Lucas J Carr1, Christoph Leonhard2, Sharon Tucker3, Nathan Fethke4, Roberto Benzo5, Fred Gerr4. 1. Department of Health and Human Physiology, University of Iowa, Iowa City, Iowa. Electronic address: lucas-carr@uiowa.edu. 2. The Chicago School of Professional Psychology at Xavier University of Louisiana, New Orleans, Louisiana. 3. University of Iowa Hospitals and Clinics, Iowa City, Iowa. 4. Department of Occupational and Environmental Health, University of Iowa, Iowa City, Iowa. 5. Department of Health and Human Physiology, University of Iowa, Iowa City, Iowa.
Abstract
INTRODUCTION: Office employees are exposed to hazardous levels of sedentary work. Interventions that integrate health promotion and health protection elements are needed to advance the health of sedentary workers. This study tested an integrated intervention on occupational sedentary/physical activity behaviors, cardiometabolic disease biomarkers, musculoskeletal discomfort, and work productivity. DESIGN: Two-group, RCT. Data were collected between January and August 2014. SETTING/PARTICIPANTS: Overweight/obese adults working in sedentary desk jobs were randomized to: (1) a health protection-only group (HPO, n=27); or (2) an integrated health protection/health promotion group (HP/HP, n=27). INTERVENTION: HPO participants received an ergonomic workstation optimization intervention and three e-mails/week promoting rest breaks and posture variation. HP/HP participants received the HPO intervention plus access to a seated activity permissive workstation. MAIN OUTCOME MEASURES: Occupational sedentary and physical activity behaviors (primary outcomes), cardiometabolic health outcomes, musculoskeletal discomfort, and work productivity (secondary outcomes) were measured at baseline and post-intervention (16 weeks). RESULTS: The HP/HP group increased occupational light intensity physical activity over the HPO group and used the activity permissive workstations 50 minutes/work day. Significant associations were observed between activity permissive workstation adherence and improvements in several cardiometabolic biomarkers (weight, total fat mass, resting heart rate, body fat percentage) and work productivity outcomes (concentration at work, days missed because of health problems). CONCLUSIONS: The HP/HP group increased occupational physical activity and greater activity permissive workstation adherence was associated with improved health and work productivity outcomes. These findings are important for employers interested in advancing the well-being of sedentary office workers. TRIAL REGISTRATION: This study is registered at www.clinicaltrials.gov NCT02071420.
RCT Entities:
INTRODUCTION: Office employees are exposed to hazardous levels of sedentary work. Interventions that integrate health promotion and health protection elements are needed to advance the health of sedentary workers. This study tested an integrated intervention on occupational sedentary/physical activity behaviors, cardiometabolic disease biomarkers, musculoskeletal discomfort, and work productivity. DESIGN: Two-group, RCT. Data were collected between January and August 2014. SETTING/PARTICIPANTS: Overweight/obese adults working in sedentary desk jobs were randomized to: (1) a health protection-only group (HPO, n=27); or (2) an integrated health protection/health promotion group (HP/HP, n=27). INTERVENTION: HPO participants received an ergonomic workstation optimization intervention and three e-mails/week promoting rest breaks and posture variation. HP/HP participants received the HPO intervention plus access to a seated activity permissive workstation. MAIN OUTCOME MEASURES: Occupational sedentary and physical activity behaviors (primary outcomes), cardiometabolic health outcomes, musculoskeletal discomfort, and work productivity (secondary outcomes) were measured at baseline and post-intervention (16 weeks). RESULTS: The HP/HP group increased occupational light intensity physical activity over the HPO group and used the activity permissive workstations 50 minutes/work day. Significant associations were observed between activity permissive workstation adherence and improvements in several cardiometabolic biomarkers (weight, total fat mass, resting heart rate, body fat percentage) and work productivity outcomes (concentration at work, days missed because of health problems). CONCLUSIONS: The HP/HP group increased occupational physical activity and greater activity permissive workstation adherence was associated with improved health and work productivity outcomes. These findings are important for employers interested in advancing the well-being of sedentary office workers. TRIAL REGISTRATION: This study is registered at www.clinicaltrials.gov NCT02071420.
Authors: Sara L Tamers; Ron Goetzel; Kevin M Kelly; Sara Luckhaupt; Jeannie Nigam; Nicolaas P Pronk; Diane S Rohlman; Sherry Baron; Lisa M Brosseau; Tim Bushnell; Shelly Campo; Chia-Chia Chang; Adele Childress; L Casey Chosewood; Thomas Cunningham; Linda M Goldenhar; Terry T-K Huang; Heidi Hudson; Laura Linnan; Lee S Newman; Ryan Olson; Ronald J Ozminkowski; Laura Punnett; Anita Schill; Juliann Scholl; Glorian Sorensen Journal: J Occup Environ Med Date: 2018-11 Impact factor: 2.162
Authors: Sharon P Parry; Pieter Coenen; Nipun Shrestha; Peter B O'Sullivan; Christopher G Maher; Leon M Straker Journal: Cochrane Database Syst Rev Date: 2019-11-17
Authors: Roberto M Benzo; Allene L Gremaud; Matthew Jerome; Lucas J Carr Journal: Int J Environ Res Public Health Date: 2016-08-15 Impact factor: 3.390