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Cepková A, Zemková E, Šooš Ľ, Uvaček M, Muyor JM. Sedentary lifestyle of university students is detrimental to the thoracic spine in men and to the lumbar spine in women. PLoS One 2023; 18:e0288553. [PMID: 38051703 PMCID: PMC10697567 DOI: 10.1371/journal.pone.0288553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 06/29/2023] [Indexed: 12/07/2023] Open
Abstract
BACKGROUND Sitting for long periods of time and lack of physical activity in young adults can cause postural deterioration leading to rapid onset of fatigue and increase the risk of back pain. We were interested in whether there are gender differences in spinal curvature among university students with a predominantly sedentary lifestyle. METHODS 20 sedentary female (age 20 ± 0.73 years) and 39 sedentary male university students (age 20 ± 1.08 years) participated in this study. Their thoracic and lumbar curvatures were assessed while standing and sitting using a Spinal Mouse. RESULTS In standing, 80.0% of the females and 69.2% of the males had a neutral position of the thoracic spine (33.25° and 35.33°, respectively). However, more males, 30.8%, than females, 10.0%, had hyperkyphosis (54.27° and 47.0°, respectively). Hypokyphosis was found in 10.0% of the females (18.50°) and none in the males. Similarly, 90.0% of the females and 97.4% of the males had neutral position of the lumbar spine (-33.11° and -29.76°, respectively). Increased hyperlordosis was found in 10.0% of the females and 2.6% of the males (-41.0° and -50.0°, respectively). Hypolordosis was not detected in either females or males. In sitting, on the other hand, 70.0% of the females and only 33.3% of the males had a neutral position of the thoracic spine (30.20° and 30.62°, respectively). Increased hyperkyphosis was found in 46.2% of the males (59.76°) and none of the females. 30.0% of the females and 23.1% of the males had light hypokyphosis (47.50° and 46.67°, respectively). Similarly, 70.0% of the females and only 38.5% of the males had a neutral position of the lumbar spine (7.0° and 6.6°, respectively). 35.9% of the males and only 5.0% of the females had a light hypokyphosis (16.14° and 16.0°, respectively). Slightly increased hyperkyphosis was identified in 25.6% of the males and 25.0% of the females (23.9° and 22.5°, respectively). CONCLUSION There are significant gender differences in spinal curvature. While in the thoracic spine it was to the detriment of the males when both standing and sitting, in the lumbar spine it is related to the females only when standing. It is therefore necessary to eliminate these spinal deviations in young adults induced by prolonged sitting during university courses by appropriate recovery modalities.
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Affiliation(s)
- Alena Cepková
- Faculty of Mechanical Engineering, Slovak University of Technology, Bratislava, Slovakia
| | - Erika Zemková
- Faculty of Physical Education and Sport, Comenius University in Bratislava, Bratislava, Slovakia
- Faculty of Health Sciences, University of Ss. Cyril and Methodius in Trnava, Trnava, Slovakia
| | - Ľubomír Šooš
- Faculty of Mechanical Engineering, Slovak University of Technology, Bratislava, Slovakia
| | - Marián Uvaček
- Faculty of Mechanical Engineering, Slovak University of Technology, Bratislava, Slovakia
| | - José M. Muyor
- Health Research Centre, University of Almería, Almería, Spain
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de Pedro-Jiménez D, de Diego-Cordero R, Vega-Escaño J, Molina-Recio G, Martín MH, Romero-Saldaña M. Dosage of Physical Activity to Avoid Impairment of Activities Due to Pain: Analysis of Population-based Conditional Processes. Pain Manag Nurs 2023; 24:535-541. [PMID: 37248125 DOI: 10.1016/j.pmn.2023.04.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 04/10/2023] [Accepted: 04/29/2023] [Indexed: 05/31/2023]
Abstract
BACKGROUND Physical activity's established health benefits include pain control, yet there is no consensus on the required dosage according to the literature. AIM To test the influence of exercise on perceived health in patients whose daily activities are limited due to pain. Besides, analyze the possible moderating effect of age and find a formula for exercise dosage based on the perceived level of health. METHODS Cross-sectional study based on the 2017 Spanish National Health Survey with 4,123 participants reporting activity limitations in their daily activities due to pain. The International Physical Activity Questionnaire (short version) was used to calculate energy expenditure. Data included age, sex, leisure-time physical activity, sitting time, pain-related impairments, pain medication, and perceived health. Mediation regression analysis was conducted using the SPSS PROCESS 4.0 macro. RESULTS Results indicate a decline in perceived health with age. The relationship between exercise (energy expenditure) and perceived health was highly significant (d=-0.224, p<0.001). Age moderated the association between pain and energy expenditure up to 75.61 years (0.1568, p=0.05) and between energy expenditure and perceived health up to 75.74 years (-0.289, p=0.05), but this effect diminished afterwards. A formula was developed to estimate energy expenditure based on the desired level of health. CONCLUSIONS The perception of health in people who are limited in their daily activities due to pain (moderate to very much) is mediated by the amount of physical activity they perform. Besides, this perception is moderated by age, up to 76 years.
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Affiliation(s)
| | - Rocío de Diego-Cordero
- Research Group PAIDI-CTS 969 Innovation in HealthCare and Social Determinants of Health, Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain
| | - Juan Vega-Escaño
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain.
| | - Guillermo Molina-Recio
- Lifestyles, Innovation and Health (GA-16), Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain; Department of Nursing, Pharmacology and Physiotherapy, University of Córdoba, Spain
| | | | - Manuel Romero-Saldaña
- Lifestyles, Innovation and Health (GA-16), Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Córdoba, Spain; Department of Nursing, Pharmacology and Physiotherapy, University of Córdoba, Spain
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Arippa F, Nguyen A, Pau M, Harris-Adamson C. Movement Behavior and Health Outcomes among Sedentary Adults: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4668. [PMID: 36901678 PMCID: PMC10037417 DOI: 10.3390/ijerph20054668] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Revised: 03/02/2023] [Accepted: 03/04/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Sedentary behavior, which is highly prevalent among office workers, is associated with multiple health disorders, including those of the musculoskeletal and cardiometabolic systems. Although prior studies looked at postures or physical activity during work or leisure time, few analyzed both posture and movement throughout the entire day. OBJECTIVE This cross-sectional pilot study examined the movement behavior of sedentary office workers during both work and leisure time to explore its association with musculoskeletal discomfort (MSD) and cardiometabolic health indicators. METHODS Twenty-six participants completed a survey and wore a thigh-based inertial measuring unit (IMU) to quantify the time spent in different postures, the number of transitions between postures, and the step count during work and leisure time. A heart rate monitor and ambulatory blood pressure cuff were worn to quantify cardiometabolic measures. The associations between movement behavior, MSD, and cardiometabolic health indicators were evaluated. RESULTS The number of transitions differed significantly between those with and without MSD. Correlations were found between MSD, time spent sitting, and posture transitions. Posture transitions had negative correlations with body mass index and heart rate. CONCLUSIONS Although no single behavior was highly correlated with health outcomes, these correlations suggest that a combination of increasing standing time, walking time, and the number of transitions between postures during both work and leisure time was associated with positive musculoskeletal and cardiometabolic health indicators among sedentary office workers and should be considered in future research.
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Affiliation(s)
- Federico Arippa
- School of Public Health, University of California, Berkeley, CA 94720, USA
- Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, 09123 Cagliari, Italy
| | - Athena Nguyen
- School of Public Health, University of California, Berkeley, CA 94720, USA
| | - Massimiliano Pau
- Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, 09123 Cagliari, Italy
| | - Carisa Harris-Adamson
- School of Public Health, University of California, Berkeley, CA 94720, USA
- Department of Medicine, University of California, San Francisco, CA 94143, USA
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Park S, Park SK, Jee YS. Effects of walking training at different speeds on body composition, muscle contractility, and immunocytes in the elderly: A single-blinded randomized controlled trial. Arch Gerontol Geriatr 2023; 106:104871. [PMID: 36450211 DOI: 10.1016/j.archger.2022.104871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 11/11/2022] [Accepted: 11/16/2022] [Indexed: 11/19/2022]
Abstract
BACKGROUND This study investigated the changes in body composition, muscle contractility and immunocytes of the elderly using three types of walking. MATERIAL AND METHODS Seventy-six participants were randomly assigned to control group (CON), slow walking group (SWG), moderate walking group (MWG), or fast walking group (FWG). RESULTS Muscle mass in CON decreased (-2.55 ± 3.63%; P < 0.05), while it increased in FWG (1.92 ± 4.46%; P < 0.05). Fat mass in CON increased, whereas it decreased in MWG and FWG (-18.71 ± 14.22%; P < 0.001). Tc (contraction time) of biceps femoris (BF) decreased in CON, while a decreasing tendency was seen in SWG. Although Tc of BF increased in MWG, it showed a marked increase in FWG (21.19 ± 24.53%; P < 0.05). A similar tendency was observed in the rectus femoris. Leukocytes did not change in CON, but they showed an increasing tendency in MWG and FWG. Neutrophils decreased in CON, whereas the other groups showed an increasing tendency. Lymphocytes (10.25 ± 19.48%; P < 0.01) and helper T cells (14.32 ± 17.99%; P < 0.05) showed an increase in FWG, and NK cell was improved in SWG, but showed a clear increase in MWG (38.45 ± 96.96%; P < 0.05) and FWG (52.69 ± 58.37%; P < 0.05). CONCLUSIONS This study concludes that fast walking by the elderly improves the muscle contractility, which can also be expected to improve the function of immunocytes by increased or maintained muscle mass and decreased fat mass after 12 weeks.
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Affiliation(s)
- Sihwa Park
- Research Institute of Sports and Industry Science, Hanseo University, #1 Hanseo-ro, Haemi-myeon, Seosan 31962, Korea
| | - Sang-Kyun Park
- Department of Physical Education, Chungnam National University, Daehak-ro, Yuseong-gu, Daejeon 34134, Korea.
| | - Yong-Seok Jee
- Research Institute of Sports and Industry Science, Hanseo University, #1 Hanseo-ro, Haemi-myeon, Seosan 31962, Korea.
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Park S, Park SK, Jee YS. Moderate- to fast-walking improves immunocytes through a positive change of muscle contractility in old women: a pilot study. J Exerc Rehabil 2023; 19:45-56. [PMID: 36910681 PMCID: PMC9993006 DOI: 10.12965/jer.2244512.256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 12/12/2022] [Indexed: 02/25/2023] Open
Abstract
This study aimed to examine whether compared with a program without walking, intervention programs with three types of walking can improve the muscle property and immunocytes in elderly women. Thirty-two subjects were randomly assigned to control group (CON), slow walking group (SWG), moderate walking group (MWG), and fast walking group (FWG). Three types of walking on treadmill were 30 min a day, 5 days/wk for 12 weeks. Muscle contraction time (Tc), maximum displacement (Dm), and immunocytes were tested by tensiomyography and flow cytometry. After the intervention, FWG had an increasing tendency in the muscle mass compared with other three groups. Tc of biceps femoris (BF) decreased in CON and SWG, while Tc of BF in MWG and FWG (30.58%±23.71%) increased. It was similar in the rectus femoris (RF). Although Dm of BF and RF increased in CON and SWG, those decreased in MWG and FWG. Leucocytes of CON and SWG had a decreasing tendency, those of MWG (9.65%±13.01%) and FWG (13.01%± 13.58%) increased. In the neutrophil, only CON decreased, whereas the three groups showed an increasing tendency. Helper T cell was increased only in FWG (19.61%±19.94%), showing significant differences between groups (P=0.009, η 2=0.378). Natural killer cell was improved in SWG and MWG but showed a clear increase in FWG (75.76%±63.57%). It might be confirmed that walking for elderly increases the muscle property of the lower legs as they walk faster, which might be expected to improve the immunocytes function.
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Affiliation(s)
- Sihwa Park
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
| | - Sang-Kyun Park
- Department of Physical Education, Chungnam National University, Daejeon, Korea
| | - Yong-Seok Jee
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
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Kovacs P, Vîrgă D. Office job sitting demand scale: Evidence of construct and predictive validity. Scand J Psychol 2023; 64:80-88. [PMID: 35997242 DOI: 10.1111/sjop.12865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 07/04/2022] [Accepted: 08/04/2022] [Indexed: 01/11/2023]
Abstract
Drawing on sedentary behavior and Job Demands-Resources theory, we developed a new scale for assessing office job sitting demand, conceptualized as job demand, and validated it using two independent samples. In Study 1 (N = 252), we developed the items and tested the Office Job Sitting Demand scales' factor structure through exploratory factor analysis. In Study 2 (N = 248), we tested the scales' factorial validity through confirmatory factor analysis. Indicators of measurement invariance showed no differences between participants who engage in leisure-time sport and participants who do not. Moreover, we tested convergent, discriminant, and criterion validity. We found significant positive associations with exhaustion, work pressure, and musculoskeletal complaints. The construct was unrelated to proactive vitality management and relaxation. Our results illustrate the relation between this new job demand in the workplace with employee well-being. Based on our findings, this newly developed instrument is valid and reliable and can be used to assess office job sitting demand to prevent burnout and health complaints.
