la sédentarité au travail : un risque professionnel à part ... · wittyfit research 8. connected...

24/09/2019

1

Frédéric DUTHEIL

Mardi 24 septembre 2019Assistance Publique

Hôpitaux de Marseille

Santé Travail Environnement, CHU Clermont-Ferrand

LaPSCo UMR CNRS 6024 « Stress physiologique et psychosocial »

La sédentarité au travail : un risque professionnel

à part entière

Key points

•Sedentary behavior kills

•We have sedentary behavior at work

Sedentary behavior is an occupational risk

Key points




Background

• Physical activity

• Sedentary behavior

Physical

activity

--+++-

http://www.sciencedirect.com/science/article/pii/S0140673611607496


24/09/2019

2

Mortality

reduction

Physical

activity

--+++-

Mortality

reduction

Physical

activity

--+++-

Mortality

reduction

Physical

activity

--+++-

14%

-

--+++ -

Physical

activity

-

Same

quantity

of PA

-+++ -

Physical

activity




24/09/2019

3

-+++ -

Physical

activity

Low

PA

-+++ -

Low

PA

High

PA

Physical

activity

-+++ -

Mortality Low

PA

High

PA

Physical

activity

-

Physical

activity+++ -

Mortality Low

PA

High

PA

-

Mortality

-

Mortality

Time

spent

sitting

24/09/2019

4

-

Mortality

Time

spent

sitting

sedentary

-

Mortality

Time

spent

sitting

sedentary

-

Mortality

Time

spent

sitting

sedentary

-

Mortality

Time

spent

sitting

sedentary

-

Mortality

Time

spent

sitting

sedentary

-

Mortality

Time

spent

sitting

Low PA

Low

sitting

High PA

High

sitting

24/09/2019

5

- -

-

At work?Observational studies



At work?

Observational studies



At work?

Epidemiology

24/09/2019

6

***

1960

30 h/

week

Sedentary behaviors increased

from 30 hours per week in 1960

to 42 hours par week in 2012

42 h/week

1960 2012

30 h/

week

24/09/2019

7




At work?Observational studies



At work?

Health

outcomes

24/09/2019

8

24/09/2019

9




At work?

Health

outcomes




At work?

Health

outcomes

24/09/2019

10

Interventional studies



Health

outcomes

At work?Interventional studies



Health

outcomes

At work?




Health

outcomes

≈ LeisureInterventional studies



Health

outcomes

≈ Leisure

• MetS individuals randomized in 3 groups of

combined PA (endurance + résistance) with

differents intensities:

ReResistance-intense

endurance-moderate

rEresistance-moderate

Endurance-intense

reresistance-moderate

endurance-moderate

Randomization3 groups

International Journal of Cardiology

Different modalities of exercise to reduce visceral fat mass and

cardiovascular risk in metabolic syndrome: the RESOLVE*

randomized trial

-25

-20

-15

-10

-5

0

D0 D20 M3 M6 M12

% of loss Visceral fat loss

rE

re

Re

*****:p<.001, ***:p<.001, **:p<.01, *:p<.05

Re and rE vs. re.

††††:p<.0001 Re vs rE.

Combined training with

high intensity in

resistance induce faster

results

The 2 groups with high

intensity training had the

best visceral fat loss

International Journal of Cardiology

Different modalities of exercise to reduce visceral fat mass and

cardiovascular risk in metabolic syndrome: the RESOLVE*

randomized trial

****††††

****

******

**

*

*

24/09/2019

11




Health

outcomes

≈ LeisureInterventional studies



Health

outcomes

Only on sedentary behaviors ?




Health

outcomes


Laboratory

Sitting 8

hours

Randomi-

zation

controlIntervention

Sitting 8

hours

2016

Sitting 8

hours

Randomi-

zation

controlIntervention

Sitting 8

hours+ 5 min standing

/30 min

2016 2016

controls

24/09/2019

12

2016

5 min

standing

/30 min

controls

Blood glucose and blood insulin

of 1/3 when standing 5 min/30 min




Health

outcomes




At work?

Health

outcomes




At work?

Health

outcomes





At work?

