Keane Carol A, Kelly Peter J, Magee Christopher A, Callister Robin, Baker Amanda, Deane Frank P
a Centre for Health Initiatives , University of Wollongong , Wollongong , Australia.
b School of Psychology , University of Wollongong , Wollongong , Australia.
Subst Use Misuse. 2016 Aug 23;51(10):1363-78. doi: 10.3109/10826084.2016.1170144. Epub 2016 Jun 1.
There is a growing body of research linking sedentary behavior with increased risk of chronic disease and all-cause mortality. It is increasingly recommended that service providers address the multiple behavioral risk factors associated with these chronic diseases as part of routine substance abuse treatment.
The study objective was to investigate rates of physical activity and sedentary behavior in a residential substance abuse population. In addition, efficacy of a sedentary behavior intervention, "Sit Switch," was examined for feasibility in this context.
Participants (n = 54) were residents of The Salvation Army Recovery Service Centres located in Canberra and on the Gold Coast, Australia. Actigraph GT3X+ accelerometers were used to measure rates and patterns of sedentariness and physical activity. A nonrandomized controlled study of a single-session group intervention aimed at decreasing prolonged sitting ("Sit Switch") was conducted. Education, motivational-interviewing, and goal setting components underpinned the "Sit Switch" intervention.
Individuals were highly sedentary, spending 73% of daily activity at sedentary intensity engaged in inadequate levels of moderate physical activity (6.6%/day). The single session educational program did not lead to any significant changes in sedentary behavior. Conclusion/Importance: High levels of sedentariness and low levels of physical activity engagement are evident in residents in substance abuse treatment programs. It is strongly recommended that sedentariness, a modifiable risk behavior with independent consequences for cardiovascular disease and cancer, be addressed within residential programs.
越来越多的研究将久坐行为与慢性病风险增加及全因死亡率联系起来。越来越多的人建议服务提供者在常规药物滥用治疗中应对与这些慢性病相关的多种行为风险因素。
本研究的目的是调查住院药物滥用人群的身体活动和久坐行为发生率。此外，还考察了一种久坐行为干预措施“Sit Switch”在这种情况下的可行性。
参与者（n = 54）是位于澳大利亚堪培拉和黄金海岸的救世军康复服务中心的居民。使用Actigraph GT3X+加速度计来测量久坐和身体活动的发生率及模式。开展了一项针对减少久坐时间的单节小组干预措施（“Sit Switch”）的非随机对照研究。“Sit Switch”干预措施的基础是教育、动机访谈和目标设定。
个体久坐程度很高，日常活动中有73%的时间处于久坐强度，中等强度身体活动水平不足（每天6.6%）。单节教育项目并未导致久坐行为发生任何显著变化。结论/重要性：药物滥用治疗项目中的居民久坐程度高且身体活动参与度低，这一点很明显。强烈建议在住院项目中解决久坐问题，久坐是一种可改变的风险行为，会对心血管疾病和癌症产生独立影响。
