| International Journal of Behavioral Nutrition and Physical Activity | |
| The effectiveness of sit-stand workstations for changing office workers’ sitting time: results from the Stand@Work randomized controlled trial pilot | |
| Hidde P van der Ploeg4  Adrian E Bauman1  Anna Do3  Anu Srinivasan2  Scott Dunn2  Michelle Daley2  Josephine Y Chau1  | |
| [1] Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, 92-94 Parramatta Road, Camperdown 2050, NSW, Australia;Heart Foundation New South Wales, 3/80 William St, Sydney 2011, NSW, Australia;Centre for Epidemiology and Evidence, New South Wales Ministry of Health, Locked Mail Bag 961, North Sydney 2059, NSW, Australia;Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, Amsterdam, 1081BT, The Netherlands | |
| 关键词: Randomized controlled trial; Workplace; Sit-stand workstation; Sedentary behavior; | |
| Others : 1136167 DOI : 10.1186/s12966-014-0127-7 |
|
| received in 2014-02-24, accepted in 2014-10-01, 发布年份 2014 | |
PDF
|
|
【 摘 要 】
Background
Prolonged sitting time is detrimental for health. Individuals with desk-based occupations tend to sit a great deal and sit-stand workstations have been identified as a potential strategy to reduce sitting time. Hence, the objective of the current study was to examine the effects of using sit-stand workstations on office workers’ sitting time at work and over the whole day.
Methods
We conducted a randomized controlled trial pilot with crossover design and waiting list control in Sydney, Australia from September 2011 to July 2012 (n = 42; 86% female; mean age 38 ± 11 years). Participants used a sit-stand workstation for four weeks in the intervention condition. In the time-matched control condition, participants received nothing and crossed over to the intervention condition after four weeks. The primary outcomes, sitting, standing and walking time at work, were assessed before and after using the workstations with ActivPALs and self-report questionnaires. Secondary outcomes, domain-specific sitting over the whole day, were assessed by self-report. Linear mixed models estimated changes in outcomes adjusting for measurement time, study grouping and covariates.
Results
Intervention participants significantly reduced objectively assessed time spent sitting at work by 73 min/workday (95% CI: −106,-39) and increased standing time at work by 65 min/workday (95% CI: 47, 83); these changes were significant relative to controls (p = 0.004 and p < 0.001, respectively). Total sitting time significantly declined in intervention participants (−80 min/workday; 95% CI: −155, −4).
Conclusions
This study shows that introducing sit-stand workstations in the office can reduce desk-based workers’ sitting time at work in the short term. Larger scale studies on more representative samples are needed to determine the public health impact of sit-stand workstations.
Trial registration
【 授权许可】
2014 Chau et al.; licensee BioMed Central Ltd.
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20150311135749597.pdf | 575KB | ||
| Figure 2. | 54KB | Image | |
| Figure 1. | 23KB | Image |
【 图 表 】
Figure 1.
Figure 2.
【 参考文献 】
- [1]Bauman AE, Chau JY, Ding D, Bennie J: Too much sitting and cardio-metabolic risk: an update of epidemiological evidence. Curr Cardiovasc Risk 2013, ᅟ:ᅟ. doi:10.1007/s12170-013-0316-y
- [2]Chau JY, Grunseit A, Chey T, Stamatakis E, Matthews C, Brown W, Bauman A, van der Ploeg HP: Daily sitting time and all-cause mortality: A meta-analysis. PLoS One 2013, 8(11):e80000.
- [3]Ford ES, Caspersen CJ: Sedentary behaviour and cardiovascular disease: a review of prospective studies. Int J Epidemiol 2012, 41:1338-1353.
- [4]Proper KI, Singh AS, van Mechelen W, Chinapaw MJM: Sedentary behaviors and health outcomes among adults: A systematic review of prospective studies. Am J Prev Med 2011, 40:174-182.
- [5]Thorp AA, Owen N, Neuhaus M, Dunstan DW: Sedentary behaviors and subsequent health outcomes in adults: A systematic review of longitudinal studies, 1996–2011. Am J Prev Med 2011, 41:207-215.
- [6]van der Ploeg HP, Chey T, Korda RJ, Banks E, Bauman AE: Sitting time and All-cause mortality risk in 222,497 Australian adults. Arch Intern Med 2012, 172(6):494-500.
