Too Much Sitting and Chronic Disease Risk: Steps to Move the Science Forward
Authors: Brigid M. Lynch, Neville Owen
Journal: Annals of Internal Medicine (2015)

Editorials20 January 2015Too Much Sitting and Chronic Disease Risk: Steps to Move the Science ForwardBrigid M. Lynch, PhD and Neville Owen, PhDBrigid M. Lynch, PhDFrom Cancer Epidemiology Centre, Cancer Council Victoria; and Behavioural & Generational Change Program, Baker IDI Heart and Diabetes Institute, Melbourne, Australia. and Neville Owen, PhDFrom Cancer Epidemiology Centre, Cancer Council Victoria; and Behavioural & Generational Change Program, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M14-2552 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The meta-analysis by Biswas and colleagues (1) in this issue follows earlier reviews and meta-analyses (2–4) that have demonstrated the associations between too much sitting with risk for chronic disease and premature death after controlling for time spent in leisure exercise or moderate to vigorous physical activity. The implications of these findings are far-reaching. Sedentary behavior is ubiquitous. Society is engineered, physically and socially, to be sitting-centric. In our workplaces, homes, common methods of transportation, and recreational venues, we are required or encouraged to sit (5). Now, mounting evidence shows that sedentary behavior contributes to all-cause, cardiovascular, and cancer death ...References1. Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults. A systematic review and meta-analysis. Ann Intern Med. 2015;162:123-32. doi:10.7326/M14-1651 LinkGoogle Scholar2. Thorp AA, Owen N, Neuhaus M, Dunstan DW. Sedentary behaviors and subsequent health outcomes in adults a systematic review of longitudinal studies, 1996-2011. Am J Prev Med. 2011;41:207-15. [PMID: 21767729] doi:10.1016/j.amepre.2011.05.004 CrossrefMedlineGoogle Scholar3. Schmid D, Leitzmann MF. Television viewing and time spent sedentary in relation to cancer risk: a meta-analysis. J Natl Cancer Inst. 2014;106. [PMID: 24935969] doi:10.1093/jnci/dju098 CrossrefMedlineGoogle Scholar4. Wilmot EG, Edwardson CL, Achana FA, Davies MJ, Gorely T, Gray LJ, et al. Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia. 2012;55:2895-905. [PMID: 22890825] doi:10.1007/s00125-012-2677-z CrossrefMedlineGoogle Scholar5. Owen N, Sugiyama T, Eakin EE, Gardiner PA, Tremblay MS, Sallis JF. Adults' sedentary behavior determinants and interventions. Am J Prev Med. 2011;41:189-96. [PMID: 21767727] doi:10.1016/j.amepre.2011.05.013 CrossrefMedlineGoogle Scholar6. Zhang D, Jiang W, Wu Y, Jiang X. Re: television viewing and time spent sedentary in relation to cancer risk: a meta-analysis [Letter]. J Natl Cancer Inst. 2014;106:. [PMID: 25269701] doi:10.1093/jnci/dju303 CrossrefMedlineGoogle Scholar7. Clark BK, Sugiyama T, Healy GN, Salmon J, Dunstan DW, Owen N. Validity and reliability of measures of television viewing time and other non-occupational sedentary behaviour of adults: a review. Obes Rev. 2009;10:7-16. [PMID: 18631161] doi:10.1111/j.1467-789X.2008.00508.x CrossrefMedlineGoogle Scholar8. Department of Health, Australian Government. Australia's Physical Activity & Sedentary Behaviour Guidelines for Adults (18-64 Years). Accessed at www.health.gov.au/internet/main/publishing.nsf/content/health-pubhlth-strateg-phys-act-guidelines#apaadult on 9 December 2014. Google Scholar9. Buman MP, Winkler EA, Kurka JM, Hekler EB, Baldwin CM, Owen N, et al. Reallocating time to sleep, sedentary behaviors, or active behaviors: associations with cardiovascular disease risk biomarkers, NHANES 2005–2006. Am J Epidemiol. 2014;179:323-34. [PMID: 24318278] doi:10.1093/aje/kwt292 CrossrefMedlineGoogle Scholar10. Owen N. Ambulatory monitoring and sedentary behaviour: a population-health perspective. Physiol Meas. 2012;33:1801-10. [PMID: 23110918] doi:10.1088/0967-3334/33/11/1801 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Brigid M. Lynch, PhD; Neville Owen, PhDAffiliations: From Cancer Epidemiology Centre, Cancer Council Victoria; and Behavioural & Generational Change Program, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.Grant Support: Dr. Lynch is supported by the National Health and Medical Research Council (early career fellowship 586727). Dr. Owen is supported by the National Health and Medical Research Council Program (grant 569940), the National Health and Medical Research Council (senior principal research fellowship 1003960), and the Victorian Government's Operational Infrastructure Support Program.Disclosures: None. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-2552.Corresponding Author: Neville Owen, PhD, Program Head, Behavioural & Generational Change, Baker IDI Heart and Diabetes Institute, Level 4, 99 Commercial Road, Melbourne, VIC 3004 Australia; e-mail, neville.[email protected]edu.au.Current Author Addresses: Dr. Lynch: Cancer Epidemiology Centre, Cancer Council Victoria, 615 St. Kilda Road, Melbourne, VIC 3004, Australia.Dr. Owen: Program Head, Behavioural & Generational Change, Baker IDI Heart and Diabetes Institute, Level 4, 99 Commercial Road, Melbourne, VIC 3004 Australia. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoSedentary Time and Its Association With Risk for Disease Incidence, Mortality, and Hospitalization in Adults Aviroop Biswas , Paul I. Oh , Guy E. Faulkner , Ravi R. Bajaj , Michael A. Silver , Marc S. Mitchell , and David A. Alter Sedentary Time and Its Association With Risk for Disease Incidence, Mortality, and Hospitalization in Adults Aviroop Biswas , Paul I. Oh , Guy E. Faulkner , Ravi R. Bajaj , Michael A. Silver , Marc S. Mitchell , and David A. 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