based on National Heart, Lung, and Blood Institute (NHLBI) definitions.…”

Section: Figmentioning

confidence: 99%

Cardiometabolic Risk Factor Response to a Lifestyle Intervention: A Randomized Trial

Harrington

Champagne

Broyles

et al. 2015

Metabolic Syndrome and Related Disorders

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Background: Strategies to increase adherence to national dietary and physical activity (PA) guidelines to improve the health in regions such as the Lower Mississippi Delta (LMD) of the United States are needed. Here we explore the cardiometabolic responses to an education and behavior change intervention among overweight and obese adults that adapted the 2010 Dietary Guidelines (DG), with and without a PA component. Methods: White and African American overweight and obese adults were randomized to a DG group (n = 61) or a DG + PA group (n = 60). Both groups received a 12-week dietary education and behavior change intervention, and the DG + PA group also received a PA education and behavior change intervention with a pedometer. Changes in individual risk factors (blood pressure, fasting glucose, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol) and a continuous cardiometabolic risk score were determined. General linear models compared mean changes between groups, adjusting for covariates. Results: No main effect of intervention group was found in completers (n = 99) and those who engaged with ‡ 80% of the intervention (n = 83) for individual risk factors or the continuous risk score. Pooling both groups, those with higher baseline risk factor values realized greater improvements in individual risk factors. Conclusions: Adapting DG did not produce any cardiometabolic benefits, even with a PA component. Although the sample was ostensibly healthy, they were all overweight to mildly obese (body mass index of 25-34.9 kg/ m

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Section: Figmentioning

confidence: 99%

Cardiometabolic Risk Factor Response to a Lifestyle Intervention: A Randomized Trial

Harrington

Champagne

Broyles

et al. 2015

Metabolic Syndrome and Related Disorders

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“…Since NICE guidelines do not provide clear cutoff criteria for methodological quality, we adapted it to the Groeneveld et al approach (28) and assessed each study as having high or low risk of bias, depending on how many relevant methodological quality criteria were fulfilled (table 1). When fulfilled and described properly, a criterion was rated as positive (+), otherwise criteria were rated as negative (-).…”

Section: Methodological Assessmentmentioning

confidence: 99%

“…In order to draw conclusions about the effectiveness of identified intervention types, we followed the bestevidence synthesis approach adapted from Groeneveld et al (28). Four levels of evidence were distinguished depending on the methodological quality of studies and consistency of results: (i) level 1 (strong evidence) multiple RCT with low risk of bias with consistent outcomes; (ii) level 2 (moderate evidence) 1 RCT with low risk of bias and ≥1 RCT with high risk of bias, all with consistent outcomes; (iii) Level 3 (limited evidence) 1 RCT with low risk of bias or >1 RCT with high risk of bias, all with consistent outcomes; and (iv) Level 4 (no evidence) 1 RCT with high risk of bias, quasi-experimental designs or contradictory outcomes of the studies.…”

Section: Strength Of Evidencementioning

confidence: 99%

A systematic review of brief mental health and well-being interventions in organizational settings

Ivandić

Freeman²,

Birner³

et al. 2017

Scand J Work Environ Health

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The present study offers an overview of the evidence on the effectiveness of brief mental health and well-being interventions in organizational settings and comparison of their effects with corresponding interventions of common (ie, longer) duration. It discusses the findings in the light of quality appraisal of included studies and emphasizes the need for further research with methodologically rigorous study designs and enhanced reporting of methods. Affiliation 99Review Scand J Work Environ Health. 2017;43(2):99-108. doi:10.5271/sjweh.3616 A systematic review of brief mental health and well-being interventions in organizational settings Objectives The aim of the systematic review was to provide an overview of the evidence on the effectiveness of brief interventions targeting mental health and well-being in organizational settings and compare their effects with corresponding interventions of common (ie, longer) duration.Methods An extensive systematic search was conducted using the Medline and PsycINFO databases for the period of 2000-2016. Randomized-controlled trials (RCT) and quasi-experimental studies evaluating primary or secondary brief interventions carried out in the workplace settings were included. Subsequently, common interventions matching brief interventions by type and assessed outcomes were included. The methodological quality of included studies was appraised using NICE guidelines, and the best evidence synthesis approach was applied. ResultsThe review identified 11 brief interventions and 9 corresponding common interventions. Included studies varied substantially in sample size and characteristics, methodological quality, duration of follow-up, types of intervention, and assessed outcomes. All but one study evaluating brief interventions had high risk of bias. No evidence was found on the effectiveness of brief stress management, relaxation, massage, mindfulness meditation, or multimodal interventions. We found limited evidence on the effectiveness of brief positive psychology interventions.Conclusions Our review highlights the need for high-quality studies evaluating brief mental health and wellbeing interventions in organizational settings. Future studies should use methodologically rigorous designs and improved reporting of methods and results to provide conclusive evidence on the effectiveness and sustainability of the intervention effects.Key terms brief intervention; mental health; occupational health; organization; prevention; promotion; workplace; workplace intervention. The majority of people spend a great part of their lives at work, therefore it is very important to address determinants of workplace-related mental health and develop effective strategies to preserve it. One of the major risk factors leading to poor mental health and well-being is work-related stress, affecting more than 40 million individuals across the European Union (1). Long-term exposure to work-related stress is associated with an increased risk of depression and may contribute to a range of other debilitatin...

