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Is sitting killing you slowly and painfully?

A sedentary lifestyle kills

The work performed in an office is primarily sedentary work with minimal energy expenditure. Office work has traditionally been considered as a 'low risk' occupation in terms of chronic health outcomes, it may in fact increase the risk of mortality and cardiometabolic disorders due to overall accumulated sedentary time.


Many office workers spend more than 6 hours of their day in a sitting position at their desk. The same people then sit in their car or train on their way home followed by additional sitting time on the couch in front of the TV. The energy expenditure while sitting is a very low 1.25 kilojoules per minute. This work rate is doubled to 2.5 kilojoules per minute when standing!

According to researchers there is a growing body of evidence that people who do physically demanding jobs are fitter, healthier and less likely to suffer from fatal heart attacks than their less active colleagues. According to a University of Sydney study, people who sit for 8 to 11 hours a day increased their risk of dying by 15 percent! Other researchers claim that sitting may have more to do with obesity than the lack of physical activity.

Consequences of a sedentary lifestyle increase the risk of:

  • mortality
  • cardiovascular disease
  • diabetes
  • high blood sugar level

Even more worrying is the research that suggests exercising doesn't necessarily counteract the damage caused by sitting all day in the office.

Increased risk of developing muskuloskeletal disorders

  • Office workers in today's modern workplace perform a majority of their work at a desk. A poorly designed workstation can lead to a number of muskuloskeletal disorders (MSDs) through cumulative trauma. Cumulative trauma is defined as repeated application of force to a structure that tends to wear down a structure beyond its tolerance limit. This cumulative trauma can lead to inflammation and swelling of tendons and muscles, reduced motion, strength, mobility and microtrauma of muscle fibres resulting in partial tears. The result is often back and neck pain with researchers estimating that 95% starts through inactivity instead of excessive demand.


    Work performed in a seated position puts the worker at greater risk of spine loading and damage, while prolonged standing may result in static overload. In a 2002 study; researchers found relationships between certain static postures while sitting at a workstation and the development of MSDs.


    There is an abundance of statistical data reflecting the severity of the MSDs issue in the workplace. According to 'Safe Work Australia - Key Work Health and Safety Statistics 2012', the most common work-related injuries were sprains and strains, at 43% of all serious claims. Safe Work Australia has identified MSDs as a high priority disease group. The '2009-2010 ABS Work Related Injuries' report lists sprains/strains and chronic joint or muscle conditions as the most commonly reported work-related injury or illness sustained across the majority of industries. It is estimated that the total cost of MSDs is 20 billion dollars annually.


    The good news is that it is possible to minimise or eliminate work-related injuries to the musculoskeletal system through redesign of a workstation. An ergonomically designed workstation can enhance worker physical and mental well being, job satisfaction and safety.


    As highlighted in the 2006 'Worksafe - Officewise - A guide to health & safety in the office', "electric height adjustment of the workstation is most appropriate". Researchers claim that allowing workers to alternate between sitting and standing and hence changing working postures during prolonged work can have significant beneficial effects on the productivity and health of the worker.

A holistic approach


The provision of an electric height adjustable sit to stand desk as a single stand alone control measure is not advisable. Other factors such as ensuring the appropriate use of a sit to stand desk including training and monitoring, provision of appropriate ergonomic seating, lighting and glare inside the office, all play important roles in addressing the issue with a holistic approach. For example, administrative controls such as the promotion of regular walking breaks is also important.


However, in many workplace scenarios, the opportunity for workers to take regular walks and breaks is not a viable option. Even in positions where autonomy and freedom is high, a worker may have an important deadline to meet, which may force the worker to spend excessive amounts of time at a desk without the opportunity for a break. In these scenarios, an electric height adjustable sit to stand desk or 'Switch Desk' allow the individual to quickly, quietly and smoothly, change posture from sitting to standing. This can result in a healthier and happier life; priceless!


