1. CC www.TheNounProject.com Not only the lack of exercise

2. Sedentary Behavior and Inactivity Physiology Killing you softly and gently

3. A distinct class of behaviors (e.g., sitting, watching TV, driving) characterized by little physical movement and low energy expenditure ( Less/equal to 1.5 METs) Appl. Physiol. Nutr. Metab. 35: 725–740 (2010)

4. This is the result of the “active day”

5. Total Energy Expenditure For The Day 0 Kcal/day 2000 Kcal/day 1000 Kcal/day Basal Metabolic Rate Activity Thermogenesis Thermal effect of food

6. More detailed! 0 Kcal/day 2000 Kcal/day 1000 Kcal/day Non Exercise Activity Thermogenesis (NEAT) Exercise

7. Circulation. 2007;116:1081-1093

8. Arterioscler Thromb Vasc Biol 2006;26;729-736

9. Am J Clin Nutr 1995;62:722-9.

10. Non Exercise Activity Thermogenesis (NEAT) Exercise Non Exercise Activity Thermogenesis (NEAT) Exercise What we thought would happen

11. Non Exercise Activity Thermogenesis (NEAT) Exercise Non Exercise Activity Thermogenesis (NEAT) Exercise What really happened

12. PLoS Med 3(12): e488. doi:10.1371/journal.pmed.0030488 Cross sectional study of 1921 children, 9-10 yold and 15-16 yolds Accelerometer based activity Self reported TV viewing Metabolic risk score TV viewing was NOT correlated with PA (r=0.013, p=0.58)

13. Obes Res. 2005;13:608–614

14. Med. Sci. Sports Exerc., Vol. 41, No. 5, pp. 998–1005, 2009

15. Active Couch Potato Exerc. Sport Sci. Rev., Vol. 38, No. 3, pp. 105Y113, 2010 Appl. Physiol. Nutr. Metab. 35: 725–740 (2010 )

16. Evidence for the 4 th tenet Different effects of sedentary behavior compared to “exercise” Metabolic and Mortality effects seen Through age groups Through ethnic groups Newer objective data seems to support larger self reported data

19. Unpublished Data GlucoseInsulin Breaking news: New data All are statistically significative!

20. IDLE Breaks Study Baker IDI Heart & Diabetes Institute Effects of acute bout of sitting time in post prandial Glc/Tg With and Without Breaks