Evidence map›Paper›PMID 40514667›Full record

SynthesisThe international journal of behavioral nutrition and physical activity2025

The effect of computer prompt in breaks of sedentary behaviour among office workers: a systematic review and meta-analysis.

Jaime Leppe-Zamora, Sara Ramos-Fuster, Barbara Muñoz-Monari, Sonia Roa-Alcaino, Olga Lucía Sarmiento

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The international journal of behavioral nutrition and physical activity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Jaime Leppe-ZamoraSchool of Physiotherapy, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile. jleppe@udd.cl.ORCID http://orcid.org/0000-0002-8663-1182
Sara Ramos-FusterSchool of Physiotherapy, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
Barbara Muñoz-MonariSchool of Physiotherapy, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
Sonia Roa-AlcainoSchool of Physiotherapy, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
Olga Lucía SarmientoSchool of Medicine, Universidad de los Andes, Bogotá, Colombia.

Funding

ANID 2022-21221861
6 · The paper itself

Abstract

backgroundProlonged sitting time in the workplace constitutes a significant portion of waking hours. Sedentary behaviour is associated with higher risks of cardiovascular diseases, obesity, and all-cause mortality. Interventions to reduce workplace sitting, such as health apps, height-adjustable desks, and active breaks, have shown relative effectiveness in improving health outcomes. Among these, computer prompt interventions represent a simple and scalable strategy that can remind workers to take breaks and reduce sedentary behaviour. This study evaluates the effectiveness of computer prompt interventions to reduce sitting at work compared to no intervention or combined strategies.

methodsPrimary studies were searched in PubMed (MEDLINE), EMBASE, Scopus, and CENTRAL of the Cochrane Library. The search was conducted until December 2024. Keywords included terms like "sedentary behaviour," "computer prompts," "sitting time," and "office workers." Only randomized controlled trials (individual or cluster) involving desk-based workers aged 18 or older that evaluated computer prompt software were included. Risk of bias was assessed using the Cochrane Risk-of-Bias tool (RoB2). Mean differences with 95% confidence intervals (CI) were calculated for sitting time and secondary outcomes. Analyses were performed using RevMan and R software, and GRADE methodology was applied to assess the certainty of evidence.

resultsFrom 17,880 records, 18 studies involving 1164 office workers were included in the analysis. Ten studies focused exclusively on computer prompts, while 8 studies implemented combined strategies (e.g., computer prompts plus sit-to-stand desks). The median intervention length was 8 weeks, ranging from one to 24 weeks. Studies using only computer prompts included breaks lasting from 1 to 10 min every 30 min up to an hour. Combined strategies included breaks from 6 to 30 min every 30 min up to 3 h. According to objective measurements, the meta-analysis showed a significant reduction of 12.46 min/workday in sitting time (95% CI: -18.12, -6.80) and a significant increase of 1029.99 steps/workday (95% CI: 815.97, 1244). Secondary outcomes included work-related, musculoskeletal, and cardiometabolic outcomes favouring computer prompts but not statistically significant. The certainty of evidence for primary outcomes is rated low to moderate according to GRADE.

conclusionsComputer prompt software interventions show effectiveness in reducing sitting time among office workers. However, more long-term prospective studies with larger sample sizes are needed to accurately determine the effectiveness of computer prompts on various work- and health-related outcomes.

trial registrationThe review protocol was registered in the Prospero database (CRD42021287870).

Indexed as

ComputersHealth PromotionReminder SystemsSedentary BehaviorWorkplaceAdultExerciseHumansOccupational HealthRandomized Controlled Trials as TopicSitting PositionComputer promptOffice workSedentary behaviourSitting positionSitting timeWorkplace

Identifiers

PMID40514667
PMCPMC12164069

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.