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不能久坐我站着还不可么

放大字体  缩小字体 2020-01-03 21:25:47  阅读:3179 作者:责任编辑NO。卢泓钢0469

在作业室或教室坐一整天,不免浑身生硬,肩颈腰背酸痛。即便下班或下课后拼命运动,也很难抵消久坐带来的不舒服。

除了难过,长期的默坐还会使人简单长胖,患2型糖尿病、肿瘤及心血管疾病的危险也升高[1]。知道久坐有害后,渐渐的变多的人开端测验其他姿态,乃至随之呈现了专供站立作业的设备,比方可升降桌子、笔记本支架、可调高度的屏幕支架等。

站立作业设备丨参考文献[2]

用了这些设备,人们能做到每天坐着的时刻均匀缩短1.3小时,站立时刻添加1.4小时[1]。看似成效显著,但别忘了削减久坐仅仅手法,我们改动姿态意图是削减久坐带来的健康损害、缓解身体的生硬酸痛、防备打瞌睡或经过添加耗费来减肥。由坐到站,能不能完成这些方针?

站得那么累,怎样还算“久坐”

想知道站立是否有利,还得先看久坐为什么有害。实际上,久坐行为的损害不在于“坐”,而在于很低的能量耗费

其实不论你是坐、靠、躺仍是站,不管在作业、玩游戏或许坐车,只需清醒状态下能量耗费低于默坐的1.5~2倍,都归于久坐行为[1]。

关于大都人来说,仅仅站起来不能使能量耗费超出久坐规模,也不能添加运动量[3, 4]。已然脱离不了久坐行为,站立的优点也存在疑问。

图丨图虫构思

腰痛或许有用,其他不一定

为了健康站起来的人或许对下面的音讯很绝望:大都研讨中,坚持接连站立作业数月时刻,并不能显着改进健康人的血压、血糖及血脂水平,仅肥胖者的血糖水平或许有所好转[1, 5]。

有人听了会说“我站来又不是为了防病,仅仅由于一向坐着太难过”。关于缓解身体生硬酸痛,坐站替换或许优于久坐,特别是关于缓慢腰痛的人[6, 7]。绝大大都人会都在一生中某个阶段阅历腰痛,长期默坐或许加剧症状[8]。在久坐作业间歇恰当站立,会使部分人的腰痛症状显着减轻

尽管站立或许缓解腰痛,但对肩颈、上肢不适及酸痛的作用有限[4, 9-11],还要亲自测验才干知道对个人是否有用。关于下肢,站立姿态反而比座位更简单引起酸痛。

站立缓解酸痛的作用不一致,也与我们姿态不同有关。颈部、躯干及下肢正确摆放才干减轻疲惫,假如过度垂头、折腰或始终将重心放在某一条腿上反而不舒服。

图丨图虫构思

站立使我清醒?

除了身体生硬酸痛,上班时的疲倦也让人难以反抗。许多人看到支架上标示的“进步功率,生机加倍”,而希望站立如咖啡一般提神醒脑。

其实大都研讨中,人们坐着与站着时的疲倦程度及心境并没有显着差异[12, 13]。少数人站立后感觉更有生机而且心境更好,另一些人站起来反而比继续坐着更疲惫[14, 15]。

已然不能提神醒脑,关于大都人来说,站与坐时的作业功率也没有显着差异[16, 17]。当然了,上课犯困时被拎起来罚站听讲,是个破例。

图丨图虫构思

减肥,仍是别盼望了

除了进步作业功率,站立作业设备的宣扬里还常有“消除赘肉”。的确一般人站着比坐着耗费能量稍多,但两者差异并不大[18]。相关于坐着,站立1小时能量耗费只多出4.2~10千卡[1],即便每天站立累计4小时,多耗费的热量还抵不上两小块巧克力。

别的还有少数人十分拿手站,停止站立时能量耗费乃至低于坐着。因而,测验用站替代坐来减肥的研讨,都没有得出站立减肥的成果[19-21]。

站久了还不如坐着

站着的获益不是很确认,但久站的损害人们早就领会到了。早年间,许多工人都需求整日站着作业,不能坐下或来回走动。他们不只饱尝腰痛、脚痛、下肢静脉曲张、腿脚水肿的摧残,女人还会因长期站立添加早产及流产的危险[1]。

下肢静脉曲张丨图虫构思

关于大都人,舒适的继续站立时刻不超越15~30分钟[22, 23]。假如为了减轻背部不适而站立,每次15分钟就足够了,继续站立时刻过长反而难过[24]。

当停止站立到达30分钟时,小腿及足部的血流增多,疲惫、不适及痛苦的感觉开端呈现[25]。现已存在外周血管疾病的人,应尽或许的防止接连站立30分钟以上。假如作业需求接连站立2小时以上,可利用紧缩袜、地垫、鞋垫及坐站两用凳子来缓解疲惫[25]。

多换姿态,多活动

不管坐着仍是站着,长期的静态姿态都对健康晦气而且导致身体酸痛不适。

想要改进身体生硬及肌肉疲惫,关键在于常常改换姿态,而不是长期的继续站立[1]。关于减轻体重或久坐健康损害,进行比站立强度更大的活动,才有必定的作用。

终年久坐不动的人,能够从作业中坐站替换及轻度膂力活动开端,逐步添加时刻及活动强度。增加桌子或支架是途径之一,多走动比静静站着更为有用[26]。

在不打扰他人的前提下,能够多活动丨giphy

参考文献

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[2] Pronk NP, Katz AS, Lowry M, et al. Reducing occupational sitting time and improving worker health: the Take-a-Stand Project, 2011. Prev Chronic Dis. 2012;9:E154.