Health

outcomes

Only on sedentary behaviors ? Randomi-

zation

controlIntervention 6 months

at work:

Counseling

Nutrition

Physical activity

Stop smoking

Health education

24/09/2019

13

Randomi-

zation

controlIntervention 6 months

at work:

Counseling

Nutrition

Physical activity

Stop smoking

Health education

Well-being

Body

composition

CV Risk:- Blood lipids

- Blood pressure

One-year change in total medical cost

Salud Pública Mex 2012, 54:20-27 Salud Pública Mex 2012, 54:20-27

24/09/2019

14

Salud Pública Mex 2012, 54:20-27 Salud Pública Mex 2012, 54:20-27




At work?

Health

outcomes




At work?

Health

outcomes

the Stand Up Victoria cluster randomized trial

BMC Public Health.

Dunstan DW, Wiesner G, Eakin EG, Neuhaus M, Owen N, LaMontagne AD, Moodie

M, Winkler EA, Fjeldsoe BS, Lawler S, Healy GN.

24/09/2019

15

What kills ?

Sedentary

at workPoor

nutrition

habits

Stress

Working

conditionsGoldstone al 2004

The INTERHEART study

Rosengreen et al 2004

What kills ?

The Greek EPIC study

Trichopoulou et al 2009

Sendetary

at workPoor

nutrition

habits

Stress

Working

conditions

Chandola Eur. Heart J. 2008

Chikani Rural Health. 2005

Collins Am. J. Ind. Med. 2005

de Jonge Soc. Sci. Med. 2000

…

What kills ?

24/09/2019

16

Sendetary

at workPoor

nutrition

habits

Stress

Working

conditions

1. Globality

Novel

Well-being regarding 3 main categories:

- “Physically”

- “Mentally”

- “At Work”

Nutrition

Activity

Sleep

Musculo-skelettal

Stress

Mood Job strain

Latitude decision

Work organization, tasks

Social support

Recognition

1. Globality

Novel

2. How to interact ?

1. Globality

Novel1. Globality

Novel


1. Globality

Novel


1. Globality

Novel


24/09/2019

17

1. Globality

Novel


1. Globality

Novel


1. Globality

Novel

2. Digital world

3. Personalized feedback

1. Globality

Novel

2. Digital world


Health

Check Report« e-learning »« Did you know ? »

1. Globality

Novel

2. Digital world


Health

Check Report« e-learning »« Did you know ? »

You eat 15 grams of salt per day.

An excess of salt increases blood pressure

1. Globality

Novel

2. Digital world


4. Up-to-date scientific knowledge (evidence

based medicine)

24/09/2019

18

1. Globality

Novel

2. Digital world


4. Up-to-date EBM

5. A feedback for managers

1. Globality

Novel

2. Digital world


4. Up-to-date EBM


6. Collaboration with Occupational Medicine

1. Globality

Novel

2. Digital world


4. Up-to-date EBM



7. WittyFit… behavior data

1. Globality

Novel

2. Digital world


4. Up-to-date EBM



7. WittyFit… behavior data

WittyFit Research medical data

1. Globality

Novel

2. Digital world


4. Up-to-date EBM



7. WittyFit Research

8. Connected objects 8. Connected objects

24/09/2019

19



8. Connected objects

1. Globality

Novel

2. Digital world


4. Up-to-date EBM





9. Anonymous

24/09/2019

20

Factories WittyFitn° HR

9. Anonymous

Factories WittyFitn° HR + random

9. Anonymous


WittyFit

Research9. Anonymous


WittyFit

Research


WittyFit

Research


WittyFit

Research

24/09/2019

21


Retirement

Another company

Death

WittyFit

Research


Retirement

Another company

Death

WittyFit

Research

Death Death

The main outcome:

1. Globality

Novel

2. Digital world


4. Up-to-date EBM





9. Anonymous

1. Globality

Novel

2. Digital world


4. Up-to-date EBM





10. A powerful epidemiological database

9. Anonymous

24/09/2019

22

Key points




Key points




Key points




A massive area for future research

Frédéric DUTHEIL

Mardi 24 septembre 2019Assistance Publique

Hôpitaux de Marseille

Santé Travail Environnement, CHU Clermont-Ferrand

LaPSCo UMR CNRS 6024 « Stress physiologique et psychosocial »

La sédentarité au travail : un risque professionnel

à part entière

la sédentarité au travail : un risque professionnel à part ... · wittyfit research 8. connected...

Documents