Abstract
As the prevalence of obesity rises worldwide, researchers pursue explanations for the phenomenon, particularly those relevant to energy expenditure. Non-exercise activity thermogenesis, or NEAT, has been identified as an inconspicuous but appreciable component of total daily energy expenditure. Demands of certain occupations discourage time for planned physical activity and clearly diminish NEAT, and thereby contribute to sedentary behaviors that underlie increased adiposity. Prolonged sitting during the workday has specifically been identified as a risk factor for obesity and chronic disease independent of existing risk factors. Practical strategies have been launched by industry to increase NEAT during the workday. Workstations that involve maintaining balance while sitting on an exercise ball, standing, pedaling while sitting, and walking at a treadmill desk have been developed to counter extended periods of sedentary behavior at work. While data are limited particularly for chronic benefits, the stations that promote the most movement – the pedaling and walking stations – increase METS and energy expenditure more so than the other alternatives. The drawback to greater motion may be reduced attention to the desk job and therefore, reduced cognitive function; however, the data are inconsistent and the benefit for health may outweigh small distractions for some tasks at the desk.References
Ainsworth, B. E., Haskell, W. L., Whitt, M. C., Irwin, M. L., Swartz, A. M., Strath, S. J., … Leon, A. S. (2000). Compendium of physical activities: An update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32(9), 498–516. doi: http://dx.doi.org/10.1097/00005768-200009001-00009
Altieri, A., Tavani, A., Gallus, S., & La vecchia, C. (2004). Occupational and leisure time physical activity and the risk of nonfatal acute myocardial infarction in Italy. Annals of Epidemiology, 14(7), 461–466. doi: http://dx.doi.org/10.1016/j.annepidem.2003.11.005
Beasley, R., Raymond, N., Hill, S., Nowitz, M., & Hughes, R. (2003). eThrombosis: the 21st century variant of venous thromboembolism associated with immobility. European Respiratory Journal, 21(2), 374–376. doi: http://dx.doi.org/10.1183/09031936.03.00039403
Benden, M. E., Zhao, H., Jeffrey, C. E., Wendel, M. L., & Blake, J. J. (2014). The evaluation of the impact of a stand-biased desk on energy expenditure and physical activity for elementary school students. International Journal of Environmental Research and Public Health, 11(9), 9361–9375. doi: http://doi.org/10.3390/ijerph110909361
Blaak, E.E., Westerterp, K.R., Bar-Or, O., Wouters, L.J.M., & Saris, W.H.M. (1992). Total energy expenditure and spontaneous activity in relation to training in obese boys. Americam Journal of Clinical Nutrition, 55, 777-782. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/1550058
Carr, L. J., Maeda, H., Luther, B., Rider, P., Tucker, S. J., & Leonhard, C. (2014). Acceptability and effects of a seated active workstation during sedentary work: A proof of concept study. International Journal of Workplace Health Management, 7(1), 2–15. doi: http://dx.doi.org/10.1108/IJWHM-03-2013-0008
Chu, A. H. Y., & Moy, F. M. (2013). Associations of occupational, transportation, household and leisure-time physical activity patterns with metabolic risk factors among middle-aged adults in a middle-income country. Preventive Medicine, 57(Suppl), 14–17. doi: http://doi.org/10.1016/j.ypmed.2012.12.011
DeLany, J. P., Jakicic, J. M., Lowery, J. B., Hames, K. C., Kelley, D. E., & Goodpaster, B. H. (2014). African American women exhibit similar adherence to intervention but lose less weight due to lower energy requirements. International Journal of Obesity, 38(9), 1147–1152. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/24352292
Dempsey, P. C., Larsen, R. N., Sethi, P., Sacre, J. W., Straznicky, N. E., Cohen, N. D., … Dunstan, D. W. (2016). Benefits for Type 2 diabetes of interrupting prolonged sitting with brief bouts of light walking or simple resistance activities. Diabetes Research & Care, 39(6), 964–972. doi: http://doi.org/10.2337/dc15-2336
Dickin, D. C., Surowiec, R. K., & Wang, H. (2015). Energy expenditure and muscular activation patterns through active sitting on compliant surfaces. Journal of Sport and Health Science. doi: http://doi.org/10.1016/j.jshs.2015.10.004
