Promoting Physical Activity in the Workplace: A Narrative Synthesis of Evidence-Based Interventions
Keywords:
Physical Activity, Workplace Wellness, Ergonomic Interventions, Wearable Technology, Occupational Health, Sedentary Behavior, Workplace DesignAbstract
Workplace physical inactivity is a critical public health concern linked to a growing burden of chronic diseases and decreased productivity. This narrative review aimed to synthesize evidence-based interventions designed to increase physical activity in workplace settings and analyze the systemic, organizational, and behavioral factors influencing their implementation. Literature was retrieved from Scopus, PubMed, and Google Scholar using targeted keywords. The inclusion criteria focused on peer-reviewed studies published between 2010 and 2023 that evaluated the outcomes of ergonomic, behavioral, and technology-based interventions. The findings reveal that ergonomic modifications, such as standing desks and improved spatial design, significantly reduce sedentary time and promote active behaviors. Technology-enhanced strategies, including wearable devices and gamified mobile applications, increase user engagement and support behavioral change. Furthermore, interventions embedded within supportive organizational cultures and guided by flexible workplace policies demonstrate higher efficacy. However, disparities in infrastructure and cultural readiness between high- and low-income countries pose challenges to uniform implementation. Systemic factors, including government regulations, organizational norms, and company policies, emerge as critical enablers or barriers to sustained intervention success. This review underscores the need for multidimensional and context-sensitive strategies in promoting physical activity at work. It highlights the importance of integrating environmental design, digital tools, and supportive policies while emphasizing the necessity of culturally adaptive solutions in diverse global contexts.
References
Adlakha, D., Hipp, J., Sallis, J., & Brownson, R. (2018). Exploring neighborhood environments and active commuting in Chennai, India. International Journal of Environmental Research and Public Health, 15(9), 1840. https://doi.org/10.3390/ijerph15091840
Albawardi, N., Jradi, H., & Al-Hazzaa, H. (2016). Levels and correlates of physical activity, inactivity and body mass index among Saudi women working in office jobs in Riyadh city. BMC Women’s Health, 16(1). https://doi.org/10.1186/s12905-016-0312-8
Anåker, A., Koch, L., Sjöstrand, C., Heylighen, A., & Elf, M. (2018). The physical environment and patients’ activities and care: A comparative case study at three newly built stroke units. Journal of Advanced Nursing, 74(8), 1919–1931. https://doi.org/10.1111/jan.13690
Biswas, A., Smith, P., & Gignac, M. (2018). Naturally occurring workplace facilities to increase the leisure time physical activity of workers: A propensity-score weighted population study. Preventive Medicine Reports, 10, 263–270. https://doi.org/10.1016/j.pmedr.2018.03.013
Brombacher, H., Ren, X., Vos, S., & Lallemand, C. (2020). Visualizing computer-based activity on ambient displays to reduce sedentary behavior at work. In Proceedings of the 23rd ACM Conference on Computer-Supported Cooperative Work and Social Computing, 760–764. https://doi.org/10.1145/3441000.3441022
Byrne, L., Ogden, K., Lee, S., Ahuja, K., Watson, G., Bauman, A., … & Fell, J. (2019). Mixed-method evaluation of a community-wide physical activity program in Launceston, Australia. Health Promotion Journal of Australia, 30(S1), 104–115. https://doi.org/10.1002/hpja.241
Chandrasekaran, B., Arumugam, A., Pesola, A., & Rao, C. (2024). “Balancing work and movement”: Barriers and enablers for being physically active at Indian workplaces – Findings from SMART Step Trial. International Journal of Behavioral Nutrition and Physical Activity, 21(1). https://doi.org/10.1186/s12966-024-01661-z
Chriqui, J., Leider, J., Thrun, E., Nicholson, L., & Slater, S. (2016). Communities on the move: Pedestrian-oriented zoning as a facilitator of adult active travel to work in the United States. Frontiers in Public Health, 4. https://doi.org/10.3389/fpubh.2016.00071
