Effects of the Reduce Sedentary Time (ReSeT) program applying socio-ecological model on sedentary behaviors among office workers 10.55131/jphd/2024/220119
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Abstract
Sedentary behavior (SB) has been associated with non-communicable diseases and premature deaths. SB has wide-ranging adverse impacts on most office workers as the nature of their work requires prolonged sitting. Therefore, the purpose of this study was to examine the effects of the Reduce Sedentary Time (ReSeT) program using multilevel intervention approaches based on the Socio-Ecological model on the SB of office workers. A Quasi-experimental design with a comparison group was used. Office workers from two office-based departments in a university setting were purposively selected and divided into intervention (n=39) and control (n=39) groups. The intervention group received the ReSeT program for 3 months. Activities in reducing SB included motivating individuals to reduce SB using health information, smart watches, and video clips. The organizational measures including policies aimed at to reducing SB, as well as enhancements to the social and physical environment were reinforced. Participants in the control group received no intervention. SB time during work and non-work hours was assessed using ActiGraph for 7 days at baseline, post-intervention, and at 3 months follow-up. The data were analyzed by descriptive statistics, repeated measure ANOVA, paired t-test, R, and RStudio program. After implementing the ReSeT program, the intervention group showed a significant reduction in SB time both for work and non-work periods as compared to the baseline and the control group (p<0.05). The multilevel intervention approaches of SB addressing both individual and organizational factors were suitable for reducing SB time among office workers.
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References
Thivel D, Tremblay A, Genin PM, Panahi S, Rivière D, Duclos M. Physical Activity, Inactivity, and Sedentary Behaviors: Definitions and Implications in Occupational Health. Front Public Health. 2018;6:288. doi: 10.3389/fpubh.2018. 00288.
Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, et al. Sedentary Behavior Research Network (SBRN) - Terminology Consensus Project process and outcome. Int J Behav Nutr Phys Act. 2017;14(1):75. doi: 10.1186/s12966-017-0525-8.
Akksilp K, Koh JE, Tan V, Tong EH, Budtarad N, Xueying G, et al. The physical activity at work (PAW) study: A cluster randomised trial of a multicomponent short-break intervention to reduce sitting time and increase physical activity among office workers in Thailand. The Lancet regional health Southeast Asia. 2023;8.
Meyer J, McDowell C, Lansing J, Brower C, Smith L, Tully M, et al. Changes in Physical Activity and Sedentary Behavior in Response to COVID-19 and Their Associations with Mental Health in 3052 US Adults. Int J Environ Res Public Health. 2020;17(18):6469. doi: 10.3390/ijerph 17186469.
Zheng C, Huang WY, Sheridan S, Sit CH, Chen X, Wong SH. COVID-19 Pandemic Brings a Sedentary Lifestyle in Young Adults: A Cross-Sectional and Longitudinal Study. Int J Environ Res Public Health. 2020;17(17):6035. doi: 10.3390/ijerph 17176035.
Stockwell S, Trott M, Tully M, Shin J, Barnett Y, Butler L, et al. Changes in physical activity and sedentary behaviours from before to during the COVID-19 pandemic lockdown: a systematic review. BMJ Open Sport Exerc Med. 2021; 7(1):e000960.
Dempsey PC, Thyfault JT. Physiological Responses to Sedentary Behaviour. Springer International Publishing 2018. p. 109-53.
Dempsey P, Larsen R, Dunstan D, Owen N, Kingwell B. Sitting Less and Moving More: Implications for Hypertension. Hypertension. 2018;72:1037-46. doi: 10.1161/HYPERTENSIONAHA.118.11190.
World Health Organization. Noncommunicable diseases [Internet]. 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases.
Katzmarzyk PT, Gledhill N, Shephard RJ. The economic burden of physical inactivity in Canada. Cmaj. 2000;163(11):1435-40.
