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Monday, May 19, 2025

The “Sitting” Disease

Did COVID-19 worsen our risks?

by

1574 days ago
20210126

HEALTH PLUS MED­ICAL COR­RE­SPON­DENT

The world is ex­pe­ri­enc­ing an un­prece­dent­ed, life-al­ter­ing chal­lenge due to the COVID-19 pan­dem­ic. Many per­sons are still be­com­ing ad­just­ed to this new re­al­i­ty and “work-from-home” is now a part of every­day ver­nac­u­lar and life. While it is hard to pre­dict ex­act­ly when this COVID-19 pan­dem­ic will sub­side, the world has been grap­pling with an­oth­er pan­dem­ic for years: Seden­tary lifestyle, Phys­i­cal In­ac­tiv­i­ty (PI) and what the sci­en­tif­ic com­mu­ni­ty coined as the “Sit­ting Dis­ease”.

Ac­cord­ing to the World Health Or­ga­ni­za­tion(WHO), 31% of in­di­vid­u­als 15 years or old­er are phys­i­cal­ly in­ac­tive and ap­prox­i­mate­ly 3.2 mil­lion deaths per year are at­trib­uted to this un­healthy lifestyle be­hav­iour.

Al­though Phys­i­cal In­ac­tiv­i­ty was de­fined as a pan­dem­ic in 2012, and lead­ing or­gan­i­sa­tions have recog­nised this cri­sis and have been cham­pi­oning ef­forts to in­crease phys­i­cal ac­tiv­i­ty, in­suf­fi­cient trends con­tin­ue to per­sist. At the cur­rent tra­jec­to­ry, the 2025 glob­al Phys­i­cal Ac­tiv­i­ty goal set by WHO of im­prov­ing Phys­i­cal Ac­tiv­i­ty by a nom­i­nal 10%, may not be met!

The fi­nan­cial bur­den of Phys­i­cal In­ac­tiv­i­ty

Ad­di­tion­al­ly, in 2013, it was es­ti­mat­ed by a John Hop­kins study, that Phys­i­cal In­ac­tiv­i­ty cost health­care sys­tems around the world $53.8 bil­lion dol­lars. More­over, deaths at­trib­ut­able to PI cost an­oth­er $13.7 bil­lion in pro­duc­tiv­i­ty loss­es.

Sad­ly, if ac­tion is not tak­en by us now, in­di­vid­u­al­ly and as a com­mu­ni­ty, the PI pan­dem­ic will per­sist long af­ter we re­cov­er from the COVID-19 pan­dem­ic: both the health and eco­nom­ic im­pacts of the PI pan­dem­ic will con­tin­ue to be se­vere.

The Sit­ting Dis­ease

What do we mean when we re­fer to sit­ting dis­ease? The “sit­ting dis­ease,” or a seden­tary lifestyle is a term used to de­scribe in­di­vid­u­als who en­gage in pro­longed pe­ri­ods of sit­ting (more than eight hours/day cu­mu­la­tive­ly) or over­all in­ac­tiv­i­ty. While sit­ting all day may seem harm­less, you may be sur­prised by the neg­a­tive im­pact it has on your health.

Ad­verse ef­fects in­clude in­creased blood pres­sure, high blood sug­ar, ex­cess body fat around the waist and ab­nor­mal cho­les­terol lev­els, there­by in­creas­ing the risk for type 2 di­a­betes, meta­bol­ic syn­drome, heart dis­ease, deep vein throm­bo­sis and cer­tain can­cers (breast and colon). These were all found to be as­so­ci­at­ed with the sit­ting dis­ease.

An analy­sis of 13 stud­ies of sit­ting time and ac­tiv­i­ty lev­els found that those who sat for more than eight hours a day with no phys­i­cal ac­tiv­i­ty had a risk of dy­ing sim­i­lar to the risks of dy­ing posed by obe­si­ty and smok­ing!

Sit­ting can al­so in­crease pain

Even if you are rea­son­ably ac­tive, hours of sit­ting, work­ing at a desk, on the com­put­er, or watch­ing tele­vi­sion tight­ens the hip flex­or and ham­string mus­cles and stiff­en the joints them­selves. Over­ly tight hip flex­ors and ham­strings af­fect gait and bal­ance, mak­ing ac­tiv­i­ties like walk­ing more dif­fi­cult and per­haps even set­ting you up for a fall. Plus, tight hip flex­ors and ham­strings may con­tribute to low­er back pain and knee stiff­ness, af­flic­tions that many suf­fer with every day.

Sit­ting for too long can pool blood in your legs. This places added pres­sure in your veins. They could swell, twist, or bulge, de­vel­op­ing vari­cose veins. You may al­so see spi­der veins, bun­dles of bro­ken blood ves­sels near­by. They usu­al­ly are not life-threat­en­ing, but they can cause tremen­dous pain.

If you don’t move it, you could lose it

Old­er adults who are not ac­tive may be more like­ly to get os­teo­poro­sis (weak­ened bones) and could slow­ly be­come un­able to per­form ba­sic tasks of every­day life, like tak­ing a bath or us­ing the toi­let.

The Mo­ti­va­tion to Move

It is ev­i­dent that less sit­ting and more mov­ing over­all will con­tribute to bet­ter health!

There is an abun­dance of easy and con­ve­nient ways you can in­te­grate move­ment in­to your sched­ule, whether at home or in the work­place. This does not mean you need to get those old, dusty run­ning shoes out of the clos­et and start train­ing for a marathon, but you cer­tain­ly can if that goal adds the mo­ti­va­tion to move!

You might start by sim­ply stand­ing rather than sit­ting when you have the chance or find­ing ways to add steps while you work.

Rule of Thumb:

For every 30 min­utes of sit­ting, try to stand for eight min­utes and move around for two min­utes.

How to In­crease Move­ments Every Day:

1. Walk­ing up/down the stairs in­stead of tak­ing the el­e­va­tor.

2. If you work at a desk for ex­ten­sive hours, try a stand­ing desk, or im­pro­vise with a high ta­ble or counter.

3. In­te­grate a tread­mill desk or a bike desk in­to your work-from-home of­fice.

4. Hav­ing walk-and-talk meet­ings; walk with your col­leagues for meet­ings rather than sit­ting in a con­fer­ence room.

5. Walk­ing around while talk­ing on the phone if space is per­mit­ting.

6. Lim­it­ing the amount of time you spend sit­ting and watch­ing TV.

7. Chang­ing tra­di­tion­al video games in­to ac­tiv­i­ty pro­mot­ing games.

Im­pact of Move­ment

Track­ing your steps with a fit­ness track­er, your phone or a sim­ple pe­dome­ter is ben­e­fi­cial. The rec­om­mend­ed tar­get by Amer­i­can Heart As­so­ci­a­tion is 10,000 steps a day. But if you are seden­tary, and this is a dif­fi­cult dai­ly goal, any im­prove­ment will be ben­e­fi­cial. If you nor­mal­ly get 2,000 steps a day, try to aim for 4,000 and in­crease con­sis­tent­ly as you be­come more ac­tive.

Health risks caused by seden­tarism and the dan­gers of sit­ting can be pre­vent­ed sim­ply by mov­ing more dur­ing the day. The im­pact of move­ment, even leisure­ly move­ment can be pro­found. For starters, you will burn more calo­ries. This will lead to weight loss and in­creased en­er­gy.

Phys­i­cal ac­tiv­i­ty adds more than just burn­ing calo­ries, it adds years to your life and im­proves your men­tal well­be­ing. Take ba­by steps. It doesn’t have to be vig­or­ous. Just stand up and move your mus­cles!


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