Evaluation of ergonomic and education interventions to reduce occupational sitting in office-based university workers: study protocol for a randomized controlled trial

Trials

Adrian Bauman³  Debra Shirley¹  Josephine Y Chau³  Anna-Louise Bouvier²  Andrew Leaver¹  Martin Mackey¹  Antonia Radas¹ 

[1] Faculty of Health Science, The University of Sydney, 75 East Street, Lidcombe, Sydney, NSW 2141, Australia;Physiocise Movement for Muscles Pty Ltd, Suite 14, 77 Penshurst Street, Willoughby, NSW 2068, Australia;Prevention Research Collaboration, Sydney School of Public Health, The University of Sydney, K25 - Medical Foundation Building The University of Sydney, Sydney, NSW 2006, Australia

关键词: Behavior change;    Intervention;    Work posture;    Ergonomic;    Musculoskeletal symptoms;    Sedentary behavior;   

Others  :  1092910
DOI  :  10.1186/1745-6215-14-330

 received in 2013-06-02, accepted in 2013-09-18,  发布年份 2013

【 摘 要 】

Background

Prolonged sitting is a specific occupational hazard in office workers. There is growing evidence that prolonged sitting is detrimental to metabolic health. The aim of this study is to determine whether providing office workers with education along with adjustable sit-stand workstations leads to reduction in sitting behavior.

Methods/Design

A randomized control trial (RCT) with three groups (one control group and two intervention groups) will be conducted in an office workplace setting. The education intervention group will receive an education package that encourages reduction in sitting behaviors. The sit-stand desk intervention group will receive the same education package along with an adjustable sit-stand desk. Participants will be included in the study if they are currently employed in a full-time academic or administrative role that involves greater than 15 hours per week or greater than 4 hours per day computer-based work. Baseline data will include participant’s age, gender, weight, height, smoking habit, employment position, level of education, and baseline self-reported leisure time physical activity. The primary outcome is the average daily sedentary time during work hours, measured by an accelerometer. Participant recruitment commenced in March 2013 and will be completed by December 2013.

Discussion

This study will determine whether providing office workers with an adjustable sit-stand desk and individually targeted education, or education alone, is more effective in decreasing sitting behaviors than no intervention.

