The impact of worksite interventions promoting healthier food and/or physical activity habits among employees working ‘around the clock’ hours: a systematic review

  • Anne Dahl Lassen
  • Sisse Fagt
  • Maria Lennernäs
  • Maria Nyberg
  • Irja Haapalar
  • Anne V. Thorsen
  • Anna C.M. Møbjerg
  • Anne M. Beck
DOI: https://doi.org/10.29219/fnr.v62.1115
Keywords: Public Health, health promotion, Occupational Health, shift work nutrition, participatory and empowerment strategies

Abstract

We conducted a systematic review of randomised studies on the impact of worksite interventions to promote healthier food and/or physical activity among people who work irregular hours ‘around the clock’, that is, outside of ordinary daytime working hours. The population–intervention–comparator–outcomes–study (PICOS) design format was used. Data sources were PubMed and CINAHL. An updated search was conducted on October 2017 using Google Scholar and the related articles function in PubMed on initially included studies to identify additional studies. Risk of bias was used to assess study quality. A total of seven studies (reports published in 14 papers) were included in the systematic review: Two interventions with a broader lifestyle approach, three focusing on physical exercise and two on providing healthier food or meal options. The studies had sample sizes from 30 to 1,000 and targeted a mixture of occupations, including both male- and female-dominated occupational groups. The interventions lasted from 2 to 12 months. Only one had an extended follow-up. In general, the studies showed small-to-moderate effect sizes on several measures, including dietary and/or physical activity measures, suggesting acceptable effectiveness for interventions involving community-level behaviour change. Our findings highlight a need to further develop and implement well-designed health promotion interventions with comparable outcome measures and effect size reports. A mixture of health promotion strategies is recommended for future practice in this target population, including individually tailored programmes, improving the food and physical activity environment and using broader lifestyle approaches including the use of participatory and empowerment strategies. While more research is needed in this field, the existing knowledge base on effective approaches awaits translation into practice.

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References


  1. Smith SA, Lake AA, Summerbell C, Raujo-Soares V, Hillier-Brown F. The effectiveness of workplace dietary interventions: protocol for a systematic review and meta-analysis. Syst Rev 2016; 5(1): 20.

  2. Lassen AD, Thorsen AV, Haapala I, Wiklund ML, Nyberg M, Beck AM, et al. Food at work around the clock – the Nordic Model. Report from a Nordic Workshop, November 4, 2016, Copenhagen, Denmark. Copenhagen: National Food Institute, Technical University of Denmark; 2017.

  3. Lassen AD, Thorsen AV, Sommer HM, Fagt S, Trolle E, Biltoft-Jensen A, et al. Improving the diet of employees at blue-collar worksites: results from the ‘food at work’ intervention study. Public Health Nutr 2011; 14(6): 965–74.

  4. Guazzi M, Faggiano P, Mureddu GF, Faden G, Niebauer J, Temporelli PL. Worksite health and wellness in the European Union. Prog Cardiovasc Dis 2014; 56(5): 508–14.

  5. The World Economic Forum. Working towards wellness: the business rationale. Geneva; World Economic Forum 2008.

  6. European Commission. EU Health Programme 2014–2020. 2014. Available from: http://ec.europa.eu/health/programme/policy/2014-2020/index_en.htm [cited April 2018].

  7. European Agency for Safety and Health at Work. Motivation for employees to participate in workplace health promotion. A literature review. Luxembourg: Publications Office of the European Union, 2012.

  8. European Agency for Safety and Health at Work. Well-being at work creating a positive work environment. A literature review. Luxembourg: Publications Office of the European Union, 2013.

  9. Toker S, Heaney CA, Ein-Gar D. Why won’t they participate? Barriers to participation in worksite health promotion programmes. Eur J Work Organ Psychol 2015; 24(6): 866–81.

  10. Eurofound. Sixth European Working Conditions Survey. Luxembourg: Publications Office of the European Union; 2017.

  11. National Research Centre for the Working Environment. Working hours measured as ‘other than regular daytime work’ 2012 to 2016 Arbejdstid målt med ‘andet end fast dagarbejde’ 2012 til 2016. 2018. Available from: www.arbejdsmiljodata.nfa.dk [cited 15 April 2018].

  12. Lindén AL, Lagnevik M, Sjöberg K, Svederberg E, Jönsson H, Nyberg M. Mat hälsa och oregelbundna arbetstider [English translation: Food, health and irregular working hours]. Research Reports in Sociology, 2005: 1. Department of Sociology, Lund, Lund University; 2005.

  13. Esquirol Y, Perret B, Ruidavets JB, Marquie JC, Dienne E, Niezborala M, et al. Shift work and cardiovascular risk factors: new knowledge from the past decade. Arch Cardiovasc Dis 2011; 104(12): 636–68.

  14. Antunes LC, Levandovski R, Dantas G, Caumo W, Hidalgo MP, Obesity and shift work: chronobiological aspects. Nutr Rev Rev 2010; 23(1): 155–68.

