Sedentary Behavior and Public Health: Integrating the Evidence and Identifying Potential Solutions

Owen, Neville; Healy, Geneviève N.; Dempsey, Paddy C.; Salmon, Jo; Timperio, Anna; Clark, Bronwyn; Goode, Ana D.; Koorts, Harriet; Ridgers, Nicola D.; Hadgraft, Nyssa; Lambert, Gavin W.; Eakin, Elizabeth G.; Kingwell, Bronwyn A.; Dunstan, David W.

doi:10.1146/annurev-publhealth-040119-094201

Cited by 112 publications

(67 citation statements)

References 125 publications

(97 reference statements)

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“…Evidence-based public health strategies and health promotion interventions are needed to address sitting-related health risks in the occupational setting, as well as the health burden of physically inactive commuting, prolonged periods of time spent sitting in an automobile and watching TV among Latin American adolescents and adults. This focus is of particular relevance, given the pace of change not only in communication technology and the conditions of work but also more broadly in people's conditions of life in Latin America [9].…”

Section: Discussionmentioning

confidence: 99%

“…Sedentary time is associated with a greater risk for several major chronic disease outcomes, as well as cardiovascular and all-cause mortality [5][6][7]. To date, the majority of population-based evidence has been derived from studies using self-report exposure measures, typically with single item questions on television (TV) time, total sitting time [8], or time spent using print, broadcast, online, and social media [9,10]. The inclusion of such questions in epidemiological studies has provided informative insights into the prevalence of SB across different countries.…”

Section: Introductionmentioning

confidence: 99%

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Socio-Demographic Correlates of Total and Domain-Specific Sedentary Behavior in Latin America: A Population-Based Study

Ferrari

Werneck

Silva

et al. 2020

IJERPH

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Purpose: The aim of this study was to identify socio-demographic correlates of total and domain-specific sedentary behavior (SB). Methods: Cross-sectional findings are based on 9218 participants (15–65 years) from the Latin American Study of Nutrition and Health. Data were collected between September 2014 and February 2015. Participants reported time spent in SB across specific domains. Sex, age, ethnicity, socioeconomic (SEL), and education level were used as sociodemographic indicators. Results: Participants spent a total of 373.3 min/day engaged in total SB. Men, younger adults, other ethnicities, higher SEL and educational level presented higher total SB when compared with women, older adults, white/Caucasian, and low SEL and educational level. Men spent more time on the playing videogames (b: 32.8: 95% CI: 14.6;51.1) and riding in an automobile (40.5: 31.3; 49.8). Computer time, reading, socializing or listening to music was higher in younger participants (<30 years) compared with those ≥50 years in the total sample. Compared to the low SEL and educational level groups, middle (11.7: 5.7; 17.6) and higher (15.1: 5.3; 24.9) SEL groups as well as middle (9.8: 3.6; 15.9) and higher (16.6: 6.5; 26.8) education level groups reported more time spent reading. Conclusion: Socio-demographic characteristics are associated with SB patterns (total and specific) across Latin American countries.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Socio-Demographic Correlates of Total and Domain-Specific Sedentary Behavior in Latin America: A Population-Based Study

Ferrari

Werneck

Silva

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…Consequently, they are more likely to have an increased risk of adverse health outcomes associated with excessive SB than younger individuals. The risk of adverse health is associated with sedentary patterns [6,11] that can be, for example, expressed by uninterrupted time spent in SB (i.e. sedentary bouts).…”

