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Standing desks alongside other measures cut office workers’ sitting time by an hour a day

Latest evidence

Using a standing desk alongside a package of other measures to encourage office workers to sit less and move more, reduced sitting time by about an hour a day over one year, finds a trial published in The BMJ. These measures were also linked to small (though not clinically meaningful) improvements in stress, wellbeing, and energy levels at work. BeUpstanding team members Professors Genevieve Healy and David Dunstan were part of the research team that was led by A/Prof Charlotte Edwardson from The University of Leicester in the UK. What was the study about? The randomised controlled trial was evaluating the impact of the Smart Work and Life intervention with and without a sit-stand workstation, compared to a comparison group. The Smart Work and Life intervention is designed to support desk-based workers to sit less and move more, both in the workplace and at home. The trial involved 756 office workers from two councils in Leicester, three in Greater Manchester, and one in Liverpool. Similar to BeUpstanding, the Smart Work and Life (SWAL) intervention uses workplace champions to deliver the intervention. Those in the intervention group were given a range of resources to help them reduce their sitting time, and highlight…

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How your input is helping build BeUpstanding

BeUpstanding Stories

The BeUpstanding program is based on over a decade of research evidence into what works to help desk workers to sit less and move more. Throughout the program we have worked with multiple stakeholders, including current and potential users of the toolkit, employees, managers, and policy and practice partners, to continue to improve the program. We recently published a scientific article describing this user centred design process and how it was used to adapt the program to be ready for the national implementation trial. The article showcases the multiple people and multiple disciplines involved in developing and implementing a workplace health promotion program like BeUpstanding, including content experts, design thinking and interaction design, business and product development, software development, implementation science. The article also describes the multiple ways in which data were collected to inform the iterative adaptions, including through deep dive interviews, surveys, toolkit analytics, and ad hoc communication and feedback. The BeUpstanding Journey Map was developed to help users understand what was involved in the BeUpstanding program.  As we wrap up the national implementation trial, we are busily applying the user centred design approach to build the next iteration of BeUpstanding. This approach ensures that the program meets…

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Staying physically active during self-quarantine – guidance from WHO

Key resources

With COVID-19 cases still high and influenza cases rapidly escalating, we are continuing to spend substantial amounts of time confined to home. The WHO recently released guidance on why and how to stay physically active during self-quarantine. The article, which is available here, has been reproduced below. Although written for the European region, the key messages are applicable to our Australian context. Stay Physically Active During Self-Quarantine Warning: This guidance is intended for people in self-quarantine without any symptoms or diagnosis of acute respiratory illness. It should not replace medical guidance in case of any health condition. As new COVID-19 cases continue to emerge in the WHO European Region, many healthy individuals are being requested to stay at home in self-quarantine. In some countries, fitness centres and other locations where individuals are normally active, will remain temporarily closed. Staying at home for prolonged periods of time can pose a significant challenge for remaining physically active. Sedentary behaviour and low levels of physical activity can have negative effects on the health, well-being and quality of life of individuals. Self-quarantine can also cause additional stress and challenge the mental health of citizens. Physical activity and relaxation techniques can be valuable tools to…

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Simple activities to be active at your desk – Part 3

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Desk-based workers can spend a lot of time at their desk sitting. If you are a regular follow of this blog, you will know that high levels of sitting time can have several detrimental impacts on health and wellbeing, including on cognitive function, risk of diabetes, physical function and quality of life. Prolonged sitting – that is, sitting for a long time without taking a break – is emerging as particularly harmful, which is why we promote regular breaks from sitting at BeUpstanding. Indeed, a 2022 systematic review and meta-analysis by Loh and colleagues highlighted the beneficial effects of having regular physical activity breaks on blood sugar, insulin, and triacylglycerol measures. Their article concluded that taking short breaks from prolonged sitting results in better glycemic control and improved metabolic control compared to individuals who do not incorporate short physical activity breaks. One impact of too much sitting for too long is on our musculoskeletal health. Here, prolonged sitting can cause tight hip flexors and leg muscles. Vanroelen (2022) states that these imbalances are due to the shortened and lengthened muscles in your legs due to muscle weakness and tightness. These imbalances can lead to a compensatory hyperlordosis or excessive inward…

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How do BeUpstanding teams choose their top 3 strategies to stand up, sit less and move more?

BeUpstanding Stories

One of the key components of the BeUpstanding program is to hold a staff consultation workshop with all team members. The aim of the workshop is to provide information about the program to staff, give them the opportunity to discuss potential ways in which they can stand up, sit less, and move more at work, and the collectively select three top strategies to implement as a team during the 8-week program and beyond. Ideally the workshop is held in-person, however, we know that COVID and other factors have affected how and where people work.  As a result, an in-person staff workshop was not always possible for the teams taking part in our national trial of BeUpstanding and teams conducted this consultation and gained staff input in various ways. As part of our research, we are interested in finding out how staff were engaged in decision making around potential BeUpstanding strategies. This data was obtained via the program completion survey that workplace BeUpstanding champions completed upon finishing the 8-week implementation phase of the program. In the survey, champions were asked how they gained input from staff on how they wanted to BeUpstanding (in addition to or instead of the staff workshop),…

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Simple activities to be active at your desk – Part 2

