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Workplace interventions for reducing sitting at work.

Nipun Shrestha1, Sharea Ijaz, Katriina T Kukkonen-Harjula

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Sit-stand desks show potential for reducing workplace sitting time, but evidence quality is low. More high-quality trials are needed to confirm the effectiveness of various interventions for reducing sedentary work.

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Area of Science:

  • Occupational Health
  • Public Health
  • Ergonomics

Background:

  • Increasing sedentary work is linked to cardiovascular disease, obesity, and diabetes.
  • Reducing and breaking up sitting time at work is crucial for public health.
  • Occupational physical strain declines with increased desk-based work.

Purpose of the Study:

  • To evaluate workplace interventions aimed at reducing sitting time.
  • To compare interventions against no intervention or alternative strategies.
  • To assess effects on sitting duration, energy expenditure, and productivity.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs), cluster-RCTs, and controlled before-and-after studies.
  • Searched multiple databases including CENTRAL, MEDLINE, EMBASE, and PsycINFO up to February 2014.
  • Primary outcome: daily sitting time at work (self-reported or objectively measured).

Main Results:

  • Sit-stand desks showed a reduction in sitting time, but evidence quality was very low.
  • Policy changes (walking strategies) and information/counseling had inconsistent effects.
  • No studies examined treadmill desks, stepping devices, or standing meetings; all included studies had a high risk of bias.

Conclusions:

  • Very low-quality evidence suggests sit-stand desks may reduce workplace sitting time.
  • The effectiveness of policy changes and information/counseling interventions remains inconsistent.
  • High-quality cluster-randomized trials are needed to definitively assess intervention effects on objectively measured sitting time.