To gather the existing evidence on the impact of sit-stand desk-based interventions on working-time and full-day sedentary behavior and compare their impact across different intervention lengths.
Background
Reducing sedentary behavior is vital for improving office workers’ health. Sit-stand desks promote sitting and standing alternation, but understanding their effects outside the workplace is essential for success.
Methods
Studies published between January 2008 and January 2024 were searched through electronic databases (PubMed, Google Scholar, and Cochrane Library). The quality of the studies was assessed using the Quality Assessment Tool for Quantitative Studies of the Effective Public Health Practice Project.
Results
Twelve included studies showed that the intervention group experienced average reductions in full-day sedentary behavior of 68.7 min/day at 3 months, 77.7 min/day at 6 months, and 62.1 min/day at 12 months compared to the control group. For working hours sedentary behavior, reductions were observed in the intervention group at 9 weeks (73.0 min/day), 3 months (88.0 min/day), 6 months (80.8 min/day), and 12 months (48.0 min/day) relative to the control group.
Conclusions
Sit-stand desk interventions can be effective in helping office workers reduce sedentary behavior in the short, medium, and long-term both at work and throughout the full-day.
Application
Active workstation interventions, including sit-stand desks, educational sessions, and alert software, aim to reduce sedentary behavior among office workers. While sit-stand desks show promise in decreasing sitting time during working hours, their long-term effectiveness and impact beyond the workplace remain uncertain. This review evaluates their effectiveness across different durations, addressing both workplace and full-day impact.
AlkhajahT. A.ReevesM. M.EakinE. G.WinklerE. A.OwenN.HealyG. N. (2012). Sit-stand workstations: A pilot intervention to reduce office sitting time. American Journal of Preventive Medicine, 43(3), 298–303. https://doi.org/10.1016/j.amepre.2012.05.027
2.
ArguelloD.ThorndikeA. N.CloutierG.MortonA.Castaneda-SceppaC.JohnD. (2021). Effects of an “Active-Workstation” cluster RCT on daily waking physical behaviors. Medicine & Science in Sports & Exercise, 53(7), 1434–1445. https://doi.org/10.1249/MSS.0000000000002594
3.
BrierleyM. L.SmithL. R.BaileyD. P.OjoS. O.HewsonD. J.EveryS. A.StainesT. A.ChaterA. M. (2022). Evaluating a multi-component intervention to reduce and break up office workers’ sitting with sit-stand desks using the APEASE criteria. BMC Public Health, 22(1), 458. https://doi.org/10.1186/s12889-022-12794-w
4.
BuckleyJ. P.HedgeA.YatesT.CopelandR. J.LoosemoreM.HamerM.BradleyG.DunstanD. W. (2015). The sedentary office: An expert statement on the growing case for change towards better health and productivity. British Journal of Sports Medicine, 49(21), 1357–1362. https://doi.org/10.1136/bjsports-2015-094618
5.
ChanC. B.RyanD. A. (2009). Assessing the effects of weather conditions on physical activity participation using objective measures. International Journal of Environmental Research and Public Health, 6(10), 2639–2654. https://doi.org/10.3390/ijerph6102639
6.
ChauJ. Y.DaleyM.DunnS.SrinivasanA.DoA.BaumanA. E.van der PloegH. P. (2014). The effectiveness of sit-stand workstations for changing office workers’ sitting time: Results from the Stand@Work randomized controlled trial pilot. International Journal of Behavioral Nutrition and Physical Activity, 11(1), 127. https://doi.org/10.1186/s12966-014-0127-7
7.
DanquahI. H.KlosterS.HoltermannA.AadahlM.BaumanA.ErsbøllA. K.TolstrupJ. S. (2017). Take a Stand!-a multi-component intervention aimed at reducing sitting time among office workers-a cluster randomized trial. International Journal of Epidemiology, 46(1), 128–140. https://doi.org/10.1093/ije/dyw009
8.
DupontF.LégerP. M.BegonM.LecotF.SénécalS.Labonté-LemoyneE.MathieuM. E. (2019). Health and productivity at work: Which active workstation for which benefits: A systematic review. Occupational and Environmental Medicine, 76(5), 281–294. https://doi.org/10.1136/oemed-2018-105397
9.