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Affiliation(s)
- Peter Kovacs
- Department of Psychology, West University of Timisoara, Timisoara, Romania
| | - Delia Vîrgă
- Department of Psychology, West University of Timisoara, Timisoara, Romania
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Moyeda-Carabaza AF, Githinji P, Nguyen B, Murimi M. The influence of frequent consumption of foods-away-from-home on the total diet quality and weight status among faculty and staff. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:292-299. [PMID: 33759716 DOI: 10.1080/07448481.2021.1891081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 12/17/2020] [Accepted: 02/11/2021] [Indexed: 06/12/2023]
Abstract
Objective: To assess the dietary quality and determine the influence of food-away-from-home (FAFH) on dietary quality and weight status among faculty and staff. Participants and methods: Faculty and staff (n = 152) from a public university completed an online Food Frequency Questionnaire. Number of FAFH consumed per week, dietary intakes, dietary quality as assessed by the Healthy Eating Index (HEI)-2015, and body mass index (BMI) were measured. Results: On average participants consumed FAFH four times per week. FAFH was associated with increased intake of trans-fats (p < 0.05) and reduced HEI scores (p < 0.01). Increased consumption of trans-fats was associated with a high BMI (p < 0.001). Conversely, an increase in the HEI-2015 score was associated with a reduction in BMI (p < 0.05). Conclusion: Results suggest that the consumption of FAFH increased the intake of trans-fats and decreased diet quality, while improvements in diet quality, as measured by the HEI-score, were associated with reduced BMI among faculty and staff.
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Affiliation(s)
| | - Phrashiah Githinji
- Department of Nutritional Sciences, Texas Tech University, Lubbock, Texas, USA
| | - Bong Nguyen
- Department of Nutritional Sciences, Texas Tech University, Lubbock, Texas, USA
| | - Mary Murimi
- Department of Nutritional Sciences, Texas Tech University, Lubbock, Texas, USA
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Arippa F, Nguyen A, Pau M, Harris-Adamson C. Postural strategies among office workers during a prolonged sitting bout. APPLIED ERGONOMICS 2022; 102:103723. [PMID: 35245695 DOI: 10.1016/j.apergo.2022.103723] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 02/18/2022] [Accepted: 02/22/2022] [Indexed: 06/14/2023]
Abstract
Sedentary behavior has increased steadily over prior decades, primarily due to increased computer use at work and at home. The total sedentary time per day has been associated with increased risk of cardiometabolic diseases; increased sitting time at work has been associated with musculoskeletal discomfort particularly in the low back. Office workers spend many hours sitting, thus efforts to increase movement through changes of posture (sit to stand) or moving while sitting have been proposed as ways to mitigate the negative effects of prolonged sitting. Yet, few studies have investigated differences in the movement patterns of office workers while sitting performing their actual work. Therefore, the aim of this study was to characterize movement patterns during a prolonged sitting bout and to determine their association with musculoskeletal pain. Twenty-eight office workers participated in this field study that used a pressure sensitive mat to quantify seat pan pressure (4 regions) and trunk sway parameters over a 2-hour bout of computer work. Data were stratified by breakers who stood up at least once within the 2-hour test and prolongers who remained sitting throughout the test. Overall, there was a decreasing trend in trunk sway parameters (mean COP position, sway path, sway area, sway velocity, maximum displacement, and in-chair movements) over time (p < 0.05), with significant changes in sitting strategies. There were significant differences in trunk sway parameters and perceived musculoskeletal discomfort between breakers and prolongers with breakers having more consistent movement while sitting over the prolonged sitting bout (p < 0.05) and lower discomfort ratings. This may indicate that interrupting prolonged bouts of sitting with short periods of standing can maintain sitting movement patterns and reduce the development of musculoskeletal discomfort. Trunk sway monitoring and promoting periodic standing may be useful tools for maintaining in chair movements that may reduce or prevent the onset of musculoskeletal discomfort during prolonged sitting.
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Affiliation(s)
- Federico Arippa
- Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, Italy.
| | - Athena Nguyen
- School of Public Health, University of California, Berkeley, CA, USA.
| | - Massimiliano Pau
- Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, Italy.
| | - Carisa Harris-Adamson
- School of Public Health, University of California, Berkeley, CA, USA; Department of Medicine, University of California, San Francisco, CA, USA.
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Lee H, Lee M. Correlates of Objectively Measured Sitting Time in South Korean Adults: 2014-2015 Korea National Health and Nutrition Examination Survey. Front Public Health 2022; 10:846542. [PMID: 35619800 PMCID: PMC9127751 DOI: 10.3389/fpubh.2022.846542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 04/05/2022] [Indexed: 11/24/2022] Open
Abstract
The purpose of this study was to investigate daily amounts of time spent sitting and frequency of breaks from sitting and to identify their sociodemographic, environmental, and health behavioral correlates for Korean adults (age = 19–65). This study analyzed accelerometer subdata from the 2014–2015 Korea National Health and Nutrition Examination Survey (n = 1,768). Ordinary least squares regression models stratified by weekday and weekend were tested to identify correlates of time spent sitting and number of sitting breaks. The average daily amounts of sitting time during weekdays and weekends were 500.63 min (95% confidence interval [CI] = 495.20–506.06) and 488.10 min (95% CI = 481.72–494.49), respectively. On weekdays and weekends, the average numbers of breaks from sitting per hour were 6.62 (95% CI = 6.57–6.68) and 6.60 (95% CI = 6.54–6.66), respectively. The participants with the greatest daily sitting time tended to be male, middle-aged, never married, office workers, and residents of a metropolis; tended to have a high school educational level or higher; and had never smoked, were underweight, were physically inactive, and slept <6 h a day. Fewer breaks from sitting was associated with being male, never married, middle-aged, an office worker, an apartment resident, never having smoked, and underweight. Higher education level and physical inactivity were associated with more frequent breaks from sitting. To reduce sedentary behavior, this study helps identify at-risk populations and their characteristics. Future studies should incorporate longitudinal data and measure domain-specific sedentary behavior.
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Affiliation(s)
- Hyo Lee
- Department of Sport and Health Promotion, Sangmyung University, Seoul, South Korea
| | - Miyoung Lee
- Department of Sport, Health, and Rehabilitation, Kookmin University, Seoul, South Korea
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Wang J, Wang Y, Korivi M, Chen X, Zhu R. Status of Sedentary Time and Physical Activity of Rural Residents: A Cross-Sectional Population-Based Study in Eastern China. Front Public Health 2022; 10:838226. [PMID: 35493367 PMCID: PMC9047957 DOI: 10.3389/fpubh.2022.838226] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 03/14/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundThe urbanization process may affect the lifestyle of rural residents in China. Limited information exists on the extent of sedentarism and physical activity (PA) level of rural residents in middle-income countries. This is the first survey on sedentary time (ST) and PA among rural residents in eastern China.MethodsThis cross-sectional observational study randomly samples rural adults from Zhejiang Province in eastern China (n = 1,320). Participants' ST and PA levels were determined from the International Physical Activity Questionnaire Short Form through face-to-face interviews, and the influencing factors of PA levels were assessed through multi-class logistic regression analysis.ResultsThe findings showed that the daily ST of the participants ranged from 30 to 660 min, with a median of 240 min (P25, P75:120, 240 min), and 54.6% of participants were sedentary for 240 min or above. The daily ST in men, people aged 18 to 44 years, people with bachelors' degree and above, people working for government agencies or institutions, people with unmarried status, and people with an average income of < 2,000 Yuan was longer than that of other respective groups (p < 0.01). In contrast, the daily ST of people with hypertension or with patients with osteoporosis or osteopenia was less than that of normal people (p < 0.01). Additionally, 69.4% of participants generally had a low level of PA (LPA). Compared with those living in northern Zhejiang, people living in southern Zhejiang who were aged 18–44 years, had bachelor's degree or above, were farmers, and had household incomes below 10,000 Yuan per month were more likely to engage in LPA compared to people > 60 years, with high school or technical education levels or with junior college degrees, working in government agencies and institutions, and with household income above 10,000 Yuan per month (p < 0.05). Furthermore, there was no correlation between ST and PA levels.ConclusionMost rural residents in the Zhejiang Province of eastern China had longer daily ST and a LPA. This was predominant in men, young people, highly educated people, unmarried people, and middle to high-income people. Health education programs should be targeted toward specific population groups to decrease the ST and increase PA.
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Affiliation(s)
- Jiayuan Wang
- Second Clinical Medical College, Wenzhou Medical University, Wenzhou, China
| | - Ya Wang
- School of Innovation and Entrepreneurship, Wenzhou Medical University, Wenzhou, China
| | - Mallikarjuna Korivi
- Exercise Metabolism and Research Center, College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua, China
| | - Xi Chen
- School of Sports Science, Wenzhou Medical University, Wenzhou, China
- Xi Chen
| | - Rong Zhu
- Second Clinical Medical College, Wenzhou Medical University, Wenzhou, China
- School of Sports Science, Wenzhou Medical University, Wenzhou, China
- *Correspondence: Rong Zhu
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Kettle VE, Hamer M, Munir F, Houdmont J, Wilson K, Kerr R, Addley K, Sherar LB, Clemes SA. Cross-sectional associations between domain-specific sitting time and other lifestyle health behaviours: the Stormont study. J Public Health (Oxf) 2022; 44:51-59. [PMID: 34343313 PMCID: PMC8904248 DOI: 10.1093/pubmed/fdab298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2020] [Revised: 03/22/2021] [Accepted: 07/05/2021] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND There is a dearth of literature on how different domains of sitting time relate to other health behaviours. Therefore, this study aimed to explore these associations in a sample of office workers. METHODS 7170 Northern Irish Civil Servants completed an online survey which included information on workday and non-workday sitting time in five domains (travel, work, TV, computer-use, leisure-time), physical activity, fruit and vegetable intake, alcohol consumption and cigarette smoking. An unhealthy behaviour score was calculated by summing the number of health behaviours which did not meet the current guidelines. Multinomial regressions examined associations between unhealthy behaviour score and each domain of sitting time. RESULTS ≥7 hours sitting at work and ≥2 hours TV viewing on a workday both more than doubled the odds of partaking in ≥3 unhealthy behaviours [Odds ratio, OR = 2.03, 95% CI, (1.59-2.61); OR = 2.19 (1.71-2.80)] and ≥3 hours of TV viewing on a non-workday nearly tripled the odds [OR = 2.96 (2.32-3.77)]. CONCLUSIONS High sitting time at work and TV viewing on a workday and non-workday are associated with increased odds of partaking in multiple unhealthy behaviours. Interventions need to focus on these domains and public health policy should consider sitting time as an important health behaviour.
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Affiliation(s)
- Victoria E Kettle
- National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
| | - Mark Hamer
- Institute of Sport, Exercise and Health, UCL, London WC1E 6BT, UK
| | - Fehmidah Munir
- National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
| | - Jonathan Houdmont
- Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham NG7 2RD, UK
| | - Kelly Wilson
- Department of Management and Leadership, Ulster University, County Antrim BT37 0QB, UK
| | - Robert Kerr
- Department of Management and Leadership, Ulster University, County Antrim BT37 0QB, UK
| | - Ken Addley
- Faculty of Occupational Medicine, Royal College of Physicians of Ireland, Dublin D02 X266, Ireland
| | - Lauren B Sherar
- National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
| | - Stacy A Clemes
- National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK
- National Institute for Health Research (NIHR), Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust and the University of Leicester, Leicester LE5 4PW, UK
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Saiklang P, Puntumetakul R, Chatprem T. The Effect of Core Stabilization Exercise with the Abdominal Drawing-in Maneuver Technique on Stature Change during Prolonged Sitting in Sedentary Workers with Chronic Low Back Pain. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031904. [PMID: 35162924 PMCID: PMC8835683 DOI: 10.3390/ijerph19031904] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 01/30/2022] [Accepted: 02/05/2022] [Indexed: 01/27/2023]
Abstract
To enhance stature recovery, lumbar spine stabilization by stimulating the deep trunk muscle activation for compensation forces originating from the upper body was introduced. The abdominal drawing-in maneuver (ADIM) technique has been found mainly to activate deep trunk muscles. The purpose of the current study was to determine whether 5 weeks of training of deep trunk muscles using the ADIM technique could improve stature recovery, delay trunk muscle fatigue, and decrease pain intensity during prolonged sitting. Thirty participants with chronic low back pain (CLBP) conducted a core stabilization exercise (CSE) with the ADIM technique for 5 weeks. Participants were required to sit for 41 min before and after the exercise intervention. Stature change was measured using a seated stadiometer with a resolution of ±0.006 mm. During sitting, the stature change, pain intensity, and trunk muscle fatigue were recorded. A comparison between measurements at baseline and after 5 weeks of training demonstrated: (i) stature recovery and pain intensity significantly improved throughout the 41 min sitting condition; (ii) the bilaterally trunk muscle showed significantly decreased fatigue. The CSE with the ADIM technique was shown to provide a protective effect on detrimental reductions in stature change and trunk muscle fatigue during prolonged sitting in young participants under controlled conditions in a laboratory. This information may help to prevent the risk of LBP from prolonged sitting activities in real life situations.
