Network Magazine Autumn 2019 | Page 35

in their days. Often, this is no easy task! Now, if the average person sleeps 7.5 hours per night, that leaves potentially 16.5 hours, or as I like to think of it, almost 1,000 minutes to complete 30 minutes of exercise (minimum recommended daily amount by the American College of Sports Medicine). So technically, I’m asking for a mere 3% commitment of their awake time to complete exercise/physical activity – not a big ask by any means. However, when you hear the patient describe their day, up at 6am, get the kids ready for school, then go off to work, then home to shuttle the kids to karate lessons, music lessons, gymnastics lessons, after school tutoring, all of which require a high degree of chauffer work (aka sedentary time). Then it’s home for dinner, school work with the kids, bath time, and suddenly that 30 minutes exercise time I’m requesting of them is looking like a big ask... But there is one time during most people’s weekdays when, if all else fails, the patients can complete exercise, and that is at work. This leads us to the topic of this Research Review, and I must declare that although I am an alumnus of Oregon State University, that had no influence whatsoever on selecting this article: good research is good research. Dr Schuna and his colleagues initially discuss the increased risk of obesity, cardiovascular disease and cardiovascular-related mortality (i.e. deaths attributed to cardiovascular disease) associated with sedentary behaviour. Other chronic diseases attributed to sedentary behaviour includes type 2 diabetes and certain cancers. The authors then state that a substantial portion of the sedentary behaviour occurs in the workplace where most workers spend an average of 8 hours (or more) a day for 5 days each week. The focus, naturally enough therefore, turns to the concept of office-based exercise. The researchers actually designed a very novel study in which they compared the metabolic costs (VO2, HR, energy expenditure) for study participants at rest (not that you’re actually resting while at work); while seated and typing; while using a stationary foot cycle and typing (a concept discussed in a past Network Research Review, ‘Paid to exercise at work: does this make you a ‘professional exerciser?'); and while using a treadmill desk and typing. All If the average person sleeps 7.5 hours per night that leaves potentially 16.5 hours to complete 30 minutes of exercise participants were instructed to self-select their exercise intensity, and completed each of the four settings. Both the cycling and walking exercise was self-selected by the participant; however, they were required to keep typing while completing the exercise. Typing performance was assessed using typing performance software. All data was collected for 10 minutes at each station. Results: A total of 16 volunteers (8 men and 8 women) with a mean age of 34 years participated in the study. The average pedal rate was just below 50rpms (ranged from 20 to 100rpms) while the cycling power output was low at an average of 18watts. The average treadmill walking speed was also low, at 2.1km/h, with no difference in walking speed between men and women. With regard to oxygen consumption, seated rest was the lowest averaging 3.6ml/kg/ min (roughly 1 MET). The highest oxygen consumptions were seen, not surprisingly, with typing while exercising on the treadmill (approximately 10ml/kg/min): the typing while cycling was approximately 7% lower. With regard to heart rate, the lowest was seen at rest, approximately 65bpm, while the highest was seen with treadmill walking at approximately 79bpm (approximately 42% of the participants age-predicted maximal heart rate). Cycling while typing was slightly lower, with an average heart rate of 75bpm. Caloric expenditure was the highest, with typing while treadmill walking followed closely by typing while cycling at their desk. With regard to typing performance, men typed the slowest while simultaneously treadmill walking and the fastest during pedal desk typing. Women had similar results, with their slowest typing rates during seated typing and treadmill walking and the fastest rates during pedal desk typing. With regard to accuracy, the highest was during seated typing for men and pedal desk typing for women. The authors concluded that the self- selected exercise (treadmill and cycle) had substantially higher energy expenditures as compared to traditional office seated typing, and this ranged from a 1.8 to a 2.3- fold increase. NETWORK AUTUMN 2019 | 35