DuttaN.KoeppG. A.StovitzS. D.LevineJ. A.PereiraM. A. (2014). Using sit-stand workstations to decrease sedentary time in office workers: A randomized crossover trial. International Journal of Environmental Research and Public Health, 11(7), 6653–6665. https://doi.org/10.3390/ijerph110706653
10.
EdwardsonC. L.BiddleS. J. H.ClemesS. A.DaviesM. J.DunstanD. W.EborallH.GranatM. H.GrayL. J.HealyG. N.JaicimN. B.LawtonS.MaylorB. D.MunirF.RichardsonG.YatesT.Clarke-CornwellA. M. (2022). Effectiveness of an intervention for reducing sitting time and improving health in office workers: Three arm cluster randomised controlled trial. BMJ, 378, Article e069288. https://doi.org/10.1136/bmj-2021-069288
11.
EdwardsonC. L.YatesT.BiddleS. J. H.DaviesM. J.DunstanD. W.EsligerD. W.GrayL. J.JacksonB.O’ConnellS. E.WaheedG.MunirF. (2018). Effectiveness of the Stand More AT (SMArT) Work intervention: Cluster randomised controlled trial. BMJ, 363, k3870. https://doi.org/10.1136/bmj.k3870
12.
EkelundU.BrownW. J.Steene-JohannessenJ.FagerlandM. W.OwenN.PowellK. E.BaumanA. E.LeeI. M. (2019). Do the associations of sedentary behaviour with cardiovascular disease mortality and cancer mortality differ by physical activity level? A systematic review and harmonised meta-analysis of data from 850 060 participants. British Journal of Sports Medicine, 53(14), 886–894. https://doi.org/10.1136/bjsports-2017-098963
13.
EkelundU.TarpJ.Steene-JohannessenJ.HansenB. H.JefferisB.FagerlandM. W.WhincupP.DiazK. M.HookerS. P.ChernofskyA.LarsonM. G.SpartanoN.VasanR. S.DohrnI. M.HagströmerM.EdwardsonC.YatesT.ShiromaE.AnderssenS. A.LeeI. M. (2019). Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: Systematic review and harmonised meta-analysis. BMJ, 366(366), l4570. https://doi.org/10.1136/bmj.l4570
14.
GilsonN. D.BurtonN. W.van UffelenJ. G.BrownW. J. (2011). Occupational sitting time: Employees’ perceptions of health risks and intervention strategies. Health Promotion Journal of Australia: Official Journal of Australian Association of Health Promotion Professionals, 22(1), 38–43. https://doi.org/10.1071/he11038
15.
GrunseitA. C.ChauJ. Y.van der PloegH. P.BaumanA. (2013). “Thinking on your feet”: A qualitative evaluation of sit-stand desks in an Australian workplace. BMC Public Health, 13(1), 365. https://doi.org/10.1186/1471-2458-13-365
16.
HealyG. N.EakinE. G.OwenN.LamontagneA. D.MoodieM.WinklerE. A.FjeldsoeB. S.WiesnerG.WillenbergL.DunstanD. W. (2016). A cluster randomized controlled trial to reduce office workers’ sitting time: Effect on activity outcomes. Medicine & Science in Sports & Exercise, 48(9), 1787–1797. https://doi.org/10.1249/MSS.0000000000000972
17.
HergenroederA.QuinnT. D.PerdomoS. J.KlineC. E.GibbsB. B. (2022). Effect of a 6-month sedentary behavior reduction intervention on well-being and workplace health in desk workers with low back pain. Work, 71(4), 1145–1155. https://doi.org/10.3233/WOR-205178
18.
JúdiceP. B.SilvaH.TenoS. C.Hetherington-RauthM. (2024). The effectiveness of a 6-month intervention with sit-stand workstation in office workers: Results from the SUFHA cluster randomized controlled trial. Work, 79(2), 879–890. https://doi.org/10.3233/WOR-230624
19.
JúdiceP. B.Sousa-SáE.PalmeiraA. L. (2023). Discrepancies between self-reported and objectively measured smartphone screen time: Before and during lockdown. Journal of Prevention, 44(3), 291–307. https://doi.org/10.1007/s10935-023-00724-4
20.
