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Int J Environ Res Public Health. 2019 Nov 27;16(23). pii: E4762. doi: 10.3390/ijerph16234762.

Controversies in the Science of Sedentary Behaviour and Health: Insights, Perspectives and Future directions from the 2018 Queensland Sedentary Behaviour Think Tank.

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Institute for Resilient Regions, University of Southern Queensland, Springfield Central, QLD 4300, Australia.
Baker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia.
School of Public Health, The University of Queensland, Brisbane, QLD 4072, Australia.
Cancer Council Victoria, Melbourne VIC 3004, Australia.
The University of Queensland, RECOVER Injury Research Centre, Faculty of Health and Behavioural Sciences, Brisbane, QLD 4072, Australia.
School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, QLD 4072, Australia.
College of Health Solutions, Arizona State University, Phoenix, AZ 85004, USA.
Department of Neurobiology, Care Sciences and Society, Karolinska Institute, 11330 Stockholm, Sweden.
Faculty of Health and Medicine, University of Newcastle, Newcastle, NSW 2308, Australia.
Faculty of Health, Queensland University of Technology, Brisbane, QLD 4001, Australia.
School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD 4702, Australia.
School of Health, Medical and Applied Sciences, Central Queensland University, Wayville, SA 5034, Australia.


The development in research concerning sedentary behaviour has been rapid over the past two decades. This has led to the development of evidence and views that have become more advanced, diverse and, possibly, contentious. These include the effects of standing, the breaking up of prolonged sitting and the role of moderate-to-vigorous physical activity (MVPA) in the association between sedentary behaviour and health outcomes. The present aim is to report the views of experts (n = 21) brought together (one-day face-to-face meeting in 2018) to consider these issues and provide conclusions and recommendations for future work. Each topic was reviewed and presented by one expert followed by full group discussion, which was recorded, transcribed and analysed. The experts concluded that (a). standing may bring benefits that accrue from postural shifts. Prolonged (mainly static) standing and prolonged sitting are both bad for health; (b). 'the best posture is the next posture'. Regularly breaking up of sitting with postural shifts and movement is vital; (c). health effects of prolonged sitting are evident even after controlling for MVPA, but high levels of MVPA can attenuate the deleterious effects of prolonged sitting depending on the health outcome of interest. Expert discussion addressed measurement, messaging and future directions.


breaks; debate; health; mediation; moderation; physical activity; posture; sedentary; standing

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