Abstract
Sedentary behaviour reduction could be a health-promoting strategy for individuals with overweight and obesity who may have substantial barriers to engaging in moderate-to-vigorous-intensity physical activity. Several intervention studies have explicitly targeted sedentary behaviour reduction in adults with overweight and obesity. Nearly all are small, short-term (only one lasted longer than 12 weeks), acceptability, and feasibility studies. Findings suggest that reducing sedentary time is feasible with reductions of up to 110 min per day. A variety of approaches have been tested including smartphone applications, workplace pedal machines, and television restriction. In the small number of studies measuring health outcomes, there was some evidence of improvements in waist circumference, blood pressure, and physical function, but none of the studies reduced weight. Overall, more research is needed from randomized trials with longer follow-up periods and more intensive interventions to determine if there are health benefits for reducing sedentary time among overweight and obese populations.
References
Shiroma EJ, Freedson P, Trost SG, Lee IM. Patterns of accelerometer-assessed sedentary behavior in older women. JAMA. 2013;310(23):2562–3.
Tudor-Locke C, Brashear MM, Johnson WD, Katzmarzyk PT. Accelerometer profiles of physical activity and inactivity in normal weight, overweight, and obese U.S. men and women. Int J Behav Nutr Phys Act. 2010;7:60.
Wang YC, McPherson K, Marsh T, Gortmaker SL, Brown M. Health and economic burden of the projected obesity trends in the USA and the UK. Lancet. 2011;378(9793):815–25.
Wee CC, Phillips RS, Legedza AT, Davis RB, Soukup JR, Colditz GA, et al. Health care expenditures associated with overweight and obesity among US adults: importance of age and race. Am J Public Health. 2005;95(1):159–65.
Finkelstein EA, Trogdon JG, Cohen JW, Dietz W. Annual medical spending attributable to obesity: payer-and service-specific estimates. Health Aff. 2009;28(5):w822–31.
Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. JAMA. 2012;307(5):491–7.
Der Ananian C, Wilcox S, Saunders R, Watkins K, Evans A. Factors that influence exercise among adults with arthritis in three activity levels. Prev Chronic Dis. 2006;3(3):A81.
Tucker JM, Welk GJ, Beyler NK. Physical activity in U.S.: adults compliance with the Physical Activity Guidelines for Americans. Am J Prev Med. 2011;40(4):454–61.
Lee C, Ory MG, Yoon J, Forjuoh SN. Neighborhood walking among overweight and obese adults: age variations in barriers and motivators. J Community Health. 2013;38(1):12–22.
Ekkekakis P, Lind E. Exercise does not feel the same when you are overweight: the impact of self-selected and imposed intensity on affect and exertion. Int J Obes. 2006;30(4):652–60.
Healy GN, Wijndaele K, Dunstan DW, Shaw JE, Salmon J, Zimmet PZ, et al. Objectively measured sedentary time, physical activity, and metabolic risk: the Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Diabetes Care. 2008;31(2):369–71.
Healy GN, Matthews CE, Dunstan DW, Winkler EA, Owen N. Sedentary time and cardio-metabolic biomarkers in US adults: NHANES 2003-06. Eur Heart J. 2011;32(5):590–7.
Levine JA, Lanningham-Foster LM, McCrady SK, Krizan AC, Olson LR, Kane PH, et al. Interindividual variation in posture allocation: possible role in human obesity. Science. 2005;307(5709):584–6.
Martin A, Fitzsimons C, Jepson R, Saunders DH, van der Ploeg HP, Teixeira PJ, et al. Interventions with potential to reduce sedentary time in adults: systematic review and meta-analysis. Br J Sports Med. 2015;49(16):1056–63.
Prince SA, Saunders TJ, Gresty K, Reid RD. A comparison of the effectiveness of physical activity and sedentary behaviour interventions in reducing sedentary time in adults: a systematic review and meta-analysis of controlled trials. Obes Rev. 2014;15(11):905–19.
Otten JJ, Jones KE, Littenberg B, Harvey-Berino J. Effects of television viewing reduction on energy intake and expenditure in overweight and obese adults: a randomized controlled trial. Arch Intern Med. 2009;169(22):2109–15.
Kozey-Keadle S, Libertine A, Staudenmayer J, Freedson P. The feasibility of reducing and measuring sedentary time among overweight, non-exercising office workers. J Obes. 2012;2012:282303.
Judice PB, Hamilton MT, Sardinha LB, Silva AM. Randomized controlled pilot of an intervention to reduce and break-up overweight/obese adults’ overall sitting-time. Trials. 2015;16:490.
