Is Sitting Really the New Smoking? Health of North American Workers Exposed to Prolonged Static Standing

In Canada and the United States, many low-paid service providers are required to work long hours in a static standing posture. Women, young people, and low-paid workers are significantly more likely to report standing without moving at work. Prolonged sitting has received negative publicity, being associated with low caloric expenditure and, in some studies, with heart disease. Standing is often recommended, with static standing often conflated with walking. But prolonged standing has been associated with pain in the lower limbs and back, varicose veins, damage to arteries, heart disease, and problem pregnancies. Many US and Canadian jurisdictions such as the province of Quebec, Canada, include mandatory provision of seats in their occupational health regulations. Despite these regulations and subsequent jurisprudence, few cashiers, receptionists, or retail sales staff in these two countries can access seats at work. This article suggests some reasons for the lack of enforcement, describes efforts to transform this situation, and critically examines approaches to legislation, inspection, and intervention.