Physiological and health implications of a sedentary lifestyle

2010 ◽  
Vol 35 (6) ◽  
pp. 725-740 ◽  
Author(s):  
Mark Stephen Tremblay ◽  
Rachel Christine Colley ◽  
Travis John Saunders ◽  
Genevieve Nissa Healy ◽  
Neville Owen

Sedentary behaviour is associated with deleterious health outcomes, which differ from those that can be attributed to a lack of moderate to vigorous physical activity. This has led to the field of “sedentary physiology”, which may be considered as separate and distinct from exercise physiology. This paper gives an overview of this emerging area of research and highlights the ways that it differs from traditional exercise physiology. Definitions of key terms associated with the field of sedentary physiology and a review of the self-report and objective methods for assessing sedentary behaviour are provided. Proposed mechanisms of sedentary physiology are examined, and how they differ from those linking physical activity and health are highlighted. Evidence relating to associations of sedentary behaviours with major health outcomes and the population prevalence and correlates of sedentary behaviours are reviewed. Recommendations for future research are proposed.

2019 ◽  
Vol 217 (2) ◽  
pp. 413-419 ◽  
Author(s):  
Mats Hallgren ◽  
Thi-Thuy-Dung Nguyen ◽  
Neville Owen ◽  
Brendon Stubbs ◽  
Davy Vancampfort ◽  
...  

BackgroundSedentary behaviour can be associated with poor mental health, but it remains unclear whether all types of sedentary behaviour have equivalent detrimental effects.AimsTo model the potential impact on depression of replacing passive with mentally active sedentary behaviours and with light and moderate-to-vigorous physical activity. An additional aim was to explore these relationships by self-report data and clinician diagnoses of depression.MethodIn 1997, 43 863 Swedish adults were initially surveyed and their responses linked to patient registers until 2010. The isotemporal substitution method was used to model the potential impact on depression of replacing 30 min of passive sedentary behaviour with equivalent durations of mentally active sedentary behaviour, light physical activity or moderate-to-vigorous physical activity. Outcomes were self-reported depression symptoms (cross-sectional analyses) and clinician-diagnosed incident major depressive disorder (MDD) (prospective analyses).ResultsOf 24 060 participants with complete data (mean age 49.2 years, s.d. 15.8, 66% female), 1526 (6.3%) reported depression symptoms at baseline. There were 416 (1.7%) incident cases of MDD during the 13-year follow-up. Modelled cross-sectionally, replacing 30 min/day of passive sedentary behaviour with 30 min/day of mentally active sedentary behaviour, light physical activity and moderate-to-vigorous activity reduced the odds of depression symptoms by 5% (odds ratio 0.95, 95% CI 0.94–0.97), 13% (odds ratio 0.87, 95% CI 0.76–1.00) and 19% (odds ratio 0.81, 95% CI 0.93–0.90), respectively. Modelled prospectively, substituting 30 min/day of passive with 30 min/day of mentally active sedentary behaviour reduced MDD risk by 5% (hazard ratio 0.95, 95% CI 0.91–0.99); no other prospective associations were statistically significant.ConclusionsSubstituting passive with mentally active sedentary behaviours, light activity or moderate-to-vigorous activity may reduce depression risk in adults.


2020 ◽  
Author(s):  
Andrew Webster ◽  
G David Batty ◽  
Natalie Pearson ◽  
Emmanuel Stamatakis ◽  
Mark Hamer

