Dutta Nirjhar, Walton Thomas, Pereira Mark A
Department of Medicine, University of Minnesota, Minneapolis, MN, United States of America.
Department of Anthropology, University of Minnesota, Minneapolis, MN, United States of America.
Prev Med Rep. 2019 Jan 16;13:277-280. doi: 10.1016/j.pmedr.2019.01.008. eCollection 2019 Mar.
Prolonged sedentary time is associated with adverse health outcomes, after controlling for the role of moderate-to-vigorous physical activity. We previously reported on a four-week randomized trial using a sit-stand desk (SSD) intervention that decreased sedentary time at work without changing activity level during non-work hours.
The purpose of this study was to measure the impact of the SSD on sitting time and activity level one year after the original intervention.
A pre-post design was used where the control period from the original study was regarded as "pre" and the measurements made in the follow-up study as "post." The follow-up study was conducted in the same office workers over a two-week period in June 2013.
Fifteen out of the 23 participants took part in the follow-up study. Self-reported sitting time during work-hours was decreased by 22% (95% CI: 15% to 29%; < 0.001), replaced almost entirely by standing. Activity measured by Gruve accelerometer during work-hours were significantly higher in the one-year follow-up period compared to baseline (+24,748 AU/h; 95% CI: 7150 to 42,347; < 0.01). Sedentary time during work-hours was decreased by 0.77 min per work-hour (95% CI: -1.88 to 0.33 min/h; = 0.17). Qualitative findings through focus group sessions suggested the workers had overall favorable experiences with the SSDs without negatively impacting productivity.
One year following the original intervention, participants continue to have increased activity and decreased sedentary time at work with the use of SSDs.
在控制了中度至剧烈身体活动的作用后,久坐时间延长与不良健康结果相关。我们之前报道了一项为期四周的随机试验,该试验使用坐站两用办公桌(SSD)干预措施,减少了工作时的久坐时间,同时不改变非工作时间的活动水平。
本研究的目的是测量原始干预一年后SSD对久坐时间和活动水平的影响。
采用前后设计,将原始研究的对照期视为“前”,随访研究中的测量视为“后”。随访研究于2013年6月在同一办公室工作人员中进行,为期两周。
23名参与者中有15名参加了随访研究。自我报告的工作时间久坐时间减少了22%(95%置信区间:15%至29%;P<0.001),几乎完全被站立所取代。与基线相比,在一年随访期内,使用Gruve加速度计测量的工作时间活动显著更高(+24,748任意单位/小时;95%置信区间:7150至42,347;P<0.01)。工作时间的久坐时间每工作小时减少0.77分钟(95%置信区间:-1.88至0.33分钟/小时;P = 0.17)。通过焦点小组会议得出的定性结果表明,员工对SSD总体上有良好的体验,且不会对生产力产生负面影响。
在原始干预一年后,参与者使用SSD继续在工作时增加了活动并减少了久坐时间。