Sedentary Behaviour: Difference between revisions

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== Introduction ==
== Introduction ==
Sedentary behaviour(SB)refers to “any waking behaviour characterised by an energy expenditure ≤1.5 metabolic equivalents (METs), while in a sitting, reclining or lying posture”. Many adults spend roughly 9–10 h/day engaging in sedentary behaviours. Given this level of exposure, an understanding of its relationship with health outcomes is vital for the general public.<ref>Saunders TJ, McIsaac T, Douillette K, Gaulton N, Hunter S, Rhodes RE, Prince SA, Carson V, Chaput JP, Chastin S, Giangregorio L. [https://cdnsciencepub.com/doi/full/10.1139/apnm-2020-0272?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org Sedentary behaviour and health in adults: an overview of systematic reviews]. Applied Physiology, Nutrition, and Metabolism. 2020;45(10):S197-217.Available:https://cdnsciencepub.com/doi/full/10.1139/apnm-2020-0272?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org (accessed 10.10.2022)</ref>
Sedentary behaviour(SB) refers to “any walking behaviour characterised by an energy expenditure ≤1.5 metabolic equivalents (METs), while in a sitting, reclining or lying posture”. Many adults spend roughly 9–10 h/day engaging in sedentary behaviours. Given this level of exposure, an understanding of its relationship with health outcomes is vital for the general public.<ref>Saunders TJ, McIsaac T, Douillette K, Gaulton N, Hunter S, Rhodes RE, Prince SA, Carson V, Chaput JP, Chastin S, Giangregorio L. [https://cdnsciencepub.com/doi/full/10.1139/apnm-2020-0272?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org Sedentary behaviour and health in adults: an overview of systematic reviews]. Applied Physiology, Nutrition, and Metabolism. 2020;45(10):S197-217.Available:https://cdnsciencepub.com/doi/full/10.1139/apnm-2020-0272?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org (accessed 10.10.2022)</ref>
[[File:Sedentary-Behaviour-resized.jpg|center|thumb|489x489px|Sedentary-Behaviour]]
[[File:Sedentary-Behaviour-resized.jpg|center|489x489px|Sedentary-Behaviour|frameless]]


== Risky Behaviour ==
== Risky Behaviour ==
[[File:Computer Class Elderly.jpg|thumb|Seated office work, a sedentary behaviour ]]
[[File:Computer Class Elderly.jpg|thumb|Seated office work, a sedentary behaviour ]]
A sedentary lifestyle is a risky behaviour. It has many adverse health effects, for example elevated all-cause mortality, CVD mortality, cancer risk, risks for metabolic diseases such as diabetes, hypertension, dyslipidemia, musculoskeletal diseases (eg knee pain and osteoporosis) and mental health problems. The negative health impacts escalate with increases in the total daily sedentary times. For this reason, it is important to reduce the SB as much as possible.<ref>Park JH, Moon JH, Kim HJ, Kong MH, Oh YH. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700832/ Sedentary lifestyle: overview of updated evidence of potential health risks]. Korean journal of family medicine. 2020 Nov;41(6):365. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700832/<nowiki/>(accessed 10.10.2022)</ref>
Excess SB is a risky behaviour. It has many adverse health effects, for example: elevated all-cause mortality; [[Cardiovascular Disease|cardiovascular disease]] mortality; [[Oncological Disorders|cancer]] risk; risks for [[Metabolic and Endocrine Disorders|metabolic disease]]<nowiki/>s such as [[diabetes]], [[hypertension]], [[Hyperlipidemia|dyslipidemia]], musculoskeletal diseases (e.g. [[Knee Osteoarthritis|knee pain]] and [[osteoporosis]]) and [[Mental Health|mental health]] problems. The negative health impacts escalate with increases in the total daily sedentary times. For this reason, it is important to reduce the SB.<ref>Park JH, Moon JH, Kim HJ, Kong MH, Oh YH. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700832/ Sedentary lifestyle: overview of updated evidence of potential health risks]. Korean journal of family medicine. 2020 Nov;41(6):365. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700832/<nowiki/>(accessed 10.10.2022)</ref><ref>Lowe A, Littlewood C, McLean S. Understanding physical activity promotion in physiotherapy practice: A qualitative study. Musculoskeletal Science and Practice. 2018 Jun 1;35:1-7.</ref>


