Break in Sedentary Behavior Reduces the Risk of Noncommunicable Diseases and Cardiometabolic Risk Factors among Workers in a Petroleum Company

Chutima Jalayondeja, Wattana Jalayondeja, Keerin Mekhora, Petcharatana Bhuanantanondh, Asadang Dusadi-Isariyavong, Rujiret Upiriyasakul, Chutima Jalayondeja, Wattana Jalayondeja, Keerin Mekhora, Petcharatana Bhuanantanondh, Asadang Dusadi-Isariyavong, Rujiret Upiriyasakul

Abstract

Although prolonged sitting appears as a novel risk factor related to health outcomes for all ages, its association needs to be replicated in occupational conditions. This study explored the associations between sedentary behavior and four noncommunicable diseases (NCDs) as well as two cardiometabolic risk factors (CMRFs) among workers in a petroleum company, Thailand. All workers were invited to complete the online self-report questionnaire. Sedentary behavior was measured as the amount of time sitting at work, during recreation, and while commuting. Out of 3365 workers contacted, 1133 (34%) participated. Prevalence of NCDs and CMRFs was 36% and was positively associated with sedentary behavior. After adjusting for age, BMI, and exercise, the risk of NCDs and CMRFs for sedentary office work was 40% greater compared with more active field work. Those who took a break without sitting more than twice a day and commuted by walking or cycling had less risk of NCDs and CMRFs. The total duration of sedentary behavior was 10 h/day, and two-thirds of that total was workplace sitting. This was significantly associated with NCDs and CMRFs (p < 0.001). Day-and-night rotating shiftwork was negatively associated with NCDs and CMRFs (p < 0.001). Sedentary behavior should be considered a health risk among workers. Hence, to promote a healthy lifestyle and safe workplace, organizations should encourage standing activities during break and physically active commutes, and have workers avoid prolonged sitting.

Keywords: noncommunicable diseases; physical activity; sedentary behavior; shiftwork; workplace.

Conflict of interest statement

The authors declare no conflict of interest. The founding sponsors had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

