Acute effects of breaking up prolonged sitting on fatigue and cognition: a pilot study

Autor: David W. Dunstan, Carl-Johan Boraxbekk, Jenny Hernestål-Boman, Parneet Sethi, Gavin W. Lambert, Michael Wheeler, Neville Owen, Nina Eikelis, Jessica Occleston, Patrik Wennberg, Paddy C. Dempsey, Robyn N. Larsen, Kathryn A. Ellis, Bethany Howard
Přispěvatelé: Dempsey, Paddy [0000-0002-1714-6087], Apollo - University of Cambridge Repository
Rok vydání: 2019
Předmět:
Blood Glucose
Male
Heart disease
Blood Pressure
Pilot Projects
Walking
Overweight
Methoxyhydroxyphenylglycol
0302 clinical medicine
PREVENTIVE MEDICINE
Cognition
Heart Rate
030212 general & internal medicine
Fatigue
OCCUPATIONAL & INDUSTRIAL MEDICINE
Cross-Over Studies
Public Health
Global Health
Social Medicine and Epidemiology

General Medicine
Middle Aged
Dihydroxyphenylalanine
Female
medicine.symptom
medicine.medical_specialty
SPORTS MEDICINE
Context (language use)
Sitting
03 medical and health sciences
Heart rate
medicine
Humans
Obesity
Sedentary lifestyle
Aged
Occupational and Environmental Medicine
business.industry
Research
medicine.disease
Crossover study
Folkhälsovetenskap
global hälsa
socialmedicin och epidemiologi

Blood pressure
Physical therapy
Sedentary Behavior
business
030217 neurology & neurosurgery
Zdroj: BMJ Open
DOI: 10.17863/cam.36371
Popis: OBJECTIVES: To compare the acute effects of uninterrupted sitting with sitting interrupted by brief bouts of light-intensity walking on self-reported fatigue, cognition, neuroendocrine biomarkers and cardiometabolic risk markers in overweight/obese adults. DESIGN: Randomised two-condition crossover trial. SETTING: Laboratory study conducted in Melbourne, Australia. PARTICIPANTS: 19 overweight/obese adults (45-75 years). INTERVENTIONS: After an initial 2 h period seated, participants consumed a meal-replacement beverage and completed (on 2 days separated by a 6-day washout period) each condition over the next 5 h: uninterrupted sitting (sedentary condition) or sitting with 3 min bouts of light-intensity walking every 30 min (active condition). PRIMARY OUTCOME MEASURES: Self-reported fatigue, executive function and episodic memory at 0 h, 4 h and 7 h. SECONDARY OUTCOME MEASURES: Neuroendocrine biomarkers and cardiometabolic risk markers (blood collections at 0 h, 4 h and 7 h, blood pressure and heart rate measured hourly and interstitial glucose measured using a continuous glucose monitoring system). RESULTS: During the active condition, fatigue levels were lower at 4 h (-13.32 (95% CI -23.48 to -3.16)) and at 7 h (-10.73 (95% CI -20.89 to -0.58)) compared to the sedentary condition. Heart rate was higher at 4 h (4.47 (95% CI 8.37 to 0.58)) and at 7 h (4.32 (95% CI 8.21 to 0.42)) during the active condition compared to the sedentary condition. There were no significant differences between conditions by time for other variables. In the sedentary condition, changes in fatigue scores over time correlated with a decrease in heart rate and plasma dihydroxyphenylalanine (DOPA) and an increase in plasma dihydroxyphenylglycol (DHPG). CONCLUSIONS: Interrupting prolonged sitting with light-intensity walking breaks may be an effective fatigue countermeasure acutely. Fatigue levels corresponded with the heart rate and neuroendocrine biomarker changes in uninterrupted sitting in this pilot study. Further research is needed to identify potential implications, particularly for the occupational health context. TRIAL REGISTRATION NUMBER: ACTRN12613000137796; Results.
Databáze: OpenAIRE