Device-measured Physical Activity, Sedentary Behaviour and Cardiometabolic Health and Fitness Across Occupational Groups: a Systematic Review and Meta-analysis

Overview

Journal Int J Behav Nutr Phys Act

Publisher Biomed Central

Specialties Nutritional Sciences
Orthopedics
Social Sciences

Date 2019 Apr 4

PMID 30940176

Citations 66

Authors

Stephanie A Prince

Cara G Elliott

Kyle Scott

Sarah Visintini

Jennifer L Reed

Affiliations

Soon will be listed here.

Abstract

Background: With approximately 8 hours of one's waking day spent at work, occupational tasks and environments are important influencers on an individual's physical activity (PA) and sedentary behaviours. Little research has compared device-measured physical activity, sedentary behaviour and cardiometabolic outcomes between occupational groups.

Objective: To compare device-measured movement (sedentary time [ST], light intensity physical activity [LPA], moderate-to-vigorous intensity physical activity [MVPA], and steps) across occupations. The secondary objective was to examine whether cardiometabolic and fitness outcomes differed by occupation.

Methods: Five bibliographic databases were searched to identify all studies which included working age, employed adults from high-income countries, and reported on device-measured movement within occupations. Risk of bias within and across studies was assessed. Results were synthesized using meta-analyses and narrative syntheses.

Results: The review includes 132 unique studies with data from 15,619 participants. Working adults spent ~ 60% of their working and waking time engaged in sedentary behaviour; a very small proportion (~ 4%) of the day included MVPA. On average, workers accumulated 8124 steps/day. Office and call center workers' steps/day were among the lowest, while those of postal delivery workers were highest. Office workers had the greatest ST and the lowest time in LPA both at work and during wakeful time. However, office workers had the greatest minutes sent in MVPA during wakeful hours. Laborers had the lowest ST and spent a significantly greater proportion of their work time in LPA and MVPA. Healthcare and protective services workers had higher levels of LPA at work compared to other occupations. Workers in driving-based occupations tended to have a higher body mass index and blood pressure.

Conclusion: This review identifies that occupational and wakeful time PA and ST differed between occupations. Future studies are needed to assess whether patterns differ by age and sex, describe leisure-time movement and movement patterns, and the relationship with cardiometabolic health.

Systematic Review Registration: PROSPERO CRD42017070448 .

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References

Pereira M, Coombes B, Comans T, Johnston V . The impact of onsite workplace health-enhancing physical activity interventions on worker productivity: a systematic review. Occup Environ Med. 2015; 72(6):401-12. DOI: 10.1136/oemed-2014-102678. View

Wong J, Gilson N, Bush R, Brown W . Patterns and perceptions of physical activity and sedentary time in male transport drivers working in regional Australia. Aust N Z J Public Health. 2014; 38(4):314-20. DOI: 10.1111/1753-6405.12214. View

Oakman J, Neupane S, Proper K, Kinsman N, Nygard C . Workplace interventions to improve work ability: A systematic review and meta-analysis of their effectiveness. Scand J Work Environ Health. 2018; 44(2):134-146. DOI: 10.5271/sjweh.3685. View

McCrady S, Levine J . Sedentariness at work: how much do we really sit?. Obesity (Silver Spring). 2009; 17(11):2103-5. PMC: 2783690. DOI: 10.1038/oby.2009.117. View

Danquah I, Kloster S, Holtermann A, Aadahl M, Tolstrup J . Effects on musculoskeletal pain from "Take a Stand!" - a cluster-randomized controlled trial reducing sitting time among office workers. Scand J Work Environ Health. 2017; 43(4):350-357. DOI: 10.5271/sjweh.3639. View

Chae D, Kim S, Park Y, Hwang Y . The Effects of an Academic--Workplace Partnership Intervention to Promote Physical Activity in Sedentary Office Workers. Workplace Health Saf. 2015; 63(6):259-66. DOI: 10.1177/2165079915579576. View

