Review Article

Evaluation of Worksite Wellness Nutrition and Physical Activity Programs and Their Subsequent Impact on Participants’ Body Composition

Table 1

Summary of articles included within the systematic review ().

Author (year)LocationDesign/durationPopulation/groupsTheory/wellness interventionEvaluation measuresMeasurement techniquesResults

Allen et al. (2012) [43]USARCT1,12 monthsTotal
Intervention
Control
No specific theory
Intervention: monthly education sessions and pedometers
Control: no intervention
BMI2, BF%3, WC4Weight: calibrated electronic scale
Height: stadiometer
BF: BIA5
WC: tape measurer
No further specifications
Intervention: insignificant decrease in BMI, BF%, or WC ()
Control: WC increased ()

Almeida et al. (2015) [10]USARCT,12 monthsTotal ,790
Intervention
Control
No specific theory
Intervention: daily email, incentives, education website
Control: quarterly newsletter and 1-hour resource session
BW6, BMIWeight: calibrated electronic scale
Height: stadiometer
No further specifications
Intervention: BW and BMI decreased ()

Baker Parker et al. (2010) [50]USAQuasi-experimental: 3 groups, 24 monthsTotal
Intense
Moderate
Control
No specific theory
Intense intervention: health goals, prompts, and messages
Moderate intervention: prompts and messages
Control: no intervention
BMIWeight and height were measured, but no further specificationsAn insignificant decrease in BMI ()

Barham et al. (2011) [36]USARCT,12 monthsTotal
Intervention
Control
No specific theory
Intervention: 12 1-hour weekly sessions; 1-hour monthly sessions
Control: 3-month delay of intervention
BMI, WCWeight: calibrated electronic scale
Height: stadiometer
WC: tape measurer.
Measurements were taken by trained professionals, no further specifications
Intervention: decreased BMI () and WC () in the first three months

Campbell et al. (2002) [51]USARCT,18 monthsTotal
Intervention
Control
Social cognitive theory, Stages of Change Trans-Theoretical framework, social support model
Intervention: two personalized tailored “magazines,” Natural helpers
Control: after 6 months, 1 magazine was provided
BMIWeight: calibrated scale
Height: tape measure
Weight and height measured without shoes
No changes in BMI

Christensen et al. (2012) [31]DenmarkRCT,12 monthsTotal
Intervention
Control
Cognitive behavioral training
Intervention: 1-hour weekly educational sessions
Control: monthly 2-hour oral presentations
BW, BMI, BF%Weight: calibrated scale. Measurements taken without socks and shoes, light clothing, 1 kg subtracted to compensate for clothing.
Height: stadiometer Measurements taken without shoes
BF: BIA. Measured by “standard” body frame and participant’s age, height, and gender
BF: tape measurer. Waist circumference measured over umbilicus. Hip circumference measured on the hip part that gave the greatest circumference
Intervention: BW decreased by 6 kg ()
BMI decreased by 2.2 kg/m2 ()
BF% decreased by 2.8% ()

Fernandez et al. (2015) [52]USARCT: 10 groups,24 monthsTotal
Intervention
Control
No specific theory
Intervention: marketing at workplace, newsletters, interactive website
Control: no intervention
BMIWeight: calibrated electronic scale
Height: stadiometer
Measurements were taken in street clothes and without shoes
Intervention: BMI decreased by 0.54 kg/m2 ()
Control: BMI decreased by 0.12 kg/m2 ()
French et al. (2010) [53]USARCT,
18 months
Total No specific theory
Intervention: healthy vending machine options, fitness facility, self-weighing competition, 2-day long health expos, monthly farmers markets
Control: quarterly advisory group
BMIWeight: calibrated electronic scale
Height: stadiometer
Measurements taken in street clothes and without shoes; 2 separate measurements taken and then averaged the values
Intervention: BMI decreased by −0.14 kg/m2 ()

Goetzel et al. (2014) [54]USA1 cohort group,
12 months
Total No specific theory
Intervention: 15-minute individual telephone health coaching and online interactive wellness tools
BMISelf-reported weight and height
No specifications on how they trained participants to take these measurements
BMI decreased by 2.0 kg/m2 ()

Hochart et al. (2011) [32]USAPretest, posttest: 13 groups,
36 months
Total
Intervention
Control
No specific theory
Intervention: telephone coaching, worksite or webinar education classes, online resources, and behavior change support tools
Control: no intervention
BW, BMIWeight and height measured, but no specifications on how these measurement techniques were takenIntervention: Insignificant decreases in BW and BMI ()

LeCheminant et al. (2012) [55]USA1 cohort group
24 months
Total Behavioral change framework
Intervention: 6, 3- to 8-week intervention campaigns
BMIWeight and height measured, but no specifications on how these measurement techniques were takenBMI increased ()