Trial registration

Australian New Zealand Clinical Trials Registry:ACTRN12613000366752

【 授权许可】

   
2013 Radas et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Church TS, Thomas DM, Tudor-Locke C, Katzmarzyk PT, Earnest CP, Rodarte RQ, Martin CK, Blair SN, Bouchard C: Trends over 5 decades in US occupation-related physical activity and their associations with obesity. PloS One 2011, 6:e19657.
• [2]van Uffelen JG, Wong J, Chau JY, van der Ploeg HP, Riphagen I, Gilson ND, Burton NW, Healy GN, Thorp AA, Clark BK, Gardiner PA, Dunstan DW, Bauman A, Owen N, Brown WJ: Occupational sitting and health risks: a systematic review. Am J Prev Med 2010, 39:379-388.
• [3]Hu G, Tuomilehto J, Borodulin K, Jousilahti P: The joint associations of occupational, commuting, and leisure-time physical activity, and the Framingham risk score on the 10-year risk of coronary heart disease. Eur Heart J 2007, 28:492-498.
• [4]Hu G, Qiao Q, Silventoinen K, Eriksson JG, Jousilahti P, Lindström J, Valle TT, Nissinen A, Tuomilehto J: Occupational, commuting, and leisure-time physical activity in relation to risk for Type 2 diabetes in middle-aged Finnish men and women. Diabetologia 2003, 46:322-329.
• [5]Hu F, Li T, Colditz G, Willett W, Manson J: Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA 2003, 289:1785-1791.
• [6]Thune I, Brenn T, Lund E, Gaard M: Physical activity and the risk of breast cancer. N Engl J Med 1997, 336:1269-1275.
• [7]Hu G, Eriksson J, Barengo N, Lakka TA, Valle TT, Nissinen A, Jousilahti P, Tuomilehto J: Occupational, commuting, and leisure-time physical activity in relation to total and cardiovascular mortality among Finnish subjects with type 2 diabetes. Circulation 2004, 110:666-673.
• [8]Griffiths KL, Mackey MG, Adamson BJ, Pepper KL: Prevalence and risk factors for musculoskeletal symptoms with computer based work across occupations. Work 2012, 42:533-541.
• [9]Australian Bureau of Statistics: Australian Labour Market Statistics. Catalogue number 6105.0. Sydney: Australian Bureau of Statistics; 2011.
• [10]Bureau of Labor Statistics: American Time Use Survey, 2009. Washington, DC: Bureau of Labor Statistics; 2010.
• [11]Alkhajah TA, Reeves MM, Eakin EG, Winkler EA, Owen N, Healy GN: Sit-stand workstations: a pilot intervention to reduce office sitting time. Am J Prev Med 2012, 43:298-303.
• [12]National Preventative Health Taskforce: Australia: The Healthiest Country by 2020: National Preventative Health Strategy: The Roadmap for Action. Canberra: Commonwealth of Australia; 2009.
• [13]Thorp A, Healy G, Winkler E, Owen N, Clark B, Gardiner P, Dunstan D: Objectively-assessed sedentary and physical activity time among office and retail workers: The stand up Australia study. J Sci Med Sport 2010, 12:23-24.
• [14]Chau JY, van der Ploeg HP, Merom D, Chey T, Bauman AE: Cross-sectional associations between occupational and leisure-time sitting, physical activity and obesity in working adults. Prev Med 2012, 54:195-200.
• [15]Skov T, Borg V, Ørhede E: Psychosocial and physical risk factors for musculoskeletal disorders of the neck, shoulders, and lower back in salespeople. Occup Environ Med 1996, 53:351-356.
• [16]Bergqvist U: Visual display terminal work — a perspective on long-term changes and discomforts. Int J Ind Ergonom 1995, 16:201-209.
• [17]Miller R, Brown W: Steps and sitting in a working population. Int J Behav Med 2004, 11:219-224.
• [18]Chau JY, van der Ploeg HP, van Uffelen JGZ, Wong J, Riphagen I, Healy GN, Gilson ND, Dunstan DW, Bauman AE, Owen N, Brown WJ: Are workplace interventions to reduce sitting effective? A systematic review. Prev Med 2010, 51:352-356.
• [19]Aittasalo M, Miilunpalo S, Suni J: The effectiveness of physical activity counseling in a work-site setting: a randomized, controlled trial. Patient Educ Couns 2004, 55:193-202.
• [20]Marshall A, Leslie E, Bauman A, Marcus B, Owen N: Print versus website physical activity programs: a randomized trial. Am J Prev Med 2003, 25:88-94.
• [21]Gilson ND, Puig-Ribera A, McKenna J, Brown WJ, Burton NW, Cooke CB: Do walking strategies to increase physical activity reduce reported sitting in workplaces: a randomized control trial. Int J Behav Nutr Phys Act 2009, 6:43. BioMed Central Full Text
• [22]Prochaska JO, DiClemente CC, Norcross JC: In search of how people change: applications to addictive behaviors. Am Psychol 1992, 47:1102-1114.
• [23]John D, Thompson DL, Raynor H, Bielak KM, Bassett DR: Effects of treadmill workstations as a worksite physical activity intervention in overweight and obese office workers: 706. Med Sci Sports Exerc 2010, 42:38.
• [24]Thompson WG, Foster RC, Eide DS, Levine JA: Feasibility of a walking workstation to increase daily walking. Br J Sports Med 2008, 42:225-228.
• [25]Carr LJ, Walaska KA, Marcus BH: Feasibility of a portable pedal exercise machine for reducing sedentary time in the workplace. Br J Sports Med 2012, 46:430.
• [26]Gilson ND, Suppini A, Ryde GC, Brown HE, Brown WJ: Does the use of standing 'hot' desks change sedentary work time in an open plan office? Prev Med 2012, 54:65-67.
• [27]Australian Institute of Health and Welfare: The Active Australia Survey: A Guide and Manual for Implementation, Analysis and Reporting. Canberra: Australian Institute of Health and Welfare; 2003.
• [28]Timperio A, Salmon J, Crawford D: Validity and reliability of a physical activity recall instrument among overweight and non-overweight men and women. J Sci Med Sport 2003, 6:477-491.
• [29]Trost SG, Ward DS, Moorehead SM, Watson PD, Riner W, Burke JR: Validity of the computer science and applications (CSA) activity monitor in children. Med Sci Sports Exerc 1998, 30:629.
• [30]Chau JY, van der Ploeg HP, Dunn S, Kurko J, Bauman AE: Validity of the occupational sitting and physical activity questionnaire. Med Sci Sports Exerc 2012, 44:118-125.
• [31]Chau JY, van der Ploeg HP, Dunn S, Kurko J, Bauman AE: A tool for measuring workers' sitting time by domain: the workforce sitting questionnaire. Br J Sports Med 2011, 45:1216-1222.
• [32]Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sørensen F, Andersson G, Jørgensen K: Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 1987, 18:233-237.
• [33]Tuomi K, Oja G: Work Ability Index. Helsinki: Finnish Institute of Occupational Health; 1998.
• [34]Descatha A, Roquelaure Y, Chastang J, Evanoff B, Melchior M, Mariot C, Ha C, Imbernon E, Goldberg M, Leclerc A: Validity of Nordic-style questionnaires in the surveillance of upper-limb work-related musculoskeletal disorders. Scand J Work Environ Health 2007, 33:58-65.
• [35]Palmer K, Smith G, Kellingray S, Cooper C: Repeatability and validity of an upper limb and neck discomfort questionnaire: the utility of the standardized Nordic questionnaire. Occup Med 1999, 49:171-175.
• [36]Gould R, Ilmarinen J, Järvisalo J, Koskinen S: Dimensions of Work Ability: Results of the Health 2000 Survey. Helsinki: Finnish Institute of Occupational Health; 2008.
• [37]Pate RR, O'Neill JR, Lobelo F: The evolving definition of "sedentary". Exerc Sport Sci Rev 2008, 36:173-178.
• [38]Troiano RP, Berrigan D, Dodd KW, Mâsse LC, Tilert T, McDowell M: Physical activity in the United States measured by accelerometer. Med Sci Sports 2008, 40:181-188.
• [39]Mâsse LC, Fuemmeler BF, Anderson CB, Matthews CE, Trost SG, Catellier DJ, Treuth M: Accelerometer data reduction: a comparison of four reduction algorithms on select outcome variables. Med Sci Sports Exerc 2005, 37(11 Suppl):S544-S554.
• [40]van der Ploeg HP, Merom D, Chau J, Bittman M, Trost S, Bauman AE: Advances in physical activity and sedentary behavior population surveillance: reliability and validity of time use surveys. Am J Epidemiol 2010, 172:1199-1206.
• [41]Comcare: Sedentary Work Practices Toolkit. Canberra: Comcare; 2012. http://www.comcare.gov.au/Forms_and_Publications/publications/services/safety_and_prevention/safety_and_prevention/Ben_of_move_be_upstanding webcite
• [42]Heart Foundation: Sitting Less for Adults. East Sydney: National Heart Foundation of Australia; 2011. https://www.heartfoundation.org.au/active-living/physical-activity/pages/sedentary-guidelines.aspx webcite