MONDAY, March 26 (HealthDay News) -- For better health, try
standing up more, a new study suggests. Those who spend 11 or more
hours a day sitting are 40 percent more likely to die over the next
three years regardless of how physically active they are otherwise,
Analyzing self-reported data from more than 222,000 people aged
45 and older, Australian researchers found that mortality risks
spike after 11 hours of total daily sitting but are still 15
percent higher for those sitting between 8 and 11 hours compared to
those sitting fewer than 4 hours per day.
"The evidence on the detrimental health effects of prolonged sitting has been building over the last few years," said study author Hidde van der Ploeg, a senior research fellow at the University of Sydney. "The study stands out because of its large number of participants and the fact that it was one of the first that was able to look at total sitting time. Most of the evidence to date had been on the health risks of prolonged television viewing."
The study is published in the March 26 issue of the
Archives of Internal Medicine.
Average adults spend 90 percent of their leisure time sitting
down, van der Ploeg said, and fewer than half meet World Health
Organization recommendations for 150 minutes of at least
moderate-intensity physical activity each week.
The data was collected as part of Australia's 45 and Up Study, a
large, ongoing study of healthy aging. Strikingly, the elevated
risks for dying from all causes remained even after taking into
account participants' physical activity, weight and health
Sixty-two percent of participants said they were overweight or
obese (a similar proportion to Americans), while nearly 87 percent
said they were in good to excellent health, and one-quarter said
they spent at least 8 hours each day sitting.
Inactive participants who sat the most had double the risk of
dying within three years compared to active people who sat least,
van der Ploeg said, and among physically inactive adults, those who
sat the most had nearly one-third higher odds of dying than those
who sat least.
Because many people must sit for long hours at their jobs, they
should make sure a greater portion of their leisure time is spent
standing, walking or engaging in other movement, said Dr. Suzanne
Steinbaum, director of Women and Heart Disease at Lenox Hill
Hospital in New York City and a spokesperson for the American Heart
"Yes, you have to work, but when you go home it's so important you don't go back to sitting in front of the computer or television," Steinbaum said. "After the 8-hour mark, the risks go up exponentially. It's really about what you're doing in your leisure time and making the decision to move."
Several workplaces in Australia are testing sit-stand work
stations, van der Ploeg said -- a generally well-received
initiative that may be a future option for other offices. "Try ways
to break up your sitting and add in more standing or walking where
possible," she suggested.
While the study uncovered an association between total sitting
hours and death risk, it did not prove a cause-and-effect
The study was limited by the relatively short follow-up period
of less than three years, experts said, which may have obscured
undiagnosed health problems among participants that could have led
to earlier death. Dr. David Friedman, chief of heart failure
services at North Shore Plainview Hospital in Plainview, N.Y., said
those who sit longer "tend to be sicker, have obesity issues and
cardiovascular problems. Perhaps they're less ambulatory in the
Van der Ploeg acknowledged these limitations and said more
studies will need to replicate the findings and focus more on
sitting's influence on developing conditions such as diabetes,
cancer and heart disease.
"Studies that measure sitting time with activity monitors instead of questionnaires will also help build the evidence base," she said. "All these studies will further inform us of the exact relationship between sitting and health conditions, which ultimately will result in public health recommendations like we already have for physical activity."
Read more about the World Health Organization's
physical activity recommendations.
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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