Drenowatz, C., Grieve, G. L., & DeMello, M. M. (2015). Change in energy expenditure and physical activity in response to aerobic and resistance exercise programs. SpringerPlus, 4, 798. doi: http://doi.org/10.1186/s40064-015-1594-2
Dunstan, D. W., Howard, B., Healy, G. N., & Owen, N. (2012a). Too much sitting- A health hazard. Diabetes Research and Clinical Practice, 97(3), 368–376. doi: http://doi.org/10.1016/j.diabres.2012.05.020
Dunstan, D. W., Kingwell, B. A., Larsen, R., Healy, G. N., Cerin, E., Hamilton, M. T., … Owen, N. (2012b). Breaking up prolonged sitting reduces postprandial glucose and insulin responses. Diabetes Care, 35(5), 976–983. doi: http://doi.org/10.2337/dc11-1931
Dutta, N., Koepp, G. A., Stovitz, S. D., Levine, J. A., & Pereira, M. A. (2014). Using sit-stand workstations to decrease sedentary time in office workers: A randomized crossover trial. International Journal of Environmental Research and Public Health, 11(7), 6653–6665. doi: http://doi.org/10.3390/ijerph110706653
Elmer, S. J., & Martin, J. C. (2014). A cycling workstation to facilitate physical activity in office settings. Applied Ergonomics, 45(4), 1240–1246. doi: http://doi.org/10.1016/j.apergo.2014.03.001
Eriksen, D., Rosthøj, S., Burr, H., & Holtermann, A. (2015). Sedentary work- Associations between five-year changes in occupational sitting time and body mass index. Preventive Medicine, 73, 1–5. doi: http://doi.org/10.1016/j.ypmed.2014.12.038
Faries, M. D. & Bartholomew, J.B. & McCallister, T. (2011). Acute effects of stability ball sitting on energy expenditure in the workplace. Medicine and Science in Sports and Exercise, 43(5). doi: http://dx.doi.org/10.1249/01.MSS.0000401664.38661.8e
Gibbs, B. B., Hergenroeder, A. L., Katzmarzyk, P. T., Lee, I.-M., & Jakicic, J. M. (2015). Definition, measurement, and health risks associated with sedentary behavior. Medicine and Science in Sports and Exercise, 47(6), 1295–1300. doi: http://doi.org/10.1249/MSS.0000000000000517
Gimeno, D., Elovainio, M., Jokela, M., De Vogli, R., Marmot, M. G., & Kivimaki, M. (2009). Association between passive jobs and low levels of leisure-time physical activity: The Whitehall II cohort study. Occupational and Environmental Medicine, 66(11), 772–776. doi: http://doi.org/10.1136/oem.2008.045104
Haskell, W. L., Lee, I.-M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., … American Heart Association. (2007). Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 1081–1093. doi: http://doi.org/10.1161/CIRCULATIONAHA.107.185649
Health and Human Services. (2008). Physical activity guidelines for Americans: Be active, healthy, and happy. Retrieved from https://health.gov/paguidelines/pdf/paguide.pdf
Healy, G. N., Dunstan, D. W., Salmon, J., Cerin, E., Shaw, J. E., Zimmet, P. Z., & Owen, N. (2007). Objectively measured light-intensity physical activity is independently associated with 2-h plasma glucose. Diabetes Care, 30(6), 1384–1389. doi: http://doi.org/10.2337/dc07-0114
Hill, J. O., Melby, C., Johnson, S. L., & Peters, J. C. (1995). Physical activity and energy requirements. The American Journal of Clinical Nutrition, 62(5), 1059–1066. Retrieved from http://ajcn.nutrition.org/content/62/5/1059S.abstract
Hill, J. O., Wyatt, H. R., Reed, G. W., & Peters, J. C. (2003). Obesity and the environment: Where do we go from here? Science, 299(5608), 853–855. doi: http://doi.org/10.1126/science.1079857
Howard, B. J., Fraser, S. F., Sethi, P., Cerin, E., Hamilton, M. T., Owen, N., … Kingwell, B. A. (2013). Impact on hemostatic parameters of interrupting sitting with intermittent activity. Medicine and Science in Sports and Exercise, 45(7), 1285–1291. doi: http://doi.org/10.1249/MSS.0b013e318285f57e
Hu, G., Qiao, Q., Silventoinen, K., Eriksson, J. G., Jousilahti, P., Lindström, J., … Tuomilehto, J. (2003). Occupational, commuting, and leisure-time physical activity in relation to risk for Type 2 diabetes in middle-aged Finnish men and women. Diabetologia, 46(3), 322–329. Retrieved from http://link.springer.com/article/10.1007/s00125-003-1031-x
Johannsen, D. L., & Ravussin, E. (2008). Spontaneous physical activity: Relationship between fidgeting and body weight control. Current Opinion in Endocrinology, Diabetes, and Obesity, 15(5), 409–415. doi: http://doi.org/10.1097/MED.0b013e32830b10bb
Katzmarzyk, P. T., Church, T. S., Craig, C. L., & Bouchard, C. (2009). Sitting time and mortality from all causes, cardiovascular disease, and cancer. Medicine and Science in Sports and Exercise, 41(5), 998–1005. doi: http://doi.org/10.1249/MSS.0b013e3181930355