Rosenberg DE, Gell NM, Jones SM, Renz A, Kerr J, Gardiner PA, et al. The feasibility of reducing sitting time in overweight and obese older adults. Health Educ Behav. 2015;42(5):669–76.
Adams MM, Davis PG, Gill DL. A hybrid online intervention for reducing sedentary behavior in obese women. Front Public Health. 2013;1:45.
Kozey-Keadle S, Staudenmayer J, Libertine A, Mavilia M, Lyden K, Braun B, et al. Changes in sedentary time and physical activity in response to an exercise training and/or lifestyle intervention. J Phys Act Health. 2014;11(7):1324–33.
Biddle SJ, Edwardson CL, Wilmot EG, Yates T, Gorely T, Bodicoat DH, et al. A randomised controlled trial to reduce sedentary time in young adults at risk of type 2 diabetes mellitus: project STAND (Sedentary Time ANd Diabetes). PLoS One. 2015;10(12):e0143398.
Carr LJ, Karvinen K, Peavler M, Smith R, Cangelosi K. Multicomponent intervention to reduce daily sedentary time: a randomised controlled trial. BMJ Open. 2013;3(10):e003261.
Pellegrini CA, Hoffman SA, Daly ER, Murillo M, Iakovlev G, Spring B. Acceptability of smartphone technology to interrupt sedentary time in adults with diabetes. Transl Behav Med. 2015;5(3):307–14.
Bond DS, Thomas JG, Raynor HA, Moon J, Sieling J, Trautvetter J, et al. B-MOBILE--a smartphone-based intervention to reduce sedentary time in overweight/obese individuals: a within-subjects experimental trial. PLoS One. 2014;9(6):e100821.
Judice PB, Hamilton MT, Sardinha LB, Zderic TW, Silva AM. What is the metabolic and energy cost of sitting, standing and sit/stand transitions? Eur J Appl Physiol. 2016;116(2):263–73.
Bergman F, Boraxbekk CJ, Wennberg P, Sorlin A, Olsson T. Increasing physical activity in office workers—the Inphact Treadmill study; a study protocol for a 13-month randomized controlled trial of treadmill workstations. BMC Public Health. 2015;15:632.
Martin-Borras C, Gine-Garriga M, Martinez E, Martin-Cantera C, Puigdomenech E, Sola M, et al. Effectiveness of a primary care-based intervention to reduce sitting time in overweight and obese patients (SEDESTACTIV): a randomized controlled trial; rationale and study design. BMC Public Health. 2014;14:228.
Conroy DE, Maher JP, Elavsky S, Hyde AL, Doerksen SE. Sedentary behavior as a daily process regulated by habits and intentions. Health Psychol. 2013;32(11):1149–57.
Martinez-Ramos E, Martin-Borras C, Trujillo JM, Gine-Garriga M, Martin-Cantera C, Sola-Gonfaus M, et al. Prolonged sitting time: barriers, facilitators and views on change among primary healthcare patients who are overweight or moderately obese. PLoS One. 2015;10(6):e0125739.
Greenwood-Hickman MA, Renz A, Rosenberg D. Motivators and barriers to reducing sedentary behavior among overweight and obese older adults. Gerontologist. 2016;56(4):660–8.
Lyden K, Kozey-Keadle SL, Staudenmayer JW, Freedson PS. Validity of two wearable monitors to estimate breaks from sedentary time. Med Sci Sports Exerc. 2012;44(11):2243–52.
Kozey-Keadle S, Libertine A, Lyden K, Staudenmayer J, Freedson PS. Validation of wearable monitors for assessing sedentary behavior. Med Sci Sports Exerc. 2011;43(8):1561–7.
Metcalf BS, Curnow JS, Evans C, Voss LD, Wilkin TJ. Technical reliability of the CSA activity monitor: the earlybird study. Med Sci Sports Exerc. 2002;34(9):1533–7.
Belanger ML, Kestens Y, Gilbert JA, Tremblay A, Mathieu ME. Interaction between body weight status and walking speed in steps monitoring by GT3X accelerometer. Appl Physiol Nutr Metab. 2014;39(8):976–9.
An R, Shi Y. Body weight status and onset of functional limitations in U.S. middle-aged and older adults: the role of overweight status. Disabil Health J. 2015;8(4):468.
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Rosenberg, D.E., Hoffman, S.A., Pellegrini, C.A. (2018). Specific Approaches to Reduce Sedentary Behaviour in Overweight and Obese People. In: Leitzmann, M., Jochem, C., Schmid, D. (eds) Sedentary Behaviour Epidemiology. Springer Series on Epidemiology and Public Health. Springer, Cham. https://doi.org/10.1007/978-3-319-61552-3_21
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