Occupational sitting and health risks: A systematic review

van Uffelen, Jannique G. Z., Wong, Jason, Chau, Josephine Y., van der Ploeg, Hidde P., Riphagen, Ingrid, Gilson, Nicholas D., Burton, Nicola W., Healy, Genevieve N., Thorp, Alicia A., Clark, Bronwyn K., Gardiner, Paul A., Dunstan, David W., Bauman, Adrian, Owen, Neville and Brown, Wendy J. (2010) Occupational sitting and health risks: A systematic review. American Journal of Preventive Medicine, 39 4: 379-388. doi:10.1016/j.amepre.2010.05.024


Author van Uffelen, Jannique G. Z.
Wong, Jason
Chau, Josephine Y.
van der Ploeg, Hidde P.
Riphagen, Ingrid
Gilson, Nicholas D.
Burton, Nicola W.
Healy, Genevieve N.
Thorp, Alicia A.
Clark, Bronwyn K.
Gardiner, Paul A.
Dunstan, David W.
Bauman, Adrian
Owen, Neville
Brown, Wendy J.
Title Occupational sitting and health risks: A systematic review
Journal name American Journal of Preventive Medicine   Check publisher's open access policy
ISSN 0749-3797
1873-2607
Publication date 2010-10-01
Year available 2010
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.amepre.2010.05.024
Open Access Status Not yet assessed
Volume 39
Issue 4
Start page 379
End page 388
Total pages 10
Editor F. D. Scutchfield
K. Patrick
C. S. Seidman
Place of publication New York, NY, U.S.A.
Publisher Elsevier
Language eng
Subject 1106 Human Movement and Sports Science
920401 Behaviour and Health
1117 Public Health and Health Services
Abstract Context: Emerging evidence suggests that sedentary behavior (i.e., time spent sitting) may be negatively associated with health. The aim of this study was to systematically review the evidence on associations between occupational sitting and health risks.
Formatted abstract
Context: Emerging evidence suggests that sedentary behavior (i.e., time spent sitting) may be negatively associated with health. The aim of this study was to systematically review the evidence on associations between occupational sitting and health risks.

Evidence acquisition: Studies were identified in March–April 2009 by literature searches in PubMed, PsycINFO, CENTRAL, CINAHL, EMBASE, and PEDro, with subsequent related-article searches in PubMed and citation searches in Web of Science. Identified studies were categorized by health outcome. Two independent reviewers assessed methodologic quality using a 15-item quality rating list (score range 0–15 points, higher score indicating better quality). Data on study design, study population, measures of occupational sitting, health risks, analyses, and results were extracted.

Evidence synthesis: 43 papers met the inclusion criteria (21% cross-sectional, 14% case–control, 65% prospective); they examined the associations between occupational sitting and BMI (n=12); cancer (n=17); cardiovascular disease (CVD, n=8); diabetes mellitus (DM, n=4); and mortality (n=6). The median study-quality score was 12 points. Half the cross-sectional studies showed a positive association between occupational sitting and BMI, but prospective studies failed to confirm a causal relationship. There was some case–control evidence for a positive association between occupational sitting and cancer; however, this was generally not supported by prospective studies. The majority of prospective studies found that occupational sitting was associated with a higher risk of DM and mortality.

Conclusions: Limited evidence was found to support a positive relationship between occupational sitting and health risks. The heterogeneity of study designs, measures, and findings makes it difficult to draw definitive conclusions at this time.
© 2010 American Journal of Preventive Medicine
Keyword Time physical-activity
Acute myocardial-infarction
Ischemic heart-disease
Renal-cell cancer
Aged Finnish men
Body-mass index
Leisure-time
Cardiovascular-disease
Sedentary behaviors
Breast-cancer
Q-Index Code C1
Q-Index Status Confirmed Code
Grant ID HPQ00.01/021
PH 08B 3904
ID 252977
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2011 Collection
School of Public Health Publications
School of Human Movement and Nutrition Sciences Publications
 
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Citation counts: TR Web of Science Citation Count  Cited 204 times in Thomson Reuters Web of Science Article | Citations
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Created: Sun, 07 Nov 2010, 01:44:53 EST by Deborah Noon on behalf of School of Human Movement and Nutrition Sciences