title: [Worksite physical activity and nutrition programmes: beneficial to our health and wallet?].
abstract: The unhealthy lifestyle of many Dutch employees may negatively influence their health in general as well as their ability to work. Worksite physical activity, nutrition or combination programmes could improve employee health and, as a consequence of this, reduce costs due to illness absenteeism, early retirement, and health care use. In this article, we present current scientific research in terms of health-related effectiveness, cost-effectiveness and the financial return of these programmes. There is moderate evidence that programmes aimed at nutrition, as well as combined nutrition-and-physical activity programmes, do result in modest improvements in weight-related outcomes and the consumption of fruit, vegetables and fat after 6-12 months. There is also moderate evidence that physical fitness programmes improve physical activity and fitness in the short term. The programmes result in financial returns for the employer, but this conclusion is based on non-randomised studies. No firm conclusions can be drawn regarding their cost-effectiveness. Wide implementation of singular worksite physical activity, nutrition or combination programmes is therefore currently discouraged. It would probably be more effective and economical to set up a broad range of interventions and measures. This requires more research, however, as well as more opportunities for offering tailor-made programmes.
authors: EMGO instituut voor onderzoek naar gezondheid en zorg, Afd. Epidemiologie en Biostatistiek, Amsterdam, the Netherlands.
authors: Marieke F
authors: MF
authors: van Wier
authors: J M Hanneke
authors: JM
authors: van Dongen
authors: Maurits W
authors: MW
authors: van Tulder
mesh_terms: D003362:Cost-Benefit Analysis; D015444:Exercise / Q000502:physiology* / Q000523:psychology; D006293:Health Promotion / Q000191:economics* / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D009426:Netherlands; D052756:Nutritional Sciences / Q000193:education*; D017132:Workplace