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PHYSICAL EXERCISE AND FITNESS INTERVENTIONS:

Do Physical Activity Interventions Also Decrease Sedentary Time?

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Do Physical Activity Interventions Also Decrease Sedentary Time ?

By Travis Saunders, Phd, MSc, CEP

Posted: October 21, 2014

PLOS Blogs

Obesity Panacea

http://blogs.plos.org/obesitypanacea/2014/10/21/
do-physical-activity-interventions-also-decrease-sedentary-time/

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A shorter URL for the above link:

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http://tinyurl.com/n4zm9dy

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Background:

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Physical activity has long been established as a strong predictor of 
cardiometabolic health, disease and mortality.  For decades now 
researchers have been trying to develop interventions that will increase 
our physical activity levels, most notably at higher intensities - think 
moderate-to-vigorous physical activity (otherwise known as MVPA).  In 
Canada, we have physical activity guidelines which promote that adults 
(18-64 years) aspire to achieve a minimum of 150 minutes of MVPA per week 
in bouts of 10 minutes or more, with the idea that more physical activity 
is always better.  Canadians also have sedentary behaviour guidelines for 
children and youth which propose limits on screen time.

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There is a rapidly growing body of literature which suggests that greater 
amounts of time spent being sedentary (watching TV, screen time, sitting 
time, total sedentary time) are associated with an increased risk for 
markers of cardiometabolic disease, cardiovascular disease, diabetes, some 
cancers and premature death (references here and here).  Sedentary 
behaviours refer to the time spent sitting or lying down and in a state 
where there is relatively minimal energy expended (not just the absence of 
MVPA).

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While there has been a lot of research looking at the effectiveness of 
physical activity interventions, little has been done to examine whether 
these interventions also decrease the time we spend being sedentary.

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snip

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Take-home messages

The results of our review provide a comprehensive and objective summary of 
the effectiveness of physical activity and/or sedentary behaviour focused 
interventions on reducing time spent being sedentary among adults. 
Ultimately the greatest reductions were observed in the sedentary 
behaviour focused interventions, but it remains to be seen whether these 
reductions can be maintained in the long term.  Further, the reductions 
observed in the intervention with some sedentary behaviour component also 
likely lead to clinically meaningful reductions in cardiometabolic disease 
risk.

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Given that it is likely easier for individuals to reallocate time spent 
being sedentary to light intensity physical activity (more incidental 
movement), and that beneficial changes in metabolic health can be achieved 
with these reallocations, reducing sedentary behaviours in addition to 
increasing MVPA is an important public health message.  Interventions 
which placed an increased focus on these behaviours are more likely to see 
reductions in sedentary time.

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The complete article may be read at the URL above.

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