Department of Clinical Psychology, University of Sheffield, Sheffield, UK.
Academic Unit of Elderly Care and Rehabilitation, Leeds Institute of Health Sciences, Temple Bank House, University of Leeds, Bradford Royal Infirmary, Bradford, BD9 6RJ, UK.
BMC Public Health. 2019 Aug 13;19(1):1099. doi: 10.1186/s12889-019-7365-1.
Sedentary behaviour is any waking behaviour characterised by an energy expenditure of ≤1.5 metabolic equivalent of task while in a sitting or reclining posture. Prolonged bouts of sedentary behaviour have been associated with negative health outcomes in all age groups. We examined qualitative research investigating perceptions and experiences of sedentary behaviour and of participation in non-workplace interventions designed to reduce sedentary behaviour in adult populations.
A systematic search of seven databases (MEDLINE, AMED, Cochrane, PsychINFO, SPORTDiscus, CINAHL and Web of Science) was conducted in September 2017. Studies were assessed for methodological quality and a thematic synthesis was conducted. Prospero database ID: CRD42017083436.
Thirty individual studies capturing the experiences of 918 individuals were included. Eleven studies examined experiences and/or perceptions of sedentary behaviour in older adults (typically ≥60 years); ten studies focused on sedentary behaviour in people experiencing a clinical condition, four explored influences on sedentary behaviour in adults living in socio-economically disadvantaged communities, two examined university students' experiences of sedentary behaviour, two on those of working-age adults, and one focused on cultural influences on sedentary behaviour. Three analytical themes were identified: 1) the impact of different life stages on sedentary behaviour 2) lifestyle factors influencing sedentary behaviour and 3) barriers and facilitators to changing sedentary behaviour.
Sedentary behaviour is multifaceted and influenced by a complex interaction between individual, environmental and socio-cultural factors. Micro and macro pressures are experienced at different life stages and in the context of illness; these shape individuals' beliefs and behaviour related to sedentariness. Knowledge of sedentary behaviour and the associated health consequences appears limited in adult populations, therefore there is a need for provision of accessible information about ways in which sedentary behaviour reduction can be integrated in people's daily lives. Interventions targeting a reduction in sedentary behaviour need to consider the multiple influences on sedentariness when designing and implementing interventions.
久坐行为是指任何清醒状态下的行为，其特点是坐姿或斜倚时的能量消耗≤1.5 个代谢当量任务。长时间的久坐行为与所有年龄段的负面健康结果有关。我们研究了定性研究，调查了对久坐行为的看法和经验，以及参与旨在减少成年人群体久坐行为的非工作场所干预措施的看法和经验。
我们于 2017 年 9 月对 7 个数据库（MEDLINE、AMED、Cochrane、PsychINFO、SPORTDiscus、CINAHL 和 Web of Science）进行了系统检索。对研究进行了方法学质量评估，并进行了主题综合分析。Prosporo 数据库 ID：CRD42017083436。
共纳入 30 项个体研究，共纳入 918 名个体的经验。11 项研究调查了老年人（通常≥60 岁）久坐行为的经验和/或看法；10 项研究关注患有临床疾病的人的久坐行为；4 项研究探讨了社会经济弱势社区中成年人久坐行为的影响因素；2 项研究考察了大学生的久坐行为经验；2 项研究针对工作年龄成年人的久坐行为经验，1 项研究聚焦于文化对久坐行为的影响。确定了三个分析主题：1）不同生命阶段对久坐行为的影响；2）影响久坐行为的生活方式因素；3）改变久坐行为的障碍和促进因素。
久坐行为是多方面的，受到个人、环境和社会文化因素之间复杂相互作用的影响。在不同的生命阶段和疾病背景下，都会感受到微观和宏观的压力；这些压力塑造了个体与久坐相关的信念和行为。成年人对久坐行为及其相关健康后果的认识似乎有限，因此需要提供有关如何将减少久坐行为融入日常生活的信息。针对减少久坐行为的干预措施在设计和实施干预措施时需要考虑到对久坐行为的多种影响。
