scholarly journals Co-Production at Work: The Process of Breaking Up Sitting Time to Improve Cardiovascular Health. A Pilot Study

2021 ◽  
Vol 19 (1) ◽  
pp. 361
Author(s):  
Thomas D. Griffiths ◽  
Diane Crone ◽  
Mike Stembridge ◽  
Rachel N. Lord
Keyword(s):  
Physical Activity ◽  
Focus Groups ◽  
Large Scale ◽  
Cardiovascular Health ◽  
Work Productivity ◽  
Needs Analysis ◽  
Sitting Time ◽  
Physical Activity Interventions ◽  
Working Day ◽  
Pilot Intervention

Prolonged sitting negatively affects several cardiovascular disease biomarkers. Current workplace physical activity interventions to reduce sitting result in inconsistent uptake and adherence rates. Co-production attempts to improve the translation of evidence to practice through engaging the participants within the intervention design, improving the context sensitivity and acceptability of the intervention. A needs analysis questionnaire was initially conducted (n = 157) to scope workplace behaviours and attitudes. A development group (n = 11) was consulted in focus groups around the needs analysis findings and asked to comment on the feasibility of a proposed intervention. A pilot intervention was then carried out (n = 5). The needs analysis indicated that only 1.8% (n = 4) engaged in occupational physical activity, and 68.7% (n = 103) sat for ≥6 h during their working day. Through the focus groups, an intervention breaking up sitting time hourly with five-minute walking breaks was co-produced. Cultural and pragmatic issues concerning the implementation of frequent physical activity breaks from sitting and the subsequent impact on work productivity were highlighted. The pilot intervention increased the number of breaks from sedentary behaviour from 2 to 11. The co-production methodology resulted in a research- and stakeholder-guided compromise. Large-scale intervention implementation is required before firm effectiveness conclusions can be made.

SMART STEP – SMARTphone-driven exercise and pedometer-based STEP intervention to promote physical activity among desk-based employees: Study protocol for a three-arm cluster randomized controlled trial

Work ◽  
2021 ◽  
pp. 1-17
Author(s):  
Baskaran Chandrasekaran ◽  
Chythra R Rao ◽  
Fiddy Davis ◽  
Ashokan Arumugam
Keyword(s):  
Physical Activity ◽  
Cognitive Performance ◽  
Sports Medicine ◽  
Cardiometabolic Risk ◽  
Controlled Trial ◽  
Fasting Blood Glucose ◽  
Subcutaneous Fat ◽  
Work Productivity ◽  
Sitting Time ◽  
Sickness Absenteeism

BACKGROUND: Prolonged sitting in desk-based office workers is found to be associated with increased cardiometabolic risk and poor cognitive performance. Technology-based physical activity (PA) interventions using smartphone applications (SmPh app) to promote PA levels might be effective in reducing cardiometabolic risk among sedentary population but the evidence remains inconclusive. OBJECTIVE: The objective is to investigate the effects of a technology-based PA intervention compared to PA education with a worksite manual or no intervention on PA levels, cardiometabolic risk, cognitive performance, and work productivity among desk-based employees. METHOD: A three-arm clustered randomized trial will be conducted. The study will be conducted among various administrative offices of a multifaceted university in India. Desk-based employees aged between 30 and 50 years (n = 159; 53 in each arm) will be recruited. Employees from various constituent institutions (clusters) of the university will be randomized into one of the three following groups - SMART: SmPh app-driven break reminders (visual exercise prompts) plus pedometer-based step intervention, TRADE: worksite PA education with a manual plus American College of Sports Medicine guided PA prescription, or CONTROL: usual work group. At baseline and after the 1st, 3rd and 6th month of the trial period, accelerometer-measured sitting time and PA levels, cardiometabolic risk (fasting blood glucose, triglycerides, insulin, blood pressure, heart rate variability, functional capacity, and subcutaneous fat), cognitive performance (executive function), sickness absenteeism and work limitations will be assessed by a blinded assessor. Therapist delivering interventions will not be blinded. CONCLUSION: This trial will determine whether a combined SmPh-app and pedometer-based intervention is more effective than education or no intervention in altering PA levels, cardiometabolic risk and cognitive performance among desk-based employees in India. This study has the potential to foster institutional recommendations for using SmPh-based technology and pedometers to promote PA at work.

scholarly journals High School Students Voice Regarding School-based Physical Activity: Perceived Barriers and Facilitating Factors

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Marie Dubuc ◽  
Seira Fortin-Suzuki ◽  
Sylvie Beaudoin ◽  
Felix Berrigan ◽  
Sylvain Turcotte
Keyword(s):  
Physical Activity ◽  
High School ◽  
High School Students ◽  
Focus Groups ◽  
Qualitative Content Analysis ◽  
School Students ◽  
Online Questionnaire ◽  
Physical Activity Interventions ◽  
School Based ◽  
Facilitating Factors

