Workplace Nutrition Interventions: A Systematic Review of Their Effectiveness

  • Risti Rosmiati Nutrition Study Program, Faculty of Engineering, Universitas Negeri Medan, Sumatera Utara, Indonesia
  • Nila Reswari Haryana Nutrition Study Program, Faculty of Engineering, Universitas Negeri Medan, Sumatera Utara, Indonesia
  • Hardi Firmansyah Nutrition Study Program, Faculty of Engineering, Universitas Negeri Medan, Sumatera Utara, Indonesia
  • Muhammad Edwin Fransiari Nutrition Study Program, Faculty of Engineering, Universitas Negeri Medan, Sumatera Utara, Indonesia
Keywords: Workplace Nutrition Interventions, Employee Health, Dietary Behavior, Physical Activity, Mediterranean Diet

Abstract

Introduction: Workplace nutrition interventions have emerged as a pivotal strategy for enhancing employee health by addressing dietary behaviors and reducing the risk of non-communicable diseases. This systematic review evaluates the effectiveness of workplace-based nutrition interventions in improving nutritional outcomes and health indicators among employees.

Methods: Using the PRISMA framework, a comprehensive search was conducted across PubMed, ScienceDirect, Scopus, and Google Scholar for studies published between 2020 and 2024. Eligible studies included randomized controlled trials (RCTs) and quasi-experimental designs targeting workplace-based nutrition interventions. A total of 10 studies met the inclusion criteria and were systematically analyzed for outcomes related to dietary behavior, physical activity, and health indicators. Risk of bias assessments were performed to ensure the validity of findings.

Results: The findings revealed that dietary interventions, particularly those emphasizing adherence to structured diets like the Mediterranean diet, consistently led to significant improvements in health markers, including reductions in LDL cholesterol and body fat percentage. Interventions combining dietary modifications with physical activity yielded comprehensive benefits, such as weight loss and improved dietary adherence. However, variability in study designs, sample sizes, and contextual factors limited the generalizability of results. Many studies lacked follow-up data to assess the long-term sustainability of health outcomes.

Conclusion: Workplace nutrition interventions promote employee health, especially when combining dietary and physical activity components. However, challenges such as methodological heterogeneity, short-term focus, and limited exploration of demographic and contextual factors must be addressed. Future research should prioritize standardized methodologies, conduct longitudinal assessments, and implement tailored interventions that consider workforce diversity and workplace culture. These findings provide actionable insights for policymakers and employers seeking to design sustainable workplace health initiatives that enhance employee well-being and organizational productivity.

References

WHO WHO. WHO Healthy Workplace Framework and Model: Background and Supporting Literature and Practice. 2010.

Rachmah Q, Martiana T, Mulyono, Paskarini I, Dwiyanti E, Widajati N, et al. The effectiveness of nutrition and health intervention in workplace setting: A systematic review. J Public Health Res. 2022;11(1):jphr-2021.

Geaney F, Kelly CB, Marrazzo JSD, Harrington JM, Fitzgerald AP, Greiner BA, et al. The Effect of Complex Workplace Dietary Interventions on Employees’ Dietary Intakes, Nutrition Knowledge and Health Status: A Cluster Controlled Trial. Prev Med (Baltim). 2016;89:76–83.

Lassen AD, Fagt S, Lennernäs M, Nyberg M, Haapalar I, Thorsen A V, et al. The Impact of Worksite Interventions Promoting Healthier Food and/or Physical Activity Habits Among Employees Working ‘Around the Clock’ Hours: A Systematic Review. Food Nutr Res. 2018;62(0).

Coldwell D. Negative Influences of the 4th Industrial Revolution on the Workplace: Towards a Theoretical Model of Entropic Citizen Behavior in Toxic Organizations. Int J Environ Res Public Health. 2019;16(15):2670.

Fitzgerald S, Kirby A, Murphy A, Geaney F, Perry IJ. A Cost-Analysis of Complex Workplace Nutrition Education and Environmental Dietary Modification Interventions. BMC Public Health. 2017;17(1).

Fitzgerald S, Geaney F, Kelly CB, McHugh S, Perry IJ. Barriers to and Facilitators of Implementing Complex Workplace Dietary Interventions: Process Evaluation Results of a Cluster Controlled Trial. BMC Health Serv Res. 2016;16(1).