Section: Introductionmentioning

confidence: 99%

Prospective study on sedentary behaviour patterns and changes in body composition parameters in older women: A compositional and isotemporal substitution analysis

et al. 2021

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Background & aims: The aims of this study were to examine the prospective compositional associations between sedentary behaviour (SB) patterns and longitudinal changes in body composition parameters, and to use compositional isotemporal substitution modelling to analyse the longitudinal changes in body composition parameters associated with time reallocation from SB to physical activity (PA) in older women. Methods: The study included women aged 60 years and older (n ¼ 182) with valid data at baseline and at the subsequent 7-year follow-up. For both time points, the ActiGraph GT1M accelerometer was used for SB and PA assessments and multi-frequency bioimpedance analysis was used to assess the body composition parameters related to adiposity and muscle mass. Compositional regression models were used to analyse the associations between proportion of time spent in sedentary bouts of different duration and longitudinal changes in body composition parameters. A compositional isotemporal substitution model was created to estimate the differences in body composition parameters associated with one-to-one time reallocations between baseline SB and PA. Results: A significant increase in fat mass index (b ilr1 ¼ 0.61, 95% confidence interval [CI]: 0.18, 1.04) and visceral adipose tissue (b ilr1 ¼ 6.01, 95% CI: 1.52, 10.5) was associated with a higher baseline proportion of time spent in long sedentary bouts (i.e. sedentary bout of !30 min). Reallocating 1 h/week and 3.5 h/ week from the time spent in long sedentary bouts in favour of light PA was associated with a significant decrease in fat mass index by 0.78% (95% CI: 0.24, 1.32) and 3.13% (95% CI: 0.97, 5.29), respectively. No association was found for indicators of muscle mass. Conclusions: This study suggests that long-term adiposity status could be improved by increasing the proportion of time spent in light PA at the expense of time spent in prolonged SB. This finding may help in designing more effective and feasible interventions for the maintenance of healthy body composition in advanced age.

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“…Together with findings from other process evaluations of similar interventions, findings from the present study contribute to the body of knowledge on how these interventions work, on which factors need to be enhanced, and on potential problems to be addressed when further disseminating these interventions into real-world settings [37].…”

Section: Mental Modelsmentioning

confidence: 55%

“Oh-oh, the others are standing up... I better do the same”. Mixed-method evaluation of the implementation process of ‘Take a Stand!’ - a cluster randomized controlled trial of a multicomponent intervention to reduce sitting time among office workers

2020

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Background: Multicomponent workplace-based interventions aimed at reducing sitting time among office workers are becoming increasingly popular. 'Take a Stand!' was such an intervention, reducing sitting time by 71 min after 1 month and 48 min after 3 months. However, it is unclear how the implementation process of 'Take a Stand!' affected these results. The present study explored how individual factors and organizational context influenced implementation and effect in 'Take a Stand!' Methods: This was a mixed-methods study, combining data from interviews, questionnaires and accelerometers. Directed content analysis was used for analysing interviews with participants, ambassadors and managers from the 10 intervention offices in the 'Take a Stand!' study. Categories for analysis were taken from Framework for Evaluating Organizational-level Interventions. Interview data were combined with questionnaire and activity data, and multilevel analysis was undertaken to assess how changes in sitting time varied depending on the assessed factors. In addition, interview data were used to underpin results from the multilevel analysis. Results: Concurrent institutional changes were found to be a barrier for the intervention by ambassadors, while participants and managers did not find it to be an issue. Management support was consistently highlighted as very important. Participants evaluated ambassadors as being generally adequately active but also, that the role had a greater potential. The motivational and social aspects of the intervention were considered important for the effect. This was supported by regression analyses, which showed that a strong desire to change sitting time habits, strong motivation towards the project, and a high sense of collective engagement were associated to less sitting time at 3 months of about 30 min/8 h working day compared to participants with low scores. Influence from other

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Sedentary Behavior and Public Health: Integrating the Evidence and Identifying Potential Solutions

Cited by 112 publications

References 125 publications

Socio-Demographic Correlates of Total and Domain-Specific Sedentary Behavior in Latin America: A Population-Based Study

Socio-Demographic Correlates of Total and Domain-Specific Sedentary Behavior in Latin America: A Population-Based Study

Prospective study on sedentary behaviour patterns and changes in body composition parameters in older women: A compositional and isotemporal substitution analysis

“Oh-oh, the others are standing up... I better do the same”. Mixed-method evaluation of the implementation process of ‘Take a Stand!’ - a cluster randomized controlled trial of a multicomponent intervention to reduce sitting time among office workers

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