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Affiliation(s)
- Pongsatorn Saiklang
- Division of Physical Therapy, Faculty of Physical Therapy, Srinakharinwiroj University, Nakhonnayok 26120, Thailand;
| | - Rungthip Puntumetakul
- Research Center of Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen 40002, Thailand;
- Department of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen 40002, Thailand
- Correspondence:
| | - Thiwaphon Chatprem
- Research Center of Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Khon Kaen 40002, Thailand;
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Walking Engagement in Mexican Americans Who Participated in a Community-Wide Step Challenge in El Paso, TX. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312738. [PMID: 34886463 PMCID: PMC8657117 DOI: 10.3390/ijerph182312738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 11/23/2021] [Accepted: 11/23/2021] [Indexed: 11/16/2022]
Abstract
In the United States, the Latinx population has the highest prevalence of physical inactivity compared with other ethnicities. Research shows that work-based physical activity interventions have been widely implemented in the non-Latinx population and effectively increase physical activity in the non-Latinx population. In an effort to improve physical activity and reduce obesity among the Latinx population, we conducted 10,000 Steps for 100 Days, an employer-based walking challenge campaign, to increase walking engagement among Latinx employees located in El Paso, Texas. Participants reported their number of steps using a pedometer or smartphone. Step counts were collected at baseline, 2 weeks post challenge, and 6 months post challenge. Screenshots of the tracking device were uploaded to an online tracker. Regression analysis was conducted to identify covariates associated with baseline and 2-week and 6-month average daily steps. Generalized estimating equations (GEE) were performed to predict steps over time by demographic characteristics. Participation in the 10,000 Steps for 100 Days walking challenge was associated with a sustained increase in average daily steps. Participants with less than 7000 steps per day demonstrated the greatest increase in average daily steps (921 steps at 2 weeks; 1002.4 steps at 6 months). Demographic characteristics were not significant predictors of average steps, except that married participants had higher average steps. Participants with 10,000 or more daily steps had a 51% (p = 0.031) higher chance of having a professional occupation than a non-professional one compared to those with 7000 or fewer daily steps. We provided initial evidence that the walking challenge is an effective approach for improving physical activity in the Latinx population.
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Im SC, Cho HY, Lee JH, Kim K. Analysis of the Effect of Wearing Extensible and Non-Extensible Lumbar Belts on Biomechanical Factors of the Sit-to-Stand Movement and Pain-Related Psychological Factors Affecting Office Workers with Low Back Pain. Healthcare (Basel) 2021; 9:healthcare9111601. [PMID: 34828646 PMCID: PMC8624328 DOI: 10.3390/healthcare9111601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 11/12/2021] [Accepted: 11/19/2021] [Indexed: 11/16/2022] Open
Abstract
This study aimed to investigate the effects of wearing extensible and non-extensible lumbar belt (LB) on biomechanical factors of the sit-to-stand (STD) movement and pain-related psychological factors affecting office workers with low back pain. Among 30 office workers, 15 with low back pain (LBP) were assigned to the experimental group and 15 healthy adults were assigned to the control group. The participants performed STD movement in random order of three different conditions: without LB (Condition 1), with extensible LB (Condition 2), and with non-extensible LB (Condition 3). Biomechanical variables of STD movement in each condition were measured using a three-dimensional motion analysis system and force plate. Pain-related psychological factors were measured only in the experimental group. Among the biomechanical factors of STD movement, an interaction effect was found in the maximum anterior pelvic tilt angle and total-phase range of motion of the trunk (p < 0.05). Pain intensity, pain-related anxiety, and pain catastrophizing were decreased in the conditions with lumbar belts (Conditions 2 and 3) compared to the condition without LB (Condition 1) (p < 0.05). Extensible and non-extensible lumbar belts engender biomechanically beneficial effects during STD movement in both office workers with LBP and healthy office workers. Further, pain intensity, pain-related anxiety, and pain catastrophizing were decreased in office workers with LBP. Therefore, both types of extensible lumbar belts may be helpful in the daily life of patients with LBP and office workers.
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Affiliation(s)
- Sang-Cheol Im
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Gyeongsan 38453, Korea; (S.-C.I.); (H.-Y.C.)
| | - Ho-Young Cho
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Gyeongsan 38453, Korea; (S.-C.I.); (H.-Y.C.)
| | - Jae-Hong Lee
- Department of Physical Therapy, Daegu Health College, Daegu 41453, Korea;
| | - Kyoung Kim
- Department of Physical Therapy, College of Rehabilitation Science, Daegu University, Gyeongsan 38453, Korea; (S.-C.I.); (H.-Y.C.)
- Correspondence: ; Tel.: +82-53-850-4351
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15
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Karkousha RN, Mohamed AR, Ibrahim AHM. Cross-legged sitting posture effect on lumbar proprioception in young adults: a cross-sectional study. BULLETIN OF FACULTY OF PHYSICAL THERAPY 2021. [DOI: 10.1186/s43161-021-00053-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
The cross-legged sitting posture (CLS) is assumed by young adults’ results in a bent and unbalanced posture. The study purpose was to assess the effect of sitting in a cross-legged position (knee on knee) on lumbar proprioception. Thirty-six participants of both genders aged from 18 to 25 were selected and divided equally into group A who adapt to a cross-legged sitting posture and group B who adapt to erect sitting (not prefer cross-legged sitting). The Biodex System 3 pro isokinetic dynamometer was utilized to assess the lumbar proprioception by testing the lumbar region repositioning accuracy.
Results
The lumbar repositioning error of group A increased statistically significantly as compared to group B (p < 0.05).
Conclusions
Cross-legged sitting posture negatively affects lumbar proprioception compared with participants who adapt to erect sitting, and this effect should be considered in the avoidance of sitting in a cross-legged position and in prevention and intervention programs of lumbar proprioception impairment.
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16
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Watanabe K, Kawakami N. Association between sitting time at work and the onset of major depressive episode: a 1-year prospective cohort study using the Bayesian regression. BMC Public Health 2021; 21:1960. [PMID: 34715837 PMCID: PMC8556968 DOI: 10.1186/s12889-021-12059-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Accepted: 10/19/2021] [Indexed: 11/13/2022] Open
Abstract
Background Although sedentary behavior is associated with the onset of major depressive disorder, it remains unclear whether sedentary behavior at work increases the risk of depression. The present study used the Bayesian approach to investigate the association between sitting time at work and the onset of major depressive episode (MDE). Methods A 1-year prospective cohort study was conducted among 233 Japanese workers without MDE (response rate: 4.3%). MDE onset was assessed using the self-reported WHO Composite International Diagnostic Interview version 3.0. A Bayesian Cox proportional hazard model was used to estimate the hazard ratio (HR) between long sitting time at work and MDE onset. Results A total of 231 workers were included in the analysis. During the follow-up, 1621 person-months were observed, and six participants experienced MDE onset. Incident rates per months were 0.34, 0.11, and 1.02% in short (< 7.2 h per day), medium (7.2–9.5 h), and long (9.5+ h) sitting time at work, respectively. The estimated median posterior probability distribution of the HR of long sitting time was 3.00 (95% highest density interval [HDI]: 0.73–12.03). The estimated median remained positive after adjustment for physical activity level and other covariates (HR = 2.11, 95% HDI: 0.42–10.22). The 10-base Bayesian factor for H1 (HR = 1.00) compared with the alternatives (H0, HR = 1.00) was 0.68 in the adjusted model. The analysis, which treated sitting time at work as a continuous variable, estimated that the median of the posterior probability distribution of the HR of sitting time was 0.79 (95% HDI: 0.58–1.07. The 10-base Bayesian factor was 2.73 in the linear association. Conclusions Long sitting time at work (9.5+ h per day) might be associated with MDE onset among workers. However, the linear association indicated conflicting results. Non-linear associations between sitting time and MDE onset might explain this inconsistency. The evidence for an adverse association between sitting time at work and MDE onset remains inconclusive.
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Affiliation(s)
- Kazuhiro Watanabe
- Department of Public Health, Kitasato University School of Medicine, 1-15-1 Kitazato, Minami-ku, Sagamihara, 252-0374, Japan.
| | - Norito Kawakami
- Department of Mental Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan
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17
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Analyzing the Influence of Wine and Beer Drinking, Smoking, and Leisure Time Screen Viewing Activity on Body Weight: A Cross-Sectional Study in Germany. Nutrients 2021; 13:nu13103553. [PMID: 34684553 PMCID: PMC8539669 DOI: 10.3390/nu13103553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Revised: 09/27/2021] [Accepted: 10/05/2021] [Indexed: 11/17/2022] Open
Abstract
The increasing global prevalence of overweight and obesity highlights an urgent need to explore modifiable obesogenic factors. This study investigated the impact of lifestyle factors, such as beer and wine drinking, cigarette smoking, and leisure time screen viewing activities, on body weight and the development of obesity. Individual level data were selected from a random sample of 3471 German adults using a two-stage disproportionate random sampling procedure. The empirical analysis employed a two-stage equations system and combined the endogenous treatment effects model with the quantile regression technique. Our estimations showed that the decisions to smoke and consume wine and beer were positively interrelated, especially in women. Frequent beer/wine drinkers of normal weight were found to have a lower BMI in the male subsample. Quantile regression estimates indicated a significant influence of smoking on BMI in both genders, with smokers’ BMI following an upward trend, especially in the upper quantiles of the distribution. Leisure time screen activity was found to have a major impact on females’ BMI. Prolonged television viewing and regular computer gaming had a strong relationship with weight increase in overweight women, whereas internet surfing was inversely correlated with the BMI of normal weight and slightly overweight female participants. Nutrition and health policies should direct individuals toward alternative recreational activities in order to substitute screen usage and reduce sedentary time. This study also raised doubts about the general belief that smokers have a lower body weight. As unhealthy behaviors usually co-occur or cluster together, obesity prevention interventions might also contribute to a decrease in smoking.
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18
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Zemková E, Cepková A, Muyor JM. The association of reactive balance control and spinal curvature under lumbar muscle fatigue. PeerJ 2021; 9:e11969. [PMID: 34434668 PMCID: PMC8362667 DOI: 10.7717/peerj.11969] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Accepted: 07/23/2021] [Indexed: 11/30/2022] Open
Abstract
Background Although low back fatigue is an important intervening factor for physical functioning among sedentary people, little is known about its possible significance in relation to the spinal posture and compensatory postural responses to unpredictable stimuli. This study investigates the effect of lumbar muscle fatigue on spinal curvature and reactive balance control in response to externally induced perturbations. Methods A group of 38 young sedentary individuals underwent a perturbation-based balance test by applying a 2 kg load release. Sagittal spinal curvature and pelvic tilt was measured in both a normal and Matthiass standing posture both with and without a hand-held 2 kg load, and before and after the Sørensen fatigue test. Results Both the peak anterior and peak posterior center of pressure (CoP) displacements and the corresponding time to peak anterior and peak posterior CoP displacements significantly increased after the Sørensen fatigue test (all at p < 0.001). A lumbar muscle fatigue led to a decrease of the lumbar lordosis in the Matthiass posture while holding a 2 kg load in front of the body when compared to pre-fatigue conditions both without a load (p = 0.011, d = 0.35) and with a 2 kg load (p = 0.000, d = 0.51). Also the sacral inclination in the Matthiass posture with a 2 kg additional load significantly decreased under fatigue when compared to all postures in pre-fatigue conditions (p = 0.01, d = 0.48). Contrary to pre-fatigue conditions, variables of the perturbation-based balance test were closely associated with those of lumbar curvature while standing in the Matthiass posture with a 2 kg additional load after the Sørensen fatigue test (r values in range from −0.520 to −0.631, all at p < 0.05). Conclusion These findings indicate that lumbar muscle fatigue causes changes in the lumbar spinal curvature and this is functionally relevant in explaining the impaired ability to maintain balance after externally induced perturbations. This emphasizes the importance for assessing both spinal posture and reactive balance control under fatigue in order to reveal their interrelations in young sedentary adults and predict any significant deterioration in later years.
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Affiliation(s)
- Erika Zemková
- Department of Biological and Medical Sciences, Faculty of Physical Education and Sport, Comenius University Bratislava, Bratislava, Slovakia.,Sports Technology Institute, Faculty of Electrical Engineering and Information Technology, Slovak University of Technology, Bratislava, Slovakia
| | - Alena Cepková
- Centre of Languages and Sports, Faculty of Mechanical Engineering, Slovak University of Technology, Bratislava, Slovakia
| | - José M Muyor
- Laboratory of Kinesiology, Biomechanics and Ergonomics, Health Research Centre, University of Almería, Almería, Spain
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19
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Park S, Park S, Yoo J, Jee YS. Effects of equine riding on static and dynamic mechanical contraction of the thighs and trunk muscles in inactive women. J Back Musculoskelet Rehabil 2021; 34:521-535. [PMID: 33523037 DOI: 10.3233/bmr-200008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND OBJECTIVE This study investigated whether equine riding affects static or dynamic mechanical contractions on the thighs and trunk muscles in inactive women. METHODS Participants consisted of 30 women with a mean (SD) age of 21.06 (0.44) years. They were randomly allotted as follows: equine group (EQG, n= 15) and control group (CON, n= 15). Two types of muscle contraction properties in their thighs and trunk were measured through a tensiomyography (static muscle tester) and an isokinetic device (dynamic muscle tester), respectively. Using the body weights of EQG and CON as covariates, a 2-way between-groups multivariate analysis of covariance was used to investigate group differences in the mechanical quantification of the thighs and trunk. RESULTS The effectiveness of 8 weeks of equine riding was hardly observed in a static muscle test, whereas in the dynamic muscle test, the dominant and non-dominant hip extensor/flexor, the dominant hip abductor/adductor, and trunk extensor in the EQG showed a significant increase, compared to no changes in the CON. CONCLUSIONS This study did not find any particular differences in a static muscle test in inactive women, but showed improvements in the dynamic mechanical properties of the thighs and trunk, which are major muscle groups related to spinal alignment.
