The University of Queensland, School of Population Health, Brisbane, Australia.
Prev Med. 2013 Jul;57(1):43-8. doi: 10.1016/j.ypmed.2013.04.004. Epub 2013 Apr 15.
To investigate the short-term efficacy of a multicomponent intervention to reduce office workers' sitting time.
Allocation for this non-randomized controlled trial (n=43 participants; 56% women; 26-62 years; Melbourne, Australia) was by office floor, with data collected during July-September 2011. The 4-week intervention emphasized three key messages: "Stand Up, Sit Less, Move More" and comprised organizational, environmental, and individual elements. Changes in minutes/day at the workplace spent sitting (primary outcome), in prolonged sitting (sitting time accumulated in bouts ≥ 30 min), standing, and moving were objectively measured (activPAL3).
Relative to the controls, the intervention group significantly reduced workplace sitting time (mean change [95%CI]: -125 [-161, -89] min/8-h workday), with changes primarily driven by a reduction in prolonged sitting time (-73 [-108, -40] min/8-h workday). Workplace sitting was almost exclusively replaced by standing (+127 [+92, +162] min/8-h workday) with non-significant changes to stepping time (-2 [-7, +4] min/8-h workday) and number of steps (-70 [-350, 210]).
This multicomponent workplace intervention demonstrated that substantial reductions in sitting time are achievable in an office setting. Larger studies with longer timeframes are needed to assess sustainability of these changes, as well as their potential longer-term impacts on health and work-related outcomes.
探究一项旨在减少上班族久坐时间的多组分干预措施的短期效果。
本非随机对照试验(n=43 名参与者;女性占 56%;26-62 岁;澳大利亚墨尔本)按照办公楼层进行分配,数据于 2011 年 7 月至 9 月期间收集。为期 4 周的干预强调了三条关键信息:“站起来,少坐,多活动”,包括组织、环境和个人元素。使用 activPAL3 客观测量工作场所久坐时间(主要结局)、长时间久坐(≥ 30 分钟的久坐时间积累)、站立和活动的变化。
与对照组相比,干预组工作场所久坐时间显著减少(平均变化[95%CI]:-125 [-161,-89] min/8 小时工作日),主要是由于长时间久坐时间减少(-73 [-108,-40] min/8 小时工作日)。工作场所久坐几乎完全被站立所取代(+127 [+92,+162] min/8 小时工作日),而踏步时间(+2 [-7,+4] min/8 小时工作日)和步数(-70 [-350,210])无显著变化。
这项多组分的工作场所干预措施表明,在办公环境中可以实现久坐时间的大幅减少。需要进行更大规模、更长时间的研究,以评估这些变化的可持续性,以及它们对健康和与工作相关结果的潜在长期影响。