Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Van der Boechorststraat, Amsterdam, The Netherlands.
Prevention Research Collaboration, School of Public Health, University of Sydney, Sydney, Australia.
PLoS One. 2019 Nov 12;14(11):e0225228. doi: 10.1371/journal.pone.0225228. eCollection 2019.
This study explores trends in the prevalence of high sitting time and its correlates among "high sitting" and "high sitting-least active" European adults from 2002 to 2017. Both groups have merit for future public health interventions to prevent development of a range of prevalent non-communicable diseases.
Data collected in the 2002 (15 countries), 2005 (30 countries), 2013 (28 countries) and 2017 (28 countries) Eurobarometer surveys were used, including around 15,000 respondents in 2002 and >26,000 respondents in the other years. Sitting time and moderate to vigorous intensity physical activity were measured with the validated International Physical Activity Questionnaire-short. High sitting was defined as >7.5 hours per day. Respondents in the lowest quartile of total reported days of physical activity (i.e. days walking, days in moderate activity, and days in vigorous activity) were defined as least active. Multivariate odds ratios of high sitting, and high sitting-least active were assessed by country and socio-demographic characteristics for each survey year using binary logistic regression analyses.
Trends in sitting time were relatively stable over a 15-year period, although this time trend was limited by a change in the sitting question between 2005 and 2013. Men, higher educated people, students, retired people, white collar workers, people living in urban areas, people with lower physical activity levels, and people living in the Czech Republic, Denmark or the Netherlands were consistently more likely to be in the high sitting group across all four survey years. Similarly, men, students, retired people, unemployed people, white collar workers, and people living in the Czech Republic or Denmark were consistently more likely to be in the high sitting-least active group across all four surveys.
This study identified population sub-groups that need special attention in public health interventions to lower total sitting time.
本研究探讨了 2002 年至 2017 年期间，“久坐”和“久坐-最不活跃”的欧洲成年人中，长时间久坐的流行趋势及其相关因素。这两个群体都有潜力为未来预防一系列常见非传染性疾病的公共卫生干预措施提供参考。
使用了 2002 年（15 个国家）、2005 年（30 个国家）、2013 年（28 个国家）和 2017 年（28 个国家）的欧洲民意调查数据，包括 2002 年约 15000 名受访者和其他年份超过 26000 名受访者。使用经过验证的国际体力活动问卷-短版来测量久坐时间和中等到剧烈强度的体力活动。久坐时间超过 7.5 小时/天定义为高久坐。将报告的体力活动天数最低四分位数（即步行天数、中度活动天数和剧烈活动天数）的人定义为最不活跃。使用二元逻辑回归分析，根据每个调查年份的国家和社会人口特征评估高久坐和高久坐-最不活跃的多变量优势比。
在 15 年的时间里，久坐时间的趋势相对稳定，尽管这一时间趋势受到 2005 年至 2013 年久坐问题变化的限制。男性、受教育程度较高的人、学生、退休人员、白领、居住在城市地区的人、体力活动水平较低的人以及居住在捷克共和国、丹麦或荷兰的人在所有四个调查年份中都更有可能属于久坐组。同样，男性、学生、退休人员、失业人员、白领和居住在捷克共和国或丹麦的人在所有四个调查中都更有可能属于久坐-最不活跃组。
本研究确定了在降低总久坐时间的公共卫生干预措施中需要特别关注的人群亚组。
