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Workplace interventions for reducing sitting at work.

Nipun Shrestha1, Katriina T Kukkonen-Harjula, Jos H Verbeek

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Workplace interventions like sit-stand desks can reduce sitting time, but evidence quality is low. More research is needed to confirm long-term effectiveness of various strategies for reducing sedentary behavior at work.

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Area of Science:

  • Occupational Health
  • Public Health
  • Preventive Medicine

Background:

  • Sedentary occupations contribute to health risks like cardiovascular disease, obesity, and mortality.
  • Reducing physical inactivity and excessive sitting in the workplace is crucial for employee well-being.

Purpose of the Study:

  • To evaluate the effectiveness of workplace interventions aimed at reducing sitting time.
  • To compare interventions against no intervention or alternative strategies.

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 August 2017.
  • Primary outcome: daily sitting time at work; secondary outcomes: energy expenditure, total sitting time, standing time, productivity, and adverse events.

Main Results:

  • Sit-stand desks reduced sitting time by an average of 100 minutes per workday in the short-term (low-quality evidence).
  • Workplace policy changes and information/counseling interventions showed inconsistent effects on reducing sitting time.
  • Multi-component interventions had significant but heterogeneous effects; evidence quality was low to very low for most interventions.

Conclusions:

  • Low-quality evidence suggests sit-stand desks reduce workplace sitting in the short to medium term.
  • Effectiveness of other interventions remains largely inconsistent, with limited long-term data.
  • Larger, longer-term cluster-RCTs are needed to definitively assess intervention effectiveness.