  15. Nea FM, Kearney J, Livingstone MB, Pourshahidi LK, Corish CA. Dietary and lifestyle habits and the associated health risks in shift workers. Nutr Rev Rev 2015; 28(2): 143–66.

  16. Hulsegge G, Boer JM, van der Beek AJ, Verschuren WM, Sluijs I, Vermeulen R, et al. Shift workers have a similar diet quality but higher energy intake than day workers. Scand J Work Environ Health 2016; 42(6): 459–68.

  17. Holmback U, Forslund A, Lowden A, Forslund J, Akerstedt T, Lennernas M, et al. Endocrine responses to nocturnal eating – possible implications for night work. Eur J Nutr 2003; 42(2): 75–83.

  18. Lennernas M, Hambraeus L, Akerstedt T. Shift related dietary-intake in day and shift workers. Appetite 1995; 25(3): 253–65.

  19. Lowden A, Moreno C, Holmback U, Lennernas M, Tucker P, Eating and shift work – effects on habits, metabolism and performance. Scand J Work Environ Health 2010; 36(2): 150–62.

  20. Asher G, Sassone-Corsi P. Time for food: the intimate interplay between nutrition, metabolism, and the circadian clock. Cell 2015; 161(1): 84–92.

  21. Froy O. The relationship between nutrition and circadian rhythms in mammals. Front Neuroendocrinol 2007; 28(2–3): 61–71.

  22. Hemio K, Puttonen S, Viitasalo K, Harma M, Peltonen M, Lindstrom J. Food and nutrient intake among workers with different shift systems. Occop Environ Med 2015; 72(7): 513–20.

  23. Lemaire JB, Wallace JE, Dinsmore K, Lewin AM, Ghali WA, Roberts D. Physician nutrition and cognition during work hours: effect of a nutrition based intervention. BMC Health Serv Res 2010; 10: 241.

  24. Nabe-Nielsen K, Jorgensen MB, Garde AH, Clausen T. Do working environment interventions reach shift workers? Int Arch Occup Environ Health 2016; 89(1): 163–70.

  25. Dorfman L, Wallack L. Moving nutrition upstream: the case for reframing obesity. J Nutr Educ Behav 2007; 39(2 Suppl): S45–50.

  26. Brandstetter S, Rueter J, Curbach J, Loss J. A systematic review on empowerment for healthy nutrition in health promotion. Public Health Nutr 2015; 18(17): 3146–54.

  27. Allan J, Querstret D, Banas K, de Bruin M. Environmental interventions for altering eating behaviours of employees in the workplace: a systematic review. Obes Rev 2017; 18(2): 214–26.

  28. Maes L, Van Cauwenberghe E, Van Lippevelde W, Spittaels H, De Pauw E, Oppert JM, et al. Effectiveness of workplace interventions in Europe promoting healthy eating: a systematic review. Eur J Public Health 2012; 22(5): 677–83.

  29. Malik SH, Blake H, Suggs LS. A systematic review of workplace health promotion interventions for increasing physical activity. Br J Health Psychol 2014; 19(1): 149–80.

  30. Schroer S, Haupt J, Pieper C. Evidence-based lifestyle interventions in the workplace-an overview. Occup Med (Lond) 2014; 64(1): 8–12.

  31. Tam G, Yeung MPS. A systematic review of the long-term effectiveness of work-based lifestyle interventions to tackle overweight and obesity. Prevent Med 2018; 107: 54–60.

  32. Verweij LM, Coffeng J, van Mechelen W, Proper KI. Meta-analyses of workplace physical activity and dietary behaviour interventions on weight outcomes. Obes Rev 2011; 12(6): 406–29.

  33. Jensen JD. Can worksite nutritional interventions improve productivity and firm profitability? A literature review. Perspect Public Health 2011; 131(4): 184–92.

  34. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gotzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 2009; 339: b2700.

  35. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0. The Cochrane Collaboration; 2011. Available from http://handbook.cochrane.org [cited April 2018].

  36. Guyatt G, Oxman AD, Akl EA, Kunz R, Vist G, Brozek J, et al. GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol 2011; 64(4): 383–94.

  37. Cohen J. Statistical power analysis for the behavioural sciences. Hillsdale, NJ: Erlbaum; 1988.

  38. Social Science Statistics. Effect size calculators. 2018. Available from: http://www.socscistatistics.com/effectsize/Default3.aspx [cited April 2018].

  39. Härma MI, Ikmarinen J, Knauth P, Rydell SA, Hannnenin O. Physical training intervention in female shift workers I. The effekcts of intervention on fitness fatique sleep and psychosomatic symptoms. Ergonomics 1988; 31(1): 39–50.

  40. Härma MI, Ilmarinen J, Knauth P, Rutenfranz J, Hannnenin O. Physical training intervention in female shift workers II. The effects of intervention on the circadian rhythms of alertness short-term memory and body temperature. Ergonomics 1988; 31(1): 51–63.

