Promoting Physical Activity and Healthy Dietary Behavior

Kwak, Lydia; Hagströmer, María; Jensen, Iréne; Lohela-Karlsson, Malin; Alipour, Akbar; Elinder, Liselotte Schäfer

doi:10.1097/jom.0000000000000012

Cited by 11 publications

(10 citation statements)

References 34 publications

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“…To illustrate, the systematic review of RCT of Groeneveld et al (14) concluded no evidence for a positive effect of workplace lifestyle interventions on blood pressure, serum lipid profile, blood glucose, and triglycerides, which was mainly due to inconsistencies between the study findings under review. In contrast, Kwak et al (27), who also studied RCT to the effect of interventions to promote healthy lifestyle behaviors, found that high quality studies reported favorable intervention effects on biological risk factors for cardiovascular diseases (CVD). Furthermore, based on the review of studies that evaluated total worker health interventions, Kent Anger et al (26) showed that all but one of the 17 interventions improved outcomes that are risk factors for injuries and/or chronic diseases.…”

Section: Effect Of Interventions On Remaining Metabolic Riskmentioning

confidence: 99%

“…With respect to the metabolic risk factors for T2DM and CVD, most reviews (14, 18, 20, 21, 24-33) evaluated the effect of workplace health promotion interventions on weight-related outcomes, such as body weight, body mass index (BMI), percentage of body fat, waist circumference. The remaining metabolic risk factors, such as lipid measures, blood glucose, and blood pressure were also studied in 5 reviews (14,18,(25)(26)(27). Defined by depression, anxiety or stress, mental health as outcome was studied in 6 reviews (17-20, 22, 34).…”

Section: Description Of Reviewsmentioning

confidence: 99%

“…Also, Groeneveld et al (14) and Kwak et al (27) used various risk factors as outcome including lipids, blood pressure, and blood glucose. The promotion of healthy lifestyle behaviors (especially physical activity and healthy diet) was the main intervention component in 3 reviews (14,18,27). The remaining 2 (25, 26) evaluated more comprehensive approaches.…”

Section: Effect Of Interventions On Remaining Metabolic Riskmentioning

confidence: 99%

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The effectiveness of workplace health promotion interventions on physical and mental health outcomes – a systematic review of reviews

Proper¹,

Oostrom²

2019

Scand J Work Environ Health

172

130

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The effectiveness of workplace health promotion interventions on physical and mental health outcomes -a systematic review of reviews by Proper KI, van Oostrom SH This review found evidence of workplace health promotion to prevent weight-related outcomes, depression and musculoskeletal disorders. However, there is an absence of reviews concerning the effectiveness of workplace interventions on the onset of lung diseases, type 2 diabetes, and cardiovascular diseases. It is currently not possible to formulate evidence-based recommendations about which components and in what dose or frequency should be applied.Proper KI, van Oostrom SH. The effectiveness of workplace health promotion interventions on physical and mental health outcomes -a systematic review of reviews.Objective This systematic review aimed to provide an overview of the effectiveness of health promotion interventions at the workplace on physical and mental health outcomes related to chronic diseases.Methods A search for reviews published between 2009 and 2018 was performed in electronic databases. References of the included reviews were checked for additional reviews. Workplace health promotion interventions were included if they studied metabolic risk factors as important predictors of type 2 diabetes mellitus (T2DM) and cardiovascular diseases (CVD) or if they studied mental or musculoskeletal health outcomes. Review quality was assessed using the AMSTAR checklist. ResultsOf the 23 reviews included, 9 were of high quality. For weight-related outcomes, there was strong evidence for favorable effects of workplace interventions, especially for interventions targeting physical activity and/or diet. For the remaining metabolic risk factors, there was no evidence for a positive effect of workplace health promotion interventions due to the absence of high quality reviews and mixed conclusions between the reviews. There was also strong evidence for a positive, small effect on the prevention of mental health disorders of workplace psychological interventions, especially those that use e-health and cognitive behavioral therapy techniques. Furthermore, strong evidence was found for the prevention of musculoskeletal disorders through workplace interventions, especially resistance exercise training.Conclusions This review found evidence for the effectiveness of workplace interventions on the prevention of weight-related outcomes as well as mental health and musculoskeletal disorders. Future research is however needed on the factors that contribute to the successful implementation of an intervention.