Objective: To contribute to the development of tailored school-based physical activity interventions, in this study, we aimed to identify the perceived facilitating factors and barriers of high school students toward their physical activity in the school environment. Methods: A total of 139 students from 4 different high schools completed an online questionnaire comprising open-ended questions on their perceived facilitating factors and barriers toward their physical activity at school. Thereafter, 100 of these students participated in one of the 16 focus groups designed to deepen students’ responses regarding their perceived facilitating factors and barriers. Qualitative content analysis was performed to classify data according to the Social-Ecological Model. Results: Through questionnaires, students mostly identified intrapersonal elements as facilitating factors and barriers to their practice of physical activity, as opposed to institutional factors during the focus groups. Girls strongly valued the characteristics of the interventions and of the involved school stakeholders. Conclusions: Our results allow us to qualify the current understanding of high school students’ perceived facilitating factors and barriers toward school-based physical activity and strengthen the relevance of surveying students prior to the development and implementation of physical activity interventions.

scholarly journals Physical activity, diet and quality of life during mandatory (COVID-19) quarantine following repatriation

2020 ◽  
Vol 8 ◽  
pp. 2050313X2097250
Author(s):  
Philippe Jean-Luc Gradidge ◽  
Herculina Salome Kruger
Keyword(s):  
Physical Activity ◽  
South African ◽  
Cardiovascular Health ◽  
Sitting Time ◽  
Physical And Mental Health ◽  
Physically Active ◽  
Self Monitoring ◽  
Prolonged Sitting ◽  
Online Tools

The coronavirus disease 2019 crisis in South Africa has been managed through an effective evidence-based approach. The aim of this case report was to determine the value of staying physically active during the coronavirus disease 2019 pandemic, using online resources to prevent the harmful effects of sedentary behaviour under confined living conditions. A repatriated South African citizen was placed into monitored 14-day quarantine confined to a room, self-monitoring dietary intake and physical and health measures, while engaged in online exercise videos and indoor walking. This study demonstrates that structured indoor activity improves physical and mental health outcomes, despite prolonged sitting time during the day. During the current pandemic and in the presence of limited freedom of movement, sustained physical activity is made feasible by accessing online tools and resources, essentially reducing vulnerability to existing cardiovascular health concerns. However, these findings are based on a single participant and therefore further study is required.

scholarly journals Nurse Educators’ Occupational and Leisure Sitting Time

2016 ◽  
Vol 65 (5) ◽  
pp. 184-187
Author(s):  
Lizbeth P. Sturgeon ◽  
Dawn Garrett-Wright ◽  
Eve Main ◽  
Donna Blackburn ◽  
M. Susan Jones
Keyword(s):  
Physical Activity ◽  
General Health ◽  
Nurse Educators ◽  
Leisure Activities ◽  
Health Indicators ◽  
Sitting Time ◽  
Convenience Sample ◽  
Working Day ◽  
Self Reported Health Status ◽  
Limited Physical Activity

Prolonged sitting time (ST) is a risk factor for all-cause mortality, independent of physical activity. Nurse educators are particularly at risk due to limited physical activity, older age, and the increasing use of computers. This descriptive correlational study was designed to explore the ST of nurse educators in relation to their self-reported health status and general health indicators. A convenience sample of 56 nurse educators was recruited, and participants completed demographic items, general health questions, and the Workforce Sitting Questionnaire (WSQ; Chau, van der Ploeg, Dunn, Kurko, & Bauman, 2011). More than one half of the participants were either overweight or obese based on their body mass index (BMI). Sitting time domains for “watching TV” on a non-working day ( r = 1.00) and during “other leisure activities” on a non-working day ( r = 1.00) were associated with a current diagnosis of diabetes. These findings add to an understanding of the effects of ST on health risks for nurse educators.

How Sedentary Are Older People? A Systematic Review of the Amount of Sedentary Behavior

2015 ◽  
Vol 23 (3) ◽  
pp. 471-487 ◽  
Author(s):  
Juliet A. Harvey ◽  
Sebastien F.M. Chastin ◽  
Dawn A. Skelton
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Behavior ◽  
Successful Aging ◽  
Large Scale ◽  
Well Being ◽  
Self Report ◽  
Sitting Time ◽  
Scale Population ◽  
Data Source

