4.6 Article

Adults' Sedentary Behavior Determinants and Interventions

Journal

AMERICAN JOURNAL OF PREVENTIVE MEDICINE
Volume 41, Issue 2, Pages 189-196

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.amepre.2011.05.013

Keywords

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Funding

  1. Queensland Health Core Research Infrastructure grant
  2. National Health and Medical Research Council of Australia (NHMRC) [569940, 1003960]
  3. NHMRC [569940, 511001]
  4. National Heart Foundation of Australia [PP 06B 2889]
  5. Robert Wood Johnson Foundation
  6. NIH [CA127296, HL083454]

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Research is now required on factors influencing adults' sedentary behaviors, and effective approaches to behavioral-change intervention must be identified. The strategies for influencing sedentary behavior will need to be informed by evidence on the most important modifiable behavioral determinants. However, much of the available evidence relevant to understanding the determinants of sedentary behaviors is from cross-sectional studies, which are limited in that they identify only behavioral correlates. As is the case for physical activity, a behavior- and context-specific approach is needed to understand the multiple determinants operating in the different settings within which these behaviors are most prevalent. To this end, an ecologic model of sedentary behaviors is described, highlighting the behavior settings construct. The behaviors and contexts of primary concern are TV viewing and other screen-focused behaviors in domestic environments, prolonged sitting in the workplace, and time spent sitting in automobiles. Research is needed to clarify the multiple levels of determinants of prolonged sitting time, which are likely to operate in distinct ways in these different contexts. Controlled trials on the feasibility and efficacy of interventions to reduce and break up sedentary behaviors among adults in domestic, workplace, and transportation environments are particularly required. It would be informative for the field to have evidence on the outcomes of natural experiments, such as the introduction of nonseated working options in occupational environments or new transportation infrastructure in communities. (Am J Prev Med 2011;41(2):189-196) (C) 2011 American Journal of Preventive Medicine

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