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Section: Effect Of Interventions On Remaining Metabolic Riskmentioning

confidence: 99%

Section: Description Of Reviewsmentioning

confidence: 99%

Section: Effect Of Interventions On Remaining Metabolic Riskmentioning

confidence: 99%

See 1 more Smart Citation

The effectiveness of workplace health promotion interventions on physical and mental health outcomes – a systematic review of reviews

Proper¹,

Oostrom²

2019

Scand J Work Environ Health

172

130

View full text Add to dashboard Cite

show abstract

“…The aim of the OHS is to prevent work-related illness and protect and promote workers’ health and work ability (Heselmans et al 2010; Kwak et al 2014). In Sweden, the OHS is not part of the state-funded health care system; it operates on the open market.…”

Section: Introductionmentioning

confidence: 99%

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Brämberg

Nyman

Kwak

et al. 2017

Int Arch Occup Environ Health

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PurposeThe Swedish government initiated an investigation of how to secure and develop the competence of the occupational health services. The primary aim of the present study was to investigate whether the development of evidence-based practice (EBP) in the Swedish occupational health services in relation to attitudes, knowledge and use improved during the first 3 years of the government’s initiative.MethodsThe study has a mixed methods design combining questionnaires and interviews with data collection at baseline and at 3-year follow-up.ResultsThe response rate was 66% at baseline and 63% at follow-up. The results show that practitioners’ knowledge of EBP was moderate at baseline and improved at follow-up (p = 0.002; 95% CI 0.01; 0.21). Practitioners experienced lower levels of organizational and managerial support for EBP at follow-up (p < 0.001; 95% CI 0.18; 0.38). The results revealed that managers viewed responsibility for implementing EBP as a matter for individual practitioners rather than as an organizational issue.ConclusionsOccupational health service managers and practitioners are generally positive to EBP. However, the findings emphasize the need to educate managers in how to support EBP at the organizational level by creating an infrastructure for EBP in the OHS.

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“…Several factors influence guideline adherence, including guidelines’ scientific evidence, relevance and applicability, and whether they contain implementation information [10]. The field of OHS research is growing, however research evidence in it is still limited [11–13]. With regards to the relevance and applicability of occupational health (OH) guidelines, contextual information explicit to the OHS is often lacking.…”

Section: Introductionmentioning

confidence: 99%

Developing a practice guideline for the occupational health services by using a community of practice approach: a process evaluation of the development process

et al. 2017

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BackgroundOne way to facilitate the translation of research into the occupational health service practice is through clinical practice guidelines. To increase the implementability of guidelines it is important to include the end-users in the development, for example by a community of practice approach. This paper describes the development of an occupational health practice guideline aimed at the management of non-specific low back pain (LBP) by using a community of practice approach. The paper also includes a process evaluation of the development providing insight into the feasibility of the process.MethodsA multidisciplinary community of practice group (n = 16) consisting of occupational nurses, occupational physicians, ergonomists/physical therapists, health and safety engineers, health educators, psychologists and researchers from different types of occupational health services and geographical regions within Sweden met eleven times (June 2012–December 2013) to develop the practice guideline following recommendations of guideline development handbooks. Process-outcomes recruitment, reach, context, satisfaction, feasibility and fidelity were assessed by questionnaire, observations and administrative data.ResultsGroup members attended on average 7.5 out of 11 meetings. Half experienced support from their workplace for their involvement. Feasibility was rated as good, except for time-scheduling. Most group members were satisfied with the structure of the process (e.g. presentations, multidisciplinary group). Fidelity was rated as fairly high.ConclusionsThe described development process is a feasible process for guideline development. For future guideline development expectations of the work involved should be more clearly communicated, as well as the purpose and tasks of the CoP-group. Moreover, possibilities to improve support from managers and colleagues should be explored. This paper has important implications for future guideline development; it provides valuable information on how practitioners can be included in the development process, with the aim of increasing the implementability of the developed guidelines.

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Promoting Physical Activity and Healthy Dietary Behavior

Cited by 11 publications

References 34 publications

The effectiveness of workplace health promotion interventions on physical and mental health outcomes – a systematic review of reviews

The effectiveness of workplace health promotion interventions on physical and mental health outcomes – a systematic review of reviews

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Developing a practice guideline for the occupational health services by using a community of practice approach: a process evaluation of the development process

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