TY - JOUR
T1 - Occupational sitting and health risks: A systematic review
AU - Van Uffelen, Jannique G.Z.
AU - Wong, Jason
AU - Chau, Josephine Y.
AU - Van Der Ploeg, Hidde P.
AU - Riphagen, Ingrid
AU - Gilson, Nicholas D.
AU - Burton, Nicola W.
AU - Healy, Genevieve N.
AU - Thorp, Alicia A.
AU - Clark, Bronwyn K.
AU - Gardiner, Paul A.
AU - Dunstan, David W.
AU - Bauman, Adrian
AU - Owen, Neville
AU - Brown, Wendy J.
N1 - Funding Information:
This review was funded by a grant from Health Promotion Queensland (Queensland Health HPQ00.01/021 ).
Funding Information:
JVU, HVDP, JC, and NB: (Australian) National Health and Medical Research Council (NHMRC) program grant (Owen, Bauman, Brown, 569663 ). JW: Australian Postgraduate Award (University of Queensland). NB: Heart Foundation of Australia postdoctoral fellowship ( PH 08B 3904 ) and NHMRC capacity building grant (ID 252977). GH: NHMRC (569861) and Heart Foundation of Australia postdoctoral fellowship (PH 08B 3905). BC: Australian Postgraduate Award and Queensland Health. PG: Heart Foundation of Australia postgraduate scholarship ( PP 06B 2889 ) and Queensland Health. DD: Victorian Health Promotion Foundation (VicHealth) Public Health Research Fellowship. NO: Queensland Health Core Research Infrastructure Grant.
PY - 2010/10
Y1 - 2010/10
N2 - 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 MarchApril 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 015 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% casecontrol, 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 casecontrol 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.
AB - 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 MarchApril 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 015 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% casecontrol, 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 casecontrol 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.
UR - http://www.scopus.com/inward/record.url?scp=77956577077&partnerID=8YFLogxK
U2 - 10.1016/j.amepre.2010.05.024
DO - 10.1016/j.amepre.2010.05.024
M3 - Review article
C2 - 20837291
AN - SCOPUS:77956577077
SN - 0749-3797
VL - 39
SP - 379
EP - 388
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
IS - 4
ER -