Jatkinson J, Goody R, Walker C . Walking at work: a pedometer study assessing the activity levels of doctors. Scott Med J. 2005; 50(2):73-4. DOI: 10.1177/003693300505000210. View

Umukoro P, Arias O, Stoffel S, Hopcia K, Sorensen G, Dennerlein J . Physical activity at work contributes little to patient care workers' weekly totals. J Occup Environ Med. 2013; 55(12 Suppl):S63-8. DOI: 10.1097/JOM.0000000000000046. View

Finkelstein E, Sahasranaman A, John G, Haaland B, Bilger M, Sloan R . Design and baseline characteristics of participants in the TRial of Economic Incentives to Promote Physical Activity (TRIPPA): a randomized controlled trial of a six month pedometer program with financial incentives. Contemp Clin Trials. 2015; 41:238-47. DOI: 10.1016/j.cct.2015.01.020. View

10.

Hadgraft N, Healy G, Owen N, Winkler E, Lynch B, Sethi P . Office workers' objectively assessed total and prolonged sitting time: Individual-level correlates and worksite variations. Prev Med Rep. 2016; 4:184-91. PMC: 4929063. DOI: 10.1016/j.pmedr.2016.06.011. View

11.

Croteau K . Using Pedometers to Increase the Non-Workday Steps of Hospital Nursing and Support Staff: A Pilot Study. Workplace Health Saf. 2016; 65(10):452-456. DOI: 10.1177/2165079916665399. View

12.

ODonoghue G, Perchoux C, Mensah K, Lakerveld J, van der Ploeg H, Bernaards C . A systematic review of correlates of sedentary behaviour in adults aged 18-65 years: a socio-ecological approach. BMC Public Health. 2016; 16:163. PMC: 4756464. DOI: 10.1186/s12889-016-2841-3. View

13.

Prince S, Adamo K, Hamel M, Hardt J, Connor Gorber S, Tremblay M . A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008; 5:56. PMC: 2588639. DOI: 10.1186/1479-5868-5-56. View

14.

Gilson N, Suppini A, Ryde G, Brown H, Brown W . Does the use of standing 'hot' desks change sedentary work time in an open plan office?. Prev Med. 2011; 54(1):65-7. DOI: 10.1016/j.ypmed.2011.10.012. View

15.

Foley B, Engelen L, Gale J, Bauman A, Mackey M . Sedentary Behavior and Musculoskeletal Discomfort Are Reduced When Office Workers Trial an Activity-Based Work Environment. J Occup Environ Med. 2016; 58(9):924-31. DOI: 10.1097/JOM.0000000000000828. View

16.

Smith L, McCourt O, Sawyer A, Ucci M, Marmot A, Wardle J . A review of occupational physical activity and sedentary behaviour correlates. Occup Med (Lond). 2016; 66(3):185-92. DOI: 10.1093/occmed/kqv164. View

17.

Sedgwick P, Marston L . How to read a funnel plot in a meta-analysis. BMJ. 2015; 351:h4718. DOI: 10.1136/bmj.h4718. View

18.

Gilson N, Pavey T, Wright O, Vandelanotte C, Duncan M, Gomersall S . The impact of an m-Health financial incentives program on the physical activity and diet of Australian truck drivers. BMC Public Health. 2017; 17(1):467. PMC: 5437648. DOI: 10.1186/s12889-017-4380-y. View

19.

Malik S, Blake H, Suggs L . A systematic review of workplace health promotion interventions for increasing physical activity. Br J Health Psychol. 2013; 19(1):149-80. DOI: 10.1111/bjhp.12052. View

20.

Tam G, Yeung M . A systematic review of the long-term effectiveness of work-based lifestyle interventions to tackle overweight and obesity. Prev Med. 2017; 107:54-60. DOI: 10.1016/j.ypmed.2017.11.011. View