Feasibility of exercise during working hours in acute hospital staff

Purpose Workplace health interventions with exercise have positive effects on musculoskeletal pain and well-being at work, however, effectiveness is questioned due to low adherence. In hospitals participation is challenged by shiftwork and unpredictable workload associated with the treatment of patients. Our aim was to investigate the feasibility of exercise during working hours in an acute hospital, herein to estimate the health impact to guide management decisions on implementation. Methods A non-randomized feasibility trial in a public hospital, offering staff 30 minutes of supervised group-based individualized exercise during working hours, twice weekly for 20 weeks. Acceptance and adherence were registered. Self-reported outcomes were social capital, well-being, quality of life, and musculoskeletal pain. Objective outcomes were blood pressure, body composition, and cardiorespiratory fitness. Results A total of 617 (23%) of employees signed up (92% female, median age was 50 years, 38% nurses). Adherence was 29% with no difference between employees with clinical versus non-clinical functions . Non-clinicians participated during working hours, while clinicians participated outside of working hours in 50% (IQR 5-87) of the sessions. Positive changes were seen in systolic and diastolic blood pressure (decreased 2.0 [0.9; 2.2] and 0.9 [0.1; 1.7] mmHG, respectively), aerobic capacity 2.3 ml/O2/min/kg [1.7; 2.9], and in waist-hip ratio, social capital, well-being, quality of life, and musculoskeletal pain. Conclusion Exercise during working hours in an acute hospital staff was feasible, but strategies to increase acceptance and adherence are necessary for a successful implementation. Despite low adherence, the intervention was associated with improvements of physical and mental health. Registration: The study protocol has been uploaded on www.clinicaltrials.gov (NCT04988724).