- [7]van Uffelen JGZ, Wong J, Chau JY, van der Ploeg HP, Riphagen I, Gilson N, Burton NW, Healy GN, Thorp AA, Clark BK, Gardiner PA, Dunstan D, Bauman A, Owen N, Brown WJ: Occupational sitting and health risks: A systematic review. Am J Prev Med 2010, 39:379-388.
- [8]Wilmot EG, Edwardson CL, Achana FA, Davies MJ, Gorely T, Gray LJ, Khunti K, Yates T, Biddle SJ: Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia 2012, 55:2895-2905.
- [9]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.
- [10]Church TS, Thomas DM, Tudor-Locke C, Katzmarzyk PT, Earnest CP, Rodarte RQ, Martin CK, Blair SN, Bouchard C: Trends over 5 decades in U.S. occupation-related physical activity and their associations with obesity. PLoS One 2011, 6:e19657.
- [11]Brown WJ, Miller YD, Miller R: Sitting time and work patterns as indicators of overweight and obesity in Australian adults. Int J Obes Relat Metab Disord 2003, 27:1340-1346.
- [12]Jans MP, Proper KI, Hildebrandt VH: Sedentary behavior in Dutch workers: differences between occupations and business sectors. Am J Prev Med 2007, 33:450-454.
- [13]Thorp AA, Healy GN, Winkler E, Clark BK, Gardiner PA, Owen N, Dunstan DW: Prolonged sedentary time and physical activity in workplace and non-work contexts: a cross-sectional study of office, customer service and call centre employees. Int J Behav Nutr Phys Act 2012, 9:128. BioMed Central Full Text
- [14]Tigbe WW, Lean MEJ, Granat MH: A physically active occupation does not result in compensatory inactivity during out-of-work hours. Prev Med 2011, 53:48-52.
- [15]Chau JY, van der Ploeg HP, van Uffelen JG, 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.
- [16]Ebara T, Kubo T, Inoue T, Murasaki G-I, Takeyama H, Sato T, Suzumura H, Niwa S, Takanishi T, Tachi N: Effects of adjustable sit-stand VDT workstations on workers' musculoskeletal discomfort, alertness and performance. Ind Health 2008, 46:497-505.
- [17]Husemann B, Von Mach CY, Borsotto D, Zepf KI, Scharnbacher J: Comparisons of musculoskeletal complaints and data entry between a sitting and a sit-stand workstation paradigm. Hum Factors 2009, 51:310-320.
- [18]Laestadius JG, Ye J, Cai X, Ross S, Dimberg L, Klekner M: The proactive approach-is it worthwhile? A prospective controlled ergonomic intervention study in office workers. J Occup Environ Med 2009, 51:1116-1124.
- [19]Mathiassen SE: Diversity and variation in biomechanical exposure: what is it, and why would we like to know? Appl Ergon 2006, 37:419-427.
- [20]Roelofs A, Straker L: The experience of musculoskeletal discomfort amongst bank tellers who just sit, just stand or sit and stand at work. Ergonomics 2002, SA14:11-29.
- [21]Wilks S, Mortimer M, Nylén P: The introduction of sit–stand worktables; aspects of attitudes, compliance and satisfaction. Appl Ergon 2006, 37:359-365.
- [22]Owen N, Sugiyama T, Eakin EE, Gardiner PA, Tremblay MS, Sallis JF: Adults' sedentary behavior: determinants and interventions. Am J Prev Med 2011, 41:189-196.
- [23]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.
- [24]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.
- [25]Healy GN, Eakin EG, LaMontagne AD, Owen N, Winkler EA, Wiesner G, Gunning L, Neuhaus M, Lawler S, Fjeldsoe BS: Reducing sitting time in office workers: Short-term efficacy of a multicomponent intervention. Prev Med 2013, 57(1):43-48.
- [26]Pronk NP, Katz AS, Lowry M, Payfer JR: Reducing occupational sitting time and improving worker health: the take-a-stand project, 2011. Prev Chronic Dis 2012, 9:110323.