Koepp, G. A., Manohar, C. U., McCrady-Spitzer, S. K., Ben-Ner, A., Hamann, D. J., Runge, C. F., & Levine, J. A. (2013). Treadmill desks: A 1-year prospective trial. Obesity, 21(4), 705–711. doi: http://doi.org/10.1002/oby.20121
Larson, M. J., LeCheminant, J. D., Carbine, K., Hill, K. R., Christenson, E., Masterson, T., & LeCheminant, R. (2015). Slow walking on a treadmill desk does not negatively affect executive abilities: An examination of cognitive control, conflict adaptation, response inhibition, and post-error slowing. Frontiers in Psychology, 6. doi: http://doi.org/10.3389/fpsyg.2015.00723
Lee, I.-M., Shiroma, E. J., Lobelo, F., Puska, P., Blair, S. N., Katzmarzyk, P. T., & Lancet Physical Activity Series Working Group. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. The Lancet, 380(9838), 219–229. doi: http://doi.org/10.1016/S0140-6736(12)61031-9
Levi, F., Pasche, C., Lucchini, F., & La Vecchia, C. (1999). Occupational and leisure time physical activity and the risk of breast cancer. European Journal of Cancer, 35(5), 775–778. doi: http://doi.org/10.1016/S0959-8049(99)00051-9
Levine, J. A. (2002). Non-exercise activity thermogenesis (NEAT). Best Practice & Research. Clinical Endocrinology & Metabolism, 16(4), 679–702. doi: http://dx.doi.org/10.1053/beem.2002.0227
Levine, J. A. (2005). Measurement of energy expenditure. Public Health Nutrition, 8(7), 1123–1132. doi: http://dx.doi.org/10.1079/phn2005800
Levine, J. A., & Miller, J. M. (2007). The energy expenditure of using a “walk‐and‐work” desk for office workers with obesity. British Journal of Sports Medicine, 41(9), 558–561. doi: http://doi.org/10.1136/bjsm.2006.032755
Lin, T., Courtney, T. K., Lombardi, D. A., & Verma, S. K. (2015). Association between sedentary work and BMI in a U.S. national longitudinal survey. American Journal of Preventive Medicine, 49(6), 117–123. doi: http://doi.org/10.1016/j.amepre.2015.07.024
Matthews, C. E., Chen, K. Y., Freedson, P. S., Buchowski, M. S., Beech, B. M., Pate, R. R., & Troiano, R. P. (2008). Amount of time spent in sedentary behaviors in the United States, 2003-2004. American Journal of Epidemiology, 167(7), 875–881. doi: http://doi.org/10.1093/aje/kwm390
Matthews, C. E., George, S. M., Moore, S. C., Bowles, H. R., Blair, A., Park, Y., … Schatzkin, A. (2012). Amount of time spent in sedentary behaviors and cause-specific mortality in US adults. The American Journal of Clinical Nutrition, 95(2), 437–445. doi: http://doi.org/10.3945/ajcn.111.019620
Mayo Clinic. (2014). Is sitting the new smoking? New science, old habit. Mayo Clinic Health Letter, 32(10), 4-5. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/26027033
Mehta, R. K., Shortz, A. E., & Benden, M. E. (2015). Standing up for learning: A pilot investigation on the neurocognitive benefits of stand-biased school desks. International Journal of Environmental Research and Public Health, 13(1), 59.doi: http://doi.org/10.3390/ijerph13010059
Mummery, W. K., Schofield, G. M., Steele, R., Eakin, E. G., & Brown, W. J. (2005). Occupational sitting time and overweight and obesity in Australian workers. American Journal of Preventive Medicine, 29(2), 91–97. doi: http://doi.org/10.1016/j.amepre.2005.04.003
Pate, R. R., Pratt, M., Blair, S. N., Haskell, W. L., Macera, C. A., Bouchard, C., … King, A. C. (1995). Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA, 273(5), 402–407. doi: http://dx.doi.org/10.1001/jama.1995.03520290054029
Pate, R. R., O’Neill, J. R., & Lobelo, F. (2008). The evolving definition of “sedentary.” Exercise and Sport Sciences Reviews, 36(4), 173–178. doi: http://doi.org/10.1097/JES.0b013e3181877d1a
Racette, S. B., Schoeller, D. A., Kushner, R. F., & Neil, K. M. (1995). Exercise enhances dietary compliance during moderate energy restriction in obese women. The American Journal of Clinical Nutrition, 62(2), 345–349. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/7625341
Ravussin, E., Lillioja, S., Anderson, T. E., Christin, L., & Bogardus, C. (1986). Determinants of 24-hour energy expenditure in man. Methods and results using a respiratory chamber. Journal of Clinical Investigation, 78(6), 1568–1578. http://dx.doi.org/10.1172/JCI112749
