BeUpstanding™ Blog

The Evidence

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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

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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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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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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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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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Can Too Much Sitting be Contributing to Depression?

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A recent blog post titled ‘Can Too much Sitting be Contributing to Depression’ was published by the Sedentary Behaviour Research Network. It looked at the relationship between sitting and depression and reported that the research seems to support the idea that excessive sitting is positively correlated with an increase in depression. It also highlighted two distinct types of sedentary sitting behaviour: mentally passive (ex. Watching television) and mentally active (ex.reading or driving), and that it is the mentally passive sitting that could have deleterious health effects. You can read the full blog here.

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COVID-19 saw us sitting for longer and diabetes rates increasing

Latest evidence

COVID saw us sitting longer – and diabetes rose globally by 16% in 2 years. Time to get moving Christian Brakenridge, Baker Heart and Diabetes Institute and David Dunstan, Baker Heart and Diabetes Institute New figures show global diabetes prevalence has increased by 16% in the past two years, with 537 million adults (aged 20-79) now estimated to be living with the chronic condition. Over this same time period, COVID has stopped us doing some of the things that help prevent and manage diabetes. One particularly concerning example is an increase to sedentary behaviour (sitting down for long periods of time), which was already at dangerous levels pre-COVID. Some estimates indicate the pandemic added an average three hours to our sitting time each day. Now lockdowns have eased in many places, it is vital we get moving again – and in the right way – to change this picture. Reducing sitting time is a good starting place to help people with diabetes, pre-diabetes and other chronic conditions to reach healthier levels of physical activity. A growing global problem Data from the International Diabetes Federation’s 10th Diabetes Atlas, officially launched today, shows about 10% of the world’s population aged 20–79 now live…

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How our early adopters helped to shape BeUpstanding

BeUpstanding Stories

The BeUpstanding program is based on over a decade of evidence into what works to help support desk-based workers sit less and move more. The foundation for the program was the Stand Up Victoria study, a randomised controlled trial where the research team delivered the intervention components and ran the evaluation. The initial translation of this intervention into an online program that uses a “train-the-champion” approach to guide workplace champions to deliver and evaluate the program themselves has been previously described, showing that it was effective and acceptable. In the latest paper from the BeUpstanding team we report on Phase 3 of the translation process – our early adopters of the program. What were we evaluating in Phase 3? Phase 3 ran from when we first went “live” with the program on September 1st, 2017 until the start of the national implementation trial in mid June 2019. The purpose of this phase was to test the sign-up process and the new platform that we had developed to be able to deliver and evaluate the program. We also wanted to evaluate the extent to which the program and processes were “fit-for-purpose” for our national implementation trial. To test this, we did…

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