title: An office-place stepping device to promote workplace physical activity.
abstract: OBJECTIVE
  It was proposed that an office-place stepping device is associated with significant and substantial increases in energy expenditure compared to sitting energy expenditure. The objective was to assess the effect of using an office-place stepping device on the energy expenditure of lean and obese office workers.
  
  
  METHODS
  The office-place stepping device is an inexpensive, near-silent, low-impact device that can be housed under a standard desk and plugged into an office PC for self-monitoring. Energy expenditure was measured in lean and obese subjects using the stepping device and during rest, sitting and walking. 19 subjects (27+/-9 years, 85+/-23 kg): 9 lean (BMI<25 kg/m2) and 10 obese (BMI>29 kg/m2) attended the experimental office facility. Energy expenditure was measured at rest, while seated in an office chair, standing, walking on a treadmill and while using the office-place stepping device.
  
  
  RESULTS
  The office-place stepping device was associated with an increase in energy expenditure above sitting in an office chair by 289+/-102 kcal/hour (p<0.001). The increase in energy expenditure was greater for obese (335+/-99 kcal/hour) than for lean subjects (235+/-80 kcal/hour; p = 0.03). The increments in energy expenditure were similar to exercise-style walking.
  
  
  CONCLUSIONS
  The office-place stepping device could be an approach for office workers to increase their energy expenditure. If the stepping device was used to replace sitting by 2 hours per day and if other components of energy balance were constant, weight loss of 20 kg/year could occur.
authors.affiliation: Mayo Clinic, 200 First St SW, Rochester 55905, USA.
authors.forename: David A
authors.initials: DA
authors.lastname: McAlpine
authors.forename: Chinmay U
authors.initials: CU
authors.lastname: Manohar
authors.forename: Shelly K
authors.initials: SK
authors.lastname: McCrady
authors.forename: Donald
authors.initials: D
authors.lastname: Hensrud
authors.forename: James A
authors.initials: JA
authors.lastname: Levine
mesh_terms: D000328:Adult; D001823:Body Composition; D004734:Energy Metabolism / Q000502:physiology*; D004867:Equipment Design; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D008297:Male; D009765:Obesity / Q000517:prevention & control*; D016138:Walking / Q000502:physiology*; D017132:Workplace