Schliemann D, Woodside J V. The Effectiveness of Dietary Workplace Interventions: A Systematic Review of Systematic Reviews. Public Health Nutr. 2019;22(5):942–55.

Hassani B, Amani R, Haghighizadeh MH, Araban M. A Priority Oriented Nutrition Education Program to Improve Nutritional and Cardiometabolic Status in the Workplace: A Randomized Field Trial. Journal of Occupational Medicine and Toxicology. 2020;15(1).

Fitzgerald S, Murphy A, Kirby A, Geaney F, Perry IJ. Cost-Effectiveness of a Complex Workplace Dietary Intervention: An Economic Evaluation of the Food Choice at Work Study. BMJ Open. 2018;8(3):e019182.

Bandoni DH, Bombem KC de M, Marchioni DML, Jaime PC. The Influence of the Availability of Fruits and Vegetables in the Workplace on the Consumption of Workers. Nutr Food Sci. 2010;40(1):20–5.

Dhillon CN, Ortenzi F. Potential for Impact of Workforce Nutrition Programmes on Nutrition, Health and Business Outcomes: a Review of the Global Evidence and Future Research Agenda. 2023 Mar.

Sotos-Prieto M, Ruiz-Canela M, Song Y, Christophi C, Mofatt S, Rodriguez-Artalejo F, et al. The effects of a mediterranean diet intervention on targeted plasma metabolic biomarkers among us firefighters: A pilot cluster-randomized trial. Nutrients. 2020 Dec 1;12(12):1–13.

Hershey MS, Chang CR, Sotos-Prieto M, Fernandez-Montero A, Cash SB, Christophi CA, et al. Effect of a Nutrition Intervention on Mediterranean Diet Adherence among Firefighters: A Cluster Randomized Clinical Trial. JAMA Netw Open. 2023 Aug 17;6(8):E2329147.

Kuswari M, Rimbawan R, Hardinsyah H, Dewi M, Gifari N. Effect of tele-exercise versus combination of tele-exercise with tele-counselling on obese office employee’s weight loss. ARGIPA (Arsip Gizi dan Pangan). 2021 Dec 5;6(2):131–9.

Maciel RRBT, Chiavegato LD, Camelier FWR, Portella DDA, Souza MC d., Padula RS. Does Tutors’ Support Contribute to a Telehealth Program That Aims to Promote the Quality of Life of Office Workers? A Cluster Randomized Controlled Trial. Contemp Clin Trials Commun. 2021;21:100722.

Das SK, Bukhari AS, Taetzsch AG, Ernst AK, Rogers GT, Gilhooly CH, et al. Randomized trial of a novel lifestyle intervention compared with the Diabetes Prevention Program for weight loss in adult dependents of military service members. American Journal of Clinical Nutrition. 2021 Oct 1;114(4):1546–59.

Monnaatsie M, Biddle SJH, Kolbe-Alexander T. The Feasibility of a Text-Messaging Intervention Promoting Physical Activity in Shift Workers: A Process Evaluation. Int J Environ Res Public Health. 2023 Feb 1;20(4).

Meyn S, Blaschke S, Mess F. Food Literacy and Dietary Intake in German Office Workers: A Longitudinal Intervention Study. Int J Environ Res Public Health. 2022 Dec 1;19(24).

Akksilp K, Jia J, Koh E, Tan V, Tong EH, Budtarad N, et al. The physical activity at work (PAW) study: a cluster randomised trial of a multicomponent short-break intervention to reduce sitting time and increase physical activity among office workers in Thailand. Available from: https://doi.org/10.1016/j.

Pourhaji F, Delshad MH, Tavafian SS, Niknami S, Pourhaji F. Effects of educational program based on Precede-Proceed model in promoting low back pain behaviors (EPPLBP) in health care workers Shahid Beheshti University of medical sciences: randomized trial. Heliyon. 2020 Oct 1;6(10).

Rafatifard M, Mahmoodabad SSM, Fallahzadeh H, Faramarzi M, Sadeghi M. Effectiveness of Interventions Based on a Comprehensive Model for Promoting Physical Activity and Improving Health-related and Fitness Indices in Employees [Internet]. 2020. Available from: https://www.researchsquare.com/article/rs-15618/v1

Campbell DB, Olstad DL, Donald T, Campbell DJ. Accounting for Concurrent Antihyperglycemic Medication Changes in Dietary and Physical Activity Interventions: A Focused Literature Review. Diab Vasc Dis Res. 2022;19(3).