== Sedentary Behaviour vs Physical Inactivity ==
== Sedentary Behaviour vs Physical Inactivity ==
[[File:Iphone.jpeg|thumb|iphone use, may lead to increased SB|alt=]]
[[File:Iphone.jpeg|thumb|iPhone use, may lead to increased SB|alt=]]
SBs are considered conceptually distinct from physical inactivity, with the latter referring to performing insufficient amounts of moderate-to-vigorous physical activity to meet current physical activity recommendations.<ref name=":0">Dempsey PC, Biddle SJ, Buman MP, Chastin S, Ekelund U, Friedenreich CM, Katzmarzyk PT, Leitzmann MF, Stamatakis E, van der Ploeg HP, Willumsen J. [https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-01044-0 New global guidelines on sedentary behaviour and health for adults: broadening the behavioural targets.] International Journal of Behavioral Nutrition and Physical Activity. 2020 Dec;17(1):1-2.Available:https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-01044-0 (accessed 10.10.2022)</ref>A person may encage in recommended time of PA, but be too sedentary in the remaining hours, adversely affecting health.
SBs are considered conceptually distinct from [[Physical Inactivity|physical inactivity]], with the latter meaning performing insufficient amounts of moderate-to-vigorous physical activity to meet current physical activity recommendations.<ref name=":0">Dempsey PC, Biddle SJ, Buman MP, Chastin S, Ekelund U, Friedenreich CM, Katzmarzyk PT, Leitzmann MF, Stamatakis E, van der Ploeg HP, Willumsen J. [https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-01044-0 New global guidelines on sedentary behaviour and health for adults: broadening the behavioural targets.] International Journal of Behavioral Nutrition and Physical Activity. 2020 Dec;17(1):1-2.Available:https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-01044-0 (accessed 10.10.2022)</ref>A person may engage in recommended time of PA, but be too sedentary in the remaining hours, adversely affecting health. e.g. A person may jog for 50 minutes daily and engage in SB the rest of the day.


== WHO Guidelines ==
== WHO Guidelines ==
[[File:IPad.jpeg|thumb|200x200px|Health risk?]]
[[File:IPad.jpeg|thumb|200x200px|Health risk?]]
The WHO 2020 guidelines on physical activity and sedentary behaviour give new advice on sedentary behaviour and its interrelationships with physical activity, providing a broader, mutually reinforcing set of behavioural targets to help improve population health, aiming to limit sedentary behaviour and increase physical activity among those who need it most. These new sedentary behaviour guidelines should elicit more targeted research in this area and be a stimulus for more system-wide policies, programs, and initiatives to help improve global health.<ref name=":0" />
The WHO 2020 guidelines on physical activity and sedentary behaviour give new advice on sedentary behaviour and its interrelationships with physical activity. They provide a broader set of behavioural targets to help improve population health, aiming to limit sedentary behaviour and increase physical activity among those who need it most. These new sedentary behaviour guidelines hopefully will elicit more targeted research in this area and be a stimulus for more system-wide policies, programs, and initiatives to help improve [[Global Health|global health]].<ref name=":0" />