Coffeng, J., Boot, C., Duijts, S., Twisk, J., Mechelen, W., & Hendriksen, I. (2014). Effectiveness of a worksite social & physical environment intervention on need for recovery, physical activity and relaxation: Results of a randomized controlled trial. PLOS ONE, 9(12), e114860. https://doi.org/10.1371/journal.pone.0114860
Erath, T., & Reed, F. (2022). Technology-based contingency management for walking to prevent prolonged periods of workday sitting. Journal of Applied Behavior Analysis, 55(3), 746–762. https://doi.org/10.1002/jaba.917
Hargreaves, E., Shaw, S., Scott, T., Calverley, J., & Peddie, M. (2023). Feasibility and pilot outcomes of the Move More @ Work intervention designed to encourage employees to be physically active for 2 minutes after every 30 minutes of sitting. Journal of Occupational and Environmental Medicine, 65(11), 905–917. https://doi.org/10.1097/jom.0000000000002920
Hestmann, R., Bratås, O., & Grønning, K. (2023). Chronic pain self-management interventions in primary care – Does it make any difference? A qualitative study. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09548-8
Hunter, J., Meiring, R., Cripps, A., Suppiah, H., Vicendese, D., Kingsley, M., … & Gordon, B. (2021). Relationships between physical activity, work ability, absenteeism and presenteeism in Australian and New Zealand adults during COVID-19. International Journal of Environmental Research and Public Health, 18(23), 12563. https://doi.org/10.3390/ijerph182312563
Jenkins, K., Buchan, J., Rhodes, R., & Hamilton, K. (2024). Exploring environmental cues to instigate physical movement in the workplace. Health Psychology and Behavioral Medicine, 12(1). https://doi.org/10.1080/21642850.2024.2323433
Johnson‐Lawrence, V., Schulz, A., Zenk, S., Israel, B., & Rowe, Z. (2015). Does territoriality modify the relationship between perceived neighborhood challenges and physical activity? A multilevel analysis. Annals of Epidemiology, 25(2), 107–112. https://doi.org/10.1016/j.annepidem.2014.11.019
Kafalı, Ö., Bromuri, S., Sindlar, M., Weide, T., Pelaez, E., Schaechtle, U., … & Stathis, K. (2013). Commodity: A smart e-health environment for diabetes management. Journal of Ambient Intelligence and Smart Environments, 5(5), 479–502. https://doi.org/10.3233/ais-130220
Kar, I., Li, K., Haynie, D., & Simons-Morton, B. (2017). Emerging adults without a driver's license engage in more transportation-related physical activity to school/work in certain environmental contexts. Preventive Medicine, 96, 42–48. https://doi.org/10.1016/j.ypmed.2016.12.018
Kelly, C., Nea, F., Pourshahidi, L., Kearney, J., O’Brien, V., Livingstone, M., … & Corish, C. (2020). Adherence to dietary and physical activity guidelines among shift workers: Associations with individual and work-related factors. BMJ Nutrition, Prevention & Health, 3(2), 229–238. https://doi.org/10.1136/bmjnph-2020-000091
Konkor, I., Dogoli, M., Kuuire, V., & Wilson, K. (2021). Examining the relationship between occupational physical activity and hypertension status: Evidence from the Ghana WHO Study on Global Ageing and Adult Health. Annals of Work Exposures and Health, 65(9), 1050–1060. https://doi.org/10.1093/annweh/wxab035
Lauruschkus, K., Holmberg, R., & Tornberg, Å. (2023). "It is something that gives us hope": Lived experience among parents to children with cerebral palsy who are non-ambulant of the phenomenon physical activity, with or without the use of a novel dynamic standing device. Frontiers in Rehabilitation Sciences, 4. https://doi.org/10.3389/fresc.2023.1139847
Lemon, S., Goins, K., Sreedhara, M., Arcaya, M., Aytur, S., Heinrich, K., … & Schmid, T. (2019). Developing core capabilities for local health departments to engage in land use and transportation decision making for active transportation. Journal of Public Health Management and Practice, 25(5), 464–471. https://doi.org/10.1097/phh.0000000000000948
Mailey, E., Huberty, J., Dinkel, D., & McAuley, E. (2014). Physical activity barriers and facilitators among working mothers and fathers. BMC Public Health, 14(1). https://doi.org/10.1186/1471-2458-14-657
Mamede, A., Noordzij, G., Jongerling, J., Snijders, M., Schop-Etman, A., & Denktaş, S. (2021). Combining web-based gamification and physical nudges with an app (MoveMore) to promote walking breaks and reduce sedentary behavior of office workers: Field study. Journal of Medical Internet Research, 23(4), e19875. https://doi.org/10.2196/19875
