Post on 23-Aug-2020
12/04/2018
1
Preventive strategies for occupational
sedentary behaviorFrédéric DUTHEIL
1 CHU Clermont-Ferrand, Center of Occupational disease, France2 UMR CNRS 6024, Physiological and Psychosocial Stress, LAPSCO, France3 University Clermont Auvergne, AME2P, France4 Australian Catholic University, Exercise Science, Melbourne, Australia
Key points
•Sedentary behavior kills
•We have sedentary behavior at work
Sedentary behavior is an occupational risk
Key points
•Sedentary behavior kills
•We have sedentary behavior at work
Sedentary behavior is an occupational risk
Background
• Physical activity
• Sedentary behavior
Physical
activity
--+++-
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Mortality
reduction
Physical
activity
--+++-
Mortality
reduction
Physical
activity
--+++-
Mortality
reduction
Physical
activity
--+++-
14%
-
--+++ -
Physical
activity
-
Same
quantity
of PA
-+++ -
Physical
activity
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-+++ -
Physical
activity
Low
PA
-+++ -
Low
PA
High
PA
Physical
activity
-+++ -
Mortality Low
PA
High
PA
Physical
activity
-
Physical
activity+++ -
Mortality Low
PA
High
PA
-
Mortality
-
Mortality
Time
spent
sitting
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-
Mortality
Time
spent
sitting
sedentary
-
Mortality
Time
spent
sitting
sedentary
-
Mortality
Time
spent
sitting
sedentary
-
Mortality
Time
spent
sitting
sedentary
-
Mortality
Time
spent
sitting
sedentary
-
Mortality
Time
spent
sitting
Low PA
Low
sitting
High PA
High
sitting
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- -
-
At work?Observational studies
• Physical activity
• Sedentary behavior
At work?
Observational studies
• Physical activity
• Sedentary behavior
At work?
Epidemiology
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***
1960
30 h/
week
Sedentary behaviors increased
from 30 hours per week in 1960
to 42 hours par week in 2012
42 h/week
1960 2012
30 h/
week
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Observational studies
• Physical activity
• Sedentary behavior
At work?Observational studies
• Physical activity
• Sedentary behavior
At work?
Health
outcomes
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Interventional studies
• Physical activity
• Sedentary behavior
Health
outcomes
Interventional studies
• Physical activity
• Sedentary behavior
Health
outcomes
Sitting 8
hours
Randomi-
zation
controlIntervention
Sitting 8
hours
2016
Sitting 8
hours
Randomi-
zation
controlIntervention
Sitting 8
hours+ 5 min standing
/30 min
2016
2016
controls
2016
5 min
standing
/30 min
controls
Blood glucose and blood insulin
of 1/3 when standing 5 min/30 min
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Interventional studies
• Physical activity
• Sedentary behavior
Health
outcomes
Interventional studies
• Physical activity
• Sedentary behavior
At work?
Health
outcomes
Randomi-
zation
controlIntervention 6 months
at work:
Counseling
Nutrition
Physical activity
Stop smoking
Health education
Randomi-
zation
controlIntervention 6 months
at work:
Counseling
Nutrition
Physical activity
Stop smoking
Health education
Well-being
Body
composition
CV Risk:- Blood lipids
- Blood pressure
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One-year change in total medical cost
Salud Pública Mex 2012, 54:20-27
Salud Pública Mex 2012, 54:20-27 Salud Pública Mex 2012, 54:20-27
Salud Pública Mex 2012, 54:20-27
Interventional studies
• Physical activity
• Sedentary behavior
At work?
Health
outcomes
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Interventional studies
• Physical activity
• Sedentary behavior
At work?
Health
outcomes
the Stand Up Victoria cluster randomized trial
BMC Public Health.
Dunstan DW, Wiesner G, Eakin EG, Neuhaus M, Owen N, LaMontagne AD, Moodie
M, Winkler EA, Fjeldsoe BS, Lawler S, Healy GN.
What kills ?
Sedentary
at workPoor
nutrition
habits
Working
conditions
Stress
What kills ?Sedentary
at workPoor
nutrition
habits
Stress
Working
conditionsGoldstone al 2004
The INTERHEART study
Rosengreen et al 2004
What kills ?
