Multicomponent intervention to reduce daily sedentary time: a randomised controlled trial

Carr, Lucas J.; Karvinen, Kristina H.; Peavler, Mallory; Smith, Rebecca; Cangelosi, Kayla

doi:10.1136/bmjopen-2013-003261

Cited by 130 publications

(240 citation statements)

References 41 publications

(35 reference statements)

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“…One trial reported successful reductions in sitting time by 125 minutes/day over 4 weeks [89], while two longer 12 week randomised controlled trials reduced sitting time 94 minutes/day [90], and 58.7 minutes/day [91] respectively, with reductions in waist circumference compared to a control condition.…”

Section: An Ecological Perspective On Changing Sedentary Behavioursmentioning

confidence: 99%

Managing Sedentary Behavior to Reduce the Risk of Diabetes and Cardiovascular Disease

et al. 2014

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(142 words)Modern human environments are vastly different to those of our forebears. Rapidly advancing technology in transportation, communications, workplaces and home entertainment confer a wealth of benefits, but increasingly come with costs to human health.Sedentary behaviour -too much sitting as distinct from too little physical activitycontributes adversely to cardiometabolic health outcomes and premature mortality. Findings from observational epidemiology have been synthesised in meta-analyses and evidence is now shifting into the realm of experimental trials with the aim of identifying novel mechanisms and potential causal relationships. We discuss recent observational and experimental evidence that makes a compelling case for reducing and breaking up prolonged sitting time in both the primary-prevention and disease management contexts. We also highlight future research needs, the opportunities for developing targeted interventions, and the potential of population-wide initiatives designed to address too much sitting as a health risk.

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Section: An Ecological Perspective On Changing Sedentary Behavioursmentioning

confidence: 99%

Managing Sedentary Behavior to Reduce the Risk of Diabetes and Cardiovascular Disease

et al. 2014

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“…They included counseling, 45,54,72 appointments with occupational nurses 45 or Registered Dieticians, 71 fitness testing, 45 messages/emails providing feedback on PA, diet, or health promotion, 54,55,62,67,69,71 stages of change-based interventions, 47 personal, partner, or team goal-setting, 44,56,63,64,69 self-monitoring of body mass or PA using activity monitors or questionnaires, 55,56,60,[62][63][64][65]67,68,71 team or individual competitions, 56,64,66 online social networks to connect with friends and make public postings, 64 tailored web-based PA advice, 68 incentives, 56,63,65 PA prescriptions, 43,57 knowledge quizzes, 66 educational materials (eg, leaflets, posters, pamphlets, newsletters, reminders, or fridge magnets), 47,62,66 educational sessions, 57,69 expressions of management support, 66 active workstations, …”

Section: Interventionsmentioning

confidence: 99%

Impact of Workplace Physical Activity Interventions on Physical Activity and Cardiometabolic Health Among Working-Age Women

