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Exceeding recommended activity levels ‘could offset harms of prolonged sitting’

The recommendation is part of the WHO’s new global guidelines on physical activity and sedentary behaviour.
The recommendation is part of the WHO’s new global guidelines on physical activity and sedentary behaviour. The recommendation is part of the WHO’s new global guidelines on physical activity and sedentary behaviour.

Exceeding weekly recommended physical activity levels could offset the health harms caused by prolonged sitting, the World Heath Organisation (WHO) has said.

Its recommendation, published in a special issue of the British Journal of Sports Medicine, is part of the new global guidelines on physical activity and sedentary behaviour.

In addition, new research, also published in the special issue, has suggested that increasing physical activity can counter the risk of early death linked to long periods of sedentary time.

Professor Emmanuel Stamatakis, of the University of Sydney, who is the co-editor of the special issue, said: “Although the new guidelines reflect the best available science, there are still some gaps in our knowledge.

“We are still not clear, for example, where exactly the bar for ‘too much sitting’ is.

“But this is a fast-paced field of research, and we will hopefully have answers in a few years’ time.”

He added: “These guidelines are very timely, given that we are in the middle of a global pandemic, which has confined people indoors for long periods and encouraged an increase in sedentary behaviour.

“But people can still protect their health and offset the harmful effects of physical inactivity.

“As these guidelines emphasise, all physical activity counts and any amount of it is better than none.

“There are plenty of indoor options that don’t need a lot of space or equipment, such as climbing the stairs, active play with children or pets, dancing, or online yoga or Pilates classes.”

In research involving more than 44,000 people from four countries, scientists have found a high daily tally of sedentary time – defined in the study as 10 or more hours – to be associated with “a significantly heightened risk of death, particularly among people who are physically inactive”.

Yoga class
Yoga class Around 30 to 40 minutes of moderate to vigorous intensity physical activity a day can weaken the risk of death associated with physical inactivity (Anthony Devlin/PA)

The researchers said that 30 to 40 minutes of moderate to vigorous intensity physical activity a day “substantially weakens this risk, bringing it down to levels associated with very low amounts of sedentary time”.

The authors also said the findings broadly confirm the recommendations set out in the WHO’s global guidelines on physical activity and sedentary behaviour.

But, they added, there is not enough evidence to recommend specific maximum thresholds for sedentary behaviour.

The WHO guidance recommends a weekly tally of 150-300 minutes of moderate intensity, or at least 75-100 minutes of vigorous intensity.

But any amount of physical activity is better for health than none, it emphasises.

Other key recommendations for adults, including those living with long-term conditions or disabilities at any age, also include undertaking muscle-strengthening activity – such as weights, core conditioning – at moderate or greater intensity on two or more days of the week.

The guidance also says that adults aged 65 and over should do physical activity that emphasises functional balance and strength training at moderate or greater intensity on three or more days of the week, in order to enhance functional capacity and prevent falls.

It recommends that women should do regular physical activity throughout pregnancy and after the birth, to include various aerobic and muscle-strengthening activities.