LiuS. H.EatonC. B.DribanJ. B.McAlindonT. E.LapaneK. L. (2016). Comparison of self-report and objective measures of physical activity in US adults with osteoarthritis. Rheumatology International, 36(10), 1355–1364. https://doi.org/10.1007/s00296-016-3537-9
21.
MaJ.MaD.LiZ.KimH. (2021). Effects of a workplace sit-stand desk intervention on health and productivity. International Journal of Environmental Research and Public Health, 18(21), Article 11604. https://doi.org/10.3390/ijerph182111604
22.
MacEwenB. T.SaundersT. J.MacDonaldD. J.BurrJ. F. (2017). Sit-stand desks to reduce workplace sitting time in office workers with abdominal obesity: A randomized controlled trial. Journal of Physical Activity and Health, 14(9), 710–715. https://doi.org/10.1123/jpah.2016-0384
23.
MansfeldtJ. M.MagkosF. (2023). Compensatory responses to exercise training as barriers to weight loss: Changes in energy intake and non-exercise physical activity. Current nutrition reports, 12(2), 327–337. https://doi.org/10.1007/s13668-023-00467-y
24.
MansoubiM.PearsonN.BiddleS. J.ClemesS. A. (2016). Using sit-to-stand workstations in offices: Is there a compensation effect?Medicine & Science in Sports & Exercise, 48(4), 720–725. https://doi.org/10.1249/MSS.0000000000000802
25.
MitchellM. S.GoodmanJ. M.AlterD. A.JohnL. K.OhP. I.PakoshM. T.FaulknerG. E. (2013). Financial incentives for exercise adherence in adults: Systematic review and meta-analysis. American Journal of Preventive Medicine, 45(5), 658–667. https://doi.org/10.1016/j.amepre.2013.06.017
26.
NeuhausM.EakinE. G.StrakerL.OwenN.DunstanD. W.ReidN.HealyG. N. (2014a). Reducing occupational sedentary time: A systematic review and meta-analysis of evidence on activity-permissive workstations. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 15(10), 822–838. https://doi.org/10.1111/obr.12201
27.
NeuhausM.HealyG. N.DunstanD. W.OwenN.EakinE. G. (2014b). Workplace sitting and height-adjustable workstations: A randomized controlled trial. American Journal of Preventive Medicine, 46(1), 30–40. https://doi.org/10.1016/j.amepre.2013.09.009
28.
NguyenP.LeL. K.NguyenD.GaoL.DunstanD. W.MoodieM. (2020). The effectiveness of sedentary behaviour interventions on sitting time and screen time in children and adults: An umbrella review of systematic reviews. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 117. https://doi.org/10.1186/s12966-020-01009-3
29.
PageM. J.McKenzieJ. E.BossuytP. M.BoutronI.HoffmannT. C.MulrowC. D.ShamseerL.TetzlaffJ. M.AklE. A.BrennanS. E.ChouR.GlanvilleJ.GrimshawJ. M.HróbjartssonA.LaluM. M.LiT.LoderE. W.Mayo-WilsonE.McDonaldS. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71
30.
PattersonR.McNamaraE.TainioM.de SáT. H.SmithA. D.SharpS. J.EdwardsP.WoodcockJ.BrageS.WijndaeleK. (2018). Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: A systematic review and dose response meta-analysis. European Journal of Epidemiology, 33(9), 811–829. https://doi.org/10.1007/s10654-018-0380-1
31.
RenaudL. R.JelsmaJ. G. M.HuysmansM. A.van NassauF.LakerveldJ.SpekléE. M.BosmansJ. E.StijnmanD. P. M.LoyenA.van der BeekA. J.van der PloegH. P. (2020). Effectiveness of the multi-component dynamic work intervention to reduce sitting time in office workers - Results from a pragmatic cluster randomised controlled trial. Applied Ergonomics, 84(1), Article 103027. https://doi.org/10.1016/j.apergo.2019.103027
32.
SantosA. C.WillumsenJ.MeheusF.IlbawiA.BullF. C. (2023). The cost of inaction on physical inactivity to public health-care systems: A population-attributable fraction analysis. Lancet Global Health, 11(1), e32–e39. https://doi.org/10.1016/S2214-109X(22)00464-8
33.
