Sedentary behaviour and health: mapping environmental and social contexts to underpin chronic disease prevention

British Journal of Sports Medicine - Tập 48 Số 3 - Trang 174-177 - 2014
Neville Owen1, Jo Salmon2, Mohammad Javad Koohsari3, Gavin Turrell4, Billie Giles‐Corti5
1Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, VIC 3004, Australia
2School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Victoria, Australia
3Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia
4School of Public Health and Social Work, Queensland University of Technology, Brisbane, Queensland, Australia
5McCaughey VicHealth Centre for Community Wellbeing, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia

Tóm tắt

The time that children and adults spend sedentary–put simply, doing too much sitting as distinct from doing too little physical activity—has recently been proposed as a population-wide, ubiquitous influence on health outcomes. It has been argued that sedentary time is likely to be additional to the risks associated with insufficient moderate-to-vigorous physical activity. New evidence identifies relationships of too much sitting with overweight and obesity, type 2 diabetes, cardiovascular disease, some cancers and other adverse health outcomes. There is a need for a broader base of evidence on the likely health benefits of changing the relevant sedentary behaviours, particularly gathering evidence on underlying mechanisms and dose–response relationships. However, as remains the case for physical activity, there is a research agenda to be pursued in order to identify the potentially modifiable environmental and social determinants of sedentary behaviour. Such evidence is required so as to understand what might need to be changed in order to influence sedentary behaviours and to work towards population-wide impacts on prolonged sitting time. In this context, the research agenda needs to focus particularly on what can inform broad, evidence-based environmental and policy initiatives. We consider what has been learned from research on relationships of environmental and social attributes and physical activity; provide an overview of recent-emerging evidence on relationships of environmental attributes with sedentary behaviour; argue for the importance of conducting international comparative studies and addressing life-stage issues and socioeconomic inequalities and we propose a conceptual model within which this research agenda may be addressed.

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