AbstractAimsWhile physical activity appears to confer protection against depression, the relationship between sedentary behaviour and mental health is uncertain. Self-reported methods provide information about context although there may be error in the quantification of sedentary behaviour. Accordingly, we examined associations of both device-measured and self-reported sedentary behaviour with depression.MethodParticipants (n=4,704; 52.4% Female; aged 46-48) were drawn from the 1970 British Cohort Study. Sitting time and moderate-vigorous physical activity was measured using a thigh-worn accelerometer device (ActivPAL) over a seven day period. A range of self-reported sedentary behaviours was measured to provide context. Depression diagnosis was captured using a combination of self-reported consultation with a physician and use of anti-depressant medication. Malaise inventory was used to assess depressive symptoms.ResultsRelative to those who spent <8 hr/d sitting, those in the highest tertile of device measured sitting (>10 hr/d) had increased odds of depression diagnosis (odds ratio= 1.48 [95% confidence interval 1.05-2.08]). There was no association between self-reported TV viewing and depression diagnosis (1.07; 0.71-1.63). We observed protective associations between moderate-vigorous physical activity and depression diagnosis (highest tertile vs. the lowest tertile; 0.70;0.49-1.00). Associations of sitting time and physical activity with depression were mutually independent. Relative to <1 hours of internet usage, 2-3 and >3 hours of internet weekday usage were associated with increased odds of depressive symptoms (1.60;1.30-1.97 and 1.63;1.32-2.03, respectively).ConclusionDevice-measured sitting is associated depression diagnosis, although less consistent associations are observed with self-reported sedentary behaviours. Regular physical activity and reducing sedentary time may be beneficial for prevention of depression.


2020 ◽  
Vol 3 (4) ◽  
pp. 338-345
Author(s):  
Ryan Eckert ◽  
Jennifer Huberty ◽  
Heidi Kosiorek ◽  
Shannon Clark-Sienkiewicz ◽  
Linda Larkey ◽  
...  

Introduction: The delivery of online interventions in cancer patients/survivors has increased. The measurement of participation in online interventions is important to consider, namely, the challenges of the remote assessment of activity. The purpose of this study was to report the measures used to assess intervention compliance and other physical activity participation in two online yoga studies, the relationship between the multimethod measures used, and the ability of cancer patients to complete these measures. Methods: The methods described are of two online yoga studies (feasibility and pilot). Cancer patients were asked to participate in 60 min/week of online yoga for 12 weeks, complete a weekly yoga log, wear a Fitbit daily for 12 weeks, and complete a weekly physical activity log. Finally, Clicky®, a web analytics software, was used to track online yoga participation. Results: Eighty-four people participated across both studies, with 63/84 participating in online yoga, averaging 57.5 ± 33.2 min/week of self-reported yoga participation compared to 41.4 ± 26.1 min/week of Clicky® yoga participation (Lin concordance = 0.28). All 84 participants averaged 95.5 ± 111.8 min/week of self-reported moderate/vigorous physical activity compared with 98.1 ± 115.9 min/week of Fitbit-determined moderate/vigorous physical activity (Lin concordance = 0.33). Across both studies, 82.9% of the yoga logs were completed, the Fitbit was worn on 75.2% of the days, and 78.7% of the physical activity logs were completed. Conclusions: Weak relationships between self-report and objective measures were demonstrated, but the compliance rates were above 75% for the study measures. Future research is needed, investigating the intricacies of self-report physical activity participation in remote interventions and the validation of a gold standard measurement for online interventions.


2019 ◽  
Author(s):  
Stuart J Fairclough ◽  
Danielle L Christian ◽  
Pedro F Saint-Maurice ◽  
Paul R Hibbing ◽  
Robert J Noonan ◽  
...  