SchwartzB.KapelluschJ. M.BacaA.WessnerB. (2019). Medium-term effects of a two-desk sit/stand workstation on cognitive performance and workload for healthy people performing sedentary work: A secondary analysis of a randomised controlled trial. Ergonomics, 62(6), 794–810. https://doi.org/10.1080/00140139.2019.1577497
34.
SharmaP. P.MehtaR. K.PickensA.HanG.BendenM. (2019). Sit-stand desk software can now monitor and prompt office workers to change health behaviors. Human Factors, 61(5), 816–824. https://doi.org/10.1177/0018720818807043
35.
ShresthaB.DunnL. (2020). The declaration of helsinki on medical research involving human subjects: A review of seventh revision. Journal of Nepal Health Research Council, 17(4), 548–552. https://doi.org/10.33314/jnhrc.v17i4.1042
36.
ShresthaN.GrgicJ.WiesnerG.ParkerA.PodnarH.BennieJ. A.BiddleS. J. H.PedisicZ. (2019). Effectiveness of interventions for reducing non-occupational sedentary behaviour in adults and older adults: A systematic review and meta-analysis. British Journal of Sports Medicine, 53(19), 1206–1213. https://doi.org/10.1136/bjsports-2017-098270
37.
ShresthaN.IjazS.Kukkonen-HarjulaK. T.KumarS.NwankwoC. P. (2015). Workplace interventions for reducing sitting at work. Cochrane Database of Systematic Reviews, 1, Article Cd010912. https://doi.org/10.1002/14651858.CD010912.pub2
38.
ShresthaN.Kukkonen-HarjulaK. T.VerbeekJ. H.IjazS.HermansV.PedisicZ. (2018). Workplace interventions for reducing sitting at work. Cochrane Database of Systematic Reviews, 6(6), Article Cd010912. https://doi.org/10.1002/14651858.CD010912.pub4
39.
SilvaH.TenoS. C.JúdiceP. B. (2024). Are there compensatory behaviors in response to a sit-stand desk intervention?Journal of Occupational Health, Article uiae067. https://doi.org/10.1093/joccuh/uiae067
40.
StephensS. K.EakinE. G.ClarkB. K.WinklerE. A. H.OwenN.LaMontagneA. D.MoodieM.LawlerS. P.DunstanD. W.HealyG. N. (2018). What strategies do desk-based workers choose to reduce sitting time and how well do they work? Findings from a cluster randomised controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 15(1), 98. https://doi.org/10.1186/s12966-018-0731-z
41.
ThomasB. H.CiliskaD.DobbinsM.MicucciS. (2004). A process for systematically reviewing the literature: Providing the research evidence for public health nursing interventions. Worldviews on Evidence-Based Nursing, 1(3), 176–184. https://doi.org/10.1111/j.1524-475X.2004.04006.x
42.
TremblayM. S.ColleyR. C.SaundersT. J.HealyG. N.OwenN. (2010). Physiological and health implications of a sedentary lifestyle. Applied Physiology Nutrition and Metabolism, 35(6), 725–740. https://doi.org/10.1139/H10-079
43.
TuckerP.GillilandJ. (2007). The effect of season and weather on physical activity: A systematic review. Public Health, 121(12), 909–922. https://doi.org/10.1016/j.puhe.2007.04.009
44.
TurrisiT. B.BittelK. M.WestA. B.HojjatiniaS.HojjatiniaS.MamaS. K.LagoaC. M.ConroyD. E. (2021). Seasons, weather, and device-measured movement behaviors: A scoping review from 2006 to 2020. International Journal of Behavioral Nutrition and Physical Activity, 18(1), 24. https://doi.org/10.1186/s12966-021-01091-1
45.
WatersC. N.LingE. P.ChuA. H.NgS. H.ChiaA.LimY. W.Müller-RiemenschneiderF. (2016). Assessing and understanding sedentary behaviour in office-based working adults: A mixed-method approach. BMC Public Health, 16(1), 360. https://doi.org/10.1186/s12889-016-3023-z
46.
ZhouL.DengX.XuM.WuY.ShangX.EF.WangY.LiangS.YangK.LiX. (2023). The effects of active workstations on reducing work-specific sedentary time in office workers: A network meta-analysis of 23 randomized controlled trials. The International Journal of Behavioral Nutrition and Physical Activity, 20(1), 92. https://doi.org/10.1186/s12966-023-01467-5
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