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Take a Stand Against Sitting Too Much

Couch potatoes might help cut their risk of early death by getting up every 30 minutes, study nds

(*this news item will not be available after 12/11/2017)

Tuesday, September 12, 2017

MONDAY, Sept. 11, 2017 (HealthDay News) -- Days spent sitting for hours may
increase your risk for an early death no matter how much you exercise, researchers
say.

In a new study, people who sat the most had twice the risk of dying over a 4-year
period as people who sat the least. But taking a break every 30 minutes to get up and
walk around might help decrease the risk, the study authors said.

"What's most troubling is it's like I exercise in the morning and I think I'm good, but in addition to exercise I should
also be mindful of not being sedentary for long periods throughout the day," said lead researcher Keith Diaz. He is an
associate research scientist at Columbia University Medical Center in New York City.

It's more than exercise, Diaz said. "You have to do more. You have to move, you have to get up often and break up
your sedentary habits if you want to have the lowest risk of death," he explained.

Many people sit for up to 10 hours a day, he noted. Earlier studies that have reported a link between sitting and an
early death have relied on people telling researchers how long they sat in a day. This new study, however, actually
measured sitting time using a hip-mounted accelerometer that tracked movement, and correlated it with the risk of
dying during the study period.

Diaz cautioned, however, that this study only shows an association between sitting and an increased risk of early
death. It can't prove that sitting causes the risk, due to the study design.

Exactly how prolonged sitting might be related to an increased risk of early death isn't known, he added.

"There is evidence that suggests, but does not prove, that it could be about how our body handles blood sugar," Diaz
said.

"We think it's through a kind of diabetic pathway. When our muscles are inactive, they are not using blood sugar, and
we know that blood sugar can wreak terrible consequences on our body. Poor blood sugar control is thought to be
one of the ways sitting increases one's risk for heart disease or death," he said.

Standing up from your desk and walking around for a few minutes every half hour could be an important behavioral
change that might reduce the risk of premature death, Diaz suggested.

The report was published online Sept. 11 in the journal Annals of Internal Medicine.

Dr. David Alter is an associate professor of medicine at the University of Toronto. He said, "We don't yet know what
the ideal solutions are to remedy the risks associated with sedentary behavior."

It's not just about avoiding sedentary behavior or prolonged bouts of sedentary behavior, said Alter, who wrote an
accompanying journal editorial.

"It might require a combination of exercise, light activity and frequent movement breaks," he said.

What's almost certain is that the solution will require folks to track their activity and inactivity, Alter said.

"Just like weight-management strategies, we will need to monitor how much time we spend sitting, moving and
undertaking exercise in a much more deliberate way than we have perhaps thought previously," Alter said.

For the study, Diaz and his colleagues reviewed data on nearly 8,000 U.S. adults 45 and older who had participated
in a previous study. The participants wore a monitor that kept track of the amount of time they were seated.

The researchers found that in a 16-hour waking day, the participants sat a little more than 12 hours. The average
was 11 minutes at a stretch.

Over an average follow-up of four years, 340 participants died.

Spending more time sitting for longer periods increased the risk for an early death, regardless of age, gender, race,
weight or how much one exercised, the researchers found.

Those who had the lowest risk of dying were those who didn't sit longer than 30 minutes at a stretch, the ndings
showed.

"If we are to sit for prolonged periods at a time -- more than 30 minutes at a time, and for many hours per day --
more than 12 hours per day, our risk of death is high," Alter said.

"That risk is reduced if we exercise at least 150 minutes per week, but not entirely eliminated," he concluded.

SOURCES: Keith Diaz, Ph.D., associate research scientist, Columbia University Medical Center, New York City; David
Alter, M.D., Ph.D., associate professor, medicine, University of Toronto, Ontario, Canada; Sept. 12, 2017, Annals of
Internal Medicine, online

HealthDay

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News stories are written and provided by HealthDay and do not reect federal policy, the views of MedlinePlus, the
National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human
Services.

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