Background: The prominence of sedentary behavior research in health science has grown rapidly. With this growth there is increasing urgency for clear, common and accepted terminology and definitions. Such standardization is difficult to achieve, especially across multi-disciplinary researchers, practitioners, and industries. The Sedentary Behavior Research Network (SBRN) undertook a Terminology Consensus Project to address this need. Method: First, a literature review was completed to identify key terms in sedentary behavior research. These key terms were then reviewed and modified by a Steering Committee formed by SBRN. Next, SBRN members were invited to contribute to this project and interested participants reviewed and provided feedback on the proposed list of terms and draft definitions through an online survey. Finally, a conceptual model and consensus definitions (including caveats and examples for all age groups and functional abilities) were finalized based on the feedback received from the 87 SBRN member participants who responded to the original invitation and survey. Results: Consensus definitions for the terms physical inactivity, stationary behavior, sedentary behavior, standing, screen time, non-screen-based sedentary time, sitting, reclining, lying, sedentary behavior pattern, as well as how the terms bouts, breaks, and interruptions should be used in this context are provided. Conclusion: It is hoped that the definitions resulting from this comprehensive, transparent, and broad-based participatory process will result in standardized terminology that is widely supported and adopted, thereby advancing future research, interventions, policies, and practices related to sedentary behaviors.

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Sedentary behavior research network (SBRN) - terminology consensus project process and outcome

Background
A large number of people are employed in sedentary occupations. Physical inactivity and excessive sitting at workplaces have been linked to increased risk of cardiovascular disease, obesity, and all‐cause mortality.

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Workplace interventions for reducing sitting at work

Excessive sedentary time is detrimentally linked to obesity, type 2 diabetes, cardiovascular disease and premature mortality. Studies have been investigating the use of activity-permissive workstations to reduce sedentary time in office workers, a highly sedentary target group. This review systematically summarizes the evidence for activity-permissive workstations on sedentary time, health-risk biomarkers, work performance and feasibility indicators in office workplaces. In July 2013, a literature search identified 38 relevant peer-reviewed publications. Key findings were independently extracted by two researchers. The average intervention effect on sedentary time was calculated via meta-analysis. In total, 984 participants across 19 field-based trials and 19 laboratory investigations were included, with sample sizes ranging from n=2 to 66 per study. Sedentary time, health-risk biomarkers and work performance indicators were reported in 13, 23 and 23 studies, respectively. The pooled effect size from the meta-analysis was -77min of sedentary time/8-h workday (95% confidence interval=-120, -35min). Non-significant changes were reported for most health- and work-related outcomes. Studies with acceptability measures reported predominantly positive feedback. Findings suggest that activity-permissive workstations can be effective to reduce occupational sedentary time, without compromising work performance. Larger and longer-term randomized-controlled trials are needed to understand the sustainability of the sedentary time reductions and their longer-term impacts on health- and work-related outcomes.

/pdf/reducing-occupational-sedentary-time-a-systematic-review-and-2ofle2xrze.pdf

Reducing occupational sedentary time: A systematic review and meta-analysis of evidence on activity-permissive workstations

Purpose and MethodsAlthough evidence is accumulating that sedentary behavior (SB), independent of moderate-to-vigorous intensity physical activity (MVPA), is associated with cardiometabolic and aging outcomes in adults, several gaps present opportunities for future research. This article rep

Definition, Measurement, and Health Risks Associated with Sedentary Behavior

Objective This review addresses the effectiveness of workplace interventions that are implemented during productive work and are intended to change workers` SB and/or PA. Methods We searched Scopus for articles published from 1992 until 12 March 2015. Relevant studies were evaluated using the Quality Assessment Tool for Quantitative Studies and summarized in a best-evidence synthesis. Primary outcomes were SB and PA, both at work and overall (ie, during the whole day); work performance and health-related parameters were secondary outcomes. Results The review included 40 studies describing 41 interventions organized into three categories: alternative workstations (20), interventions promoting stair use (11), and personalized behavioral interventions (10). Alternative workstations were found to decrease overall SB (strong evidence; even for treadmills separately); interventions promoting stair use were found to increase PA at work while personalized behavioral interventions increased overall PA (both with moderate evidence). There was moderate evidence to show alternative workstations influenced neither hemodynamics nor cardiorespiratory fitness and personalized behavioral interventions did not influence anthropometric measures. Evidence was either insufficient or conflicting for intervention effects on work performance and lipid and metabolic profiles. Conclusions Current evidence suggests that some of the reviewed workplace interventions that are compatible with productive work indeed have positive effects on SB or PA at work. In addition, some of the interventions were found to influence overall SB or PA positively. Putative long-term effects remain to be established. This work is licensed under a Creative Commons Attribution 4.0 International License.

http://btrconsultancy.nl/wp-content/uploads/2015/12/Commissaris-et-al.-2016_Scand-J-Work-Environment-Health.pdf

Interventions to reduce sedentary behavior and increase physical activity during productive work: a systematic review

Emerging evidence supports the feasibility of raising daily energy expenditure (EE) by replacing office work-related sedentary behavior with low-intensity non-exercise physical activity (PA) via workstation alternatives to the traditional office chair and desktop computer-based combinations. The purpose of this review article is to introduce a simple taxonomy to facilitate classification and study of workstation alternatives, catalog the diversity of research undertaken to date related to energy balance, and present and summarize the gaps and opportunities for a research agenda for workstation alternatives moving forward. A PubMed search elicited 57 English language articles published since 2000; additional articles were identified by reviewing reference sections and contacting authors. Selection criteria ultimately focused on use of workstation alternatives during simulated or real work tasks. The EE of sitting on a stability ball or using sit-stand/standing desks is comparable to the traditional seated condition (≅1.2 kcal min(-1)). The treadmill and pedal desks (active workstation alternatives) offer the greatest promise in terms of EE (≅2-4 kcal min(-1)). Sitting on a stability ball or using sit-stand/standing desks does not impair task performance relative to the traditional seated condition. Some evidence of typing impairment is inconsistently reported with active workstation alternatives; the finer motor skills required for mouse-related tasks may be more affected. Little is known about learning or adaptation with practice. Users are generally accepting of workstation alternatives; however, there is evidence of less than optimal use. Active workstations (that is, treadmill desks and pedal desks) in particular represent a potential strategy for mitigating the diminished EE inherent to contemporary office-based workplaces, but only if they are scalable. The science supporting active workstations is young and heterogeneous; however, this means that there are many knowledge gaps and opportunities for research, including those focused on implementation issues related to optimizing both employers' and workers' uptake.

Jr Jm Schuna

Papers

Changing the way we work: elevating energy expenditure with workstation alternatives.