Katzmarzyk PT, Janssen I. The economic costs associated with physical inactivity and obesity in Canada: an update. Can Med Assoc J. 2004;29(1):90-115. doi: 10.1139/ h04-008.
Genin PM, Dessenne P, Finaud J, Pereira B, Dutheil F, Thivel D, et al. Effect of Work-Related Sedentary Time on Overall Health Profile in Active vs. Inactive Office Workers. Front Public Health. 2018; 6(279). doi: 10.3389/fpubh.2018.00279.
Cao Z, Xu C, Zhang P, Wang Y. Associations of sedentary time and physical activity with adverse health conditions: Outcome-wide analyses using isotemporal substitution model. EClinicalMedicine. 2022;28(48):101. doi: 10.1016/j.eclinm.2022.101424.
Huang Y, Benford S, Blake H. Digital Interventions to Reduce Sedentary Behaviors of Office Workers: Scoping Review. J Med Internet Res. 2019;21(2): e11079. doi: 10.2196/11079.
Thorp AA, Healy GN, Winkler E, Clark BK, Gardiner PA, Owen N, et al. Prolonged sedentary time and physical activity in workplace and non-work contexts: a cross-sectional study of office, customer service and call centre employees. Int J Behav Nutr Phys Act. 2012;9(1):128. doi: 10.1186/ 1479-5868-9-128.
Wallmann SB, Chau JY, Froboese I. Self-reported actual and desired proportion of sitting, standing, walking and physically demanding tasks of office employees in the workplace setting: do they fit together?. BMC Res Notes. 2017;10(1):504. doi: 10.1186/s13104-017-2829-9.
Alkhatib A. High prevalence of sedentary risk factors amongst university employees and potential health benefits of campus workplace exercise intervention. Work 2015;52(3):589-95. doi: 10.3233/WOR-152182.
Faghy MA, Duncan MJ, Pringle A, Meharry JB, Roscoe CM. UK university staff experience high levels of sedentary behaviour during work and leisure time. Int J Occup Saf Ergon. 2022;28(2):1104-11. doi: 10.1080/10803548.2021.1874704.
Maphong R, Nakhonket K, Sukhonthasab S. The effectiveness of two levels of active office interventions to reduce sedentary behavior in office workers: a mixed-method approach. Arch Environ Occup Health. 2021:1-10. doi: 10.1080/19338244. 2021.1940074.
World Health Organization. WHO guidelines on physical activity and sedentary behaviour [Internet]. 2020 [cite 25 Nov 2020]; Available from: https://www.who.int/ publications/i/item/9789240015128
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-62. doi: 10.1136/bjsports-2020-102955.
Chastin SF, Craemer M, Lien N, Bernaards C, Buck C, Oppert JM, et al. The SOS-framework (Systems of Sedentary behaviours): an international transdisciplinary consensus framework for the study of determinants, research priorities and policy on sedentary behaviour across the life course: a DEDIPAC-study. Int J Behav Nutr Phys Act. 2016;13(1):83. 10.1186/ s12966-016-0409-3.
Bronfenbrenner U. The ecology of human development: Experiments by nature and design: Harvard university press; 1979.
Chu A, Ng SH, Tan CS, Win A, Koh D, Riemenschneider FM. A systematic review and meta-analysis of workplace intervention strategies to reduce sedentary time in white-collar workers. Obes Rev. 2016;17(5):467-81. doi: 10.1111/obr. 12388.
Danquah IH, Kloster S, Holtermann A, Aadahl M, Bauman A, Ersbøll AK, et al. Take a Stand!–a multi-component intervention aimed at reducing sitting time among office workers–a cluster randomized trial. Int J Epidemiol. 2017; 46(1):128-40. doi: 10.1093/ije/dyw009.
McGuckin T, Sealey R, Barnett F. The use and evaluation of a theory-informed, multi-component intervention to reduce sedentary behaviour in the workplace. Cogent Psychol. 2017;4(1):1411038.