See WHO Physical activity guidelines [https://www.who.int/news-room/fact-sheets/detail/physical-activity here]
See WHO Physical activity guidelines [https://www.who.int/news-room/fact-sheets/detail/physical-activity here]
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== Physiotherapy ==
== Physiotherapy ==
[[File:Dog walking.jpeg|thumb|350x350px|A dog to decrease SB?]]
[[File:Dog walking.jpeg|thumb|350x350px|A dog to decrease SB?]]
Physical activity is essential for a healthy life and spending the majority of the day being sedentary is dangerous.
Physical activity is essential for a healthy life and spending most of the day being sedentary is dangerous.  
[[File:Standing desk.jpeg|thumb|Standing desk]]
[[File:Standing desk.jpeg|thumb|Standing desk]]
Physiotherapists can advise people to reduce  the amount of time they spend being sedentary suggesting ways to change sedentary habits, for example:
Physiotherapists are well positioned to advise people on healthy lifestyle choices<ref>Delany C, Fryer C, van Kessel G. An ethical approach to health promotion in physiotherapy practice. Health Promotion Journal of Australia. 2015 Oct 27;26(3):255-62.</ref>. Examples being  


* Stand on public transport
* Encourage clients to make physical activity a part of daily life during all stages of life.
* Walk/walk part way to work
* Reduce the time they spend being sedentary.
* Walk during lunch breaks and/or breaks
* Stand up every 30 minutes when working at a desk
* Use a standing desk or ask the workplace to provide one
* Increase the manual chores done around the house
* Walk around when taking phone calls
* Join community/friend activity groups in free time rather than watching television or playing video games
* Get a dog and walk regularly 
* Take the stairs instead of using the elevator
* Use an exercise bike in office/living room


#numbered list
* Stand on public transport.
#x
* Encourager [[Active Transportation and Planetary Health|active transport]] e.g. [[Cycling: Active Transport|cycling]].
* Walk/walk part way to work.
* Walk during lunch breaks and/or breaks.
* Stand up every 30 minutes when working at a desk.
* Use a standing desk or ask the workplace to provide one.
* Increase the manual chores done around the house.
* Walk around when taking phone calls.
* Join community/friend activity groups in free time rather than watching .television or playing video games.
* Get a dog and walk regularly.
* Take the stairs instead of using the elevator.
* Use an exercise bike in office/living room.
<div class="row">
  <div class="col-md-6"> {{#ev:youtube|QvW5ETkhawc|400}} <div class="text-right"><ref>ISPAH . Webinar 2. Why and how to reduce sedentary behaviour?. Available from: http://www.youtube.com/watch?v=QvW5ETkhawc [last accessed 25/6/2023]</ref></div></div>
  <div class="col-md-6"> {{#ev:youtube|qondXFSjPPA|400}} <div class="text-right"><ref> Stanford Medicine. Sedentary Behavior - Target for Change, Challenge to Assess
. Available from: http://www.youtube.com/watch?v=qondXFSjPPA [last accessed 25/6/2023]</ref></div></div>
</div>


== References  ==
== References  ==
<references />
<references />
[[Category:Physical Activity]]
[[Category:Physical Activity]]

Latest revision as of 13:34, 14 July 2023

Original Editor - Lucinda hampton

Top Contributors - Lucinda hampton, Uchechukwu Chukwuemeka and Shaimaa Eldib  

Introduction[edit | edit source]

Sedentary behaviour(SB) refers to “any walking behaviour characterised by an energy expenditure ≤1.5 metabolic equivalents (METs), while in a sitting, reclining or lying posture”. Many adults spend roughly 9–10 h/day engaging in sedentary behaviours. Given this level of exposure, an understanding of its relationship with health outcomes is vital for the general public.[1]

Sedentary-Behaviour

Risky Behaviour[edit | edit source]

Seated office work, a sedentary behaviour

Excess SB is a risky behaviour. It has many adverse health effects, for example: elevated all-cause mortality; cardiovascular disease mortality; cancer risk; risks for metabolic diseases such as diabetes, hypertension, dyslipidemia, musculoskeletal diseases (e.g. knee pain and osteoporosis) and mental health problems. The negative health impacts escalate with increases in the total daily sedentary times. For this reason, it is important to reduce the SB.[2][3]

Sedentary Behaviour vs Physical Inactivity[edit | edit source]

iPhone use, may lead to increased SB

SBs are considered conceptually distinct from physical inactivity, with the latter meaning performing insufficient amounts of moderate-to-vigorous physical activity to meet current physical activity recommendations.[4]A person may engage in recommended time of PA, but be too sedentary in the remaining hours, adversely affecting health. e.g. A person may jog for 50 minutes daily and engage in SB the rest of the day.

