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Sedentary Behavior and Public Health: Integrating the Evidence and Identifying Potential Solutions.

Centre for Urban Transitions, Swinburne University of Technology, Hawthorn, Victoria 3122, Australia; email: nowen@swin.edu.au, nhadgraft@swin.edu.au. Behavioural Epidemiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, Victoria 3004, Australia; email: neville.owen@baker.edu.au. School of Public Health, University of Queensland, Herston, Queensland 4006, Australia; email: g.healy@sph.uq.edu.au, b.clark3@uq.edu.au, a.goode@sph.uq.edu.au, e.eakin@uq.edu.au. MRC Epidemiology Unit, Institute of Metabolic Science, University of Cambridge, Cambridge CB2 0QQ, United Kingdom; email: paddy.dempsey@mrc-epid.cam.ac.uk. Physical Activity Laboratory, Baker Heart and Diabetes Institute, Melbourne, Victoria 3004, Australia; email: paddy.dempsey@baker.edu.au, david.dunstan@baker.edu.au. Institute for Physical Activity and Nutrition, Deakin University, Burwood, Victoria 3125, Australia; email: jo.salmon@deakin.edu.au, anna.timperio@deakin.edu.au, h.koorts@deakin.edu.au, n.ridgers@deakin.edu.au. Iverson Health Innovation Institute, Swinburne University of Technology, Hawthorn, Victoria 3122, Australia; email: glambert@swin.edu.au. Human Neurotransmitters Laboratory, Baker Heart and Diabetes Institute, Melbourne, Victoria 3004, Australia; email: gavin.lambert@baker.edu.au. CSL Limited, Bio21 Institute, Melbourne, Victoria 3010, Australia; email: Bronwyn.Kingwell@csl.com.au. Metabolic and Vascular Physiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, Victoria 3004, Australia; email: bronwyn.kingwell@baker.edu.au. Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria 3000, Australia; email: david.dunstan@acu.edu.au.

Annual review of public health. 2020;:265-287
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Abstract

In developed and developing countries, social, economic, and environmental transitions have led to physical inactivity and large amounts of time spent sitting. Research is now unraveling the adverse public health consequences of too much sitting. We describe improvements in device-based measurement that are providing new insights into sedentary behavior and health. We consider the implications of research linking evidence from epidemiology and behavioral science with mechanistic insights into the underlying biology of sitting time. Such evidence has led to new sedentary behavior guidelines and initiatives. We highlight ways that this emerging knowledge base can inform public health strategy: First, we consider epidemiologic and experimental evidence on the health consequences of sedentary behavior; second, we describe solutions-focused research from initiatives in workplaces and schools. To inform a broad public health strategy, researchers need to pursue evidence-informed collaborations with occupational health, education, and other sectors.

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Publication Type : Review

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