GPs’ perspectives regarding their sedentary behaviour and physical activity: a qualitative interview study
July 13, 2022
Congratulations to the 2022 SBRN Award Winners!
August 1, 2022
Thank you to Dr. Wendell C. Taylor for providing this blog post. The post is summarizing his paper titled “Understanding Variations in the Health Consequences of Sedentary Behavior: A Taxonomy of Social Interaction, Novelty, Choice, and Cognition” which has recently been published in the Journal of Aging and Physical Activity (available here). More about the author can be found at the bottom of the post.
We tend to think that sedentary behaviors are detrimental, unhealthy, and likely to cause weight gain—think binge-watching your favorite television series for hours while stuffing your face with an entire bag of potato chips. However, such a negative scenario isn’t always the case, as shown in a recent study on the attributes of sedentary behavior (https://doi.org/10.1123/japa.2020-0360).
By definition, a sedentary behavior is any waking behavior performed in a sitting or reclining posture and characterized by low energy expenditure. Various behaviors can be classified as sedentary, and they can be either health-promoting or health-compromising.
For example, some sedentary behaviors (such as reading) are associated with favorable health outcomes, whereas other sedentary behaviors (such as television viewing) are associated with unfavorable health outcomes. What might account for this difference?
In my research on this topic, I was unable to find a published framework that could be used to explain these discrepant findings. Therefore, I developed Taylor’s Taxonomy of Sedentary Behaviors to rate, rank, and create a hierarchy of sedentary behaviors and health outcomes. Such a hierarchy enables the sedentary pursuits that promote mental health, psychological health, and well-being to be identified and understood in real-world settings.
Four domains
Taylor’s Taxonomy categorizes sedentary behaviors according to four domains, abbreviated SNCC:
- Social interaction – Does the activity promote social interaction, versus isolation?
- Novelty – Is the activity new or different?
- Choice – Is the activity one in which the participant can willingly engage, versus having little or no choice?
- Cognition – Is the activity mentally stimulating?
Taylor’s Taxonomy proposes three categories of sedentary behaviors, based on SNCC ratings:
What does it mean?
Context is key when rating a sedentary behavior. For example, consider driving a car. Generally speaking, driving is rated low on the SNCC scale because typically it is routine—not especially stimulating, novel, socially engaging, or even optional. However, driving in a blinding snowstorm would be rated differently on the SNCC scale, in terms of novelty and cognition (stimulation). Also, driving could be one’s only choice, or it could be one of many choices (bicycling, metro rail, city bus), depending on where one lives.
In stark contrast, in-person adult education classes are typically rated high on the SNCC scale: Participants choose to enroll in classes, they engage in in-person interactions with other students and the professor(s), and they learn new concepts and ideas that are cognitively stimulating.
With these points in mind, consider selecting sedentary behaviors that protect and enhance your health. In general, Taylor’s Taxonomy rates positive in-person interactions more favorably than positive non-face-to-face interactions:
- Category 3 sedentary behaviors will protect and enhance health to a greater extent than behaviors in Categories 1 and 2.
- Category 2 sedentary behaviors will protect and enhance health to a greater extent than behaviors in Category 1.
- Category 1 sedentary behaviors will confer the fewest health benefits.
Note that ratings on SNCC domains and sedentary behaviors may vary somewhat depending on the sub-population (e.g., gender, age, racial/ethnic identity), but the overall approach still applies.
Health outcomes
Categorizing sedentary behaviors according to Taylor’s Taxonomy can help identify activities that promote psychological and emotional health, including wellbeing, memory function, mental alertness, elevated mood, happiness, and joy. Constructive sedentary behaviors can even prevent or lessen the effects of depression, dementia, and cognitive decline. Other benefits include positive effects on blood pressure, stress hormone levels, and “feel good” brain chemicals such as endorphins and dopamine.
Summary
In the study of sedentary behaviors, a long-held assumption is that all sedentary behaviors yield unhealthy effects because the person is not physically active. The basic premise of Taylor’s Taxonomy of Sedentary Behaviors is that not all sedentary behaviors are the same, nor are they all necessarily bad. I developed Taylor’s Taxonomy as a way to identify the health outcomes associated with various sedentary behaviors. My hope is to encourage health-promoting sedentary behaviors and discourage health-compromising sedentary behaviors to enhance the wellbeing and health of all communities.
What are your thoughts about sedentary behaviors? Did this post change any of your views? Tell me about it in the comments below.
References
de Rezende, L.F.M., Rey-López, J.P., Matsudo, V.K.R., & do Carmo Luiz, O. (2014). Sedentary behavior and health outcomes among older adults: A systematic review. BMC Public Health, 14(1), 1–9.
Taylor, W. C. (2021). Understanding variations in the health consequences of sedentary behavior: A taxonomy of social interaction, novelty, choice, and cognition. Journal of Aging and Physical Activity, 30(1), 153-161. DOI: 10.1123/japa.2020-0360 PMID: 34257158.
Taylor, W. C., Rix, K., Gibson, A., & Paxton, R. J. (2020). Sedentary behavior and health outcomes in older adults: A systematic review. AIMS Medical Science, 7(1), 10-39.
All images courtesy of pixabay.com. Dr. Taylor thanks Jeanie Woodruff, BS, ELS, for her contributions to the writing of this post. Also, Dr. Taylor is grateful to Karen L. Pepkin, MA, for her revisions to the blog post.