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Guidelines recommend regular breaks from prolonged sitting, and at team BeUpstanding, we encourage breaks at least every 30 minutes. Here are some activities that you can do at your desk to help combat some of the impacts of prolonged sitting. Individuals who sit for a prolonged amount of time tend to have rounded shoulders, tight neck muscles, and have back pain and this is known as upper-crossed syndrome. Balciuniene et al. discuss that there is an imbalance with your upper body muscles like your upper trapezius, levator scapula, and pectoralis major and minor, since these dorsal and ventral muscles cross, which create a pattern of joint dysfunction leading to spinal stress and poor posture. These features of having a forward head posture and thoracic kyphosis, excessive upper back curvature, to name a few, leads to poor shoulder stability and mobility, especially at the glenohumoral joint in your shoulder. This causes an overactivation of some muscles like your levator scapulae and upper trapezius to try to maintain body alignment. Kim et al. (2016) determined that postural pain syndrome can be a result from upper-crossed syndrome and poor posture due to prolonged sitting. Lee et al. (2017) discussed that incorporating exercises using…

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Simple activities to be active at your desk – Part 1

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Guidelines recommend regular breaks from prolonged sitting, and at team BeUpstanding, we encourage breaks at least every 30 minutes. Here are three activities that you can do at your desk to help combat some of the impacts of prolonged sitting. Wall Sit with Calf Raise We all sit hunched over in our chairs whenever we work on a project or browse on our computer. Sometimes people tend to hunch over when eating food at a table. If you have ever seen anyone walking around with a curved lower back, or excessive lumbar lordosis, their posture may have been severely impacted from sitting hunched over at a desk all day. Wall sits help improve your posture and improve your lower body muscle endurance, while strengthening your muscles. Here are the steps to executing a wall sit with a calf raise. Place your back against the wall Squat down until your legs are at 90 degrees Raise up your toes and lower your heels back down to perform one repetition Add a weight on your legs for an extra challenge Performing this exercise allows the body to engage the abdominal muscles as you brace your core in order to keep your back…

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Modelling the potential health and economic benefits of reducing population sitting time in Australia

Latest evidence

Strong evidence indicates that excessive time spent sitting (sedentary behaviour) is detrimentally associated with multiple chronic diseases. A paper titled “Modelling the potential health and economic benefits of reducing population sitting time in Australia” has recently been published in the International Journal of Behavioral Nutrition and Physical Activity and describes the development of the first Australian sedentary behaviour model that can be used to predict the long term consequences of interventions targeted at reducing sedentary behaviour through reductions in sitting time. The authors report that sedentary behaviour is prevalent among adults in Australia and has increased during the COVID-19 pandemic. Therefore, estimating the potential health benefits and healthcare cost saving associated with reductions in population sitting time, could be useful for the development of public health initiatives. A sedentary behaviour model was developed and incorporated into an existing proportional, multi-state, life table Markov model (ACE-Obesity Policy model). This model simulates the 2019 Australian population (age 18 years and above) and estimates the incidence, prevalence and mortality of five diseases associated with sedentary behaviour (type 2 diabetes, stroke, endometrial, breast and colorectal cancer). According to the model, if all Australian adults sat no more than 4 h per day, this would result in health…

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Champion Insights – Barriers to engaging management and staff in BeUpstanding

BeUpstanding Stories

Implementing a well-being program in a workplace can come with some challenges, one of which can be engaging staff and/or management in the program. As part of the national trial of BeUpstanding we are interested in learning what some of the barriers were in relation to engaging staff and management in the BeUpstanding program, a workplace champion led program aimed at supporting staff to sit less and move more in the workplace. As part of the program completion survey that BeUpstanding Champions complete upon finishing the 8-week implementation phase of the BeUpstanding program, they are asked the following question: “Tell us about any barriers to engaging management or staff in the BeUpstanding program that you have noticed”. The changes associated with working from home due to COVID-19, namely the lack of visibility and the lack of equipment, were identified as common barriers. It’s hard to get everyone on board.  Working from home made it more challenging – less visibility. Some staff were working from home during the program where they didn’t have sit to stand desks and fellow workers to encourage more movement. A lack of time/being too busy, and only having support from some levels of management, were also…

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Economics of Sedentary Behaviour

Latest evidence

It is well established that sedentary behaviour is an established risk factor for several diseases; however, its economic impacts are less understood. Published in Preventative Medicine last week, a paper titled “Economics of sedentary behaviour: A systematic review of cost of illness, cost-effectiveness, and return on investment studies” is the first review that has investigated the broader economic credentials of Sedentary Behaviour. The authors, Nguyen P et al., reviewed the literature on the economic costs associated with excessive sedentary behaviour and the cost-effectiveness of interventions targeting sedentary time. The review identified nine articles. Three reported healthcare costs associated with excessive sedentary time, and found that healthcare costs associated with excessive sedentary time as reported in cost of illness studies were substantial. However, none explored non-health sector costs. In the six articles which were economic evaluations of interventions targeting sedentary behaviour, they adopted a societal perspective. However, costs included differed depending on the intervention context. The authors concluded that excessive sedentary behaviour is likely associated with excess healthcare costs and of the limited interventions targeting sedentary behaviour reduction that have been economically evaluated, most were likely to be cost-effective. The most promising interventions from a cost-effectiveness perspective were those that included…

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