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Affiliation(s)
- Sihwa Park
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
| | - Sunhee Park
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
| | - Jaehyun Yoo
- Department of Health and Human Performance, Sahmyook University, Seoul, Korea
| | - Yong-Seok Jee
- Research Institute of Sports and Industry Science, Hanseo University, Seosan, Korea
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20
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Fenton SAM, Ntoumanis N, Duda JL, Metsios GS, Rouse PC, Yu CA, Kitas GD, Veldhuijzen van Zanten JJCS. Diurnal patterns of sedentary time in rheumatoid arthritis: associations with cardiovascular disease risk. RMD Open 2020; 6:rmdopen-2020-001216. [PMID: 32669453 PMCID: PMC7425187 DOI: 10.1136/rmdopen-2020-001216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 05/01/2020] [Accepted: 06/01/2020] [Indexed: 11/15/2022] Open
Abstract
Objectives Research demonstrates that sedentary behaviour may contribute towards cardiovascular disease (CVD) risk in rheumatoid arthritis (RA). This study explored diurnal patterns of sedentary time and physical activity (PA) in RA and examined associations with long-term CVD risk. Methods 97 RA patients wore an accelerometer for 7 days to assess sedentary time, light-intensity and moderate-to-vigorous-intensity PA. Estimated 10-year CVD risk was determined via QRISK score. Hourly estimates of sedentary time and PA (min/hour) were computed for valid-wear hours (ie, valid-wear = 60 min/hour of activity data, ≥3 days). Hourly data were averaged across time periods to represent morning (08:00–11:59), afternoon (12:00–17:59) and evening (18:00–22:59) behaviour. Participants providing data for ≥2 complete time periods/day (eg, morning/evening, or morning/afternoon) were used in the main analysis (n = 41). Mixed linear modelling explored the associations between 10-year CVD risk and within-person (time: morning, afternoon, evening) changes in sedentary time and PA. Results Sedentary time was higher, and light-intensity and moderate-to-vigorous-intensity PA lower in the evening, compared to morning and afternoon. Significant interactions revealed individuals with higher CVD risk were more sedentary and did less light-intensity PA during the afternoon and evening. Findings remained significant after adjustment for disease duration, functional ability and erythrocyte sedimentation rate. Conclusion Results suggest that the evening time period may offer a significant window of opportunity for interventions to reduce sedentary behaviour in RA and contribute to associated improvements in CVD risk. Due to inverse patterns of engagement, replacing sedentary time with light-intensity PA may offer an effective approach for intervention.
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Affiliation(s)
- Sally A M Fenton
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK .,Russells Hall Hospital, Rheumatology, Dudley Group NHS Foundation Trust, Dudley, UK
| | - Nikos Ntoumanis
- Physical Activity and Well-Being Research Group, School of Psychology, Curtin University, Perth, Australia
| | - Joan L Duda
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK
| | - George S Metsios
- Russells Hall Hospital, Rheumatology, Dudley Group NHS Foundation Trust, Dudley, UK.,Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, UK
| | | | - Chen-An Yu
- Institute of Sport, University of Chichester, Chichester, UK
| | - George D Kitas
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.,Russells Hall Hospital, Rheumatology, Dudley Group NHS Foundation Trust, Dudley, UK
| | - Jet J C S Veldhuijzen van Zanten
- School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.,Russells Hall Hospital, Rheumatology, Dudley Group NHS Foundation Trust, Dudley, UK
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21
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The Effect of Domain-Specific Sitting Time and Exercise Habits on Metabolic Syndrome in Japanese Workers: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17113883. [PMID: 32486232 PMCID: PMC7312666 DOI: 10.3390/ijerph17113883] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Revised: 05/22/2020] [Accepted: 05/26/2020] [Indexed: 11/16/2022]
Abstract
The effects of domain-specific (i.e., occupational, leisure-time on workday, and holiday) sitting time (ST), and exercise on metabolic syndrome (MetS) development are insufficiently studied. The present study aimed to examine the single and combined effects of each domain-specific ST and exercise habits on MetS. The total and domain-specific STs of 5530 participants were collected using a validated questionnaire. The multiple logistic regression analyses determined the effects of each domain-specific ST and exercise habit on MetS. Of all participants, 7.8% had MetS. Odds ratios (ORs) for MetS were significant only in the group with the longest leisure-time ST on holidays (OR, 1.43; 95% confidence interval [CI], 1.12-1.83); we found no significant associations with any other domain-specific ST after statistical adjustment for confounders. The no-habitual-exercise group clearly had a higher risk for MetS (OR, 1.44; 95% CI, 1.15-1.80). The significantly higher ORs for MetS was shown in only the combined longer total ST (OR, 1.64; 95% CI, 1.12-2.39) and holiday ST (OR, 1.83; 95% CI, 1.30-2.59) with no habitual exercise. These findings suggested that accumulated daily total ST, particularly leisure-time ST on holidays with no-habitual exercise, can increase the risk of MetS and it could possibly be mitigated by habitual exercise.
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22
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Accelerometer-Measured Diurnal Patterns of Sedentary Behavior among Japanese Workers: A Descriptive Epidemiological Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17113814. [PMID: 32471293 PMCID: PMC7312996 DOI: 10.3390/ijerph17113814] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 05/04/2020] [Accepted: 05/20/2020] [Indexed: 12/19/2022]
Abstract
Increased sedentary behavior (SB) can adversely affect health. Understanding time-dependent patterns of SB and its correlates can inform targeted approaches for prevention. This study examined diurnal patterns of SB and its sociodemographic associations among Japanese workers. The proportion of sedentary time (% of wear time) and the number of breaks in SB (times/sedentary hour) of 405 workers (aged 40-64 years) were assessed using an accelerometer. SB patterns and sociodemographic associations between each time period (morning, afternoon, evening) on workdays and nonworkdays were examined in a series of multivariate regression analyses, adjusting for other sociodemographic associations. On both workdays and nonworkdays, the proportion of sedentary time was lowest in the morning and increased towards evening (b = 12.95, 95% CI: 11.28 to 14.62; b = 14.31, 95% CI: 12.73 to 15.88), with opposite trend for breaks. Being male was consistently correlated with SB. Other sociodemographic correlates differed depending on time-of-day and day-of-the-week. For instance, desk-based workstyles and urban residential area were associated with SB during workday mornings and afternoons, being single was related to mornings and evenings, workdays and nonworkdays. Initiatives to address SB should focus not only on work-related but time-of-day contexts, especially for at-risk subgroups during each period.
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23
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Blackburn NE, Wilson JJ, McMullan II, Caserotti P, Giné-Garriga M, Wirth K, Coll-Planas L, Alias SB, Roqué M, Deidda M, Kunzmann AT, Dallmeier D, Tully MA. The effectiveness and complexity of interventions targeting sedentary behaviour across the lifespan: a systematic review and meta-analysis. Int J Behav Nutr Phys Act 2020; 17:53. [PMID: 32334631 PMCID: PMC7183680 DOI: 10.1186/s12966-020-00957-0] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Accepted: 04/13/2020] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Evidence suggests that sedentary behaviour (SB) is associated with poor health outcomes. SB at any age may have significant consequences for health and well-being and interventions targeting SB are accumulating. Therefore, the need to review the effects of multicomponent, complex interventions that incorporate effective strategies to reduce SB are essential. METHODS A systematic review and meta-analysis were conducted investigating the impact of interventions targeting SB across the lifespan. Six databases were searched and two review authors independently screened studies for eligibility, completed data extraction and assessed the risk of bias and complexity of each of the included studies. RESULTS A total of 77 adult studies (n=62, RCTs) and 84 studies (n=62, RCTs) in children were included. The findings demonstrated that interventions in adults when compared to active controls resulted in non-significant reductions in SB, although when compared to inactive controls significant reductions were found in both the short (MD -56.86; 95%CI -74.10, -39.63; n=4632; I2 83%) and medium-to-long term (MD -20.14; 95%CI -34.13, -6.16; n=4537; I2 65%). The findings demonstrated that interventions in children when compared to active controls may lead to relevant reductions in daily sedentary time in the short-term (MD -59.90; 95%CI -102.16, -17.65; n=267; I2 86%), while interventions in children when compared to inactive controls may lead to relevant reductions in the short-term (MD -25.86; 95%CI -40.77, -10.96; n=9480; I2 98%) and medium-to-long term (MD -14.02; 95%CI -19.49, -8.55; n=41,138; I2 98%). The assessment of complexity suggested that interventions may need to be suitably complex to address the challenges of a complex behaviour such as SB, but demonstrated that a higher complexity score is not necessarily associated with better outcomes in terms of sustained long-term changes. CONCLUSIONS Interventions targeting reductions in SB have been shown to be successful, especially environmental interventions in both children and adults. More needs to be known about how best to optimise intervention effects. Future intervention studies should apply more rigorous methods to improve research quality, considering larger sample sizes, randomised controlled designs and valid and reliable measures of SB.
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Affiliation(s)
- Nicole E Blackburn
- Centre for Health and Rehabilitation Technologies, Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey, United Kingdom.
| | - Jason J Wilson
- Centre for Health and Rehabilitation Technologies, Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey, United Kingdom
| | - Ilona I McMullan
- Centre for Health and Rehabilitation Technologies, Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey, United Kingdom
| | - Paolo Caserotti
- Department of Sports Science and Clinical Biomechanics, Center for Active and Healthy Ageing (CAHA), Syddansk Universitet, Odense, Denmark
| | - Maria Giné-Garriga
- Department of Sport Sciences, Faculty of Psychology, Education and Sport Sciences Blanquerna, Universitat Ramon Llull, Barcelona, Spain
- School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom
| | - Katharina Wirth
- Agaplesion Bethesda Clinic Ulm, Geriatric Centre Ulm/Alb-Donau, Ulm, Germany
- Department of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany
| | - Laura Coll-Planas
- Fundació Salut i Envelliment-Universitat Autònoma de Barcelona, Barcelona, Spain
- Biomedical Research Institute Sant Pau (IIB-Sant Pau), Barcelona, Spain
| | - Sergi Blancafort Alias
- Fundació Salut i Envelliment-Universitat Autònoma de Barcelona, Barcelona, Spain
- Biomedical Research Institute Sant Pau (IIB-Sant Pau), Barcelona, Spain
| | - Marta Roqué
- Fundació Salut i Envelliment-Universitat Autònoma de Barcelona, Barcelona, Spain
- Biomedical Research Institute Sant Pau (IIB-Sant Pau), Barcelona, Spain
| | - Manuela Deidda
- Health Economics and Health Technology Assessment (HEHTA), Institute of Health and Wellbeing (IHW), University of Glasgow, Glasgow, United Kingdom
| | - Andrew T Kunzmann
- School of Medicine, Dentistry and Biomedical Sciences, Centre for Public Health, Queen's University Belfast, Belfast, United Kingdom
| | - Dhayana Dallmeier
- Agaplesion Bethesda Clinic Ulm, Geriatric Centre Ulm/Alb-Donau, Ulm, Germany
- Department of Epidemiology, Boston University School of Public Health, Boston, USA
| | - Mark A Tully
- Centre for Health and Rehabilitation Technologies, Institute of Nursing and Health Research, School of Health Sciences, Ulster University, Newtownabbey, United Kingdom
- Institute of Mental Health Sciences, School of Health Sciences, Ulster University, Newtownabbey, United Kingdom
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Delfino LD, Tebar WR, Gil FC, De Souza JM, Romanzini M, Fernandes RA, Christofaro DGD. Association of sedentary behaviour patterns with dietary and lifestyle habits among public school teachers: a cross-sectional study. BMJ Open 2020; 10:e034322. [PMID: 31980510 PMCID: PMC7045133 DOI: 10.1136/bmjopen-2019-034322] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
OBJECTIVES To analyse the association of sedentary behaviour patterns with dietary and lifestyle habits among public school teachers. DESIGN Cross-sectional study. PARTICIPANTS A sample of 245 teachers (186 women and 59 men) with mean age of 45.2 (±10.4) were randomly selected from public schools. PRIMARY AND SECONDARY OUTCOME MEASURE Sedentary behaviour was assessed by hours spent watching television, computer and cellphone/tablet use and in sitting position. Sedentary breaks were reported in a Likert scale in domains of work and leisure time. Dietary habits were assessed by weekly consumption of fruits, vegetables, dairy products, fried foods, sweets, grains, cereals, white meat, soft drinks and snacks. Physical activity, smoking, alcohol consumption and socioeconomic status were assessed by using questionnaires. RESULTS The prevalence of high sedentary behaviour, high sedentary breaks at work and at leisure was 57.9%, 67.7% and 70.2% in the sample, respectively. No relationship was observed of high sedentary behaviour with dietary and lifestyle habits in adjusted analysis. However, high sedentary breaks at work were associated with high consumption of dairy products (OR=1.93 (CI 1.07 to 3.51)) and cereals (OR=2.49 (CI 1.05 to 5.92)) and with being high physically active (OR=2.57 (CI 1.14 to 5.77)). High sedentary breaks at leisure time were associated with high consumption of fruits (OR=2.33 (CI 1.28 to 4.23)) and vegetables (OR=1.91 (CI 1.05 to 3.49)) and with be high physically active (OR=2.34 (CI 1.03 to 5.35)). High sedentary breaks were associated with better dietary habits even among teachers with high sedentary behaviour. CONCLUSION High sedentary breaks were associated with better dietary habits and with high levels of physical activity among public school teachers, even those with high sedentary behaviour.
