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Objectively measured sitting and standing in workers : Cross-sectional relationship with autonomic cardiac modulation

Hallman, David, 1979- (author)
Högskolan i Gävle,Arbetshälsovetenskap,Centrum för belastningsskadeforskning
Niklas, Krause (author)
Departments of Epidemiology and Environmental Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California, USA
Jensen, Magnus Thorsten (author)
Department of Cardiology, Copenhagen University Hospital, Gentofte, Denmark
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Gupta, Nidhi (author)
National Research Centre for the Working Environment, Copenhagen, Denmark
Birk Jørgensen, Marie (author)
National Research Centre for the Working Environment, Copenhagen, Denmark
Holtermann, Andreas (author)
National Research Centre for the Working Environment, Copenhagen, Denmark
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 (creator_code:org_t)
2019-02-22
2019
English.
In: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 16:4
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Excessive sitting and standing are proposed risk factors for cardiovascular diseases (CVDs), possibly due to autonomic imbalance. This study examines the association of objectively measured sitting and standing with nocturnal autonomic cardiac modulation. The cross-sectional study examined 490 blue-collar workers in three Danish occupational sectors. Sitting and standing during work and leisure were assessed during 1–5 days using accelerometers. Heart rate (HR) and heart rate variability (HRV) were obtained during nocturnal sleep as markers of resting autonomic modulation. The associations of sitting and standing still (h/day) with HR and HRV were assessed with linear regression models, adjusted for age, gender, body mass index, smoking, and physical activity. More sitting time during leisure was associated with elevated HR (p = 0.02), and showed a trend towards reduced HRV. More standing time at work was associated with lower HR (p = 0.02), and with increased parasympathetic indices of HRV (root mean squared successive differences of R-R intervals p = 0.05; high-frequency power p = 0.07). These findings, while cross-sectional and restricted to blue-collar workers, suggest that sitting at leisure is detrimental to autonomic cardiac modulation, but standing at work is beneficial. However, the small effect size is likely insufficient to mitigate the previously shown detrimental effects of prolonged standing on CVD.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)

Keyword

age; accelerometer; cardiovascular disease; heart rate variability; occupational health; physical activity
Health-Promoting Work
Hälsofrämjande arbete

Publication and Content Type

ref (subject category)
art (subject category)

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