The Greek EPIC study
Trichopoulou et al 2009
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Sendetary
at workPoor
nutrition
habits
Stress
Working
conditions
Chandola Eur. Heart J. 2008
Chikani Rural Health. 2005
Collins Am. J. Ind. Med. 2005
de Jonge Soc. Sci. Med. 2000
…
What kills ?Sendetary
at workPoor
nutrition
habits
Stress
Working
conditions
1. Globalité
Originalité
Well-being regarding 3 main categories:
- “Physically”
- “Mentally”
- “At Work”
Nutrition
Activity
Sleep
Musculo-skelettal
Stress
Mood Job strain
Latitude decision
Work organization, tasks
Social support
Recognition
1. Globalité
Originalité
2. Comment interagir ?
1. Globalité
Originalité
1. Globalité
Originalité
2. Comment interagir ?
1. Globalité
Originalité
2. Comment interagir ?
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1. Globalité
Originalité
2. Comment interagir ?
1. Globalité
Originalité
2. Comment interagir ?
1. Globalité
Originalité
2. Comment interagir ?
1. Globalité
Originalité
2. Monde numérique
3. Retour personnalisé
1. Globalité
Originalité
2. Monde numérique
3. Retour personnalisé
« Did you know ? » « e-learning »
1. Globalité
Originalité
2. Monde numérique
3. Retour personnalisé
4. Up-to-date scientific knowledge (evidence
based medicine)
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1. Globalité
Originalité
2. Monde numérique
3. Retour personnalisé
4. Up-to-date EBM
5. Un retour pour les managers
1. Globalité
Originalité
2. Monde numérique
3. Retour personnalisé
4. Up-to-date EBM
5. Un retour pour les managers
6. Collaboration avec la Médicine du Travail
1. Globalité
Originalité
2. Monde numérique
3. Retour personnalisé
4. Up-to-date EBM
5. Un retour pour les managers
6. Collaboration avec la Médicine du Travail
7. WittyFit… behavior data
1. Globalité
Originalité
2. Monde numérique
3. Retour personnalisé
4. Up-to-date EBM
5. Un retour pour les managers
6. Collaboration avec la Médicine du Travail
7. WittyFit… behavior data
WittyFit Research medical data
1. Globalité
Originalité
2. Monde numérique
3. Retour personnalisé
4. Up-to-date EBM
5. Un retour pour les managers
6. Collaboration avec la Médicine du Travail
7. WittyFit Research
8. Objets connectés 8. Objets connectés
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8. Objets connectés 8. Objets connectés
8. Objets connectés 8. Objets connectés
1. Globalité
Originalité
2. Monde numérique
3. Retour personnalisé
4. Up-to-date EBM
5. Un retour pour les managers
6. Collaboration avec la Médicine du Travail
7. WittyFit Research
8. Objets connectés
9. Anonymat
Factories WittyFitn° HR
9. Anonymat
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Factories WittyFitn° HR + random
9. Anonymat
Factories WittyFitn° HR + random
WittyFit
Research9. Anonymat
Factories WittyFitn° HR + random
WittyFit
Research
Factories WittyFitn° HR + random
WittyFit
Research
Factories WittyFitn° HR + random
WittyFit
Research
Factories WittyFitn° HR + random
Retirement
Another company
Death
WittyFit
Research
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Factories WittyFitn° HR + random
Retirement
Another company
Death
WittyFit
Research
Death
Death
The main outcome:
1. Globalité
Originalité
2. Monde numérique
3. Retour personnalisé
4. Up-to-date EBM
5. Un retour pour les managers
6. Collaboration avec la Médicine du Travail
7. WittyFit Research
8. Objets connectés
9. Anonymat
1. Globalité
Originalité
2. Monde numérique
3. Retour personnalisé
4. Up-to-date EBM
5. Un retour pour les managers
6. Collaboration avec la Médicine du Travail
7. WittyFit Research
8. Objets connectés
10. Une puissante base de données
9. Anonymat
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Key points
•Sedentary behavior kills
•We have sedentary behavior at work
Sedentary behavior is an occupational risk
Key points
•Sedentary behavior kills
•We have sedentary behavior at work
Sedentary behavior is an occupational risk
12/04/2018
20
Key points
•Sedentary behavior kills
•We have sedentary behavior at work
Sedentary behavior is an occupational risk
A massive area for future research
Preventive strategies for occupational
sedentary behaviorFrédéric DUTHEIL
1 CHU Clermont-Ferrand, Center of Occupational disease, France2 UMR CNRS 6024, Physiological and Psychosocial Stress, LAPSCO, France3 University Clermont Auvergne, AME2P, France4 Australian Catholic University, Exercise Science, Melbourne, Australia