Key result
Longer, less frequent walking breaks (8 minutes every 2 hours) prevented sitting-induced declines in superficial femoral artery blood flow compared to uninterrupted sitting (0.45 vs -42.7 mL/min; P=0.012).
RCT
randomized order
Absolute Event Rate: 0.45% vs -42.7%
p-value: p=0.012
Sitting reduces femoral blood flow but not FMD; longer infrequent breaks may preserve flow, hypothesis-generating for break dosing.
) completed, on separate days, three 4-h conditions in a randomized order: (1) uninterrupted sitting (SIT), (2) sitting with 2-min light-intensity walking breaks every 30 min (2WALK), or (3) sitting with 8-min light-intensity walking breaks every 2 h (8WALK). At baseline and 4 h, superficial femoral artery function (flow-mediated dilation; FMD), blood flow, and shear rate (SR) were assessed using Doppler ultrasound. For each condition, the change in outcome variables was calculated and data were statistically analyzed using a linear mixed model. There was no significant main effect for the change in FMD (P = 0.564). A significant main effect was observed for the change in blood flow (P = 0.022), with post hoc analysis revealing a greater reduction during SIT (-42.7 ± 14.2 mL·min) compared to 8WALK (0.45 ± 17.7 mL·min; P = 0.012). There were no significant main effects for mean, antegrade, or retrograde SR (P > 0.05). Superficial femoral artery blood flow, but not FMD, was reduced following uninterrupted sitting. This decline in blood flow was prevented with longer duration, less frequent walking breaks rather than shorter, more frequent breaks suggesting the dose (duration and frequency) of PA may influence the prevention of sitting-induced decreases in blood flow.
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Carter et al. (2019) reported an RCT. Light-intensity walking breaks vs. Uninterrupted sitting was evaluated on Change in superficial femoral artery blood flow (p=0.012). Longer, less frequent walking breaks (8 minutes every 2 hours) prevented sitting-induced declines in superficial femoral artery blood flow compared to uninterrupted sitting (0.45 vs -42.7 mL/min; P=0.012).
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