Medina-Inojosa, J., Ibarra, M., Medina-Inojosa, B., Supervía, M., Jenkins, S., Johnson, L., … & López-Jiménez, F. (2024). Effect of active workstations on neurocognitive performance and typing skills: A randomized clinical trial. Journal of the American Heart Association, 13(8). https://doi.org/10.1161/jaha.123.031228
Movia, M., Macher, S., Antony, G., Zeuschner, V., Wamprechtsamer, G., Grazie, J., … & Fuchs‐Neuhold, B. (2022). Health impact assessment (HIA) of a daily physical activity unit in schools: Focus on children and adolescents in Austria up to the 8th grade. International Journal of Environmental Research and Public Health, 19(11), 6428. https://doi.org/10.3390/ijerph19116428
Nicolson, G., Hayes, C., & Darker, C. (2020). A theory-based multicomponent intervention to reduce occupational sedentary behaviour in professional male workers: Protocol for a cluster randomised crossover pilot feasibility study. Pilot and Feasibility Studies, 6(1). https://doi.org/10.1186/s40814-020-00716-9
Powers, J., Farewell, C., Maiurro, E., & Puma, J. (2019). The impact of a workplace wellness program on provider health in early childhood education settings. Workplace Health & Safety, 68(2), 65–72. https://doi.org/10.1177/2165079919882732
Probst, K., Lindlbauer, D., Perteneder, F., Haller, M., Schwartz, B., & Schrempf, A. (2013). Exploring the use of distributed multiple monitors within an activity-promoting sit-and-stand office workspace. In Lecture Notes in Computer Science, 476–493. https://doi.org/10.1007/978-3-642-40477-1_30
Ryu, H., Moon, J., & Jung, J. (2018). Influence of health behaviors and occupational stress on prediabetic state among male office workers. International Journal of Environmental Research and Public Health, 15(6), 1264. https://doi.org/10.3390/ijerph15061264
Saju, S., Reddy, S., Bijjal, S., & Annapally, S. (2024). Farmer’s mental health and well-being: Qualitative findings on protective factors. Journal of Neurosciences in Rural Practice, 15, 307–312. https://doi.org/10.25259/jnrp_403_2023
Seguin, R., Graham, M., Sriram, U., Eldridge, G., Kim, J., & Tom, M. (2020). Web-based dissemination of a civic engagement curriculum to promote healthy eating and active living in rural towns: The eHEART study. International Journal of Environmental Research and Public Health, 17(7), 2571. https://doi.org/10.3390/ijerph17072571
Signorini, G., Scurati, R., Bosio, A., D’Angelo, C., Benedini, S., Tringali, C., … & Invernizzi, P. (2024). UP150 Project: A longitudinal analysis of active lifestyles in the complex working system. Sports, 12(8), 219. https://doi.org/10.3390/sports12080219
Stasi, S., Spengler, J., Maddock, J., McKyer, L., & Clark, H. (2019). Increasing access to physical activity within low income and diverse communities: A systematic review. American Journal of Health Promotion, 33(6), 933–940. https://doi.org/10.1177/0890117119832257
Tarun, S., Arora, M., Rawal, T., & Neelon, S. (2017). An evaluation of outdoor school environments to promote physical activity in Delhi, India. BMC Public Health, 17(1). https://doi.org/10.1186/s12889-016-3987-8
Tannis, C., Senerat, A., Garg, M., Peters, D., Rajupet, S., & Garland, E. (2019). Improving physical activity among residents of affordable housing: Is active design enough? International Journal of Environmental Research and Public Health, 16(1), 151. https://doi.org/10.3390/ijerph16010151
Wahlström, V., Bergman, F., Öhberg, F., Eskilsson, T., Olsson, T., & Järvholm, L. (2019). Effects of a multicomponent physical activity promoting program on sedentary behavior, physical activity and body measures: A longitudinal study in different office types. Scandinavian Journal of Work, Environment & Health, 45(5), 493–504. https://doi.org/10.5271/sjweh.3808
Walsh, S., Meyer, M., Stamatis, A., & Morgan, G. (2015). Why women sit: Determinants of leisure sitting time for working women. Women’s Health Issues, 25(6), 673–679. https://doi.org/10.1016/j.whi.2015.06.012
Wang, L., Yu, Y., Zhao, X., Zhang, Z., Yuan, X., Cao, J., … & Wang, G. (2022). A biocompatible self-powered piezoelectric poly(vinyl alcohol)-based hydrogel for diabetic wound repair. ACS Applied Materials & Interfaces, 14(41), 46273–46289. https://doi.org/10.1021/acsami.2c13026