Abstract Background Calibration algorithms applied to the Youth Activity Profile (YAP) self-report questionnaire in the US have accurately estimated moderate-to-vigorous physical activity (MVPA) and sedentary behaviour (SB). However, the efficacy of the calibration algorithms may vary when applied to different populations. We aimed to: (1) assess the accuracy of US-generated YAP calibration algorithms for MVPA and SB with English youth, (2) validate English-specific YAP calibration algorithms, (3) examine their potential surveillance utility to assess compliance to MVPA guidelines. Methods Four primary schools and five secondary schools were recruited. Four-hundred-and-two participants (aged 9-16 years; 212 boys) wore SenseWear Armband Mini devices (SWA) for eight days and completed the YAP on the eighth day. For aim (1) the original US calibration algorithms were applied to the YAP scores, which were matched to SWA-estimated in-school, out-of-school, and weekend MVPA and out-of-school SB data. For aim (2) new calibration algorithms for the equivalent time-segments were generated from the English YAP data using quantile regression. The algorithms were applied in an independent cross-validation sample, and individual- and group-level agreement were assessed using bias, mean absolute percent error (MAPE) and equivalency tests, respectively. For aim (3) the utility of the English YAP algorithms to assess compliance to MVPA guidelines was examined using kappa, sensitivity, and specificity. Results Agreement between the US calibration algorithms and SWA estimates of MVPA and SB was poor. Group-level MAPE for the English YAP-estimates of in-school, out-of-school, and weekend MVPA ranged from 3.6% to 17.3%. Bias for these estimates were 17.2 (34.4), 31.6 (14.0), and -4.9 (3.6) min·week-1, respectively. Out-of-school SB was over-predicted by 109.2 (11.8) min·week-1 (MAPE=11.8%). Predicted YAP values were within 15%-20% equivalence of the SWA estimates. Classification accuracy of the English YAP MVPA estimates for compliance to 60 min·day-1 and 30 min·school-day-1 MVPA recommendations were 91%/37% and 89%/57% sensitivity/specificity, respectively. Conclusions The English YAP generated robust group-level estimates of MVPA and SB and has potential for surveillance to monitor compliance with MVPA guidelines. The YAP’s accuracy may be further improved through research work with more representative UK samples to enhance the calibration process and to refine the resultant algorithms.


2016 ◽  
Vol 41 (6 (Suppl. 3)) ◽  
pp. S311-S327 ◽  
Author(s):  
Mark S. Tremblay ◽  
Valerie Carson ◽  
Jean-Philippe Chaput ◽  
Sarah Connor Gorber ◽  
Thy Dinh ◽  
...  

Leaders from the Canadian Society for Exercise Physiology convened representatives of national organizations, content experts, methodologists, stakeholders, and end-users who followed rigorous and transparent guideline development procedures to create the Canadian 24-Hour Movement Guidelines for Children and Youth: An Integration of Physical Activity, Sedentary Behaviour, and Sleep. These novel guidelines for children and youth aged 5–17 years respect the natural and intuitive integration of movement behaviours across the whole day (24-h period). The development process was guided by the Appraisal of Guidelines for Research Evaluation (AGREE) II instrument and systematic reviews of evidence informing the guidelines were assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Four systematic reviews (physical activity, sedentary behaviour, sleep, integrated behaviours) examining the relationships between and among movement behaviours and several health indicators were completed and interpreted by expert consensus. Complementary compositional analyses were performed using Canadian Health Measures Survey data to examine the relationships between movement behaviours and health indicators. A stakeholder survey was employed (n = 590) and 28 focus groups/stakeholder interviews (n = 104) were completed to gather feedback on draft guidelines. Following an introductory preamble, the guidelines provide evidence-informed recommendations for a healthy day (24 h), comprising a combination of sleep, sedentary behaviours, light-, moderate-, and vigorous-intensity physical activity. Proactive dissemination, promotion, implementation, and evaluation plans have been prepared in an effort to optimize uptake and activation of the new guidelines. Future research should consider the integrated relationships among movement behaviours, and similar integrated guidelines for other age groups should be developed.