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“…Nonetheless, there are situations than can hamper interventions for accident and disease prevention or workers' health promotion, such as: intervention programs without good theoretical bases; inadequate evaluation of intervention effectiveness; health surveillance restricted to diseases and specific harms; management's lack of commitment to interventions; communication gaps; lack of workers' participation and control over the workplace; and programs and interventions based exclusively on changes in workers' behavior (34) . Regarding interventions aimed at preventing pathologies, a study conducted in Finland demonstrated that interventions segmented by lifestyle (to increase physical activity and/or diet improvement) at the workplace, considering the main risk factors for cardiovascular disease, benefited the population at risk, with a decrease in body weight (35) . An intervention study in the interior of the state of São Paulo, Brazil, with instructors, aimed to apply an instrument for vocal QoL assessment before beginning a prevention program for voice disorders, with vocal training exercises and instructions about vocal hygiene habits.…”

Section: Physical Activities and Health Carementioning

confidence: 99%

Qualidade de vida no trabalho: avaliação de estudos de intervenção

et al. 2017

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Objective: to analyze the production of knowledge about interventions on quality of working life. Method: integrative review study. The following databases were used for study selection: SciELO, Medline and PubMed. Results: the sample included 25 national and international articles that described programs and methods to acquire healthy habits at the workplace and attenuate its mental demands. Conclusion: by observing the number of businesses throughout the world, a low number of programs addressing workers' health and well-being can be found, and the establishment of effi cient policies at institutions could improve this situation. Descriptors: Intervention Studies; Quality of Life; Work; Health Promotion; Review. RESUMO Objetivo: analisar a produção de conhecimento sobre intervenções em qualidade de vida no trabalho. Método: estudo de revisão integrativa. Para seleção dos estudos, utilizou-se as bases de dados: SciELO, Medline e PubMed. Resultados: a amostra incluiu 25 artigos nacionais e internacionais que descreveram programas e maneiras de adquirir hábitos saudáveis no ambiente laboral e amenizar as demandas mentais decorrentes do mesmo. Conclusão: diante da quantidade de empresas em todo o mundo, verifi ca-se número inexpressivo de programas voltados para a saúde e bem-estar dos trabalhadores, e a implantação de políticas efi cientes nas instituições poderia minimizar tal situação. Descritores: Estudos de Intervenção; Qualidade de Vida; Trabalho; Promoção da Saúde; Revisão. RESUMEN Objetivo: analizar la producción de conocimiento sobre intervenciones en calidad de vida en el trabajo. Método: estudio de revisión integrativa. Para la selección de los estudios, se utilizaron las bases de datos: SciELO, Medline y PubMed. Resultados: la muestra incluyó 25 artículos nacionales e internacionales que describieron programas y maneras de adquirir hábitos saludables en el ambiente laboral y amenizar las demandas mentales resultantes del mismo. Conclusión: frente a la cantidad de empresas en todo el mundo, se verifi ca un número inexpresivo de programas direccionados a la salud y bienestar de los trabajadores, y la implantación de políticas efi cientes en las instituciones podría minimizar dicha situación.

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Lifestyle-focused interventions at the workplace to reduce the risk of cardiovascular disease – a systematic review

Cited by 146 publications

References 75 publications

Cardiometabolic Risk Factor Response to a Lifestyle Intervention: A Randomized Trial

Cardiometabolic Risk Factor Response to a Lifestyle Intervention: A Randomized Trial

A systematic review of brief mental health and well-being interventions in organizational settings

Qualidade de vida no trabalho: avaliação de estudos de intervenção

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