Reed

Prince

Elliott

et al. 2017

Circ: Cardiovascular Quality and Outcomes

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C ardiovascular disease (CVD) is the leading cause of death among women in high-income countries defined as those with a gross national income per capita of $12 476 or more (ie, Canada, United States, Finland, Italy, etc.) and is projected to be the leading cause of death worldwide by 2030. 1,2 Ironically, over half of women lack knowledge of CVD risk factors; the majority (80%) are uninformed when it comes to their own level of risk.3 An alarming number of working-age women in high-income countries are overweight or obese and possess other risk factors for CVD (eg, high blood pressure, high cholesterol, and diabetes mellitus). [4][5][6][7][8][9][10][11][12][13] Physical activity (PA) is protective for CVD. Regular PA has been shown to prevent CVD, overweight and obesity, high blood pressure, high cholesterol, diabetes mellitus, certain cancers, and premature death.14-17 Current guidelines recommend that adults accumulate at least 150 min/wk of moderate-intensity aerobic PA or at least 75 min/wk of vigorous-intensity aerobic PA or an equivalent combination of moderate-to-vigorous-intensity Background-Cardiovascular disease is the leading cause of death among women in high-income Organization for Economic Co-operation and Development countries. Physical activity is protective for cardiovascular disease. The realities of modern life require working-age women to address work-related, family, and social demands. Few working-age women meet current moderate-to-vigorous-intensity physical activity (MVPA) recommendations. Given that working-age women spend a substantial proportion of their waking hours at work, places of employment may be an opportune and a controlled setting to implement programs, improving MVPA levels and enhancing cardiometabolic health. Methods and Results-Eight electronic databases were searched to identify all prospective cohort and experimental studies reporting an MVPA outcome of workplace interventions for working-age women (mean age, 18-65 years) in high-income Organization for Economic Co-operation and Development countries. Risk of bias was assessed using the Cochrane risk of bias tool; quality of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation approach. A qualitative synthesis was performed for all studies, and meta-analyses were conducted where possible. Twenty-four studies met the inclusion criteria; 20 studies were included in the meta-analyses. Workplace interventions significantly increased minutes per week of metabolic equivalents (4 studies; standardized mean differences, 2.07; 95% confidence interval [CI], 1.44 to 2.69), but not minutes per week of MVPA (13 studies; standardized mean differences, 0.38; 95% CI, −0.15 to 0.92) or metabolic equivalents per week (3 studies; standardized mean differences, 0.11; 95% CI, −0.48 to 0.71). Workplace interventions also significantly decreased body mass (7 studies; mean differences, −0.83 kg; 95% CI, −1.64 to −0.02), body mass index (6 studies; mean differences, −0.35 kg/m 2 ; 95% CI, −0.62...

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“…When examining individual changes, 87.5 % of participants reduced sedentary time and increased light-intensity physical activity. Several other trials have demonstrated promise in reducing sedentary time among office workers using various interventions that include computer software [26], computer software and text messages [30], sit-stand workstations [23,31], portable pedal bike [24], or an in-person session [32]. Furthermore, the magnitude of changes in sedentary time and light activity in the current trial (sedentary change, −8.1 %; light activity change, 7.9 %) were slightly larger than those seen in a recent trial by Bond et al [33] that used similar technology to interrupt sedentary time (sedentary change, -3.3 to −5.9 %; light activity change, 2.7 to 4.7 %).…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have sought to reduce total or leisure sedentary time [22][23][24][25]; however, few have examined breaking up sedentary bouts [26]. Evans et al [26] examined the use of computer software that encourages individuals to stand up every 30 min, but differences in total sedentary time were not observed between the intervention and control groups.…”

Section: Introductionmentioning

confidence: 99%

Acceptability of smartphone technology to interrupt sedentary time in adults with diabetes

Pellegrini

Hoffman²,

Daly³

et al. 2015

Behav. Med. Pract. Policy Res.

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Breaking up sitting time with light-or moderate-intensity physical activity may help to alleviate some negative health effects of sedentary behavior, but few studies have examined ways to effectively intervene. This feasibility study examined the acceptability of a new technology (NEAT!) developed to interrupt prolonged bouts (≥20 min) of sedentary time among adults with type 2 diabetes. Eight of nine participants completed a 1-month intervention and agreed that NEAT! made them more conscious of sitting time. Most participants (87.5 %) expressed a desire to use NEAT! in the future. Sedentary time decreased by 8.1±4.5 %, and light physical activity increased by 7.9±5.5 % over the 1-month period. The results suggest that NEAT! is an acceptable technology to intervene on sedentary time among adults with type 2 diabetes. Future studies are needed to examine the use of the technology among larger samples and determine its effects on glucose and insulin levels.

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Multicomponent intervention to reduce daily sedentary time: a randomised controlled trial

Cited by 130 publications

References 41 publications

Managing Sedentary Behavior to Reduce the Risk of Diabetes and Cardiovascular Disease

Managing Sedentary Behavior to Reduce the Risk of Diabetes and Cardiovascular Disease

Impact of Workplace Physical Activity Interventions on Physical Activity and Cardiometabolic Health Among Working-Age Women

Acceptability of smartphone technology to interrupt sedentary time in adults with diabetes

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