[3] Burns J, Forde C, Dockrell S. Energy Expenditure of Standing Compared to Sitting While Conducting Office Tasks. Hum Factors. 2017;59(7):1078-1087.

[4] Ee J, Parry S, Oliveira BI, et al. Does a Classroom Standing Desk Intervention Modify Standing and Sitting Behaviour and Musculoskeletal Symptoms during School Time and Physical Activity during Waking Time? Int J Environ Res Public Health. 2018;15(8).

[5] David Rempel. Do Sit-Stand Workstations Improve Cardiovascular Health? J Occup Environ Med. 2018;60(7):e319-e320.

[6] Johnston V, Gane EM, Brown W, et al. Feasibility and impact of sit-stand workstations with and without exercise in office workers at risk of low back pain: A pilot comparative effectiveness trial. Appl Ergon. 2019;76:82-89.

[7] Agarwal S, Steinmaus C, Harris-Adamson C. Sit-stand workstations and impact on low back discomfort: a systematic review and meta-analysis. Ergonomics. 2018;61(4):538-552.

[8] Sribastav SS, Long J, He P, et al. Risk Factors Associated with Pain Severity in Patients with Non-specific Low Back Pain in Southern China. Asian Spine J. 2018;12(3):533-543.

[9] Hoe VC, Urquhart DM, Kelsall HL, et al. Ergonomic interventions for preventing work-related musculoskeletal disorders of the upper limb and neck among office workers. Cochrane Database Syst Rev. 2018;10:CD008570.

[10] Brakenridge CL, Chong YY, Winkler EAH, et al. evaluating Short-Term Musculoskeletal Pain Changes in Desk-based Workers Receiving a Workplace Sitting-Reduction Intervention. Int J Environ Res Public Health. 2018;15(9).

[11] E F Graves L, C Murphy R, Shepherd SO, et al. evaluation of sit-stand workstations in an office setting: a randomised controlled trial. BMC Public Health. 2015;15:1145.

[12] Schwartz B, Kapellusch JM, Schrempf A, et al. Effect of alternating postures on cognitive performance for healthy people performing sedentary work. Ergonomics. 2018;61(6):778-795.

[13] Schwartz B, Kapellusch JM, Baca A, et al. Medium-term effects of a two-desk sit/stand workstation on cognitive performance and workload for healthy people performing sedentary work: a secondary analysis of a randomised controlled trial. Ergonomics. 2019;62(6):794-810.

[14] Renaud LR, Huysmans MA, van der Ploeg HP, et al. Long-Term Access to Sit-Stand Workstations in a Large Office Population: User Profiles Reveal Differences in Sitting Time and Perceptions. Int J Environ Res Public Health. 2018;15(9).

[15] Dewitt S, Hall J, Smith L, et al. Office workers' experiences of attempts to reduce sitting-time: an exploratory, mixed-methods uncontrolled intervention pilot study. BMC Public Health. 2019;19(1):819.

[16] Ojo SO, Bailey DP, Chater AM, et al. The Impact of Active Workstations on Workplace Productivity and Performance: A Systematic Review. Int J Environ Res Public Health. 2018;15(3).

[17] Finch LE, Tomiyama AJ, Ward A. Taking a Stand: The Effects of Standing Desks on Task Performance and Engagement. Int J Environ Res Public Health. 2017;14(8).

[18] Mantzari E, Galloway C, Wijndaele K, et al. Impact of sit-stand desks at work on energy expenditure, sitting time and cardio-metabolic risk factors: Multiphase feasibility study with randomised controlled component. Prev Med Rep. 2018;13:64-72.

[19] Alkhajah TA, Reeves MM, Eakin EG, et al. Sit-stand workstations: a pilot intervention to reduce office sitting time. Am J Prev Med. 2012;43(3):298-303.

[20] Healy GN, Winkler EAH, Eakin EG, et al. A Cluster RCT to Reduce Workers' Sitting Time: Impact on Cardiometabolic Biomarkers. Med Sci Sports Exerc. 2017;49(10):2032-2039.

[21] MacEwen BT, Saunders TJ, MacDonald DJ, et al. Sit-Stand Desks To Reduce Workplace Sitting Time In Office Workers With Abdominal Obesity: A Randomized Controlled Trial. J Phys Act Health. 2017;14(9):710-715.

[22] Antle DM, Cormier L, Findlay M, et al. Lower limb blood flow and mean arterial pressure during standing and seated work: Implications for workplace posture recommendations. Prev Med Rep. 2018;10:117-122.

[23] Pei H, Yu S, Babski-Reeves K, et al. Quantification of lower extremity physical exposures in various combinations of sit/stand time duration associated with sit-stand workstation. Med Pr. 2017;68(3):315-327.

[24] Lin MY, Barbir A, Dennerlein JT. evaluating biomechanics of user-selected sitting and standing computer workstation. Appl Ergon. 2017;65:382-388.

[25] Waters TR, Dick RB. Evidence of health risks associated with prolonged standing at work and intervention effectiveness. Rehabil Nurs. 2015;40(3):148-165.

[26] Buckley JP, Hedge A, Yates T, et al. The sedentary office: an expert statement on the growing case for change towards better health and productivity. Br J Sports Med. 2015;49(21):1357-1362.

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