A Sustainable Lifestyle Intervention Among Office Workers: Cluster Randomized Pilot and Feasibility Study
Oskar Halling Ullberg1, Annika Tillander2, Katarina Bälter1,3
1Department of Health Science, Innovation and Design, Mälardalen University, Universitetsplan 1, Västerås, 722 20, Sweden, 46 79-0660901.
JMIR Formative Research
|May 7, 2026
Summary
Integrating sustainable development with healthy lifestyle education reduced office workers' carbon footprint and improved health behaviors. This approach offers a dual benefit for personal well-being and environmental protection.
Area of Science:
- Public Health
- Environmental Science
- Behavioral Science
Background:
- Societal challenges include rising lifestyle diseases and climate change.
- Pro-environmental and healthy behaviors share common behavior change principles.
- Integrating health education with sustainable development can motivate behavior change.
Purpose of the Study:
- To explore dietary intake, carbon footprint, and physical activity changes in office workers.
- To compare a sustainable lifestyle intervention with a healthy lifestyle intervention.
- To assess the feasibility of intervention functions like attendance and goal setting.
Main Methods:
- A 2-armed cluster randomized study in Sweden (sustainable lifestyle arm n=19; healthy lifestyle arm n=14).
- An 8-week intervention with workplace-based workshops framed by the behavioral change wheel and socioecological model.
- Assessment via web-based questionnaires (Meal-Q, Active-Q) and printed questionnaires for feasibility.
Main Results:
- A reduction in diet-related carbon dioxide equivalents (CO2e) was observed in both arms (0.8 kg/day sustainable; 0.4 kg/day healthy).
- A statistically significant interaction showed a greater reduction in qualitative carbon footprint (CO2e/1000 kcal) in the sustainable arm (P=.05).
- The sustainable lifestyle arm showed a decrease in sedentary time (0.4 hours/day) and an increase in fruit/vegetable intake, unlike the healthy lifestyle arm.
Conclusions:
- Embedding healthy lifestyle education within sustainable development is effective for reducing carbon footprint and promoting healthy behaviors in office workers.
- Workplace-based sustainable lifestyle promotion can address global challenges like metabolic diseases and climate change.
- This integrated approach shows potential for counteracting negative health and environmental trends.
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