Lemon et al. (2014) [56]USARCT,
24 months
Total
Intervention
Control
Social ecological model
Intervention: fitness facilities, healthy lunchroom options, elimination of SSB7, healthy prompts, print, and web-based materials
Control: print and web-based materials only
BMIWeight: calibrated electronic scale. Measured by trained staff, readings to the nearest 2/10th pound
Height: stadiometer. Measured by trained staff, readings to the nearest 1/8th inch
Decreased BMI -0.48 kg/m2 ()

Leyk et al. (2014) [57]GermanyPretest, posttest: 3 groups,
12 months
Total
Nonactive
Not very active
Very active
No specific theory
Intervention: voluntary sport participation, sports-medicine exam, monthly lectures
BW, BMI, BF%, WCWeight: calibrated electronic scale
Height: stadiometer
BF: caliper
WC: tape measurer
Sports-medicine specialist took the measurements, no specifications of how measurements were taken
Decrease in BW (), BMI (), and WC () among men No significant differences among women

Linde et al. (2012) [44]USARCT,
24 months
Total
Intervention
Control
No specific theory
Intervention: education classes
Control: no intervention
BW, BMIWeight: calibrated electronic scale. Trained team specialists measured to the nearest 0.1 kg wore light street clothes without shoes
Height: stadiometer Trained team specialists measured to the nearest 0.1 cm
Intervention: no changes in BW and BMI
Mache et al. (2015) [34]GermanyRCT,
12 months
Total
Intervention
Control
No specific theory
Intervention: weekly 30–60 minutes training sessions, healthy food and exercise demonstrations, and activities
Control: no intervention
BMIWeight and height measured but no further specificationsNo changes in BMI

MacKinnon et al. (2010) [58]USARCT: 3 groups,
48 months
Total
MI
TEAM
Control
No specific theory
TEAM: 11–45 minute sessions in the first year and 6 booster sessions in the second year
MI: 4 1-hour individual motivational interviewing sessions in the first year, and 2 meetings with a counselor and optional additional 6 hours of in-person or phone contact in the second year
Control: no intervention
BMIWeight and height measured but no further specificationsDecreased BMI for TEAM intervention at 1 year ()

Merrill et al. (2014) [59]USA1 cohort group,
48 months
Year 1
Year 2
Year 3
Year 4
Motivational interviewing theory
Intervention: monetary incentives, monthly newsletter, individual health coaching
BMI, BF%BMI: weight and height measured but no further specifications
BF%: body fat analyzer, but no further specifications
Over the 4-year period, decreased BMI ()

Merrill et al. (2010) [60]USA1 cohort group,
12 months
Total Healthy belief model, Trans-theoretical model of change, motivational interviewing
Intervention: telephonic health coaching
BMIWeight and height measured but no further specificationsDecreased BMI ()

Muto et al. (2001) [37]JapanRCT,
18 months
Total
Intervention
Control
No specific theory
Intervention: 4-day education program, individual counseling, group discussions
Control: no intervention
BMIWeight and height measured but no further specificationsIntervention: decreased BMI by 0.5 kg/m2 ()

Neville et al. (2011) [33]USAQuasi-experimental: 3 groups,
96 months
Total
Group 1
Group 2
Group 3
No specific theory
Intervention: monthly education sessions, incentives, health screenings
Control: no intervention
BW, BMI, BF%Weight: calibrated electronic scale
Height: stadiometer
BF: BIA
Trained health educator staff members took measurements, but no further specifications
Decreased BMI for the highest risk group (group #1) ()

Poole et al. (2001) [61]USA1 cohort group,
48 months
Total No specific theory
Intervention: annual health assessment, incentive system
BF%Skinfold calipers. Measurements were taken at the chest, abdomen, and thigh for men and triceps, supra-ilium, and thigh for femalesDecreased BF% ()

Robroek et al. (2012) [62]NetherlandsRCT,
24 months
Total
Intervention
Control
Social cognitive theory
Intervention: physical health check, face-to-face advice, personal feedback, monthly emails
Control: no intervention
BMIWeight and height measured, no further specifications. In the follow-up measurement, height and weight were self-reportedNo decreases in BMI ()
Salinardi et al. (2013) [35]USARCT,
12 months
Total
Intervention
Control
Social ecological model
Intervention: 19 1-hour long education sessions
Control: no intervention
BWWeight: calibrated electronic scale Measurements were taken with light indoor clothing and measured to 0.05 kg
Height: stadiometer, no further specifications
BW decreased by an average of 8 kg ()

Note. 1 = randomized control trial, 2 = body mass index, 3 = body fat percentage, 4 = waist circumference, 5 = bioelectrical impedance analyzer, 6 = body weight, and 7 = sugar-sweetened beverages.