Tcymbal A, Abu?Omar K, Hartung V, Bußkamp A, Comito C, Roßmann C, et al. Interventions Simultaneously Promoting Social Participation and Physical Activity in Community Living Older Adults: A Systematic Review. Front Public Health. 2022;10.

Kolovelonis A, ?????? ?. The Effects of Cognitively Challenging Physical Activity Games Versus Health-Related Fitness Activities on Students’ Executive Functions and Situational Interest in Physical Education: A Group-Randomized Controlled Trial. Eur J Investig Health Psychol Educ. 2023;13(5):796–809.

Santis KKD, Jahnel T, Matthias K, Mergenthal L, Khayyal HA, Zeeb H. Evaluation of Digital Interventions for Physical Activity Promotion: Scoping Review. JMIR Public Health Surveill. 2022;8(5):e37820.

Schoeppe S, Waters K, Salmon J, Williams SL, Power D, Alley S, et al. Experience and Satisfaction With a Family-Based Physical Activity Intervention Using Activity Trackers and Apps: A Qualitative Study. Int J Environ Res Public Health. 2023;20(4):3327.

Liu Z, Yue Z, Wen LM, Zhao J, Zhou S, Gao AY, et al. Time-Specific Effects of a Multifaceted Intervention on Accelerometer-Measured Physical Activity in Primary School Children: A Cluster-Randomized Controlled Trial. 2022;

Osifeko OR, Naidoo R, Chetty V. The Effects of a School-Based Physical Activity Teacher Intervention on the Physical Activity Attitudes and Practices of Adolescent Students in Lagos, Nigeria. African Journal of Teacher Education. 2021;10(1):307–24.

Sanavi FS, Mohammadi M, Seraji M, Okati–Aliabad H. The Effect of Health Promotion Educational Interventions on Self-Care Behaviors of Nutrition and Physical Activity Among Universities Staff in Southeastern Iran. Health Scope. 2021;10(4).

Kolovelonis A, Pesce C, ?????? ?. The Effects of a Cognitively Challenging Physical Activity Intervention on School Children’s Executive Functions and Motivational Regulations. Int J Environ Res Public Health. 2022;19(19):12742.

Xiang X, Wang ZZ, Zhang J, Li K, Chen QX, Xu FS, et al. Telehealth-Supported Exercise/Physical Activity Programs for Knee Osteoarthritis: A Systematic Review and Meta-Analysis. 2023;

Traynor NM. Supporting Families With Complex Early Parenting Needs Through a Virtual Residential Parenting Service: An Investigation of Outcomes, Facilitators and Barriers. J Clin Nurs. 2023;33(3):1122–33.

Wong CJ, Nath JB, Pincavage AT, Bird A, Oyler J, Gill K, et al. Telehealth Attitudes, Training, and Preparedness Among First-Year Internal Medicine Residents in the COVID-19 Era. Telemedicine Journal and E-Health. 2022;28(2):240–7.

Zhai Y, Carney J V, Hazler RJ. Policy Effects of the Expansion of Telehealth Under 1135 Waivers on Intentions to Seek Counseling Services: Difference?in?difference (DiD) Analysis. Journal of Counseling & Development. 2023;101(3):277–92.

Xu X, Ho M, Lin CC. Telehealth in Palliative Care During the COVID?19 Pandemic: A Systematic Mixed Studies Review. Worldviews Evid Based Nurs. 2023;20(5):476–91.

Gilkey MB, Huang Q, Grabert BK, Thompson P, Brewer NT. Using Telehealth to Deliver Primary Care to Adolescents During and After the COVID-19 Pandemic: National Survey Study of US Primary Care Professionals. J Med Internet Res. 2021;23(9):e31240.

Kim EN, Tyrell R, Moss W, Siddiqi F. Implementation of Telehealth in a Pediatric Plastic Surgery Clinic: A Single Center’s Response to COVID-19. Ann Plast Surg. 2022;88(6):589–93.