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Affiliation(s)
- Leandro Dragueta Delfino
- Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Ciencias e Tecnologia Campus de Presidente Prudente, Presidente Prudente, São Paulo, Brazil
| | - William Rodrigues Tebar
- Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Ciencias e Tecnologia Campus de Presidente Prudente, Presidente Prudente, São Paulo, Brazil
| | - Fernanda Caroline Gil
- Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Ciencias e Tecnologia Campus de Presidente Prudente, Presidente Prudente, São Paulo, Brazil
| | - Jefferson Marinho De Souza
- Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Ciencias e Tecnologia Campus de Presidente Prudente, Presidente Prudente, São Paulo, Brazil
| | - Marcelo Romanzini
- Department of Physical Education, Universidade Estadual de Londrina, Londrina, Paraná, Brazil
| | - Romulo Araujo Fernandes
- Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Ciencias e Tecnologia Campus de Presidente Prudente, Presidente Prudente, São Paulo, Brazil
| | - Diego Giulliano Destro Christofaro
- Department of Physical Education, Universidade Estadual Paulista Julio de Mesquita Filho Faculdade de Ciencias e Tecnologia Campus de Presidente Prudente, Presidente Prudente, São Paulo, Brazil
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Perceived Stress among Different Occupational Groups and the Interaction with Sedentary Behaviour. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16234595. [PMID: 31756951 PMCID: PMC6926860 DOI: 10.3390/ijerph16234595] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Revised: 11/15/2019] [Accepted: 11/18/2019] [Indexed: 12/19/2022]
Abstract
Sedentary lifestyle and low physical activity are associated with health issues, including both physical and mental health, non-communicable diseases, overweight, obesity and reduced quality of life. This study investigated differences in physical activity and other individual factors among different occupational groups, highlighting the impact of sedentary behaviour on perceived stress by occupation. Cross-sectional study included 571 full-time workers of Kaunas city, Lithuania. The outcome of this study was assessment of perceived stress. Time spent sedentary per day, occupation and other individual characteristics were self-reported using questionnaires. Two main occupational groups were analysed: white-collar and blue-collar workers. Multivariate logistic regression was used to assess the impact of sedentary behaviour on perceived stress among different occupational groups. The prevalence of high sedentary behaviour was 21.7 and 16.8 % among white-collar and blue-collar workers, respectively. Blue-collar workers had a higher risk of high perceived stress (OR 1.55, 95% CI 1.05-2.29) compared to white-collar workers; however, sedentary time did not have any impact on high perceived stress level. Meanwhile, white-collar male (OR 4.34, 95% CI 1.46-12.95) and white-collar female (OR 3.26, 95% CI 1.23-8.65) workers who spend more than three hours per day sedentary had a greater risk of high levels of perceived stress. These findings indicate sedentary behaviour effect on perceived stress among two occupational groups-white-collar and blue-collar workers-and other important factors associated with perceived stress.
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Bontrup C, Taylor WR, Fliesser M, Visscher R, Green T, Wippert PM, Zemp R. Low back pain and its relationship with sitting behaviour among sedentary office workers. APPLIED ERGONOMICS 2019; 81:102894. [PMID: 31422243 DOI: 10.1016/j.apergo.2019.102894] [Citation(s) in RCA: 88] [Impact Index Per Article: 17.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 06/14/2019] [Accepted: 07/03/2019] [Indexed: 06/10/2023]
Abstract
The relationships between sedentary lifestyle, sitting behaviour, and low back pain (LBP) remain controversial. In this study, we investigated the relationship between back pain and occupational sitting habits in 64 call-centre employees. A textile pressure mat was used to evaluate and parameterise sitting behaviour over a total of 400 h, while pain questionnaires evaluated acute and chronic LBP. Seventy-five percent of the participants reported some level of either chronic or acute back pain. Individuals with chronic LBP demonstrated a possible trend (t-test not significant) towards more static sitting behaviour compared to their pain-free counterparts. Furthermore, a greater association was found between sitting behaviour and chronic LBP than for acute pain/disability, which is plausibly due to a greater awareness of pain-free sitting positions in individuals with chronic pain compared to those affected by acute pain.
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Affiliation(s)
| | | | - Michael Fliesser
- Sociology of Health and Physical Activity, Department of Health Science, University of Potsdam, Germany
| | | | - Tamara Green
- Sociology of Health and Physical Activity, Department of Health Science, University of Potsdam, Germany
| | - Pia-Maria Wippert
- Sociology of Health and Physical Activity, Department of Health Science, University of Potsdam, Germany
| | - Roland Zemp
- Institute for Biomechanics, ETH Zurich, Switzerland.
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Wang K, Zhang JW, Min SX, Xu XY, An SL. Development and validation of a pre-scoring system for nonspecific low back pain among general population in Guangzhou: a cross-sectional study. BMC Public Health 2019; 19:1262. [PMID: 31510992 PMCID: PMC6739945 DOI: 10.1186/s12889-019-7564-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Accepted: 08/28/2019] [Indexed: 11/19/2022] Open
Abstract
Background Nonspecific Low Back Pain (NLBP) is a common disease with a low cure rate and significant impact on the population. This study aimed to develop and validate a pre-scoring system for identifying the risk of suffering from NLBP among the general population in Guangzhou. Methods A total of 1439 eligible subjects were surveyed in Guangzhou by stratified random sampling and was divided randomly into the development dataset (69.6%) and validation dataset (30.4%) subsequently. Based on the development dataset, potential associated factors (average exercise times weekly, the intensity of daily work, etc.) with NLBP were tested by the sequential logistic regression, and a pre-scoring system was formulated with Sullivan’s method and graded afterward. The internal validity of the system was assessed by AUC and calibration plot, and the external validation was performed in the validation dataset. Results The prevalence rates of NLBP in the development dataset and the validation dataset were 12.97 and 13.27%, respectively. Age, BMI, average exercise times weekly, gender, educational level, the intensity of daily work, place of residence, monthly income, overall evaluation of health condition and physiology health were identified as significant factors. The total risk score ranged from 0 to 38, which was split into three risk grades: low risk (0 to 18), intermediate risk (19 to 22) and high risk (23 to 38). The pre-scoring system had an adequate calibration and a good discriminating ability with bootstrap-corrected AUC equaling 0.861 in the development dataset and 0.821 in the validation dataset. Conclusions A pre-scoring system that could help clinicians to assess the risk of NLBP in the general population was validated. Further validation of the system in a new population or prospective cohort study is suggested. Electronic supplementary material The online version of this article (10.1186/s12889-019-7564-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Kai Wang
- Department of Biostatistics, School of Public Health (Guangdong Provincial Key Laboratory of Tropical Disease Research), Southern Medical University, No. 1838 North Guangzhou Avenue, Guangzhou, 510515, People's Republic of China.,Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, No. 13 Hangkong Road, Wuhan, 430030, People's Republic of China
| | - Jing-Wen Zhang
- Department of Biostatistics, School of Public Health (Guangdong Provincial Key Laboratory of Tropical Disease Research), Southern Medical University, No. 1838 North Guangzhou Avenue, Guangzhou, 510515, People's Republic of China
| | - Shao-Xiong Min
- Orthopaedic Center, Zhujiang Hospital, Southern Medical University, No. 253 Gongye Avenue, Guangzhou, 510282, People's Republic of China
| | - Xin-Yi Xu
- Orthopaedic Center, Zhujiang Hospital, Southern Medical University, No. 253 Gongye Avenue, Guangzhou, 510282, People's Republic of China
| | - Sheng-Li An
- Department of Biostatistics, School of Public Health (Guangdong Provincial Key Laboratory of Tropical Disease Research), Southern Medical University, No. 1838 North Guangzhou Avenue, Guangzhou, 510515, People's Republic of China.
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Association of TV Viewing and All-Cause Mortality in Older Adults With Hypertension: A 6-Year Longitudinal Study. J Aging Phys Act 2019; 27:378-383. [PMID: 30300061 DOI: 10.1123/japa.2018-0094] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The purpose of this study was to examine the longitudinal association between television (TV) viewing and all-cause mortality in older adults with hypertension. Sedentary behavior, physical activity, hypertension, and other chronic diseases were assessed by face-to-face interviews and confirmed by medical history. Mortality was reported by relatives and confirmed in medical records of the National Health System. The fully adjusted model showed a direct association between high TV viewing time and all-cause mortality; hazard ratio: 1.65 (95% confidence interval [1.02-2.68]). Women with high TV viewing were more likely to die than men. Higher TV viewing time was associated with all-cause mortality among those with diabetes and hypertension; hazard ratio: 3.54 (95% confidence interval [1.64-7.66]). The findings from this longitudinal study show that higher TV viewing time is associated with higher risk for all-cause mortality among older adults with hypertension, independently of physical activity, and other potential confounders.
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Young DR, Sidell MA, Koebnick C, Saksvig BI, Mohan Y, Cohen DA, Wu TT. Longitudinal Sedentary Time Among Females Aged 17 to 23 Years. Am J Prev Med 2019; 56:540-547. [PMID: 30773232 PMCID: PMC6430668 DOI: 10.1016/j.amepre.2018.11.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Revised: 11/28/2018] [Accepted: 11/29/2018] [Indexed: 10/27/2022]
Abstract
INTRODUCTION Time spent in sedentary behaviors is a newer risk factor for poor cardiometabolic health. This study examined longitudinal correlates of sedentary time among a cohort of females from about age 17 to age 23 years. METHODS The cohort included females originally participating in the Trial of Activity for Adolescent Girls Maryland site who had assessments in 2009 and 2015 (n=431). Percentage daily time in sedentary behaviors was determined from accelerometers. Sociodemographics, psychosocial factors, and health behaviors were assessed by questionnaire. Lasso variable selection identified potential variables included in linear mixed effects models. As a secondary analysis, a k-means algorithm for longitudinal data identified homogeneous clusters of individual sedentary time trajectories. RESULTS Percentage daily sedentary time did not change over time (67% to 68%). Not of black race (p=0.04), higher father's education (p<0.001), more weekday computer hours (p<0.001), more weekend TV hours (p=0.01), more physical activity barriers (p=0.003), fewer days per week driving (p=0.01), and more vehicles in the household (p=0.02) were associated with greater sedentary time. Cluster analysis resulted in two patterns: more (70%) versus less (60%) time being sedentary. The more sedentary individuals were more likely to be college graduates (p<0.001), have a higher income (p=0.03), and work fewer hours (p=0.009). They were also less likely to be married or in a common-law relationship (p=0.05) or in a parenting role (p=0.02). CONCLUSIONS Time spent in sedentary behaviors remained stable. Factors associated with sedentary time were significant across the socioecologic framework and included several factors indicating higher SES.
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Affiliation(s)
- Deborah R Young
- Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California.
| | - Margo A Sidell
- Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California
| | - Corinna Koebnick
- Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California
| | - Brit I Saksvig
- Department of Epidemiology and Biostatistics, University of Maryland, College Park, Maryland
| | - Yasmina Mohan
- Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California
| | | | - Tong Tong Wu
- Department of Biostatistics and Computational Biology, University of Rochester, Rochester, New York
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Christofoletti M, Duca GFD, Gerage AM, Konrad LM, Oliveira ESAD, Barros MVGD, Nahas MV. Physical activity and food habits are associated with television time on weekends in Brazilian workers. MOTRIZ: REVISTA DE EDUCACAO FISICA 2019. [DOI: 10.1590/s1980-6574201900020019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Breaking up Sedentary Time in Overweight/Obese Adults on Work Days and Non-Work Days: Results from a Feasibility Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15112566. [PMID: 30453553 PMCID: PMC6266976 DOI: 10.3390/ijerph15112566] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 11/12/2018] [Accepted: 11/14/2018] [Indexed: 01/10/2023]
Abstract
Office workers are vulnerable to the adverse health effects of sedentary behavior (i.e., sitting time). Increasing physical activity and preventing time spent sitting is an occupational health priority. This randomized crossover design study compared the short-term (3-days) effects of hourly interruptions of sedentary time with 5-min micrrobouts of activity for 9 hours (MICRO) to a sedentary control condition (SED) and a duration-matched continuous single bout of physical activity (45-min/d, ONE) condition on inclinometer-derived sitting-time on work and non-work days in sedentary overweight/obese adults. Differences in sitting/lying, standing, stepping, number of sit/stand transitions, time spent in moderate and vigorous activity (MVPA), energy expenditure, self-perceived vigor and fatigue, and insulin sensitivity were also examined. Twenty-two participants (10M/12F; 31.7 ± 1.3 year old BMI 30.4 ± 0.5 kg/m2) completed all conditions. No between-condition effects were observed in sitting-time and sit/stand transitions. Both interventions increased daily steps, MVPA and energy expenditure with increases being greater in ONE than MICRO. Feelings of vigor and fasting insulin sensitivity were also improved. Participants reported less fatigue with MICRO than SED and ONE. Both interventions increase physical activity and energy expenditure in occupational and leisure-time contexts. The sustainability of these effects over the long term and on health outcomes will need to be tested in future studies.
