Víctor Segura-Jiménez1,2,3,4, Stuart J H Biddle5, Katrien De Cocker5,6, Shahjahan Khan5,7,8, Blanca Gavilán-Carrera9. 1. Hospital Universitario Virgen de las Nieves of Granada, Granada, Spain. victor.segura@uca.es. 2. Instituto de Investigación Biosanitaria ibs.GRANADA, Avda. de Madrid, 15, 18012, Granada, Spain. victor.segura@uca.es. 3. GALENO Research Group, Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Cádiz, Spain. victor.segura@uca.es. 4. Biomedical Research and Innovation Institute of Cádiz (INiBICA) Research Unit, Puerta del Mar University Hospital, Cádiz, Spain. victor.segura@uca.es. 5. Centre for Health Research, University of Southern Queensland, Toowoomba, QLD, Australia. 6. Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium. 7. School of Sciences, University of Southern Queensland, Toowoomba, QLD, Australia. 8. Asian University of Bangladesh, Ashulia, Dhaka, Bangladesh. 9. Department of Physical Education and Sports, Faculty of Sports Science, University of Granada, Granada, Spain.
Abstract
BACKGROUND: Research has shown the effectiveness of sedentary behaviour interventions on reducing sedentary time. However, no systematic review has studied where the reduced sedentary time after such interventions is displaced to. OBJECTIVE: Our objective was to synthesize the evidence from interventions that have reduced sedentary behaviour and test the displacement of sedentary time into physical activity (light physical activity [LPA], moderate-to-vigorous physical activity [MVPA], standing, and stepping). METHODS: Two independent researchers performed a systematic search of the EBSCOhost, PubMed, Scopus, and Web of Science electronic databases. Meta-analyses were performed to examine the time reallocated from sedentary behaviour to physical activity during working time and the whole day in intervention trials (randomized/non-randomized controlled/non-controlled). RESULTS: A total of 36 studies met all the eligibility criteria and were included in the systematic review, with 26 studies included in the meta-analysis. Interventions showed a significant overall increase in worksite LPA (effect size [ES] 0.24; 95% confidence interval [CI] 0.05 to 0.43; P < 0.013) and daily LPA (ES 0.62; 95% CI 0.34 to 0.91; P = 0.001). A statistically significant increase in daily MVPA was observed (ES 0.47; 95% CI 0.26 to 0.67; P < 0.001). There was a significant overall increase in worksite standing time (ES 0.76; 95% CI 0.56 to 0.95; P < 0.001), daily standing time (ES 0.52; 95% CI 0.38 to 0.65; P < 0.001), and worksite stepping time (ES 0.12; 95% CI 0.04 to 0.20; P = 0.002). CONCLUSIONS: Effective interventions aimed at reducing sedentary behaviour result in a consistent displacement of sedentary time to LPA and standing time, both at worksites and across the whole day, whereas changes in stepping time or MVPA are dependent on the intervention setting. Strategies to reduce sedentary behaviour should not be limited to worksite settings, and further efforts may be required to promote daily MVPA. TRIAL REGISTRATION: PROSPERO registration number CRD42020153958.
BACKGROUND: Research has shown the effectiveness of sedentary behaviour interventions on reducing sedentary time. However, no systematic review has studied where the reduced sedentary time after such interventions is displaced to. OBJECTIVE: Our objective was to synthesize the evidence from interventions that have reduced sedentary behaviour and test the displacement of sedentary time into physical activity (light physical activity [LPA], moderate-to-vigorous physical activity [MVPA], standing, and stepping). METHODS: Two independent researchers performed a systematic search of the EBSCOhost, PubMed, Scopus, and Web of Science electronic databases. Meta-analyses were performed to examine the time reallocated from sedentary behaviour to physical activity during working time and the whole day in intervention trials (randomized/non-randomized controlled/non-controlled). RESULTS: A total of 36 studies met all the eligibility criteria and were included in the systematic review, with 26 studies included in the meta-analysis. Interventions showed a significant overall increase in worksite LPA (effect size [ES] 0.24; 95% confidence interval [CI] 0.05 to 0.43; P < 0.013) and daily LPA (ES 0.62; 95% CI 0.34 to 0.91; P = 0.001). A statistically significant increase in daily MVPA was observed (ES 0.47; 95% CI 0.26 to 0.67; P < 0.001). There was a significant overall increase in worksite standing time (ES 0.76; 95% CI 0.56 to 0.95; P < 0.001), daily standing time (ES 0.52; 95% CI 0.38 to 0.65; P < 0.001), and worksite stepping time (ES 0.12; 95% CI 0.04 to 0.20; P = 0.002). CONCLUSIONS: Effective interventions aimed at reducing sedentary behaviour result in a consistent displacement of sedentary time to LPA and standing time, both at worksites and across the whole day, whereas changes in stepping time or MVPA are dependent on the intervention setting. Strategies to reduce sedentary behaviour should not be limited to worksite settings, and further efforts may be required to promote daily MVPA. TRIAL REGISTRATION: PROSPERO registration number CRD42020153958.
Authors: Mary E Rosenberger; Janet E Fulton; Matthew P Buman; Richard P Troiano; Michael A Grandner; David M Buchner; William L Haskell Journal: Med Sci Sports Exerc Date: 2019-03 Impact factor: 5.411
Authors: Jesús Del Pozo-Cruz; Antonio García-Hermoso; Rosa M Alfonso-Rosa; Francisco Alvarez-Barbosa; Neville Owen; Sebastien Chastin; Borja Del Pozo-Cruz Journal: Am J Prev Med Date: 2018-09 Impact factor: 5.043
Authors: Nipun Shrestha; Jozo Grgic; Glen Wiesner; Alexandra Parker; Hrvoje Podnar; Jason A Bennie; Stuart J H Biddle; Zeljko Pedisic Journal: Br J Sports Med Date: 2018-01-13 Impact factor: 13.800
Authors: Jacob D Meyer; Laura D Ellingson; Matthew P Buman; Robin P Shook; Gregory A Hand; Steven N Blair Journal: Am J Prev Med Date: 2020-05-14 Impact factor: 5.043
Authors: Anne Martin; Claire Fitzsimons; Ruth Jepson; David H Saunders; Hidde P van der Ploeg; Pedro J Teixeira; Cindy M Gray; Nanette Mutrie Journal: Br J Sports Med Date: 2015-04-23 Impact factor: 13.800
Authors: David W Dunstan; Bronwyn A Kingwell; Robyn Larsen; Genevieve N Healy; Ester Cerin; Marc T Hamilton; Jonathan E Shaw; David A Bertovic; Paul Z Zimmet; Jo Salmon; Neville Owen Journal: Diabetes Care Date: 2012-02-28 Impact factor: 19.112