WHO Guidelines[edit | edit source]

Health risk?

The WHO 2020 guidelines on physical activity and sedentary behaviour give new advice on sedentary behaviour and its interrelationships with physical activity. They provide a broader set of behavioural targets to help improve population health, aiming to limit sedentary behaviour and increase physical activity among those who need it most. These new sedentary behaviour guidelines hopefully will elicit more targeted research in this area and be a stimulus for more system-wide policies, programs, and initiatives to help improve global health.[4]

See WHO Physical activity guidelines here

Physiotherapy[edit | edit source]

A dog to decrease SB?

Physical activity is essential for a healthy life and spending most of the day being sedentary is dangerous.

Standing desk

Physiotherapists are well positioned to advise people on healthy lifestyle choices[5]. Examples being

  • Encourage clients to make physical activity a part of daily life during all stages of life.
  • Reduce the time they spend being sedentary.
  • Stand on public transport.
  • Encourager active transport e.g. cycling.
  • Walk/walk part way to work.
  • Walk during lunch breaks and/or breaks.
  • Stand up every 30 minutes when working at a desk.
  • Use a standing desk or ask the workplace to provide one.
  • Increase the manual chores done around the house.
  • Walk around when taking phone calls.
  • Join community/friend activity groups in free time rather than watching .television or playing video games.
  • Get a dog and walk regularly.
  • Take the stairs instead of using the elevator.
  • Use an exercise bike in office/living room.

References[edit | edit source]

  1. Saunders TJ, McIsaac T, Douillette K, Gaulton N, Hunter S, Rhodes RE, Prince SA, Carson V, Chaput JP, Chastin S, Giangregorio L. Sedentary behaviour and health in adults: an overview of systematic reviews. Applied Physiology, Nutrition, and Metabolism. 2020;45(10):S197-217.Available:https://cdnsciencepub.com/doi/full/10.1139/apnm-2020-0272?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org (accessed 10.10.2022)
  2. Park JH, Moon JH, Kim HJ, Kong MH, Oh YH. Sedentary lifestyle: overview of updated evidence of potential health risks. Korean journal of family medicine. 2020 Nov;41(6):365. Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700832/(accessed 10.10.2022)
  3. Lowe A, Littlewood C, McLean S. Understanding physical activity promotion in physiotherapy practice: A qualitative study. Musculoskeletal Science and Practice. 2018 Jun 1;35:1-7.
  4. 4.0 4.1 Dempsey PC, Biddle SJ, Buman MP, Chastin S, Ekelund U, Friedenreich CM, Katzmarzyk PT, Leitzmann MF, Stamatakis E, van der Ploeg HP, Willumsen J. New global guidelines on sedentary behaviour and health for adults: broadening the behavioural targets. International Journal of Behavioral Nutrition and Physical Activity. 2020 Dec;17(1):1-2.Available:https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-020-01044-0 (accessed 10.10.2022)
  5. Delany C, Fryer C, van Kessel G. An ethical approach to health promotion in physiotherapy practice. Health Promotion Journal of Australia. 2015 Oct 27;26(3):255-62.
  6. ISPAH . Webinar 2. Why and how to reduce sedentary behaviour?. Available from: http://www.youtube.com/watch?v=QvW5ETkhawc [last accessed 25/6/2023]
  7. Stanford Medicine. Sedentary Behavior - Target for Change, Challenge to Assess . Available from: http://www.youtube.com/watch?v=qondXFSjPPA [last accessed 25/6/2023]