2020 ◽  
Author(s):  
Andrew Webster ◽  
G David Batty ◽  
Natalie Pearson ◽  
Emmanuel Stamatakis ◽  
Mark Hamer

Abstract Aims While physical activity appears to confer protection against depression, the relationship between sedentary behaviour and mental health is uncertain. Self-reported methods provide information about context although there may be error in the quantification of sedentary behaviour. Accordingly, we examined associations of both device-measured and self-reported sedentary behaviour with depression. Method Participants (n=4,704; 52.4% Female; aged 46-48) were drawn from the 1970 British Cohort Study. Sitting time and moderate-vigorous physical activity was measured using a thigh-worn accelerometer device (ActivPAL) over a seven day period. A range of self-reported sedentary behaviours was measured to provide context. Depression diagnosis was captured using a combination of self-reported consultation with a physician and use of anti-depressant medication. Malaise inventory was used to assess depressive symptoms. Results Relative to those who spent <8 hr/d sitting, those in the highest tertile of device measured sitting (>10 hr/d) had increased odds of depression diagnosis (odds ratio= 1.48 [95% confidence interval 1.05-2.08]). There was no association between self-reported TV viewing and depression diagnosis (1.07; 0.71-1.63). We observed protective associations between moderate-vigorous physical activity and depression diagnosis (highest tertile vs. the lowest tertile; 0.70;0.49-1.00). Associations of sitting time and physical activity with depression were mutually independent. Relative to <1 hours of internet usage, 2-3 and >3 hours of internet weekday usage were associated with increased odds of depressive symptoms (1.60;1.30-1.97 and 1.63;1.32-2.03, respectively). Conclusion Device-measured sitting is associated depression diagnosis, although less consistent associations are observed with self-reported sedentary behaviours. Regular physical activity and reducing sedentary time may be beneficial for prevention of depression.


2021 ◽  
Vol 7 (1) ◽  
pp. e000960
Author(s):  
Stephanie Stockwell ◽  
Mike Trott ◽  
Mark Tully ◽  
Jae Shin ◽  
Yvonne Barnett ◽  
...  

ObjectiveIn March 2020, several countries banned unnecessary outdoor activities during COVID-19, commonly called ‘lockdowns. These lockdowns have the potential to impact associated levels of physical activity and sedentary behaviour. Given the numerous health outcomes associated with physical activity and sedentary behaviour, the aim of this review was to summarise literature that investigated differences in physical activity and sedentary behaviour before vs during the COVID-19 lockdown.Design, data sources and eligibility criteriaElectronic databases were searched from November 2019 to October 2020 using terms and synonyms relating to physical activity, sedentary behaviour and COVID-19. The coprimary outcomes were changes in physical activity and/or sedentary behaviour captured via device-based measures or self-report tools. Risk of bias was measured using the Newcastle-Ottawa Scale.ResultsSixty six articles met the inclusion criteria and were included in the review (total n=86 981). Changes in physical activity were reported in 64 studies, with the majority of studies reporting decreases in physical activity and increases in sedentary behaviours during their respective lockdowns across several populations, including children and patients with a variety of medical conditions.ConclusionGiven the numerous physical and mental benefits of increased physical activity and decreased sedentary behaviour, public health strategies should include the creation and implementation of interventions that promote safe physical activity and reduce sedentary behaviour should other lockdowns occur.


2020 ◽  
Vol 54 (24) ◽  
pp. 1451-1462 ◽  
Author(s):  
Fiona C Bull ◽  
Salih S Al-Ansari ◽  
Stuart Biddle ◽  
Katja Borodulin ◽  
Matthew P Buman ◽  
...  