- [27]Neuhaus M, Healy GN, Dunstan DW, Owen N, Eakin EG: Workplace sitting and height-adjustable workstations - a randomized controlled trial. Am J Prev Med 2014, 46:30-40.
- [28]Grunseit AC, Chau JY, van der Ploeg HP, Bauman A: "Thinking on your feet": A qualitative evaluation of sit-stand desks in an Australian workplace. BMC Public Health 2013, 13:365. BioMed Central Full Text
- [29]Neuhaus M, Eakin EG, Straker L, Owen N, Dunstan DW, Reid N, Healy GN: Reducing occupational sedentary time: a systematic review and meta-analysis of evidence on activity-permissive workstations. Obes Rev 2014, 15:822-838.
- [30]Torbeyns T, Bailey S, Bos I, Meeusen R: Active workstations to fight sedentary behaviour. Sports Med 2014, 44:1261-1273.
- [31]Grant PM, Ryan CG, Tigbe WW, Granat MH: The validation of a novel activity monitor in the measurement of posture and motion during everyday activities. Br J Sports Med 2006, 40:992-997.
- [32]Ryan CG, Grant PM, Tigbe WW, Granat MH: The validity and reliability of a novel activity monitor as a measure of walking. Br J Sports Med 2006, 40:779-784.
- [33]Swartz AM, Rote AE, Cho YI, Welch WA, Strath SJ: Responsiveness of motion sensors to detect change in sedentary and physical activity behaviour. Br J Sports Med 2014, 48:1043-1047.
- [34]Chau JY, van der Ploeg HP, Dunn S, Kurko J, Bauman AE: Validity of the Occupational Sitting and Physical Activity Questionnaire (OSPAQ). Med Sci Sports Exerc 2012, 44:118-125.
- [35]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.
- [36]Gomersall SR, Rowlands AV, English C, Maher C, Olds TS: The ActivityStat Hypothesis. The concept, the evidence and the methodologies. Sports Med 2013, 43:135-149.
- [37]Chau JY, Merom D, Grunseit A, Rissel C, Bauman AE, van der Ploeg HP: Temporal trends in non-occupational sedentary behaviours from Australian Time Use Surveys 1992, 1997 and 2006. Int J Behav Nutr Phys Act 2012, 9:76. BioMed Central Full Text
- [38]van der Ploeg HP, Venugopal K, Chau JY, van Poppel MNM, Breedveld K, Merom D, Bauman AE: Population changes in non-occupational sedentary behaviors in the Netherlands between 1975 and 2005. Am J Prev Med 2013, 44:382-387.
- [39]Tikkanen O, Haakana P, Pesola AJ, Häkkinen K, Rantalainen T, Havu M, Pullinen T, Finni T: Muscle activity and inactivity periods during normal daily life. PLoS One 2013, 8:e52228.
- [40]Straker L, Mathiassen SE: Increased physical work loads in modern work - a necessity for better health and performance? Ergonomics 2009, 52:1215-1225.
- [41]Peddie MC, Bone JL, Rehrer NJ, Skeaff CM, Gray AR, Perry TL: Breaking prolonged sitting reduces postprandial glycemia in healthy, normal-weight adults: a randomized crossover trial. Am J Clin Nutr 2013, 98:358-366.
- [42]Dunstan DW, Kingwell BA, Larsen R, Healy GN, Cerin E, Hamilton MT, Shaw JE, Bertovic DA, Zimmet PZ, Salmon J, Owen N: Breaking up prolonged sitting reduces postprandial glucose and insulin responses. Diabetes Care 2012, 35:976-983.
- [43]Cooley D, Pedersen S: A pilot study of increasing nonpurposeful movement breaks at work as a means of reducing prolonged sitting.J Environ Public Health 2013, doi:10.1155/2013/128376.
- [44]Evans RE, Fawole HO, Sheriff SA, Dall PM, Grant PM, Ryan CG: Point-of-choice prompts to reduce sitting time at work: a randomized trial. Am J Prev Med 2012, 43:293-297.
- [45]Chau JY, Daley M, Srinivasan A, Dunn S, Bauman AE, van der Ploeg HP: Desk-based workers’ perspectives on using sit-stand workstations: a qualitative analysis of the Stand@Work study. BMC Public Health 2014, 14:752. BioMed Central Full Text
PDF