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Compernolle S, Van Dyck D, De Cocker K, Palarea-Albaladejo J, De Bourdeaudhuij I, Cardon G, Chastin SFM. Differences in Context-Specific Sedentary Behaviors According to Weight Status in Adolescents, Adults and Seniors: A Compositional Data Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:E1916. [PMID: 30177645 PMCID: PMC6163347 DOI: 10.3390/ijerph15091916] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Revised: 08/28/2018] [Accepted: 08/30/2018] [Indexed: 12/19/2022]
Abstract
To develop effective sedentary behavior interventions aimed at people who are overweight/obese, detailed insight is needed into the contexts of sedentary behavior of these people. Therefore, the aims of this study were to describe the composition of sedentary behavior and to compare context-specific sedentary behaviors between different weight groups. Cross-sectional data were used from a study conducted in 2013⁻2014 among a Flemish sample of adolescents (n = 513), adults (n = 301), and seniors (n = 258). Sixteen context-specific sedentary behaviors were assessed using a validated questionnaire during the week and weekend. Compositional descriptive statistics were performed to determine the relative contribution of context-specific sedentary behaviors in the three age groups. Compositional multivariate analysis of covariance and pairwise comparisons were conducted to examine weight group differences in context-specific sedentary behaviors. The compositional means indicated that the highest proportion of sedentary time was spent at school, at work, and while watching television. Statistically significant differences were found in the composition of sedentary behaviors between healthy weight and overweight/obese participants. In all age groups, socially engaging sedentary behaviors were more prevalent in healthy weight people, whereas socially disengaging behaviors were more prevalent in overweight/obese people. Consequently, the findings of this study suggest that future overweight/obesity interventions should no longer focus on total sedentary time, as not all context-specific sedentary behaviors are associated with overweight/obesity. Instead, it might be better to target specific contexts of sedentary behaviors-preferably those less socially engaging-when aiming to reduce overweight/obesity.
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Affiliation(s)
- Sofie Compernolle
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium.
| | - Delfien Van Dyck
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium.
- Research Foundation Flanders (FWO), 1000 Brussels, Belgium.
| | - Katrien De Cocker
- Physically Active Lifestyles Research Group, Institute for Resilient Regions, University of Southern Queensland, Springfield, QLD 4300, Australia.
| | | | - Ilse De Bourdeaudhuij
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium.
| | - Greet Cardon
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium.
| | - Sebastien F M Chastin
- Department of Movement and Sport Sciences, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium.
- School of Health and Life Science, Institute of Applied Health Research, Glasgow Caledonian University, Glasgow G12, UK.
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Patterson F, Lozano A, Huang L, Perkett M, Beeson J, Hanlon A. Towards a demographic risk profile for sedentary behaviours in middle-aged British adults: a cross-sectional population study. BMJ Open 2018; 8:e019639. [PMID: 29982196 PMCID: PMC6042552 DOI: 10.1136/bmjopen-2017-019639] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVES In response to a call from the American Heart Association to more clearly identify the demographic factors associated with sedentary behaviours, this study aimed to identify the hierarchy of demographic characteristics associated with the sedentary behaviours of television viewing, recreational computer use and driving. DESIGN Cross-sectional analysis of baseline data collected as part of the UK Biobank. The UK Biobank is a population cohort recruited from 22 centres across the UK. Participants aged between 37 and 73 years were recruited between 2006 and 2010. METHODS Decision tree models were generated for the sedentary behaviour outcomes of hours/day spent television viewing, recreational computer use and all driving; a sum of time spent in these sedentary behaviours ('overall') was computed. Age, sex, race, college attendance, employment, shift-work, urban versus rural residence as well as physical activity were considered as predictors. RESULTS The analytic sample comprised 415 666 adults who were mostly female (54.2%), white (95.2%), non-college attendee (64.5%), employed (61.7%), lived in an urban centre (85.5%), with a mean age of 56.6 (SD=8.1) years. Television viewing was most common sedentary behaviour (2.7 hour/day vs 1.1 for recreational computer use and 1.0 for all driving). Males (tier 1), who did not attend college (tier 2) were the highest risk group for overall sedentary time. Adults with no college attendance (tier 1) and were retired (tier 2) were the most high-risk demographic group for television viewing. College attendees (tier 1) were highest risk for recreational computer use. Adults who were employed (tier 1), male (tier 2) and did not attend college (tier 3) were most at risk for driving CONCLUSIONS: Daily time spent in different sedentary behaviours varies by sex, employment status and college attendance status. The development of targeted interventions to reduce sedentary behaviour in different demographic subgroups is needed.
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Affiliation(s)
- Freda Patterson
- Department of Behavioral Health and Nutrition, University of Delaware, Newark, Delaware, USA
| | - Alicia Lozano
- School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Liming Huang
- School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Mackenzie Perkett
- Department of Behavioral Health and Nutrition, University of Delaware, Newark, Delaware, USA
| | - Jacqueline Beeson
- Department of Behavioral Health and Nutrition, University of Delaware, Newark, Delaware, USA
| | - Alexandra Hanlon
- School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
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Uijtdewilligen L, Yin JDC, van der Ploeg HP, Müller-Riemenschneider F. Correlates of occupational, leisure and total sitting time in working adults: results from the Singapore multi-ethnic cohort. Int J Behav Nutr Phys Act 2017; 14:169. [PMID: 29237471 PMCID: PMC5729286 DOI: 10.1186/s12966-017-0626-4] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2017] [Accepted: 12/03/2017] [Indexed: 11/21/2022] Open
Abstract
Background Evidence on the health risks of sitting is accumulating. However, research identifying factors influencing sitting time in adults is limited, especially in Asian populations. This study aimed to identify socio-demographic and lifestyle correlates of occupational, leisure and total sitting time in a sample of Singapore working adults. Methods Data were collected between 2004 and 2010 from participants of the Singapore Multi Ethnic Cohort (MEC). Medical exclusion criteria for cohort participation were cancer, heart disease, stroke, renal failure and serious mental illness. Participants who were not working over the past 12 months and without data on sitting time were excluded from the analyses. Multivariable regression analyses were used to examine cross-sectional associations of self-reported age, gender, ethnicity, marital status, education, smoking, caloric intake and moderate-to-vigorous leisure time physical activity (LTPA) with self-reported occupational, leisure and total sitting time. Correlates were also studied separately for Chinese, Malays and Indians. Results The final sample comprised 9384 participants (54.8% male): 50.5% were Chinese, 24.0% Malay, and 25.5% Indian. For the total sample, mean occupational sitting time was 2.71 h/day, mean leisure sitting time was 2.77 h/day and mean total sitting time was 5.48 h/day. Sitting time in all domains was highest among Chinese. Age, gender, education, and caloric intake were associated with higher occupational sitting time, while ethnicity, marital status and smoking were associated with lower occupational sitting time. Marital status, smoking, caloric intake and LTPA were associated with higher leisure sitting time, while age, gender and ethnicity were associated with lower leisure sitting time. Gender, marital status, education, caloric intake and LTPA were associated with higher total sitting time, while ethnicity was associated with lower total sitting time. Stratified analyses revealed different associations within sitting domains for Indians compared to Chinese and Malays. Conclusion Our findings highlight the need to focus on separate domains of sitting (occupational, leisure or total) when identifying which factors determine this behavior, and that the content of intervention programs should be tailored to domain-specific sitting rather than to sitting in general. Finally, our study showed ethnic differences and therefore we recommend to culturally target interventions.
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Affiliation(s)
- Léonie Uijtdewilligen
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
| | - Jason Dean-Chen Yin
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
| | - Hidde P van der Ploeg
- Department of Public & Occupational Health, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, the Netherlands.,Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia
| | - Falk Müller-Riemenschneider
- Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore. .,Institute for Social Medicine, Epidemiology and Health Economics, Charite University Medical Centre Berlin, Berlin, Germany. .,Saw Swee Hock School of Public Health and Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Tahir Foundation Building, 12 Science Drive 2, #10-01, Singapore, 117549, Singapore.
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Abstract
BACKGROUND This study was aimed (1) to compare the level of physical activity (PA) between working and nonworking hours and (2) to compare the level of PA during working hours of nurse clinical practitioners (NCPs) with that of nurse managers (NMs). METHODS This cross-sectional survey was conducted at a Thai university hospital from October 2015 to March 2016. All randomly selected participants wore an activity tracker on their hip for 5 days, except during bathing and sleeping periods, to record step counts and time points. RESULTS Of 884 nurses, 289 (142 NCPs and 147 NMs) were randomly selected. The average age was 35.87 years. They spent 9.76 and 6.01 hours on work and nonwork activities, respectively. Daily steps per hour were significantly lower during work than nonwork periods (P < .001). An NCP had significantly higher overall hourly PA (P = .002). The number of steps per hour during work period of NCP was significantly higher than that of NM even after adjusting for age, work experience, and body mass index (P = .034). CONCLUSIONS NCP had higher overall PA than NM, which was partly contributed by work-related PA. Level of PA for a professional with variation of actual work hours should be measured on hourly basis.
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Lee RE, Lorenzo E, Heck K, Kohl HW, Cubbin C. Interrelationships of physical activity in different domains: Evidence from the Geographic Research on Wellbeing (GROW) study. JOURNAL OF TRANSPORT & HEALTH 2017; 6:538-547. [PMID: 38322237 PMCID: PMC10846893 DOI: 10.1016/j.jth.2017.02.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2024]
Abstract
Research has rarely distinguished between non-work (NW) and work (W) active transport (AT) or investigated relationships to other domains of physical activity ([PA], like leisure time [LTPA] or work [WPA]). We investigated correlates of AT by employment status, accounting for LTPA and WPA, in a population-based sample of California mothers (N=2906) in the Geographic Research on Wellbeing (GROW) study (2012-2013). AT was measured by the National Household Travel Survey. LTPA was measured using the Stanford Leisure-Time Activity Categorical Item. WPA was measured with the Stanford Brief Activity Survey. Most employed mothers (53%) worked in sedentary jobs, and few (<10%) used NWAT or WAT. Over 20% of unemployed mothers used NWAT, although LTPA levels were similar to employed mothers. Multiple regression models found employed and unemployed with low education and income, and unemployed African American or Latina immigrant mothers had higher odds of using NWAT. Younger employed and unemployed mothers, and unemployed who had ≥4 children or had "light" LTPA had lower odds of using NWAT. Multiple regression models demonstrated that low education or income employed mothers, African American mothers, those who worked part time, and those with relatively low LTPA had higher odds of using WAT, while younger women had lower odds of using WAT, compared with reference groups (ps<0.05). WPA was associated with WAT in unadjusted models, but not in adjusted models. Different AT patterns were seen for employed vs unemployed women, but women who used AT did so for most trips. LTPA was associated with NWAT among unemployed mothers and with WAT among employed mothers. Most women were underactive across all domains, suggesting no compensatory effect of PA done in one domain reducing PA done in another domain, with few meeting minimal guidelines. Policy and practice strategies should support infrastructure to encourage a variety of domains of PA.
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Affiliation(s)
- Rebecca E. Lee
- Center for Health Promotion and Disease Prevention, College of Nursing and Health Innovation, Arizona State University, 5500 N. 3rd Street, Phoenix, AZ 85004, United States
| | - Elizabeth Lorenzo
- Center for Health Promotion and Disease Prevention, College of Nursing and Health Innovation, Arizona State University, 5500 N. 3rd Street, Phoenix, AZ 85004, United States
| | - Katherine Heck
- Center on Social Disparities in Health, University of California, Box 0943, 3333 California Street, San Francisco, CA 94118, United States
| | - Harold W. Kohl
- University of Texas Health Science Center at Houston, 1616 Guadalupe, Suite 6.300, Austin, TX 78701, United States
- University of Texas at Austin, Austin, TX 78712, United States
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Mullane SL, Toledo MJL, Rydell SA, Feltes LH, Vuong B, Crespo NC, Pereira MA, Buman MP. Social ecological correlates of workplace sedentary behavior. Int J Behav Nutr Phys Act 2017; 14:117. [PMID: 28859679 PMCID: PMC5580289 DOI: 10.1186/s12966-017-0576-x] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2017] [Accepted: 08/23/2017] [Indexed: 12/18/2022] Open
Abstract
Background To identify social ecological correlates of objectively measured workplace sedentary behavior. Methods Participants from 24 worksites - across academic, industrial, and government sectors - wore an activPAL-micro accelerometer for 7-days (Jan-Nov 2016). Work time was segmented using daily logs. Sedentary behavior outcomes included time spent sitting, standing, in light intensity physical activity (LPA, stepping cadence <100 steps/min), and in prolonged sitting bouts (>30 min). Outcomes were standardized to an 8 h work day. Two electronic surveys were completed to derive individual (job type and work engagement), cultural (lunch away from the desk, walking at lunch and face-to-face interaction), physical (personal printer and office type) and organizational (sector) factors. Mixed-model analyses with worksite-level clustering were performed to examine multi-level associations. Secondary analyses examined job type and sector as moderators of these associations. All models were adjusted for age, race/ethnicity and gender. Results Participants (N = 478; 72% female; age: 45.0 ± 11.3 years; 77.8% non-Hispanic white) wore the activPAL-micro for 90.2 ± 15.5% of the reported workday. Walking at lunch was positively associated with LPA (5.0 ± 0.5 min/8 h, P < 0.001). Regular face-to-face interaction was negatively associated with prolonged sitting (−11.3 ± 4.8 min/8 h, P < 0.05). Individuals in private offices sat more (20.1 ± 9.1 min/8 h, P < 0.05), stood less (−21.5 ± 8.8 min/8 h, P < 0.05), and engaged in more prolonged sitting (40.9 ± 11.2 min/8 h, P < 0.001) than those in public office space. These associations were further modified by job type and sector. Conclusions Work-specific individual, cultural, physical and organizational factors are associated with workplace sedentary behavior. Associations vary by job type and sector and should be considered in the design of workplace interventions to reduce sedentary behavior. Trial registration Clinical trial No. NCT02566317; Registered Sept 22nd 2015.