References

    1. World Health Organization Noncommunicable Disease: Country Profile 2014. [(accessed on 22 March 2016)]; Available online: .
    1. World Health Organization Global Health Risk: Mortality and Burden of Disease Attributable to Selected Major Risks. [(accessed on 22 March 2016)]; Available online: .
    1. World Health Organization Physical Inactivity: A Global Public Health Problem. [(accessed on 12 June 2016)]; Available online:
    1. Owen N., Sparling P.B., Healy G.N., Dunstan D.W., Matthews C.E. Sedentary behavior: Emerging evidence for a new health risk (commentary) Mayo Clin. Proc. 2010;85:1138–1141. doi: 10.4065/mcp.2010.0444.
    1. Van Uffelen J.G.Z., Wong J., Chau J.Y., van der Ploeg H.P., Riphagen I., Gilson N.D., Burton N.W., Healy G.N., Thorp A.A., Clark B.K., et al. Occupational sitting and health risks: A systematic review. Am. J. Prev. Med. 2010;39:379–388. doi: 10.1016/j.amepre.2010.05.024.
    1. Topothai T., Chandrasiri O., Liangruenrom N., Tangcharoensathien V. Renewing commitments to physical activity targets in Thailand. Lancet. 2016;388:1258–1260. doi: 10.1016/S0140-6736(16)30929-1.
    1. International Health Policy Program (iHPP) NCDs: Going on and Growing Up. [(accessed on 19 December 2016)]; Available online:
    1. Thai Health Promotion Foundation Get to Know “Physical Activity” for Healthy Lifestyle. [(accessed on 9 July 2016)]; Available online:
    1. Yates T., Wilmot E.G., Davies M., Gorely T., Edwardson C., Biddle S., Khunti K. Sedentary behavior: What’s in a definition? (letter to editor) Am. J. Prev. Med. 2011;40:e33–e34. doi: 10.1016/j.amepre.2011.02.017.
    1. Biddle S.J.H. Sedentary behavior (editorials and commentary) Am. J. Prev. Med. 2007;33:502–504. doi: 10.1016/j.amepre.2007.08.002.
    1. Zhou R., Fong P.S.W., Tan P. Internet use and its impact on engagement in leisure activities in China. PLoS ONE. 2014;9:e89598. doi: 10.1371/journal.pone.0089598.
    1. Dake F.A.A., Fuseini K. Recreation, transportation or labour saving? Examining the association between household asset ownership and body mass index among Ghanaian women. BMC Obes. 2015;2:45. doi: 10.1186/s40608-015-0075-z.
    1. Thorp A.A., Owen N., Neuhaus M., Dunstan D.W. Sedentary Behaviors and Subsequent Health Outcomes in Adults. Am. J. Prev. Med. 2011;41:207–215. doi: 10.1016/j.amepre.2011.05.004.
    1. Rhodes R.E., Mark R.S., Temmel C.P. Adult sedentary behavior: A systematic review. Am. J. Prev. Med. 2012;42:e3–e28. doi: 10.1016/j.amepre.2011.10.020.
    1. Katzmarzyk P.T. Physical activity, sedentary behavior, and health: Paradigm paralysis or paradigm shift? Diabetes. 2010;59:2717–2725. doi: 10.2337/db10-0822.
    1. Owen N., Sugiyama T., Eakin E.E., Gardiner P.A., Tremblay M.S., Sallis J.F. Adults’ sedentary behavior: Determinants and interventions. Am. J. Prev. Med. 2011;41:189–196. doi: 10.1016/j.amepre.2011.05.013.
    1. De Rezende L.F.M., Rey-López J.P., Matsudo V.K.R., do Carmo Luiz O. Sedentary behavior and health outcomes among older adults: A systematic review. BMC Public Health. 2014;14:333. doi: 10.1186/1471-2458-14-333.
    1. Mekhora K., Jalayondeja W., Jalayondeja C., Bhuanantanondh P., Dusadi-Isariyavong A., Upiriyasakul R., Anuraktam K. Online self-report questionnaire on computer work-related exposure (OSCWE): Validity and internal consistency. J. Med. Assoc. Thai. 2014;97:S80–S83.
    1. World Health Organization Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–163.
    1. Naing L., Winn T., Rusli B.N. Practical issues in calculating the sample size for prevalence studies. Arch. Orofac. Sci. 2006;1:9–14.
    1. West J., Perrin K., Aldington S., Weatherall M., Beasley R. A case-control study of seated immobility at work as a risk factor for venous thromboembolism. J. R. Soc. Med. 2008;101:237–243. doi: 10.1258/jrsm.2008.070366.
    1. Field A. Discovering Statistics Using SPSS. 4th ed. SAGE Publication Ltd.; New York, NY, USA: 2013.
    1. Owen N., Healy G.N., Matthews C.E., Dunstan D.W. Too much sitting: The population-health science of sedentary behavior. Exerc. Sports Sci. Rev. 2010;38:105–113. doi: 10.1097/JES.0b013e3181e373a2.
    1. Mailey E.L., Rosenkranz S.K., Casey K., Swank A. Comparing the effects of two different break strategies on occupational sedentary behavior in a real world setting: A randomized trial. Prev. Med. Rep. 2016;4:423–428. doi: 10.1016/j.pmedr.2016.08.010.
    1. Rissel C., Curac N., Greenaway M., Bauman A. Physical activity associated with public transport use-a-review and modelling of potential benefits. Int. J. Environ. Res. Public Health. 2012;9:2454–2478. doi: 10.3390/ijerph9072454.
    1. Jan M.P., Proper K.I., Hildebrandt V.H. Sedentary behavior in Dutch workers: Differences between occupations and business sectors. Am. J. Prev. Med. 2007;33:450–454.
    1. Stand Up Australia: Sedentary Behavior in Workers. [(accessed on 14 June 2016)]; Available online: .
    1. Biernat E., Tomaszewski P., Milde K. Physical activity of office workers. Biol. Sport. 2010;27:289–296. doi: 10.5604/20831862.927495.
    1. Pronk N.P., Katz A.S., Lowry M., Payfer J.R. Reducing occupational sitting time and improving worker health: The take-a-stand project, 2011. Prev. Chronic Dis. 2012;9:e154. doi: 10.5888/pcd9.110323.
    1. Singh R.B., Anjum B., Garg R., Verma N., Singh R., Mahdi A.A., Singh R.K., De Meester F., Wilkzynska A., Dharwadkar S., et al. Association of circadian disruption of sleep and night shift. World Heart J. 2012;4:23–34.
    1. Loprinzi P.D. The effects of shift work on free-living physical activity and sedentary behavior. Prev. Med. 2015;16:43–47. doi: 10.1016/j.ypmed.2015.03.025.
    1. Hu F.B., Li T.Y., Colditz G.A., Willet W.C., Manson J.E. Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JMMA. 2003;289:1785–1791. doi: 10.1001/jama.289.14.1785.
    1. Bakrania K., Edwardson C.L., Bodicoat D.H., Esliger D.W., Gill J.M.R., Kazi A., Velayudhan L., Sinclair A.J., Sattar N., Biddle S.J.H., et al. Associations of mutually exclusive categories of physical activity and sedentary time with markers of cardiometabolic health in English adults: A cross-sectional analysis of the Health Survey for England. BMC Public Health. 2016;16:25. doi: 10.1186/s12889-016-2694-9.
    1. Ekelund U., Steene-Johannessen J., Brown W.J., Fagerland M.W., Owen N., Powell K.E., Bauman A., Lee I.M. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016;388:1302–1310. doi: 10.1016/S0140-6736(16)30370-1.

Source: PubMed

Sponsorzy i współpracownicy

Warunki medyczne

Interwencje lekowe

3
Subskrybuj