Dor BB. The Impact of a Student-Faculty Telehealth Program on Student Education and Patient Care. 2023;

Butzner M, Cuffee Y. Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review. J Med Internet Res. 2021;23(8):e29575.

Kalwani NM, Johnson A, Parameswaran V, Dash R, Rodríguez F. Initial Outcomes of CardioClick, a Telehealth Program for Preventive Cardiac Care: Observational Study. JMIR Cardio. 2021;5(2):e28246.

Williams HN, Steinberg S, Vingum R, Leon K, Céspedes E, Berzin R, et al. Parsley Health: Feasibility and Acceptability of a Large-Scale Holistic Telehealth Program for Chronic Disease Care. Front Digit Health. 2023;5.

Zaghloul H, Elshakh H, Elzafarany A, Chagoury O, McGowan B, Taheri S. A Systematic Review of Randomized Controlled Trials of Dietary Interventions for Weight Loss in Adults in the Middle East and North Africa Region. Clin Obes. 2020;11(2).

Geurts KAM. The Effect of Including eHealth in Dietary Interventions for Patients With Type 2 Diabetes With Overweight or Obesity: A Systematic Review. Nutrients. 2023;15(17):3776.

Carneiro?Barrera A, Amaro-Gahete FJ, Jurado?Fasoli L, Sáez-Roca G, Martín-Carrasco C, Tinahones FJ, et al. Effect of a Weight Loss and Lifestyle Intervention on Dietary Behavior in Men With Obstructive Sleep Apnea: The INTERAPNEA Trial. Nutrients. 2022;14(13):2731.

Webb E, Osmotherly PG, Baines S. Physical Function After Dietary Weight Loss in Overweight and Obese Adults With Osteoarthritis: A Systematic Review and Meta-Analysis. Public Health Nutr. 2020;24(2):338–53.

Horne M, Hardy M, Murrells T, Ugail H, Hill A. Using Personalized Avatars as an Adjunct to an Adult Weight Loss Management Program: Randomized Controlled Feasibility Study. JMIR Form Res. 2022;6(10):e36275.

Raber M, Liao Y, Rara A, Schembre SM, Krause K, Strong LL, et al. A Systematic Review of the Use of Dietary Self-Monitoring in Behavioural Weight Loss Interventions: Delivery, Intensity and Effectiveness. Public Health Nutr. 2021;24(17):5885–913.

Walters R, Leslie SJ, Polson R, Cusack T, Gorely T. Establishing the Efficacy of Interventions to Improve Health Literacy and Health Behaviours: A Systematic Review. BMC Public Health. 2020;20(1).

Canady BE, Larzo M. Overconfidence in Managing Health Concerns: The Dunning–Kruger Effect and Health Literacy. J Clin Psychol Med Settings. 2022;30(2):460–8.

Guo S, Yu X, Davis E, Armstrong R, Naccarella L. Comparison of Health Literacy Assessment Tools Among Beijing School-Aged Children. Children. 2022;9(8):1128.

Cheung J. The Effectiveness of Interventions on Improving the Mental Health Literacy of Health Care Professionals in General Hospitals: A Systematic Review of Randomized Controlled Trials. J Am Psychiatr Nurses Assoc. 2023;30(3):465–79.

Lindert L, Choi KE, Pfaff H, Zeike S. Health Literacy at Work – Individual and Organizational Health Literacy, Health Supporting Leadership and Employee Wellbeing. BMC Health Serv Res. 2023;23(1).

López M del PA. Digital Literacy as a New Determinant of Health: A Scoping Review. Plos Digital Health. 2023;2(10):e0000279.

Bánfai-Csonka H, Betlehem J, Deutsch K, Derzsi-Horváth M, Bánfai B, Fináncz J, et al. Health Literacy in Early Childhood: A Systematic Review of Empirical Studies. Children. 2022;9(8):1131.

Ayaz?Alkaya S, Kulakci-Altintas H. Nutrition?Exercise Behaviors, Health Literacy Level, and Related Factors in Adolescents in Turkey. Journal of School Health. 2021;91(8):625–31.

Published
2025-03-06
How to Cite
Rosmiati, R., Haryana, N. R., Firmansyah, H., & Fransiari, M. E. (2025). Workplace Nutrition Interventions: A Systematic Review of Their Effectiveness. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 8(3), 151-166. https://doi.org/10.56338/mppki.v8i3.6392