Preventive strategies for occupational sedentary behavior ... · WittyFit Research 8. Objets...

12/04/2018

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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




Background

• Physical activity

• Sedentary behavior

Physical

activity

--+++-

http://www.sciencedirect.com/science/article/pii/S0140673611607496


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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



At work?

Observational studies



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



At work?Observational studies



At work?

Health

outcomes

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Interventional studies



Health

outcomes




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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Health

outcomes




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




At work?

Health

outcomes

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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


1. Globalité

Originalité


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1. Globalité

Originalité


1. Globalité

Originalité


1. Globalité

Originalité


1. Globalité

Originalité

2. Monde numérique

3. Retour personnalisé

1. Globalité

Originalité

2. Monde numérique


« Did you know ? » « e-learning »

1. Globalité

Originalité

2. Monde numérique


4. Up-to-date scientific knowledge (evidence

based medicine)

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1. Globalité

Originalité

2. Monde numérique


4. Up-to-date EBM

5. Un retour pour les managers

1. Globalité

Originalité

2. Monde numérique


4. Up-to-date EBM


6. Collaboration avec la Médicine du Travail

1. Globalité

Originalité

2. Monde numérique


4. Up-to-date EBM



7. WittyFit… behavior data

1. Globalité

Originalité

2. Monde numérique


4. Up-to-date EBM



7. WittyFit… behavior data

WittyFit Research medical data

1. Globalité

Originalité

2. Monde numérique


4. Up-to-date EBM



7. WittyFit Research

8. Objets connectés 8. Objets connectés

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1. Globalité

Originalité

2. Monde numérique


4. Up-to-date EBM




8. Objets connectés

9. Anonymat

Factories WittyFitn° HR

9. Anonymat

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Factories WittyFitn° HR + random

9. Anonymat


WittyFit

Research9. Anonymat


WittyFit

Research


WittyFit

Research


WittyFit

Research


Retirement

Another company

Death

WittyFit

Research

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Retirement

Another company

Death

WittyFit

Research

Death

Death

The main outcome:

1. Globalité

Originalité

2. Monde numérique


4. Up-to-date EBM





9. Anonymat

1. Globalité

Originalité

2. Monde numérique


4. Up-to-date EBM





10. Une puissante base de données

9. Anonymat

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Key points




Key points




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Key points




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

Preventive strategies for occupational sedentary behavior ... · WittyFit Research 8. Objets...

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