The Workplace Inactivity Epidemic Are height adjustable workstations part of the solution?

Transcription

1 The Workplace Inactivity Epidemic Are height adjustable workstations part of the solution? ACPOHE Conference, Friday 16 th May Dr Tim Peter Hunter and Emily Tims

2 About us Dr Tim Peter Hunter Lecturer Physiotherapy MD Fluto Emily Tims NHS Research Physiotherapist Co-founder littlenudge

3 Background: The effects of prolonged sitting on health Reducing sitting: The role of multi-component interventions to increase physical activity at work 3

4 Occupational Energy Expenditure (US) Church et al., 2011

5 How long does the average Briton sit for each day? 14 hours and 39 mins Onepoll, 2010

6 Adapted from Tremblay et al., 2010

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8 Pain Diabetes Cancer DVT RIP Obesity Cagnie et al., 2006; Tremblay et al., 2010; West et al., 2007; Hamburg et al, 2007; Howard et al; 2008; Gierach et al., 2009

9 Light Active Morris et al., 1953

10 Sitting time and all-cause mortality Mortality risk.. Method >200,000 adults Physical activity Time sitting/day Deaths over 5yrs Conclusions Prolonged sitting is a risk factor for all-cause mortality, independent of physical activity Results Limitations Population >45 Measurement of sitting time and physical activity Van der Ploeg et al., 2012

11 The Active Couch Potato

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13 WHY? Sitting too long is terrible for your health Can you stand or walk instead of sit? Exercising outside of work isn t enough Van der Ploeg et al., 2012

14 HOW OFTEN? Break up periods of sitting every minutes Barredo + Mahon 2007, Healy 2008

15 HOW LONG? Standing up briefly or taking a single step could make a difference Stand up for 30 seconds OR Walk for 2 mins Healy et al., 2010, McClean 2000

16 What tools can help to increase activity? ORGANISATIONAL Standing workstations Organise day to vary tasks Break reminders Standing / walking meetings Team competition Activity Trackers Cultural shift

17 Interventions to increases workplace activity? THE BUSINESS CASE Long term absenteeism reduction Productivity increased Increased Job Satisfaction

18 Behavioural Intervention

19 Sit Stand Workstations Vs Comparison (Alkhajah, 2012) Multi-component Vs Control (Healy, 2013) Multi-component Vs Sit Stand Workstations (Neuhaus, 2014) = Stand Up Victoria Trial

20 Method 32 healthy (18-65) office workers Sit/Stand Workstation Vs Comparison (3months) Sitting/standing/stepping time (baseline/1 week/3 months) Results/Conclusions Sit Stand desks can reduce sitting time (143 minutes/day) Limitations Small no. of subjects Short follow-up Non-randomized Alkhajah, 2012

21 Alkhajah, 2012

22 Method 43 healthy (23-62) office workers Multicomponent intervention (4 weeks) Sitting/standing/stepping time (baseline/4 weeks) Results Multicomponent intervention reduced sitting time (125min/ 8 hour day) No significant increase in stepping time Conclusions Short term Multicomponent intervention can lead to substantial reductions in sitting time. Limitations Small no. of subjects Short follow up Non-randomized Healy, 2013

23 Organisation Senior management consultation Team champions Individual Face-to-face health coaching session Brainstorming session 3 telephone calls standing tips Environment A dual-screen sitstand workstation Healy, 2013

24 Method 44 healthy (20-65) office workers Multicomponent vs Sit stand workstation vs Control (3 months) Sitting/standing/stepping time (baseline/3months) Results/Conclusions Multicomponent intervention reduced sitting time (89min/ 8 hour day) Workstation intervention sitting time (33min/8 hour day) No change in long term sitting Limitations Small no. of subjects and short assessment period Neuhaus, 2014

25 Methods 320 participants (160 per gp) (office-based workers aged years) 16 study sites /1 organisation Multicomponent vs Control (3 months) Outcome measures (baseline/3 months/ 1 year) Expected Completion End of 2014

26 Organisation Senior management consultation Team champions Individual Face-to-face health coaching session Brainstorming session 4 telephone calls 6 follow up standing tips etc Environment A dual-screen sit-stand workstation

27 Objective Activity Activity Trackers Sitting, standing, stepping time Long term sitting Objective Physical Waist Circumference Blood Pressure Body Fat/Weight/BMI Blood Glucose Blood Lipids Self Report Productivity/Wellbeing Physical Activity/Sitting Time Workstation usage Perceptions of workplace Qualitative Perceived support Organisation support

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29 Prescribe regular changes (30mins) Set a timer / break reminders Set standing goals Individual Educate on height settings / full set-up Determine certain standing times, i.e. morning; after lunch More active lunch breaks (e.g. walking around the block) organisation Walking / standing meetings Consider stand versus sitting tasks environment Consider the office layout

30 Sitting Kills MOVE Sit-to-stand workstations may not be enough!

31 If you would like references or you would like to contact us, please