Programs that had professionals frequently interact with participants , regardless if the interactions were done daily , weekly , or monthly , led to a change in body composition .
Additionally , programs that incorporated a motivation theory and provided content relevant to participants ' needs result ed in a change in body composition .
Conclusion Evidence supports that future worksite wellness programs that are design ed using a motivational theory and content that is created relevant to participants ' needs and that has frequent interactions with participants may result in a change in body composition
Background Adult obesity is globally recognized as a public health concern .
As adults spend most of their weekdays at work , worksite wellness programs may include topics of nutrition education and physical activity to improve an employee 's body composition .
However , results are inconsistent with the impact they have on employees ' body composition .
Objective The purpose of this systematic review was to evaluate  worksite wellness nutrition and physical activity programs and their subsequent impact on participants ' body composition .
Working on wellness (WOW): A worksite health promotion intervention programme
Background Insufficient PA has been shown to cluster with other CVD risk factors including insufficient fruit and vegetable intake , overweight , increased serum cholesterol concentrations and elevated blood pressure . This paper describes the development of Working on Wellness ( WOW ) , a worksite intervention program incorporating motivational interviewing by wellness specialists , targeting employees at risk . In addition , we describe the evaluation the effectiveness of the intervention among employees at increased risk for cardiovascular disease . Methods The intervention mapping ( IM ) protocol was used in the planning and design of WOW . Focus group discussion s and interviews with employees and managers identified the importance of addressing risk factors for CVD at the worksite . Based on the employees ’ preference for individual counselling , and previous evidence of the effectiveness of this approach in the worksite setting , we decided to use motivational interviewing as part of the intervention strategy . Thus , as a cluster-r and omised , controlled control trial , employees at increased risk for CVD ( N = 928 ) will be assigned to a control or an intervention group , based on company r and om allocation . The sessions will include motivational interviewing techniques , comprised of two face-to-face and four telephonic sessions , with the primary aim to increase habitual levels of PA .  Measures will take place at baseline , 6 and 12 months . Secondary outcomes include changes in nutritional habits , serum cholesterol and glucose concentrations , blood pressure and BMI . In addition , healthcare expenditure and absenteeism will be measured for the economic evaluation . Analysis of variance will be performed to determine whether there were significant changes in physical activity habits in the intervention and control groups at 6 and 12 months . Discussion The formative work on which this intervention is based suggests that the strategy of targeting employees at increased risk for CVD is preferred . Importantly , this study extends the work of a previous , similar study , Health Under Construction , in a different setting . Finally , this study will allow an economic evaluation of the intervention that will be an important outcome for health care funders , who ultimately will be responsible for implementation of such an intervention . Trial registration United States Clinical Trails Register NCT
Programs that had professionals frequently interact with participants , regardless if the interactions were done daily , weekly , or monthly , led to a change in body composition .
Additionally , programs that incorporated a motivation theory and provided content relevant to participants ' needs result ed in a change in body composition .
Conclusion Evidence supports that future worksite wellness programs that are design ed using a motivational theory and content that is created relevant to participants ' needs and that has frequent interactions with participants may result in a change in body composition
Background Adult obesity is globally recognized as a public health concern .
As adults spend most of their weekdays at work , worksite wellness programs may include topics of nutrition education and physical activity to improve an employee 's body composition .
However , results are inconsistent with the impact they have on employees ' body composition .
Objective The purpose of this systematic review was to evaluate  worksite wellness nutrition and physical activity programs and their subsequent impact on participants ' body composition .