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Affiliation(s)
- Sarah L Mullane
- School of Nutrition and Health Promotion, College of Health Solutions, Arizona State University, 425 North 5th Street, Phoenix, AZ, 85004, USA.
| | - Meynard J L Toledo
- School of Nutrition and Health Promotion, College of Health Solutions, Arizona State University, 425 North 5th Street, Phoenix, AZ, 85004, USA
| | - Sarah A Rydell
- Division of Epidemiology and Community Health, University of Minnesota, 1300 S. 2nd Street, Minneapolis, MN, 55454, USA
| | - Linda H Feltes
- State of Minnesota Management and Budget, 400 Centennial Office Building, Saint Paul, MN, 55155, USA
| | - Brenna Vuong
- Fairview Health Services, 2344 Energy Park Drive, Saint Paul, MN, 55108, USA
| | - Noe C Crespo
- Graduate School of Public Health, San Diego State University, 5500 Campanile Drive, San Diego, CA, 92182, USA
| | - Mark A Pereira
- Division of Epidemiology and Community Health, University of Minnesota, 1300 S. 2nd Street, Minneapolis, MN, 55454, USA
| | - Matthew P Buman
- School of Nutrition and Health Promotion, College of Health Solutions, Arizona State University, 425 North 5th Street, Phoenix, AZ, 85004, USA
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Wallmann-Sperlich B, Bipp T, Bucksch J, Froboese I. Who uses height-adjustable desks? - Sociodemographic, health-related, and psycho-social variables of regular users. Int J Behav Nutr Phys Act 2017; 14:26. [PMID: 28264685 PMCID: PMC5338086 DOI: 10.1186/s12966-017-0480-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Accepted: 02/20/2017] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND Sit-to-stand height-adjustable desks (HAD) may promote workplace standing, as long as workers use them on a regular basis. The aim of this study was to investigate (i) how common HAD in German desk-based workers are, and how frequently HADs are used, (ii) to identify sociodemographic, health-related, and psycho-social variables of workday sitting including having a HAD, and (iii) to analyse sociodemographic, health-related, and psycho-social variables of users and non-users of HADs. METHODS A cross-sectional sample of 680 participants (51.9% men; 41.0 ± 13.1 years) in a desk-based occupation was interviewed by telephone about their occupational sitting and standing proportions, having and usage of a HAD, and answered questions concerning psycho-social variables of occupational sitting. The proportion of workday sitting was calculated for participants having an HAD (n = 108) and not-having an HAD (n = 573), as well as for regular users of HAD (n = 54), and irregular/non-users of HAD (n = 54). Linear regressions were conducted to calculate associations between socio-demographic, health-related, psychosocial variables and having/not having an HAD, and the proportion of workday sitting. Logistic regressions were executed to examine the association of mentioned variables and participants' usage of HADs. RESULTS Sixteen percent report that they have an HAD, and 50% of these report regular use of HAD. Having an HAD is not a correlate of the proportion of workday sitting. Further analysis restricted to participants having available a HAD highlights that only the 'perceived advantages of sitting less' was significantly associated with HAD use in the fully adjusted model (OR 1.75 [1.09; 2.81], p < 0.05). CONCLUSIONS The present findings indicate that accompanying behavioral action while providing an HAD is promising to increase the regular usage of HAD. Hence, future research needs to address the specificity of behavioral actions in order to enhance regular HAD use, and needs to give more fundamental insights into these associations.
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Affiliation(s)
- Birgit Wallmann-Sperlich
- Institute for Sports Science, Julius-Maximilian University of Würzburg, Judenbühlweg 11, 97082, Würzburg, Germany. .,Institute of Health Promotion and Clinical Movement Science, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Köln, Germany.
| | - Tanja Bipp
- Work, Industrial, and Organizational Psychology, Julius Maximilian University of Würzburg, Röntgenring 10 - Room 330, 97070, Würzburg, Germany
| | - Jens Bucksch
- School of Public Health, Department of Prevention and Health Promotion, Bielefeld University, PO Box 100131, 33501, Bielefeld, Germany
| | - Ingo Froboese
- Institute of Health Promotion and Clinical Movement Science, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933, Köln, Germany
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Zhou Z, Xi Y, Zhang F, Lu Q, Zhang F, Huang D, Ren H, Wang K, Yin Z. Sedentary Behavior Predicts Changes in Cardiometabolic Risk in Professional Workers: A One-Year Prospective Study. J Occup Environ Med 2017; 58:e117-23. [PMID: 27058488 DOI: 10.1097/jom.0000000000000673] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The purpose of the study was to examine the longitudinal influence of sedentary behavior on the development of metabolic syndrome (MS) and cardiometabolic risk in professional workers. METHODS Study participants were 203 professional workers (55.6% female; mean age = 41.9, SD = 11.2,) in low physical activity occupations. Participants' height, weight, waist circumference, fasting plasma glucose, triglycerides, high-density lipoprotein, total cholesterol, and low-density lipoprotein were measured at the baseline and follow-up over 12 months. Accelerometry was used to assess the sedentary time and moderate and vigorous physical activity. RESULTS High level of sedentary behavior at baseline significantly predicted incident MS (odds ratio 4.07, 95% confidence interval 1.69 to 9.76) at follow-up. Similarly, the change in sedentary behavior significantly predicted the change in the cardiometabolic risk score (B = 0.12, SE = 0.06, P = 0.03) from baseline to the follow-up. CONCLUSION Professional workers in low physical activity occupations were engaged in an excessive amount of sedentary behavior that predisposed them to an increased risk of developing cardiometabolic disorders.
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Affiliation(s)
- Zhixiong Zhou
- Capital University of Physical Education and Sports, Beijing (Dr Zhou, Zhang, Lu, Dr Wang); College of Sports Science, Anhui Normal University, Wuhu (Xi, Huang); Health Center, Beijing University of Civil Engineering and Architecture (Zhang); School of Sport Sciences, Beijing Sport University, China (Dr Ren); and Department of Kinesiology, Health and Nutrition, the University of Texas at San Antonio (Dr Yin)
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Hadgraft NT, Healy GN, Owen N, Winkler EA, Lynch BM, Sethi P, Eakin EG, Moodie M, LaMontagne AD, Wiesner G, Willenberg L, Dunstan DW. Office workers' objectively assessed total and prolonged sitting time: Individual-level correlates and worksite variations. Prev Med Rep 2016; 4:184-91. [PMID: 27413681 PMCID: PMC4929063 DOI: 10.1016/j.pmedr.2016.06.011] [Citation(s) in RCA: 69] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Revised: 06/06/2016] [Accepted: 06/12/2016] [Indexed: 11/17/2022] Open
Abstract
Sedentary behavior is highly prevalent in office-based workplaces; however, few studies have assessed the attributes associated with this health risk factor in the workplace setting. This study aimed to identify the correlates of office workers' objectively-assessed total and prolonged (≥ 30 min bouts) workplace sitting time. Participants were 231 Australian office workers recruited from 14 sites of a single government employer in 2012-13. Potential socio-demographic, work-related, health-related and cognitive-social correlates were measured through a self-administered survey and anthropometric measurements. Associations with total and prolonged workplace sitting time (measured with the activPAL3) were tested using linear mixed models. Worksites varied significantly in total workplace sitting time (overall mean [SD]: 79% [10%] of work hours) and prolonged workplace sitting time (42% [19%]), after adjusting for socio-demographic and work-related characteristics. Organisational tenure of 3-5 years (compared to tenure > 5 years) was associated with more time spent in total and prolonged workplace sitting time, while having a BMI categorised as obese (compared to a healthy BMI) was associated with less time spent in total and prolonged workplace sitting time. Significant variations in sitting time were observed across different worksites of the same employer and the variation remained after adjusting for individual-level factors. Only BMI and organisational tenure were identified as correlates of total and prolonged workplace sitting time. Additional studies are needed to confirm the present findings across diverse organisations and occupations.
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Affiliation(s)
- Nyssa T. Hadgraft
- Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
| | - Genevieve N. Healy
- Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia
- The University of Queensland, School of Public Health, Brisbane, QLD, Australia
- School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
| | - Neville Owen
- Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia
- The University of Queensland, School of Public Health, Brisbane, QLD, Australia
- Melbourne School of Population & Global Health, The University of Melbourne, Melbourne, VIC, Australia
- Department of Medicine, Monash University, Melbourne, VIC, Australia
| | | | - Brigid M. Lynch
- Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia
- Melbourne School of Population & Global Health, The University of Melbourne, Melbourne, VIC, Australia
- Cancer Council Victoria, Cancer Epidemiology Centre, Melbourne, VIC, Australia
| | - Parneet Sethi
- Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia
| | - Elizabeth G. Eakin
- The University of Queensland, School of Public Health, Brisbane, QLD, Australia
| | - Marj Moodie
- Centre for Population Health Research, School of Health & Social Development, Deakin University, Geelong, VIC, Australia
| | - Anthony D. LaMontagne
- Centre for Population Health Research, School of Health & Social Development, Deakin University, Geelong, VIC, Australia
| | - Glen Wiesner
- Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia
| | - Lisa Willenberg
- Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia
| | - David W. Dunstan
- Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
- The University of Queensland, School of Public Health, Brisbane, QLD, Australia
- Department of Medicine, Monash University, Melbourne, VIC, Australia
- School of Exercise and Nutrition Sciences, Deakin University, Burwood, VIC, Australia
- School of Sport Science, Exercise and Health, The University of Western Australia, Perth, WA, Australia
- Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia
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Senaratna CV, English DR, Currier D, Perret JL, Lowe A, Lodge C, Russell M, Sahabandu S, Matheson MC, Hamilton GS, Dharmage SC. Sleep apnoea in Australian men: disease burden, co-morbidities, and correlates from the Australian longitudinal study on male health. BMC Public Health 2016; 16:1029. [PMID: 28185594 PMCID: PMC5103243 DOI: 10.1186/s12889-016-3703-8] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Background Obstructive sleep apnoea is a common disorder with under-rated clinical impact, which is increasingly being recognised as having a major bearing on global disease burden. Men are especially vulnerable and become a priority group for preventative interventions. However, there is limited information on prevalence of the condition in Australia, its co-morbidities, and potential risk factors. Methods We used data from 13,423 adult men included in the baseline wave of Ten to Men, an Australian national study of the health of males, assembled using stratified cluster sampling with oversampling from rural and regional areas. Those aged 18–55 years self-completed a paper-based questionnaire that included a question regarding health professional-diagnosed sleep apnoea, physical and mental health status, and health-related behaviours. Sampling weights were used to account for the sampling design when reporting the prevalence estimates. Odds ratios were used to describe the association between health professional-diagnosed sleep apnoea and potential correlates while adjusting for age, country of birth, and body-mass index (BMI). Results Prevalence of self-reported health professional-diagnosed sleep apnoea increased from 2.2 % in age 18–25 years to 7.8 % in the age 45–55 years. Compared with those without sleep apnoea, those with sleep apnoea had significantly poorer physical, mental, and self-rated health as well as lower subjective wellbeing and poorer concentration/remembering (p < 0.001 for all). Sleep apnoea was significantly associated with older age (p < 0.001), unemployment (p < 0.001), asthma (p = 0.011), chronic obstructive pulmonary disease/chronic bronchitis (p = 0.002), diabetes (p < 0.001), hypercholesterolemia (p < 0.001), hypertension (p < 0.001), heart attack (p < 0.001), heart failure (p < 0.001), angina (p < 0.001), depression (p < 0.001), post-traumatic stress disorder (p < 0.001), other anxiety disorders (p < 0.001), schizophrenia (p = 0.002), overweight/obesity (p < 0.001), insufficient physical activity (p = 0.006), smoking (p = 0.005), and high alcohol consumption (p < 0.001). Conclusion Health professional-diagnosed sleep apnoea is relatively common, particularly in older males. Associations between sleep apnoea and cardiovascular, metabolic, respiratory, and psychiatric disorders have important clinical and public health implications. As men are especially vulnerable to sleep apnoea as well as some of its chronic co-morbidities, they are potentially a priority group for health interventions. Modifiable lifestyle related factors such as smoking, alcohol consumption, level of physical activity and BMI are possible key foci for interventions.
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Affiliation(s)
- Chamara Visanka Senaratna
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia.,Department of Community Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka
| | - Dallas R English
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Dianne Currier
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Jennifer L Perret
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia.,Institute for Breathing & Sleep, Heidelberg, 3084, Australia
| | - Adrian Lowe
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Caroline Lodge
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Melissa Russell
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Sashane Sahabandu
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Melanie C Matheson
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia
| | - Garun S Hamilton
- Department of Lung and Sleep Medicine, Monash Health, Clayton, 3168, Australia.,School of Clinical Sciences, Monash University, Clayton, 3168, Australia
| | - Shyamali C Dharmage
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, 3010, Australia.
