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    James A. Levine, M.D., Ph.D.

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Question

Is sitting really bad for my health?

Can too much sitting hurt my health?

Answer

from James A. Levine, M.D., Ph.D.

Researchers have linked sitting for prolonged periods with a number of health problems and premature death from cardiovascular disease. In one study, adults who spent more than four hours a day sitting in front of the television had an 80 percent increased risk of death from cardiovascular disease compared with adults who spent less than two hours a day in front of the TV. This risk was independent of other risk factors such as smoking or diet.

And it's not just TV watching. Any extended sitting — whether that's at a desk or behind the wheel — increases your risk. What's more, a few hours a week at the gym doesn't seem to significantly offset the risk.

Rather, the solution seems to be less sitting and more moving. Simply by standing, you burn three times as many calories as you do sitting. Muscle contractions, including the ones required for standing, seem to trigger important processes related to the breakdown of fats and sugars. When you sit down, muscle contractions cease and these processes stall.

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References
  1. Dunstan DW, et al. The Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Circulation. 2010;121:384.
  2. Katzmarzyk PT, et al. Sitting time and mortality from all causes, cardiovascular disease, and cancer. Medicine and Science in Sports and Exercise. 2009;41:998.
  3. Levine JA. Move a Little, Lose a Lot. New York, N.Y.: Crown Publishers; 2009:26.
AN02082 May 7, 2010

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