About the author
Wendell C. Taylor, PhD, MPH, has more than 30 years of experience in academia as a university professor. His research expertise includes sedentary behavior, physical activity, workplace health promotion, health equity, and environmental justice. In addition to authoring Taylor’s Taxonomy of Sedentary Behaviors, Dr. Taylor is the architect of Booster Breaks in the Workplace, Healthy Weight Disparity Index, and Ethical Hiring Policies for People Who Smoke.
Dr. Taylor was the principal investigator of a National Institutes of Health grant entitled, “Booster Breaks: A 21st Century Innovation to Improve Worker Health and Productivity.” This study was a cluster-randomized controlled trial of health-promoting breaks in the workplace and assessed physical, psychological, and organizational-level outcomes.
Dr. Taylor is committed to improving access to physical activity opportunities and promoting healthy sedentary behaviors for all communities.
10 Comments
This post allowed me to consider my own sedentary behavior and that of others in a new framework. The Taxonomy and the three Categories are a brilliant innovation in classifying ordinary, everyday sedentary activities in a scientific manner.
I love the taxonomy concept as it relates to sedentary behavior. In my own life, I have noticed a big difference in the way I feel when I engage in activities that would fall in categories two or three. Because orthopedic issues have negatively impacted my physical activity level, I am encouraged to have my feelings of enhanced well-being validated. I am familiar with Dr. Taylor’s work on booster breaks and try to incorporate them into prolonged zoom activities (getting up to get another glass of water is an acceptable excuse). It’s good to see that Dr. Taylor is continuing his work promoting health and well-being.
I think this taxonomy is brilliant. Although orthopedic issues have left me more sedentary than I would like, seeing that some sedentary activities can result in good health outcomes is encouraging. The benefits of behaviors in each of the three categories offers a guide to increasing activities that bring psychological benefits and avoiding those that don’t. I am familiar with Dr. Taylor’s work on booster breaks and incorporate them into any sedentary activity in order to gain some physical benefit as well as psychological.
“Sedentary Behaviors Can Enhance or Compromise Psychological Health: How to Tell the Difference” is a very interesting study. Since I have a major problem with the tendon near my ankle, I do not get as much exercise walking as I used to. Therefore, I have more sedentary activities than I did before. I never thought of evaluating them the way they are done in this study, and it makes perfect sense to me that we should all strive to have more of our time spent in categories 2 and/or 3 rather than 1. I will definitely keep that in mind from now on. Dr. Taylor’s work is always well thought out and when his recommendations are followed there are always positive health outcomes!
The results of this study by Dr. Taylor on sedentary behaviors is a welcome respite from the endless admonitions to be physically active. The truth is that not everyone in our fitness-crazed culture is able to swing 10-pound kettle bells, run 5 miles a day, or take 100 laps in the pool. I am one of those people. The arthritis in my neck was diagnosed when I was 40 and has been progressively worsening as I age. For years I have felt guilty that I am not as physically active as those around me and that my fitness is substandard. I have felt relegated to the label “couch potato” even though I never accepted it. Because of my physical limitations, I find the Taylor Taxonomy of Sedentary Behaviors to be liberating and uplifting. While most of my sedentary behaviors fall in Category 2 because I live alone, I realize that engaging in more Category 3 behaviors would benefit me greatly. It is time to seek them out. Thank you, Dr. Taylor!
As a reader and a quilter, I try to make sure that I take breaks, whether it is to drink water, do a chore, or make a phone call. Also, I do long car trips at least once a year. I’ve found that if I drink lots of water, I have to make regular restroom stops. It keeps me alert and from being too sedentary. I found this post very enlightening.
Dr. Taylor’s Taxonomy of Sedentary Behaviors is truly inspirational to those of us who have debilitating medical conditions and are not able to engage in high-impact exercise. As someone who has arthritis in her cervical spine, I have been daunted by my friends who swing 10-pound kettle bells, run 5 miles a day, or rock climb. Although I do engage in low-impact exercises as I am able, I am encouraged that some of my Category 2 sedentary behaviors are not entirely unhealthy and that adding more Category 3 sedentary behaviors will enhance my health and well-being. I am throwing off the moniker “couch potato” and hope others will, too, as they apply this taxonomy to their daily lives.
With so much emphasis on physical activity, the taxonomy of sedentary behaviors that Dr. Taylor has developed is a welcome respite for those of us who cannot swing 10-pound kettle bells, run a marathon, or scale a rock wall. For decades, the arthritis in my neck has greatly limited the physical activities in which I can participate. Though I regularly engage in low-impact exercise, I am glad to learn that there are health and psychological benefits to certain sedentary behaviors as well. Physicians should be inspired to add this taxonomy to their clinical repertoire to assess the well-being of their patients.
It was nice to read a refreshing view of what sedentary behaviors are. Dr. Taylor’s Taxonomy breakdown was clear and gave me a different perspective on the benefits of the behaviors and its impact to emotional, physical & (brain) mental health. I have Parkinsons and sometimes I am not able to physically workout as much as I should. I will incorporate more of Category 2 & 3. Thanks for this valuable information that I plan to share with others.
This framework represents a more nuanced way to think about sedentary behavior that accounts for a range of mental and social health parameters in addition to physical activity. This is a contribution to understanding how multiple levels of activity interact with potential health benefits. The focus is not only on quantity but also quality of the behavior. Thanks for this thoughtful contribution to the physical activity field.