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Review Article
Open Access
Sedentary Behavior and Public Health: Integrating the Evidence and Identifying Potential Solutions
- Neville Owen1,2, Genevieve N. Healy3, Paddy C. Dempsey4,5, Jo Salmon6, Anna Timperio6, Bronwyn K. Clark3, Ana D. Goode3, Harriet Koorts6, Nicola D. Ridgers6, Nyssa T. Hadgraft1, Gavin Lambert7,8, Elizabeth G. Eakin3, Bronwyn A. Kingwell9,10, and David W. Dunstan5,11
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View Affiliations Hide AffiliationsAffiliations: 1Centre for Urban Transitions, Swinburne University of Technology, Hawthorn, Victoria 3122, Australia; email: [email protected][email protected] 2Behavioural Epidemiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, Victoria 3004, Australia; email: [email protected] 3School of Public Health, University of Queensland, Herston, Queensland 4006, Australia; email: [email protected][email protected][email protected][email protected] 4MRC Epidemiology Unit, Institute of Metabolic Science, University of Cambridge, Cambridge CB2 0QQ, United Kingdom; email: [email protected] 5Physical Activity Laboratory, Baker Heart and Diabetes Institute, Melbourne, Victoria 3004, Australia; email: [email protected][email protected] 6Institute for Physical Activity and Nutrition, Deakin University, Burwood, Victoria 3125, Australia; email: [email protected][email protected][email protected][email protected] 7Iverson Health Innovation Institute, Swinburne University of Technology, Hawthorn, Victoria 3122, Australia; email: [email protected] 8Human Neurotransmitters Laboratory, Baker Heart and Diabetes Institute, Melbourne, Victoria 3004, Australia; email: [email protected] 9CSL Limited, Bio21 Institute, Melbourne, Victoria 3010, Australia; email: [email protected] 10Metabolic and Vascular Physiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, Victoria 3004, Australia; email: [email protected] 11Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria 3000, Australia; email: [email protected]
- Vol. 41:265-287 (Volume publication date April 2020) https://doi.org/10.1146/annurev-publhealth-040119-094201
- First published as a Review in Advance on January 08, 2020
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Copyright © 2020 Annual Reviews.This work is licensed under a Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See credit lines of images or other third party material in this article for license information.
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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