Interventions with potential to reduce sedentary time in adults: systematic review and meta-analysis

Martin, Anne; Fitzsimons, Claire; Jepson, Ruth; Saunders, David H; van der Ploeg, Hidde P; Teixeira, Pedro J; Gray, Cindy M; Mutrie, Nanette

doi:10.1136/bjsports-2014-094524

Cited by 326Physical Activity and HealthContext-Aware Activity Recognition SystemsObesity, Physical Activity, Diet

Interventions with potential to reduce sedentary time in adults: systematic review and meta-analysis

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Martin, Anne, Fitzsimons, Claire, Jepson, Ruth, Saunders, David H, van der Ploeg, Hidde P, Teixeira, Pedro J, Gray, Cindy M, Mutrie, Nanette·2015·British Journal of Sports Medicine

DOI 10.1136/bjsports-2014-094524

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Abstract

Context: Time spent in sedentary behaviours (SB) is associated with poor health, irrespective of the level of physical activity. The aim of this study was to evaluate the effect of interventions which included SB as an outcome measure in adults. Methods: Thirteen databases, including The Cochrane Library, MEDLINE and SPORTDiscus, trial registers and reference lists, were searched for randomised controlled trials until January 2014. Study selection, data extraction and quality assessment were performed independently. Primary outcomes included SB, proxy measures of SB and patterns of accumulation of SB. Secondary outcomes were cardiometabolic health, mental health and body composition. Intervention types were categorised as SB only, physical activity (PA) only, PA and SB or lifestyle interventions (PA/SB and diet). Results: Of 8087 records, 51 studies met the inclusion criteria. Meta-analysis of 34/51 studies showed a reduction of 22 min/day in sedentary time in favour of the intervention group (95% CI −35 to −9 min/day, n=5868). Lifestyle interventions reduced SB by 24 min/day (95% CI −41 to −8 min/day, n=3981, moderate quality) and interventions focusing on SB only by 42 min/day (95% CI −79 to −5 min/day, n=62, low quality). There was no evidence of an effect of PA and combined PA/SB interventions on reducing sedentary time. Conclusions: There was evidence that it is possible to intervene to reduce SB in adults. Lifestyle and SB only interventions may be promising approaches. More high quality research is needed to determine if SB interventions are sufficient to produce clinically meaningful and sustainable reductions in sedentary time.

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Although a reduction of sitting time is often observed in interventions targeting physical activity promotion, interventions that specifically target sedentary behaviors are more effective.
“Although a reduction of sitting time is often observed in interventions targeting physical activity promotion, interventions that specifically target sedentary behaviors are more effective [100-102].”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [102]
Low-intensity physical activity and using physical activity to break up sedentary habits may be more sustainable alternatives to improve compliance with physical activity.
“Low intensity PA and using PA to break up sedentary habits may be more sustainable alternatives to improve compliance with PA.”
From The Impact of Physical Activity in Patients With Type 2 Diabetes (2025) · cites this paper as [52]
Programs targeting physical activity or combined activity and sedentary behavior are effective at improving physical activity participation.
“although programs targeting physical activity or combined activity and sedentary behavior are effective at improving physical activity participation”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [48]
Several recent systematic reviews have raised similar issues.
“Similar issues have been raised by several recent systematic reviews on interventions to change activity behavior [47-49].”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [48]
Only programs designed to change sedentary behavior achieve the best results in reducing sitting time.
“only the ones that are designed to change sedentary behavior achieve the best results in reducing sitting time”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [48]

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Review Protected by copyright, including for uses related to text and data mining, AI training, and similar technologies. . at Universiteit van Amsterdam on November 10, 2025 http://bjsm.bmj.com/ Downloaded from 23 April 2015. 10.1136/bjsports-2014-094524 on Br J Sports Med: first published as Review Protected by copyright, including for uses related to text and data mining, AI training, and similar technologies. . at Universiteit van Amsterdam on November 10, 2025 http://bjsm.bmj.com/ Downloaded from 23 April 2015. 10.1136/bjsports-2014-094524 on Br J Sports Med: first published as REFERENCES
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Authors: Martin, A., Fitzsimons, C., Jepson, R., Saunders, D. H., van der Ploeg, H. P., Teixeira, P. J., Gray, C. M., & Mutrie, N.
Affiliations: University of Edinburgh (GB)
Scottish Collaboration for Public Health Research and Policy (GB)
Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center Amsterdam, Amsterdam, The Netherlands
University of Lisbon (PT)
University of Glasgow (GB)
Corresponding author: Mutrie, Nanette
ORCID: Martin, Anne
Fitzsimons, Claire
Jepson, Ruth
Saunders, David H
Teixeira, Pedro J
Gray, Cindy M
Mutrie, Nanette
Venue: British Journal of Sports Medicine
Publisher: BMJ
Published: 2015-04-23
Volume: 49
Issue: 16
Pages: 1056-1063
ISSN: 0306-3674 (ISSN-L)
1473-0480
DOI: 10.1136/bjsports-2014-094524
OpenAlex: W2118873769
Cited by: 326
References: 84
Citations by year: 2026: 12 · 2025: 14 · 2024: 15 · 2023: 34 · 2022: 28 · 2021: 22 · 2020: 44 · 2019: 30 · 2018: 34 · 2017: 53 · 2016: 31 · 2015: 9
FWCI: 5.17
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: British Journal of Sports Medicine (publishedVersion)
PubMed (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
VU Research Portal (publishedVersion)
Pure Amsterdam UMC (submittedVersion, other-oa)
Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by-nc)
ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Funders: European Commission (602170)
Medical Research Council (MR/K023209/1)
Topics: Health Sciences › Medicine › Physiology › Physical Activity and Health
Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: sedentary behavior, sedentary time reduction, lifestyle intervention, physical activity interventions, adults, cardiometabolic health, mental health, body composition
MeSH terms: Adolescent, Adult, Aged, Exercise Therapy, Female, Health Promotion, Humans, Male, Middle Aged, Time Factors, Randomized Controlled Trials as Topic, Treatment Outcome, Risk Reduction Behavior, Young Adult, Sedentary Behavior

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