Background/objectives:Sedentary behavior (SB), defined as sitting (nonexercising), reclining, and lying down (posture), or by low energy expenditure, is a public health risk independent to physical activity. The objective of this systematic literature review was to synthesize the available evidence on amount of SB reported by and measured in older adults.Data source:Studies published between 1981 and 2014 were identified from electronic databases and manual searching. Large-scale population studies/surveys reporting the amount of SB (objective/subjective) in older adults aged ≥ 60 years of age were included. Appraisal and synthesis was completed using MOOSE guidelines.Results:349,698 adults aged ≥ 60 within 22 studies (10 countries and 1 EU-wide) were included. Objective measurement of SB shows that older adults spend an average of 9.4 hr a day sedentary, equating to 65–80% of their waking day. Self-report of SB is lower, with average weighted self-reports being 5.3 hr daily. Within specific domains of SB, older adults report 3.3 hr in leisure sitting time and 3.3 hr watching TV. There is an association with more time spent in SB as age advances and a trend for older men to spend more time in SB than women.Conclusion/implications:Time spent sedentary ranges from 5.3–9.4 hr per waking day in older adults. With recent studies suggesting a link between SB, health, and well-being, independent of physical activity, this is an area important for successful aging.Limitations:Different methodologies of measurement and different reporting methods of SB made synthesis difficult. Estimated SB time from self-report is half of that measured objectively; suggesting that most self-report surveys of SB will vastly underestimate the actual time spent in SB.

scholarly journals Low total physical activity, high total sitting time and high sitting time on a work day are correlated with low fitness in male working adults: a cross sectional study

2019 ◽  
Vol 18 (2) ◽  
pp. 279-287
Author(s):  
Rakhmat Ari Wibowo ◽  
Widya Wasityastuti ◽  
Zaenal Muttaqien Sofro
Keyword(s):  
Physical Activity ◽  
Cross Sectional Study ◽  
Total Physical Activity ◽  
Sitting Time ◽  
Multivariate Techniques ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fitness Level ◽  
Working Adults ◽  
Working Day

Background : Low fitness is an emerging factor for cardiovascular diseases. Physical activity and sitting time are arising factors that influence fitness level. There are some debates on what domain of physical activity and sitting time that have more influences on fitness level. The aims of this study were to (1) explore each domain of physical activity & sitting time and analyze their associations with low fitness in male working adults and (2) explore the differences between sitting time on a working day and a day-off. Method :In this cross-sectional study, a total of 31 healthy male staffs were recruited. Participants used International Physical Activity Questionnaire (IPAQ) long version to recall their physical activity and sitting time, and their fitness level was measured by a submaximal exercise test. Data were analyzed both by univariate and multivariate techniques. Multivariable logistic regressions were employed to calculate Odds Ratio (OR) of low fitness by each domain of physical activity and sitting time. Result : Data of 27 participants were considered for analysis. Total physical activity was inversely associated with low fitness [OR 0.961, 95% Confidence Interval (95% CI) 0.928 – 0.995]. Total sitting time and sitting time on a working day were positively associated with low fitness (total sitting time: OR 1.101, 95% CI 1.001-1.211; sitting time on a working day: OR 1.01, 95% CI 1.001-1.019). We also observed that sitting on a working day was significantly higher than sitting time on a day-off (p = 0.004). Conclusion : The results support association of total physical activity, total sitting time and sitting time on a working day with fitness level. There were also difference between sitting time on a working day and a day-off. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.279-287

scholarly journals A Pilot Study of Increasing Nonpurposeful Movement Breaks at Work as a Means of Reducing Prolonged Sitting

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Dean Cooley ◽  
Scott Pedersen
Keyword(s):  
Physical Activity ◽  
Pilot Study ◽  
Health Intervention ◽  
Sitting Time ◽  
Computer Screen ◽  
Occupational Sitting ◽  
Prolonged Sitting ◽  
Physical Activity Interventions ◽  
Movement Break ◽  
Professional Workplace

There is a plethora of workplace physical activity interventions designed to increase purposeful movement, yet few are designed to alleviate prolonged occupational sitting time. A pilot study was conducted to test the feasibility of a workplace e-health intervention based on a passive approach to increase nonpurposeful movement as a means of reducing sitting time. The study was trialled in a professional workplace with forty-six participants (33 females and 13 males) for a period of twenty-six weeks. Participants in the first thirteen weeks received a passive prompt every 45 minutes on their computer screen reminding them to stand and engage in nonpurposeful activity throughout their workday. After thirteen weeks, the prompt was disabled, and participants were then free to voluntary engage the software. Results demonstrated that when employees were exposed to a passive prompt, as opposed to an active prompt, they were five times more likely to fully adhere to completing a movement break every hour of the workday. Based on this pilot study, we suggest that the notion that people are willing to participate in a coercive workplace e-health intervention is promising, and there is a need for further investigation.

