Effects of an “Active-Workstation” Cluster RCT on Daily Waking Physical Behaviors

Details

• Alternative Title:
  Med Sci Sports Exerc
• Personal Author:
  Arguello, Diego ; Thorndike, Anne N. ; Cloutier, Gregory ; Morton, Alvin ; Castaneda-Sceppa, Carmen ; John, Dinesh
• Description:
  Purpose:
  
  Evaluate the effects of sit-to-stand and treadmill desks on sedentary behavior during a 12-month, cluster-randomized multi-component intervention with an intent-to-treat design in overweight office workers.
  
  Methods:
  
  Sixty-six office workers were cluster-randomized into a: control (N=21; clusters=8), sit-to-stand desk (N=23; clusters=9) or treadmill desk (N=22; clusters=7) group. Participants wore an activPAL™ accelerometer for 7 days at baseline, month-3, month-6 and month-12 and received periodic feedback on their physical behaviors. The primary outcome was total daily sedentary time. Exploratory outcomes included total daily and workplace sedentary, standing and stepping time, and the number of total daily and workplace sedentary, standing and stepping bouts. Intervention effects were analyzed using random intercept mixed-linear-models accounting for repeated measures and clustering effects.
  
  Results:
  
  Total daily sedentary time did not significantly differ between- or within-groups after 12-months. Month-3 gains were observed in total daily and workplace standing time in both intervention groups (sit-to-stand desk: mean Δ±SD= 1.03±1.9 h/day and 1.10±1.87 h at work; treadmill desk: mean Δ±SD= 1.23±2.25 h/day and 1.44±2.54 h at work). At month-3 the treadmill desk users stepped more at the workplace than the control group (mean Δ±SD= 0.69±0.87 h). Month-6 gains in total daily stepping were observed within the sit-to-stand desk group (mean Δ±SD= 0.82±1.62 h/day) and month-3 gains in stepping at the workplace were observed for the treadmill desk group (mean Δ±SD= 0.77±0.83 h). These trends were sustained through month-12 in only the sit-to-stand desk group.
  
  Conclusions:
  
  Active-workstation interventions may cause short-term improvements in daily standing and stepping. Treadmill desk users engaged in fewer sedentary bouts but sit-to-stand desks resulted in more frequent transitions to upright physical behaviors.
  
  
• Subjects:
  Accelerometry Adult Equipment Design Female Humans Interior Design And Furnishings Male Middle Aged Obesity Occupational Health Sedentary Behavior Standing Position Time Factors Walking Workplace Young Adult

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• Keywords:
  Physical Activity Promotion Seated Office Workers Sedentary Behavior Sit-to-stand Desks Treadmill Desks Workplace Wellness
• Source:
  Med Sci Sports Exerc. 53(7):1434-1445
• Pubmed ID:
  33449603
• Pubmed Central ID:
  PMC8205935
• Document Type:
  Journal Article
• Funding:
  R21 OH010564/OH/NIOSH CDC HHSUnited States/ ; UL1 TR001102/TR/NCATS NIH HHSUnited States/
• Volume:
  53
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:b4ecd275b96e27762ba6ea525f5c8eade007f2c0e923d575dccdeefe592eb2b9
• Download URL:
  https://stacks.cdc.gov/view/cdc/107372/cdc_107372_DS1.pdf
• File Type:
  [PDF - 530.42 KB ]