Evidence map›Paper›PMID 31830955›Full record

SynthesisBMC public health2019

The effectiveness of workplace nutrition and physical activity interventions in improving productivity, work performance and workability: a systematic review.

Aikaterini Grimani, Emmanuel Aboagye, Lydia Kwak

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 5 pooled it
25.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

109 citing papers in PubMed, 5 syntheses or guidelines pooled it, 210 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. A Systematic Review of Workplace Physical Activity Coaching.Journal of occupational rehabilitation · 2023
    Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. The UP150: A Multifactorial Environmental Intervention to Promote Employee Physical and Mental Well-Being.International journal of environmental research and public health · 2022
    Trial
  9. Effects of a Workplace Sit-Stand Desk Intervention on Health and Productivity.International journal of environmental research and public health · 2021
    Trial
  10. Article
  11. Economic Evaluations of Physical Exercise at Work: A Scoping Review.Journal of occupational rehabilitation · 2026
    Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Supporting Nutritional Health of the UK Food Manufacturing Workforce: A Qualitative Study Exploring Insights From Employees.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Article
  18. Article
  19. Article
  20. Article

49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 2 countries.

Aikaterini GrimaniUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Nobels väg 13, Box 210, SE 171 77, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-2076-6199
Emmanuel AboagyeUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Nobels väg 13, Box 210, SE 171 77, Stockholm, Sweden.
Lydia KwakUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Nobels väg 13, Box 210, SE 171 77, Stockholm, Sweden. lydia.kwak@ki.se.
Karolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthy lifestyles play an important role in the prevention of premature death, chronic diseases, productivity loss and other social and economic concerns. However, workplace interventions to address issues of fitness and nutrition which include work-related outcomes are complex and thus challenging to implement and appropriately measure the effectiveness of. This systematic review investigated the impact of workplace nutrition and physical activity interventions, which include components aimed at workplace's physical environment and organizational structure, on employees' productivity, work performance and workability.

methodsA systematic review that included randomized controlled trials and or non-randomized controlled studies was conducted. Medline, EMBASE.com, Cochrane Library and Scopus were searched until September 2016. Productivity, absenteeism, presenteeism, work performance and workability were the primary outcomes of our interest, while sedentary behavior and changes in other health-related behaviors were considered as secondary outcomes. Two reviewers independently screened abstracts and full-texts for study eligibility, extracted the data and performed a quality assessment using the Cochrane Collaboration Risk-of-Bias Tool for randomized trials and the Risk-of-Bias in non-randomized studies of interventions. Findings were narratively synthesized.

resultsThirty-nine randomized control trials and non-randomized controlled studies were included. Nearly 28% of the included studies were of high quality, while 56% were of medium quality. The studies covered a broad range of multi-level and environmental-level interventions. Fourteen workplace nutrition and physical activity intervention studies yielded statistically significant changes on absenteeism (n = 7), work performance (n = 2), workability (n = 3), productivity (n = 1) and on both workability and productivity (n = 1). Two studies showed effects on absenteeism only between subgroups.

conclusionsThe scientific evidence shows that it is possible to influence work-related outcomes, especially absenteeism, positively through health promotion efforts that include components aimed at the workplace's physical work environment and organizational structure. In order to draw further conclusions regarding work-related outcomes in controlled high-quality studies, long-term follow-up using objective outcomes and/or quality assured questionnaires are required.

trial registrationRegistration number: PROSPERO CRD42017081837.

Indexed as

AbsenteeismEfficiencyOccupational Health ServicesExerciseHumansNon-Randomized Controlled Trials as TopicNutritional StatusProgram EvaluationRandomized Controlled Trials as TopicWork PerformanceAbsenteeismFitness programsNon-randomized controlled study designsNutritional interventionsRandomized controlled trialsRisk of biasWorkplace health promotion interventionsWork-related outcomes

Identifiers

PMID31830955
PMCPMC6909496
OpenAlexW2995485787

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.