Effectiveness of a Malaysian Workplace Intervention Study on Physical Activity Levels
Physical activity levels are low in Malaysia and this study was undertaken to determine if a four week work-based intervention program would be effective in changing physical activity levels. The study was conducted in a Malaysian Government Department and had three stages: baseline data collection, four-week intervention and two-month post intervention data collection. During the intervention and two-month post intervention phases, physical activity levels (determined by a pedometer) and basic health profiles (BMI, abdominal obesity, blood pressure) were measured. Staff (58 males, 47 females) with an average age of 33 years completed baseline data collection. Pedometer steps averaged 7,102 steps/day at baseline, although male step counts were significantly higher than females (7,861 vs. 6114). Health profiles were poor: over 50% were overweight/obese (males 66%, females 40%); hypertension (males 23%, females 6%); excess waist circumference (males 52%, females 17%). While 86 staff participated in the intervention, only 49 regularly reported their steps. There was a significant increase (17%) in average daily steps from 8,965 (week 1) to 10,436 (week 4). Unfortunately, participation in the intervention program was avoided by the less healthy staff. Two months after the intervention there was no significant difference in average steps/day, despite the fact that 89% of staff reporting they planned to make long-term changes to their lifestyle. An unexpected average increase of 2kg in body weight occurred in participants, although this was less than the 5.6kg in non-participants. A number of recommendations are made for future interventions, including the conclusion that pedometers were a useful tool and popular with participants.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1126798Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 1012
 World Health Organization. WHO Global Infobase on Physical Activity – data from the World Health Survey 2002. (cited 2008). Available from: http://www.who.int/infobase.
 Ministry of Health. Malaysia NCD Surveillance 2006: NCD Risk Factors in Malaysia. Kuala Lumpur, Malaysia; Ministry of Health; 2006.
 National Health and Morbidity Survey. Institute for Public Health, Kuala Lumpur, Ministry of Health, Malaysia. 1996.
 Wan Nazaimoon Wan Mohamud, Kamarul Imran Musa, Amir Sharifuddin Md Khir, Aziz al-Safi Ismail et al. Prevalence of overweight and obesity among adult Malaysians: an update. Asia Pacific Journal Clinical Nutrition. 2011; 20(1):35-41.
 Bauman A. Updating the evidence that physical activity is good for health – an epidemiological review 2000-2003. Journal Science Medicine Sport. 2004; 7(Suppl 1):6-19.
 Dishman RK, Oldenburg B, O’Neal H, Shephard RJ. Worksite physical activity interventions. American Journal of Preventive Medicine. 1998;15(4):344-61.
 Abraham C & Graham-Rowe E. Are worksite interventions effective in increasing physical activity? A systematic review and meta-analysis. Health Psychology Review. 2009; 3(1):108-44.
 Chau J. Evidence module: Workplace physical activity and nutrition interventions. Physical Activity Nutrition and Obesity Research Group, University of Sydney; 2009.
 Conn VS, Hafdahl AR, Cooper PS, Brown LM, Lusk SL. Meta-analysis of workplace physical activity interventions. American Journal Preventive Medicine. 2009; 37(4):330-9.
 Rongen A, Robroek SJW, van Lenthe FJ, Burdorf A. Workplace health promotion. A meta-analysis of effectiveness. American Journal Preventive Medicine. 2013; 44(4): 406-15.
 Cobiac LJ, Vos T, Barendregt JJ. Cost-effectiveness of interventions to promote physical activity: A Modelling study. PLoS Medicine. 2009; 6(7): e1000110.
 Freak-Poli R, Wolfe R, Backholer K, de Courten M, Peeters A. Impact of a pedometer-based workplace health program on cardiovascular and diabetes risk profile. Preventive Medicine. 2011; 53: 162-71.
 Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL et al. Using pedometers to increase physical activity and improve health. A systematic review. Journal American Medical Association. 2007; 298 (19) 2296-2304.
 Kang M, Marshall S J, Barreira TV, Lee J-O. Effect of pedometer-based physical activity interventions: A meta-analysis. Research Quarterly Exercise & Sport. 2009; 80(3): 648-55.
 Glanz K, Rimer BK & Viswanath K (eds). Health Behaviour and Health Education – Theory, Research and Practice. 4th ed. John Wiley & Sons, San Francisco, USA; 2008
 Mohd Zaid Bin Mohd Ghazali, Wilson NC. Physical activity levels of staff at the National Sports Institute of Malaysia. ISN Bulletin. 2009; 2(1): 27-34.
 Tudor-Locke CE, Bassett DR. How many steps/day are enough? Sports Medicine. 2004; 34:1-8.
 Lear SA, James PT, Ko GT, Kumanyika S. Appropriateness of waist circumference and waist-to-hip ratio cutoffs for different ethnic groups. European Journal Clinical Nutrition. 2010; 64:42-61.
 Chobanian AV, Bakris GL, Black HR, Cushman WC et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 2003; 42:1206-52.
 De Cocker KA, De Bourdeaudhuij IM, Cardon GM. The effect of multi-strategy workplace physical activity intervention promoting pedometer use and step count. Health Education Research. 2010; 25(4): 608-19.
 Thomas L, Williams M. Promoting physical activity in the workplace: using pedometers to increase daily activity levels. Health Promotion Journal Australia. 2006; 17(2):97-102.
 Foster CE, Brennan G, Matthews A, McAdam C et al. Recruiting participants to walking intervention studies: a systematic review. Int. J. Behavioral Nutrition & Physical Activity. 2011; 8:137.
 Sugden JA, Sniehotta FF, Donnan PT, Boyle P et al. The feasibility of using pedometers and brief advice to increase activity in sedentary older women – a pilot study. BMC Health Services Research. 2008; 8:169-78.
 Kahleova H, Matouelek M, Malinska H, Oliyarnk O et al. Vegetarian diet improves insulin resistance and oxidative stress markers more than convetional diet in subjects with Type 2 diabetes Diabetes Medicine. 2011; 28(5):549-59.
 Bulckaen M, Capitanini A, Lange S, Caciula A et al. Implementation of exercise training programs in a hemodialysis unit: effects on physical performance. Journal Nephrology. 2011; 24(6):790-7.
 Kousar R, Burns C, Lewandowski P. A culturally appropriate diet and lifestyle intervention can successfully treat the components of metabolic syndrome in female Pakistani immigrants residing in Melbourne, Australia. Metabolism. 2008; 57(11):1502-1508.
 Kitagawa J, Nakahara Y. Association of daily walking steps with calcaneal ultrasound parameters and a bone resorption marker in elderly Japanese women. Journal Physical Anthropology. 2008; 27(6)295-300.
 Crouter SE, Schneider PL, Bassett DR. Spring-levered versus piezo-electric pedometer accuracy in overweight and obese adults. Medicine Science Sports Exercise. 2005; 37: 1673-1679.