Key Points:

  • provision of training followed up with monitoring on the use of your sit to stand desk is recommended
  • ergonomic factors; appropriate seating, lighting and glare considerations
  • consult your doctor if in doubt whether you can stand 5-15mins every hour
  • do not overdo it at first, if you're struggling, limit your standing time to 5 minutes at a time
  • moderation is key, always alternate between sitting and standing, too much of either sitting or standing can lead to adverse health outcomes








Videos

Why sitting is bad for you - Murat Dalkilinc



Catalyst - Sitting Is Deadly



RT America - Sitting at your desk more dangerous than being obese, study finds



Get Off Your Duff! Sitting Is the 'New Smoking' - CBN.com

Refereces

Karwowski (2006) International Encyclopedia of Ergonomics and Human Factors Volume 1 - Second Edition. In Das, B (Ed.), Ergonomic Workstation Design (pp. 1596- 1607) Florida: Taylor and Francis Group
Kumar, S. (1999) Biomechanics in Ergonomics. In Goel, V.K., Montogmery, N.M., Grosland, M.H., Pope, M.H., Kumar, S. (Eds), Ergonomic Factors in the workplace contribute to disc degeneration (pp. 243- 265) London: Taylor and Francis Group
Salvendy, G. (2012) Handbook of Human Factors and Ergonomics. In Marras, W. (Ed), Basic Biomechanics and Workstation Design (pp. 347-381) New Jersey: John Wiley & Sons, Inc.
Salvendy, G. (2012) Handbook of Human Factors and Ergonomics. In Marmaras, N., & Nathanael, D. (Ed), Workplace Design (pp. 599-615) New Jersey: John Wiley & Sons, Inc.
Marcus, M., Gerr, F., Monteilh, C., Ortiz, D., Gentry, E., Cohen, S., Edwards, A., Ensor, C., Kleinbaum, D. (2002) A prospective Study of Computer Users: II Postural Risk Factors for Musculoskeletal Symptoms and Disorders Atlanta: American Journal of Industrial Medicine, Vol 41, 236-249
Kothiyal, K., & Folland, C. (2007) Muscle load and discomfort in counter workstations users Sydney: University of New South Wales 'The Eighth Pan-Pacific Conference on Occupational Ergonomics
Robertson (2011) Ergonomics and Health Aspect of Work with Computers. Florida: Springer-Verlag Berlin Heidelberg
Hedge, A. (2004) Effects of electric height-adjustable worksurface on self-assessed musculoskeletal discomfort and productivity in computer workers New York: Cornell University Human Factors and Ergonomics Research Laboratory Technical Report 0904
Chengalur, S. Rodgers, S. Bernard, T. (2004) Kodak's Ergonomic Design for People at Work. New Jersey: John Wiley & Sons, Inc.
Bridger, R.S. (2003) Introduction to Ergonomics. London: Taylor and Francis Group

Cook, C., Burgess-Limerick, R. (2003) 2.Guidelines for computer workstations. Ergonomics Australia. 17 (1), 19-37
Helland, M., Horgen, G., Kvikstad, T.M., Garthus, T., Aaras, A. (2011) Will musculoskeletal and visual stress change when Visual Display Unit (VDU) operators move from small offices to an ergonomically optimized office landscape? Kongberg: Applied Ergonomics 42, 839-845
Hodgkinson, G.P., & Ford, K. (2012) International Review of Industrial and Organizational Psychology. In Davis, M.C., Leach, D.J., Clegg, C.W. (Ed), The physical environment of the office: contemporary and emerging issues (pp. 193-237) New Jersey: John Wiley & Sons, Inc.
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Reinhold, K., & Tint, P. (2009) Lighting of Workplaces and Health Risks. Tallinn: Elektronika IR Elektrotechnika 2(90), 11-14
Occupational Health and Safety Act 2004 (VIC)
Standards Australia (2008) Interior and workplace lighting Part 2.2: Specific Applications - Office and screen based tasks (AS/NZS 1680.2.2:2008) Retrieved from Standards Online.
Standards Australia (2008) Office panel systems - Workstations (AS/NZS 4443:1997) Retrieved from Standards Online.
Worksafe Victoria (2007) Occupational Health and Safety Regulations 2007. Retrieved from http://www.legislation.vic.gov.au
Worksafe Victoria (2006) Officewise - A guide to health & safety in the office.