ObjectivesTo describe new WHO 2020 guidelines on physical activity and sedentary behaviour.MethodsThe guidelines were developed in accordance with WHO protocols. An expert Guideline Development Group reviewed evidence to assess associations between physical activity and sedentary behaviour for an agreed set of health outcomes and population groups. The assessment used and systematically updated recent relevant systematic reviews; new primary reviews addressed additional health outcomes or subpopulations.ResultsThe new guidelines address children, adolescents, adults, older adults and include new specific recommendations for pregnant and postpartum women and people living with chronic conditions or disability. All adults should undertake 150–300 min of moderate-intensity, or 75–150 min of vigorous-intensity physical activity, or some equivalent combination of moderate-intensity and vigorous-intensity aerobic physical activity, per week. Among children and adolescents, an average of 60 min/day of moderate-to-vigorous intensity aerobic physical activity across the week provides health benefits. The guidelines recommend regular muscle-strengthening activity for all age groups. Additionally, reducing sedentary behaviours is recommended across all age groups and abilities, although evidence was insufficient to quantify a sedentary behaviour threshold.ConclusionThese 2020 WHO guidelines update previous WHO recommendations released in 2010. They reaffirm messages that some physical activity is better than none, that more physical activity is better for optimal health outcomes and provide a new recommendation on reducing sedentary behaviours. These guidelines highlight the importance of regularly undertaking both aerobic and muscle strengthening activities and for the first time, there are specific recommendations for specific populations including for pregnant and postpartum women and people living with chronic conditions or disability. These guidelines should be used to inform national health policies aligned with the WHO Global Action Plan on Physical Activity 2018–2030 and to strengthen surveillance systems that track progress towards national and global targets.


2007 ◽  
Vol 32 (S2E) ◽  
pp. S195-S207 ◽  
Author(s):  
Dale W. Esliger ◽  
Mark S. Tremblay

The accurate measurement of habitual physical activity is fundamental to the study of the relationship between physical activity and health. However, many physical activity measurement techniques produce variables accurate to only the day level, such as total energy expenditure via self-report questionnaire, pedometer step counts, or accelerometer measurements of minutes of moderate to vigorous physical activity. Monitoring technologies providing more detailed information on physical activity and inactivity behaviour can now be used to explore the relationships between health and movement frequency, intensity, and duration more comprehensively. This paper explores the activity–inactivity profile that can be acquired through objective monitoring, with a focus on accelerometry. Using previously collected objective data, a detailed physical activity profile is presented and case study examples of data utilization and interpretation are provided. The rich detail captured through comprehensive profiling creates new surveillance and study possibilities and could possibly inform new physical activity guidelines. Data are presented in various formats to demonstrate the dangers of misinterpretation when monitoring population adherence to Canada’s physical activity guidelines. Recommendations for physical activity–inactivity profiling are provided and future research needs identified.


2008 ◽  
Vol 101 (5) ◽  
pp. 765-773 ◽  
Author(s):  
Emmanuel Stamatakis ◽  
Vasant Hirani ◽  
Kirsten Rennie

The aim of the present study was to investigate the relationships of physical activity types and sedentary behaviour with BMI and waist circumference (WC). The sample comprised 6215 adults (2775 men, 3440 women) aged 16 years and over living in Scotland. Self-reported physical activity of moderate to vigorous intensity (MVIA) included domestic activity, walking, and sports and exercises. MVIA levels were classified as being inactive, being insufficiently active, being sufficiently active for general health benefits and being sufficiently active for obesity prevention. Sedentary time was defined as television and other screen-based entertainment time (TVSE). Dependent variables were BMI-defined obesity (BMI-OB) and WC-defined obesity (WC-OB). TVSE was positively related to both WC-OB (adjusted OR 1·69 (95 % CI 1·39, 2·05) for ≥ 4 h of TVSE per d compared with < 2 h/d) and BMI-OB (OR 1·88; 95 % CI 1·51, 2·35) independently of MVIA. Those classified as most active who reported ≥ 4 h/d of TVSE had higher prevalence of BMI-OB (18·9 v. 8·3 %; P < 0·05) and WC-OB (28·0 v. 10·0 %; P < 0·01) than those equally active with < 2 h/d of TVSE. Sports and walking were related inversely to WC-OB (OR for no time compared with ≥ 30 min/d: 1·55 (95 % CI 1·24, 1·94); 2·06 (95 % CI 1·64, 2·58)), but only walking was related to BMI-OB (OR 1·94; 95 % CI 1·58, 2·37). Domestic physical activity was not related to BMI-OB or WC-OB. In conclusion, physical activity and sedentary behaviour are independently related to obesity. Public health recommendations should both promote physical activity and discourage engagement in sedentary pursuits.


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