Redman, L. M., Heilbronn, L. K., Martin, C. K., de Jonge, L., Williamson, D. A., Delany, J. P., … Pennington CALERIE Team. (2009). Metabolic and behavioral compensations in response to caloric restriction: Implications for the maintenance of weight loss. PloS One, 4(2). doi: http://doi.org/10.1371/journal.pone.0004377
Reiff, C., Marlatt, K., & Dengel, D. R. (2012). Difference in caloric expenditure in sitting versus standing desks. Journal of Physical Activity & Health, 9(7), 1009–1011. doi: http://dx.doi.org/10.1123/jpah.9.7.1009
Roemmich, J. (2014). Effect of height adjustable desks on standing time, discomfort, and productivity of office workers with sedentary occupations (37.8). The FASEB Journal, 28(1). Retrieved from http://www.fasebj.org/content/28/1_Supplement/37.8
Ryde, G. C., Brown, H. E., Gilson, N. D., & Brown, W. J. (2014). Are we chained to our desks? Describing desk-based sitting using a novel measure of occupational sitting. Journal of Physical Activity & Health, 11(7), 1318–1323. doi: http://doi.org/10.1123/jpah.2012-0480
Sedentary Behaviour Research Network, null. (2012). Letter to the editor: standardized use of the terms “sedentary” and “sedentary behaviours.” Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme, 37(3), 540–542. doi: http://doi.org/10.1139/h2012-024
Speck, R.M., Schmitz, K.H. (2011). Energy expenditure comparison: A pilot study of standing instead of sitting at work for obesity prevention. Prevention Medicine, 52(3-4), 283–284. doi: http://dx.doi.org/10.1016/j.ypmed.2011.02.002
Tavani, A., Braga, C., Vecchia, C. L., Conti, E., Filiberti, R., Montella, M., … Franceschi, S. (1999). Physical activity and risk of cancers of the colon and rectum: An Italian case-control study. British Journal of Cancer, 79, 1912–1916. doi: http://doi.org/10.1038/sj.bjc.6690304
Thivel, D., Chaput, J. P., Adamo, K. B., & Goldfield, G. S. (2014). Is energy intake altered by a 10-week aerobic exercise intervention in obese adolescents?. Physiology & Behavior, 135, 130–134. Retrived from https://www.ncbi.nlm.nih.gov/pubmed/24952265
Thompson, W. G., & Levine, J. A. (2011). Productivity of transcriptionists using a treadmill desk. Work, 40(4), 473–477. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/22130064
Thorp, A. A., Healy, G. N., Winkler, E., Clark, B. K., Gardiner, P. A., Owen, N., & Dunstan, D. W. (2012). Prolonged sedentary time and physical activity in workplace and non-work contexts: a cross-sectional study of office, customer service and call centre employees. The International Journal of Behavioral Nutrition and Physical Activity, 9, 128. doi: http://doi.org/10.1186/1479-5868-9-128
Thune, I., Brenn, T., Lund, E., & Gaard, M. (1997). Physical activity and the risk of breast cancer. The New England Journal of Medicine, 336(18), 1269–1275. http://doi.org/10.1056/NEJM199705013361801
Tudor-Locke, C., Schuna, J. M., Frensham, L. J., & Proenca, M. (2014). Changing the way we work: Elevating energy expenditure with workstation alternatives. International Journal of Obesity, 38(6), 755–765. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/24285335
Van der Ploeg, H. P., Chey, T., Korda, R. J., Banks, E., & Bauman, A. (2012). Sitting time and all-cause mortality risk in 222 497 Australian adults. Archives of Internal Medicine, 172(6), 494–500. doi: http://doi.org/10.1001/archinternmed.2011.2174
Warren, T. Y., Barry, V., Hooker, S. P., Sui, X., Church, T. S., & Blair, S. N. (2010). Sedentary behaviors increase risk of cardiovascular disease mortality in men. Medicine and Science in Sports and Exercise, 42(5), 879–885. doi: http://doi.org/10.1249/MSS.0b013e3181c3aa7e
Willis, E. A., Herrmann, S. D., Honas, J. J., Lee, J., Donnelly, J. E., & Washburn, R. A. (2014). Nonexercise energy expenditure and physical activity in the Midwest exercise trial 2. Medicine and Science in Sports and Exercise, 46(12), 2286–2294. doi: http://doi.org/10.1249/MSS.0000000000000354
Wright, T. G., Dawson, B., Jalleh, G., & Guelfi, K. J. (2015). Influence of hormonal profile on resting metabolic rate in normal, overweight and obese individuals. Annals of Nutrition & Metabolism, 66(2-3), 162–167. doi: http://doi.org/10.1159/000382080
Zderic, T. W., & Hamilton, M. T. (2012). Identification of hemostatic genes expressed in human and rat leg muscles and a novel gene (LPP1/PAP2A) suppressed during prolonged physical inactivity (sitting). Lipids in Health and Disease, 11, 137. doi: http://doi.org/10.1186/1476-511X-11-137