scholarly journals Engaging With the Community to Promote Physical Activity in Urban Neighborhoods

2018 ◽  
Vol 33 (5) ◽  
pp. 718-726 ◽  
Author(s):  
Janet A. Deatrick ◽  
Heather Klusaritz ◽  
Rahshida Atkins ◽  
Ansley Bolick ◽  
Cory Bowman ◽  
...  
Keyword(s):  
Physical Activity ◽  
Focus Groups ◽  
Urban Communities ◽  
Resource Sharing ◽  
Ecological Model ◽  
Community Based Participatory Research ◽  
Urban Neighborhoods ◽  
Athletic Coaches ◽  
Physical Activity Interventions ◽  
And Gender

Purpose: To describe perceptions of physical activity, opinions, on intergenerational approaches to physical activity and a vision for increasing physical activity in an underresourced urban community. Approach: Focus groups embedded in a large Community-Based Participatory Research Project. Setting: West and Southwest Philadelphia. Participants: 15 parents, 16 youth, and 14 athletic coaches; youth were 13 to 18 years old and attended West Philadelphia schools; parents’ children attended West Philadelphia schools; and coaches worked in West Philadelphia schools. Methods: Six focus groups (2 youth, 2 parent, and 2 coach) were conducted guided by the Socio-Ecological Model; transcriptions were analyzed using a rigorous process of directed content analysis. Results: Factors on all levels of the Socio-Ecological Model influence the perception of and engagement in physical activity for youth and their families. Future strategies to increase engagement in physical activity need to be collaborative and multifaceted. Conclusion: When physical activity is reframed as a broad goal that is normative and gender-neutral, a potential exists to engage youth and their families over their lifetimes; with attention to cross-sector collaboration and resource sharing, engaging and sustainable intergenerational physical activity interventions can be developed to promote health in underresourced urban communities.

scholarly journals Should cardiac rehabilitation programmes be specifically targeting sedentary time?

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
A Henderson ◽  
J Curley ◽  
D Mcdaid ◽  
G Clendenning ◽  
D Mcglinchey ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Sedentary Behaviour ◽  
Cardiovascular Health ◽  
Sedentary Time ◽  
Self Report ◽  
Sitting Time ◽  
Initial Assessment ◽  
Moderate Intensity ◽  
Cardiovascular Patients

Abstract Funding Acknowledgements Type of funding sources: None. Background / Introduction Structured exercise classes and advice regarding regular moderate intensity physical activity are well-established components of cardiac rehabilitation (CR). Sedentary behaviour, refers to activities typically sitting or lying that do not substantially increase energy expenditure above resting, and increasing evidence suggests adults should limit their sedentary time to less than 9 hours/day as such behaviour with increased cardiovascular and all-cause mortality with additional benefits likely gained sitting less than 6-8 hours/day. Nonetheless sedentary behaviours are often overlooked or are only partially assessed via self-report in CR programmes. Due to covid restrictions (lockdown, social distancing, suspension of face-to-face CR programmes) there is concern that sedentary time may further increase in this population. Thus, it may be important to effectively monitor and target sedentary time, alongside traditional advice, to minimise its negative health impacts. Purpose Can a CR programme, adapted to remote delivery due to covid, objectively measure sedentary behaviour in a way that is feasible in every day practice and acceptable to patients? Methods Consecutive cardiovascular patients attending an initial assessment (via telephone or video) on the Our Hearts Our Minds Programme for Cardiovascular Health between December 2020 and February 2021 were asked to wear activPAL (PAL technologies Ltd., Glasgow, UK), a triaxial accelerometer, on their thigh for 7 days to measure the postural aspect of sedentary behaviour. On return of the monitor, the data was analysed using proprietary algorithms (intelligent activity classification) generating a report summarising time spent sitting, prolonged sitting, step count average, number of sit to stand transitions, moderate intensity activity minutes, most sedentary time(s) of the day and percentages spent in these activities. This personalised report was shared with the patient and their goals in terms of sedentary behaviour and physical activity were discussed and agreed. Results 59 referrals were received between mid December 2020 and February 2021, of which 52 had an initial virtual assessment. Of these, 50 patients accepted an activPAL (96% response rate). Mean age 62.6 years. The output from the activPal is shown in table 1. The average sitting time overall was 9 hours 36 minutes. The breakdown in proportions sitting for extended periods of time are detailed in table below Conclusion 2/3 of cardiovascular patients attending CR had levels of sitting time greater than what is recommended following their IA. Measuring sedentary time beyond self-report in CR programmes using activPal was feasible in a CR programme with 96% of consecutive patients wearing and returning activPAL.  Repeat analysis at end of programme will show if use of this data results in reduction of same .

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