HypertensionRandomised controlled trial

Effects of Sedentary Behavior Reduction on Blood Pressure in Desk Workers: Results From the RESET-BP Randomized Clinical Trial

CirculationPublished

  • Randomised controlled trial
  • parallel-arm
  • blinded outcome assessment

Authors' conclusion

A 3-month intervention that decreased SB and increased standing by ≈1 hour during the work day was not effective for reducing BP.

Study context

Population
Desk workers aged 18 to 65 years with SBP 120 to 159 or diastolic BP (DBP) 80 to 99 mm Hg, off antihypertensive medications, <150 min/wk of moderate to vigorous physical activity
Participants
271 workers
Comparison
Sedentary behavior (SB) reduction intervention vs no-contact control
Primary endpoint
Clinic-based resting SBP
Follow-up
3 months

Primary result

Resting SBP change

Difference

−0.22 mm Hg

P = 0.808

As reported in the abstract

Further findings

OutcomeEstimateP value
Resting DBP change · 3 months · ±0.61difference 0.13 mm HgP = 0.827
SB, standing and stepping (intervention vs control) — Intervention vs Control · SB; ±0.17 · changes mainly during work time and below the goaldifference −1.15 h/dP < 0.05
SB, standing and stepping (intervention vs control) — Intervention vs Control · standing; ±0.14 · changes mainly during work time and below the goaldifference 0.94 h/dP < 0.05
SB, standing and stepping (intervention vs control) — Intervention vs Control · stepping; ±2.4 · changes mainly during work time and below the goaldifference 5.4 min/dP < 0.05

Ambulatory blood pressure (BP) and pulse wave velocity (PWV)

Similarly null for ambulatory BP and PWV

Associations of SB and standing changes with DBP and carotid-femoral PWV

Decrease in work-time SB vs reduction in resting DBP
r=0.15, P=0.017
Reduction in work-time SB vs unfavorable increase in PWV
r=−0.19, P=0.006
Increase in work-time standing vs unfavorable increase in PWV
r=0.17, P=0.011
Increase in nonwork-time standing vs favorable PWV
r=−0.14, P=0.038

Original publication

Effects of Sedentary Behavior Reduction on Blood Pressure in Desk Workers: Results From the RESET-BP Randomized Clinical Trial. Circulation. Published 21 August 2024. doi:10.1161/circulationaha.123.068564

Summarised from the published abstract; every number is checked against it