Stephenson A, McDonough SM, Murphy MH, Nugent CD, Mair JL. Using computer, mobile and wearable technology enhanced interventions to reduce sedentary behaviour: a systematic review and meta-analysis. Int J Behav Nutr Phy. 2017;14:1-17. doi: 10.1186/s12966-017-0561-4.
Mullane SL, Toledo MJ, Rydell SA, Feltes LH, Vuong B, Crespo NC, et al. Social ecological correlates of workplace sedentary behavior. Int J behav Nutr Phy. 2017; 14(1):117. doi: 10.1186/s12966-017-0576-x.
Dutheil F, Duclos M, Esquirol Y. Sedentary Behaviors at Work. Front Public Health 2020;8:57. doi: 10.3389/fpubh. 2020.00057.
Voss ML, Pope JP, Copeland JL. Reducing Sedentary Time among Older Adults in Assisted Living: Perceptions, Barriers, and Motivators. Int J Environ Res Public Health 2020;17(3):717. doi: 10.3390/ijerph 17030717.
Pronk NP. Implementing movement at the workplace: Approaches to increase physical activity and reduce sedentary behavior in the context of work. Prog Cardiovasc Dis 2021;64:17-21. doi: 10.1016/j.pcad.2020.10.004.
Kadam P, Bhalerao S. Sample size calculation. Int J Ayurveda Res 2010;1(1):55-7.
Gupta KK, Attri JP, Singh A, Kaur H, Kaur G. Basic concepts for sample size calculation: Critical step for any clinical trials!. Saudi J Anaesth 2016;10(3):328-31.
Ek A, Alexandrou C, Söderström E, Bergman P, Delisle Nyström C, Direito A, et al. Effectiveness of a 3-Month Mobile Phone–Based Behavior Change Program on Active Transportation and Physical Activity in Adults: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2020;8(6): e18531. doi: 10.2196/18531.
Neuhaus M, Healy GN, Dunstan DW, Owen N, Eakin EG. Workplace sitting and height-adjustable workstations: a randomized controlled trial. Am J Prev Med. 2014;46(1):30-40. doi: 10.1016/ j.amepre.2013.09.009.
Ma J, Ma D, Li Z, Kim H. Effects of a Workplace Sit-Stand Desk Intervention on Health and Productivity. Int J Environ Res Public Health. 2021;18(21). doi: 10.3390/ijerph182111604.
Chomistek AK, Yuan C, Matthews CE, Troiano RP, Bowles HR, Rood J, et al. Physical Activity Assessment with the ActiGraph GT3X and Doubly Labeled Water. Med Sci Sports Exerc. 2017; 49(9):1935-44. doi: 10.1249/MSS. 0000000000001299.
Sasaki JE, John D, Freedson PS. Validation and comparison of ActiGraph activity monitors. J Sci Med Sport 2011;14(5):411-6. doi: 10.1016/j.jsams.2011.04.003.
Pereira MA, Mullane SL, Toledo MJ, Larouche ML, Rydell SA, Vuong B, et al. Efficacy of the ‘Stand and Move at Work’ multicomponent workplace intervention to reduce sedentary time and improve cardiometabolic risk: a group randomized clinical trial. Int J Behav Nutr Phys Act. 2020;17(1):133. doi: 10.1186/s12966-020-01033-3.
Nicolson GH, Hayes CB, Darker CD. A Cluster-Randomised Crossover Pilot Feasibility Study of a Multicomponent Intervention to Reduce Occupational Sedentary Behaviour in Professional Male Employees. Int J Environ Res Public Health. 2021;18(17):9292. doi: 10.3390/ ijerph18179292.
Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L, et al. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients. 2020;12(6). doi: 10.3390/nu12061583.
Okely AD, Tremblay MS, Hammersley M, Aubert S. Targeting Sedentary Behaviour at the Policy Level. Springer International Publishing; 2018.