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Gomersall SR, Ng N, Burton NW, Pavey TG, Gilson ND, Brown WJ. Estimating Physical Activity and Sedentary Behavior in a Free-Living Context: A Pragmatic Comparison of Consumer-Based Activity Trackers and ActiGraph Accelerometry. J Med Internet Res 2016; 18:e239. [PMID: 27604226 PMCID: PMC5031913 DOI: 10.2196/jmir.5531] [Citation(s) in RCA: 74] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2016] [Revised: 06/06/2016] [Accepted: 07/20/2016] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Activity trackers are increasingly popular with both consumers and researchers for monitoring activity and for promoting positive behavior change. However, there is a lack of research investigating the performance of these devices in free-living contexts, for which findings are likely to vary from studies conducted in well-controlled laboratory settings. OBJECTIVE The aim was to compare Fitbit One and Jawbone UP estimates of steps, moderate-to-vigorous physical activity (MVPA), and sedentary behavior with data from the ActiGraph GT3X+ accelerometer in a free-living context. METHODS Thirty-two participants were recruited using convenience sampling; 29 provided valid data for this study (female: 90%, 26/29; age: mean 39.6, SD 11.0 years). On two occasions for 7 days each, participants wore an ActiGraph GT3X+ accelerometer on their right hip and either a hip-worn Fitbit One (n=14) or wrist-worn Jawbone UP (n=15) activity tracker. Daily estimates of steps and very active minutes were derived from the Fitbit One (n=135 days) and steps, active time, and longest idle time from the Jawbone UP (n=154 days). Daily estimates of steps, MVPA, and longest sedentary bout were derived from the corresponding days of ActiGraph data. Correlation coefficients and Bland-Altman plots with examination of systematic bias were used to assess convergent validity and agreement between the devices and the ActiGraph. Cohen's kappa was used to assess the agreement between each device and the ActiGraph for classification of active versus inactive (≥10,000 steps per day and ≥30 min/day of MVPA) comparable with public health guidelines. RESULTS Correlations with ActiGraph estimates of steps and MVPA ranged between .72 and .90 for Fitbit One and .56 and .75 for Jawbone UP. Compared with ActiGraph estimates, both devices overestimated daily steps by 8% (Fitbit One) and 14% (Jawbone UP). However, mean differences were larger for daily MVPA (Fitbit One: underestimated by 46%; Jawbone UP: overestimated by 50%). There was systematic bias across all outcomes for both devices. Correlations with ActiGraph data for longest idle time (Jawbone UP) ranged from .08 to .19. Agreement for classifying days as active or inactive using the ≥10,000 steps/day criterion was substantial (Fitbit One: κ=.68; Jawbone UP: κ=.52) and slight-fair using the criterion of ≥30 min/day of MVPA (Fitbit One: κ=.40; Jawbone UP: κ=.14). CONCLUSIONS There was moderate-strong agreement between the ActiGraph and both Fitbit One and Jawbone UP for the estimation of daily steps. However, due to modest accuracy and systematic bias, they are better suited for consumer-based self-monitoring (eg, for the public consumer or in behavior change interventions) rather than to evaluate research outcomes. The outcomes that relate to health-enhancing MVPA (eg, "very active minutes" for Fitbit One or "active time" for Jawbone UP) and sedentary behavior ("idle time" for Jawbone UP) should be used with caution by consumers and researchers alike.
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Affiliation(s)
- Sjaan R Gomersall
- Centre for Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.
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Shrestha N, Pedisic Z, Neil-Sztramko S, Kukkonen-Harjula KT, Hermans V. The Impact of Obesity in the Workplace: a Review of Contributing Factors, Consequences and Potential Solutions. Curr Obes Rep 2016; 5:344-60. [PMID: 27447869 DOI: 10.1007/s13679-016-0227-6] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
This narrative review summarized findings from previous reviews and the most recently published studies, regarding the following: (1) the association between two occupational risk factors-shift work and sedentary work-and obesity, (2) the effects of obesity on workplace productivity and (3) the effectiveness of workplace interventions aimed at preventing or reducing obesity. Despite some inconsistencies in findings, there is convincing evidence that shift work increases the risk of obesity, while most studies did not show a significant association between sedentary work and obesity. Overweight and obesity were found to be associated with absenteeism, disability pension and overall work impairment, whilst evidence of their relationship with presenteeism, unemployment and early retirement was not consistent. Due to the vast heterogeneity in the types of workplace-based interventions to prevent or treat obesity, no sound conclusions can as yet be drawn about their overall effectiveness and best practice recommendations for their implementation.
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Affiliation(s)
- Nipun Shrestha
- Active Living & Public Health Group, Institute of Sport, Exercise and Active Living (ISEAL), Victoria University, Melbourne, Australia.
| | - Zeljko Pedisic
- Active Living & Public Health Group, Institute of Sport, Exercise and Active Living (ISEAL), Victoria University, Melbourne, Australia
| | | | | | - Veerle Hermans
- Faculty of Psychology &Educational Sciences, Faculty of Medicine & Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium
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Lindsay DB, Devine S, Sealey RM, Leicht AS. Time kinetics of physical activity, sitting, and quality of life measures within a regional workplace: a cross-sectional analysis. BMC Public Health 2016; 16:786. [PMID: 27527583 PMCID: PMC4986191 DOI: 10.1186/s12889-016-3487-x] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Accepted: 08/11/2016] [Indexed: 01/26/2023] Open
Abstract
Background Interventions to increase physical activity and reduce sedentary behaviours within the workplace have been previously investigated. However, the evolution of these constructs without intervention has not been well documented. This retrospective study explored the natural progression or time kinetics of physical activity, sedentary behaviours and quality of life in a professional skilled workplace where focussed interventions were lacking. Methods Participants (n = 346) employed as full-time staff members at a regional university completed an online survey in 2013 assessing physical activity and sedentary behaviours via the International Physical Activity Questionnaire, and quality of life via the Short-Form 36v2 questionnaire. Differences between that cohort of participants and an initial sample of similar participants (2009, n = 297), accounting for gender and staff categories (academic vs. professional), were examined using ANCOVAs with working hours as a co-variate. Results In comparison to the initial cohort, the follow-up cohort reported significantly less leisure-time, total walking, total vigorous and total physical activity levels, and lower overall physical health for quality of life (p < 0.05). In contrast, the follow-up cohort reported a significantly greater weekly sitting time, greater mental health scores for quality of life and greater total moderate physical activity levels (p < 0.05) compared to the initial cohort. Conclusions Over a 4-year timeframe and without focussed workplace interventions, total physical activity levels were lower with sedentary behaviours greater at a rate twice that reported previously. Continuation of these undesirable health behaviours may impact negatively on worker productivity and health at a greater rate than that currently reported. Workplace interventions targeting sedentary behaviours and physical activity should be actively incorporated into organisations to counteract the alarming behavioural trends found in this study to maintain and/or enhance employee health and productivity.
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Affiliation(s)
- Daniel B Lindsay
- Psychology and Public Health, James Cook University, Townsville, QLD, Australia
| | - Sue Devine
- Public Health, James Cook University, Townsville, QLD, Australia
| | - Rebecca M Sealey
- Sport and Exercise Science, James Cook University, Townsville, QLD, 4811, Australia
| | - Anthony S Leicht
- Sport and Exercise Science, James Cook University, Townsville, QLD, 4811, Australia.
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Healy GN, Goode A, Schultz D, Lee D, Leahy B, Dunstan DW, Gilson ND, Eakin EG. The BeUpstanding Program™: Scaling up the Stand Up Australia Workplace Intervention for Translation into Practice. AIMS Public Health 2016; 3:341-347. [PMID: 29546167 PMCID: PMC5690359 DOI: 10.3934/publichealth.2016.2.341] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2015] [Accepted: 05/27/2016] [Indexed: 11/18/2022] Open
Abstract
Context and purpose Too much sitting is now recognised as a common risk factor for several health outcomes, with the workplace identified as a key setting in which to address prolonged sitting time. The Stand Up Australia intervention was designed to reduce prolonged sitting in the workplace by addressing influences at multiple-levels, including the organisation, the environment, and the individual. Intervention success has been achieved within the context of randomised controlled trials, where research staff deliver several of the key intervention components. This study describes the initial step in the multi-phase process of scaling up the Stand Up Australia intervention for workplace translation. Methods A research-government partnership was critical in funding and informing the prototype for the scaled up BeUpstanding program™. Evidence, protocols and materials from Stand Up Australia were adapted in collaboration with funding partner Workplace Health and Safety Queensland to ensure consistency and compatibility with existing government frameworks and resources. In recognition of the key role of workplace champions in facilitating workplace health promotion programs, the BeUpstanding program™ is designed to be delivered through a stand-alone, free, website-based toolkit using a ‘train the champion’ approach. Key findings and significance The BeUpstanding program™ was influenced by the increasing recognition of prolonged sitting as an emerging health issue as well as industry demand. The research-government partnership was critical in informing and resourcing the development of the scaled-up program.
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Affiliation(s)
- Genevieve N Healy
- The University of Queensland, School of Public Health, Brisbane, Queensland, Australia.,Baker IDI Heart & Diabetes Institute, Melbourne, Victoria, Australia.,School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
| | - Ana Goode
- The University of Queensland, School of Public Health, Brisbane, Queensland, Australia
| | - Diane Schultz
- Workplace Health and Safety Queensland, Office of Industrial Relations, Queensland Treasury, Brisbane, Queensland, Australia
| | - Donna Lee
- Workplace Health and Safety Queensland, Office of Industrial Relations, Queensland Treasury, Brisbane, Queensland, Australia
| | - Bell Leahy
- Workplace Health and Safety Queensland, Office of Industrial Relations, Queensland Treasury, Brisbane, Queensland, Australia
| | - David W Dunstan
- The University of Queensland, School of Public Health, Brisbane, Queensland, Australia.,Baker IDI Heart & Diabetes Institute, Melbourne, Victoria, Australia.,School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.,Department of Medicine, Monash University, Melbourne, Victoria, Australia.,School of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia.,School of Sport Science, Exercise and Health, The University of Western Australia, Perth, Western Australia, Australia.,Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia
| | - Nicholas D Gilson
- The University of Queensland, School of Human Movement Studies and Nutrition Sciences, Brisbane, Queensland, Australia
| | - Elizabeth G Eakin
- The University of Queensland, School of Public Health, Brisbane, Queensland, Australia
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O'Donoghue G, Perchoux C, Mensah K, Lakerveld J, van der Ploeg H, Bernaards C, Chastin SFM, Simon C, O'Gorman D, Nazare JA. A systematic review of correlates of sedentary behaviour in adults aged 18-65 years: a socio-ecological approach. BMC Public Health 2016; 16:163. [PMID: 26887323 PMCID: PMC4756464 DOI: 10.1186/s12889-016-2841-3] [Citation(s) in RCA: 263] [Impact Index Per Article: 32.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Accepted: 02/05/2016] [Indexed: 11/10/2022] Open
Abstract
Background Recent research shows that sedentary behaviour is associated with adverse cardio-metabolic consequences even among those considered sufficiently physically active. In order to successfully develop interventions to address this unhealthy behaviour, factors that influence sedentariness need to be identified and fully understood. The aim of this review is to identify individual, social, environmental, and policy-related determinants or correlates of sedentary behaviours among adults aged 18–65 years. Methods PubMed, Embase, CINAHL, PsycINFO and Web of Science were searched for articles published between January 2000 and September 2015. The search strategy was based on four key elements and their synonyms: (a) sedentary behaviour (b) correlates (c) types of sedentary behaviours (d) types of correlates. Articles were included if information relating to sedentary behaviour in adults (18–65 years) was reported. Studies on samples selected by disease were excluded. The full protocol is available from PROSPERO (PROSPERO 2014:CRD42014009823). Results 74 original studies were identified out of 4041: 71 observational, two qualitative and one experimental study. Sedentary behaviour was primarily measured as self-reported screen leisure time and total sitting time. In 15 studies, objectively measured total sedentary time was reported: accelerometry (n = 14) and heart rate (n = 1). Individual level factors such as age, physical activity levels, body mass index, socio-economic status and mood were all significantly correlated with sedentariness. A trend towards increased amounts of leisure screen time was identified in those married or cohabiting while having children resulted in less total sitting time. Several environmental correlates were identified including proximity of green space, neighbourhood walkability and safety and weather. Conclusions Results provide further evidence relating to several already recognised individual level factors and preliminary evidence relating to social and environmental factors that should be further investigated. Most studies relied upon cross-sectional design limiting causal inference and the heterogeneity of the sedentary measures prevented direct comparison of findings. Future research necessitates longitudinal study designs, exploration of policy-related factors, further exploration of environmental factors, analysis of inter-relationships between identified factors and better classification of sedentary behaviour domains. Electronic supplementary material The online version of this article (doi:10.1186/s12889-016-2841-3) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Grainne O'Donoghue
- Centre for Preventive Medicine, School of Health & Human Performance, Dublin City University, Dublin 9, Republic of Ireland.
| | - Camille Perchoux
- CarMeN Laboratory, INSERM U1060, Lyon 1 University, CRNH-Rhône-Alpes, CENS, Lyon, France.
| | - Keitly Mensah
- CarMeN Laboratory, INSERM U1060, Lyon 1 University, CRNH-Rhône-Alpes, CENS, Lyon, France.
| | - Jeroen Lakerveld
- EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, Netherlands.
| | - Hidde van der Ploeg
- EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, Netherlands.
| | | | - Sebastien F M Chastin
- Institute of Applied Health Research, School of Health and Life Science, Glasgow Caledonian University, Glasgow, UK.
| | - Chantal Simon
- CarMeN Laboratory, INSERM U1060, Lyon 1 University, CRNH-Rhône-Alpes, CENS, Lyon, France.
| | - Donal O'Gorman
- Centre for Preventive Medicine, School of Health & Human Performance, Dublin City University, Dublin 9, Republic of Ireland.
| | - Julie-Anne Nazare
- CarMeN Laboratory, INSERM U1060, Lyon 1 University, CRNH-Rhône-Alpes, CENS, Lyon, France.
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