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 .
Risk of chronic liver disease in post-menopausal women due to body mass index, alcohol and their interaction: a prospective nested cohort study within the United Kingdom Collaborative Trial of Ovarian Cancer Screening (UKCTOCS)
Background We investigated the risk of  chronic liver disease ( CLD )  due to alcohol consumption and body mass index ( BMI ) and the effects of their interaction in a prospect i ve cohort study of women recruited to the UKCTOCS trial . Methods 95,126 post-menopausal women without documented CLD were stratified into 12 groups defined by combinations of BMI ( normal , overweight , obese ) and alcohol consumption ( none , < 1–15 , 16–20 and ≥21 units/week ) , and followed for an average of 5.1 years . Hazard ratios ( HR ) were calculated for incident liver-related events ( LRE ) . Results First LREs were reported in 325 ( 0.34 % ) participants . Compared to women with normal BMI , HR = 1.44 ( 95 % CI ; 1.10–1.87 ) in the overweight group and HR = 2.25 ( 95 % CI ; 1.70–2.97 ) in the obese group , adjusted for alcohol and potential confounders . Compared to those abstinent from alcohol , HR = 0.70 ( 95 % CI ; 0.55–0.88 ) for < 1–15 units/week , 0.93 ( 95 % CI ; 0.50–1.73 ) for 16–20 units/week and 1.82 ( 95 % CI ; 0.97–3.39 ) for ≥21 units/week adjusted for BMI and potential confounders . Compared to women with normal BMI drinking no alcohol , HR for LRE in obese women consuming ≥21 units/week was 2.86 ( 95 % CI ; 0.67–12.42 ) , 1.58 ( 95 % CI ; 0.96–2.61 ) for obese women drinking < 1–15 units/week and 1.93 ( 95 % CI ; 0.66–5.62 ) in those with normal BMI consuming ≥21 units/week after adjustment for potential confounders . We found no significant interaction between BMI and alcohol . Conclusion High BMI and alcohol consumption and abstinence are risk factors for CLD in post-menopausal women . However , BMI and alcohol do not demonstrate significant interaction in this group . Trial registration UKCTOCS is registered as an International St and ard R and omised Controlled Trial , number IS RCT N22488978 . Registered 06/04/2000
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 .