  41. Morgan PJ, Collins CE, Plotnikoff RC, Cook AT, Berthon B, Mitchell S, et al. Efficacy of a workplace-based weight loss program for overweight male shift workers: the workplace POWER (Preventing Obesity Without Eating like a Rabbit) randomized controlled trial. Prev Med 2011; 52(5): 317–25.

  42. Morgan PJ, Collins CE, Plotnikoff RC, Cook AT, Berthon B, Mitchell S, et al. The Impact of a workplace-based weight loss program on work-related outcomes in overweight male shift workers. J Occup Environ Med 2012; 54(2): 122–7.

  43. Guillemard E, Tanguy J, Flavigny A, de la Motte S, Schrezenmeir J. Effects of consumption of a fermented dairy product containing the probiotic Lactobacillus casei DN-114 001 on common respiratory and gastrointestinal infections in shift workers in a randomized controlled trial. J Am Coll Nutr 2010; 29(5): 455–68.

  44. Lim ST, Min SK, Kwon YC, Park SK, Park H. Effects of intermittent exercise on biomarkers of cardiovascular risk in night shift workers. Atherosclerosis 2015; 242(1): 186–90.

  45. Elliot DL, Goldberg L, Kuehl KS, Moe EL, Breger RK, Pickering MA. The PHLAME (Promoting Healthy Lifestyles: Alternative Models’ Effects) firefighter study: outcomes of two models of behavior change. J Am Diet Assoc 2007; 49(2): 204–13.

  46. Kuehl KS, Elliot DL, Goldberg L, Moe E. The PHLAME study: short-term economic impact of health promotion. J Investig Med 2005; 53(1): S127.

  47. MacKinnon DP, Elliot DL, Thoemmes F, Kuehl KS, Moe EL, Goldberg L, et al. Long-term effects of a worksite health promotion program for firefighters. Am J Health Behav 2010; 34(6): 695–706.

  48. Ranby KW, MacKinnon DP, Fairchild AJ, Elliot DL, Kuehl KS, Goldberg L. The PHLAME (Promoting Healthy Lifestyles: Alternative Models’ Effects) firefighter study: testing mediating mechanisms. J Occup Health Psychol 2011; 16(4): 501–13.

  49. Kuehl KS, Elliot DL, Goldberg L, Moe EL, Perrier E, Smith J. Economic benefit of the PHLAME wellness programme on firefighter injury. Occup Med (Lond) 2013; 63(3): 203–9.

  50. Elliot DL, Goldberg L, Duncan TE, Kuehl KS, Moe EL, Breger RKR, et al. The PHLAME firefighters’ study: feasibility and findings. Am J Health Behav 2004; 28(1): 13–23.

  51. Leedo E, Beck AM, Astrup A, Lassen AD. The effectiveness of healthy meals at work on reaction time, mood and dietary intake: a randomised cross-over study in daytime and shift workers at a university hospital. Br J Nutr 2017; 118(2): 121–9.

  52. Matsugaki R, Kuhara S, Saeki S, Jiang Y, Michishita R, Ohta M, et al. Effectiveness of workplace exercise supervised by a physical therapist among nurses conducting shift work: a randomized controlled trial. J Occup Health 2017; 59(4): 327–35.

  53. Byrd-Bredbenner C, Wu F, Spaccarotella K, Quick V, Martin-Biggers J, Zhang Y. Systematic review of control groups in nutrition education intervention research. Int J Behav Nutr Phys Act 2017; 14(1): 91.

  54. Lassen AD, Lehmann C, Andersen EW, Werther MN, Thorsen AV, Trolle E, et al. Gender differences in purchase intentions and reasons for meal selection among fast food customers. Opportunities for healthier and more sustainable fast food. Food Qual Prefer 2016; 47: 123–9.

  55. Kent LM, Morton DP, Rankin PM, Gobble JE, Diehl HA. Gender differences in effectiveness of the Complete Health Improvement Program (CHIP). J Nutr Educ Behav 2015; 47(1): 44–52.

  56. Neil-Sztramko SE, Pahwa M, Demers PA, Gotay CC. Health-related interventions among night shift workers: a critical review of the literature. Scand J Work Environ Health 2014; 40(6): 543–56.

  57. Knutsson A. Mortality of shift workers. Scand J Work Environ Health 2017; 43(2): 97–8.

  58. European Agency for Safety and Health at Work. Safer and healthier work at any age: analysis report of workplace good practices and support needs of enterprises. A report. Luxembourg: Publications Office of the European Union, 2016.

Published
2018-08-02
How to Cite
Lassen A. D., Fagt S., Lennernäs M., Nyberg M., Haapalar I., Thorsen A. V., Møbjerg A. C., & Beck A. M. (2018). The impact of worksite interventions promoting healthier food and/or physical activity habits among employees working ‘around the clock’ hours: a systematic review. Food & Nutrition Research, 62. https://doi.org/10.29219/fnr.v62.1115
Issue
Vol 62 (2018)
Section
Review Articles

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