- Physical Activity and Health
- Gestational Diabetes Research and Management
- Sleep and related disorders
- Obesity, Physical Activity, Diet
- Ergonomics and Musculoskeletal Disorders
- Cardiovascular Health and Risk Factors
- Sleep and Work-Related Fatigue
- Heart Rate Variability and Autonomic Control
- Cardiovascular and exercise physiology
- Maternal Mental Health During Pregnancy and Postpartum
- Blood Pressure and Hypertension Studies
- Health and Lifestyle Studies
- Behavioral Health and Interventions
- Cardiovascular Health and Disease Prevention
- Urban Transport and Accessibility
- Workplace Health and Well-being
- Breastfeeding Practices and Influences
- Traumatic Brain Injury Research
- Retinal Imaging and Analysis
- Health disparities and outcomes
- Mobile Health and mHealth Applications
- Action Observation and Synchronization
- Sexual Assault and Victimization Studies
- Intimate Partner and Family Violence
- Cardiovascular Syncope and Autonomic Disorders
University of Pittsburgh
2017-2025
Children's Hospital of Pittsburgh
2017
Abstract Background Emerging cross-sectional reports find that the COVID-19 pandemic and related social restrictions negatively affect lifestyle behaviours mental health in general populations. Aims To study longitudinal impact of on work practices, well-being among desk workers during shelter-at-home restrictions. Methods We added follow-up after completion a clinical trial to longitudinally measure sedentary behaviour, physical activity, sleep, diet, mood, quality life work-related using...
Abstract Objective Work from home (WFH) is increasingly common, though 24-hour movement behaviors during WFH have rarely been studied. The goal of this study was to compare among and office-based desk workers. Methods This a secondary analysis baseline data the RESET BP randomized clinical trial inactive workers 2017-2022 (N = 275). were measured using wrist thigh-worn accelerometers along with questionnaires. Results accumulated significantly higher device-measured prolonged sedentary...
Sexual violence (SV) on college campuses is common, especially alcohol-related SV. This a 2-arm cluster randomized controlled trial to test brief intervention reduce risk for sexual among students receiving care from health centers (CHCs). Intervention CHC staff are trained deliver universal SV education all seeking care, facilitate patient and provider comfort in discussing related abusive experiences (including the role of alcohol). Control sites provide participants with information about...
Abstract Background Sedentary behavior (SED) is a potential risk factor for poor pregnancy outcomes. We evaluated the validity of several common and one new method to assess SED across three trimesters pregnancy. Methods This cohort study pregnant women measured objective self-reported each trimester via thigh-worn activPAL3 micro (criterion), waist-worn Actigraph GT3X, self-report from Pregnancy Physical Activity Questionnaire (PPAQ) de novo Behavior Two Domain (SB2D). (hours per day)...
Sedentary behavior (SB) is observationally associated with cardiovascular disease risk. However, randomized clinical trials testing causation are limited. We hypothesized that reducing SB would decrease blood pressure (BP) and pulse wave velocity (PWV) in sedentary adults.
Objectives We assessed sedentary behavior (SB) patterns and examined its associations, by domain, with cardiovascular disease (CVD) risk measures in desk workers ( N = 273). Methods Sedentary was measured activPAL3 partitioned into occupational nonoccupational SB. Cardiovascular included blood pressure, pulse wave velocity, heart rate, rate variability. Paired t tests evaluated of SB across domains. Linear regressions estimated associations CVD measures. Results Participants spent 69% their...
Background There are no recommendations for being seated versus nonseated during ambulatory blood pressure (BP) monitoring (ABPM). The authors examined how recent standing or moving sitting affect average daytime BP on ABPM. Methods and Results This analysis used baseline assessments from a clinical trial in desk workers with office systolic (SBP) 120 to 159 mm Hg diastolic (DBP) 80 99 Hg. ABPM was measured every 30 minutes SunTech Medical Oscar 2 monitor. Concurrent posture (standing...
ABSTRACT Introduction/Purpose Sedentary behavior (SB) is common in desk-based work, and prolonged periods of SB are associated with negative health outcomes. This study assessed associations between workplace characteristics setting movement patterns during working hours. Methods secondary analysis used baseline data from the Reducing Behavior to Decrease Blood Pressure clinical trial, which enrolled inactive, workers elevated blood pressure ( n = 271; mean age, 45.3 ± 11.6 yr; body mass...
Purpose: Mental health is critical for a healthy pregnancy, yet few studies have evaluated its associations with best practice, objectively measured moderate- to vigorous-intensity physical activity (MVPA) or sedentary behavior (SED). This study of MVPA and SED mental across pregnancy.
Abstract Pregnant individuals rarely achieve moderate-to-vigorous intensity physical activity recommendations. Purpose The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial aimed to demonstrate feasibility, acceptability, initial efficacy of a lower targeting reduced increased standing steps. Methods First trimester pregnant at risk for high adverse outcomes (APO) were 2:1 multi-component or no-contact control. Intervention components...
PURPOSE: Sedentary behavior (SED), low intensity in a seated, reclining, or lying posture, is potential risk factor for poor pregnancy outcomes. We evaluated the validity of commonly used methods to assess SED across three trimesters pregnancy. METHODS: This cohort study pregnant women measured objective and self-reported during each trimester including: 7 days (valid if ≥4 with ≥ 10 hr) thigh-worn activPAL micro3 (criterion) waist-worn Actigraph GT3X self-report from Global Physical...
Introduction: High levels of sedentary behavior (SB) are emerging as a distinct risk factor in pregnancy for poor maternal-fetal health outcomes. Thigh-worn accelerometry is ideal quantifying SB but has high cost and participant burden; simple screening questions that could quickly identify those with clinical or research settings desirable. We aimed to evaluate the accuracy self-report identifying pregnant participants SB. Methods: This secondary analysis used baseline data from S edentary...
Introduction: Sedentary behavior (SB) has emerged as a cardiovascular disease (CVD) risk factor, independent of physical inactivity. Yet, preliminary research suggests that these relationships may differ if SB is accumulated during occupational or non-occupational time. Thus, we examined associations with CVD factors, by domain, in desk workers. Hypothesis: We hypothesized would have more unfavorable factors compared to SB. Methods: This cross-sectional, secondary analysis baseline data from...
Introduction: Previous research has demonstrated that variability in resting blood pressure (BP) across arms, measurements, or days may be associated with an increased risk for cardiovascular disease (CVD) and mortality. Yet, the extent to which BP increases mechanisms explaining this association are unclear. This study evaluated associations between subclinical pathways of CVD development (arterial stiffness (pulse wave velocity [PWV]) cardiac autonomic function (heart rate [HRV]) desk...
Abstract Introduction Sleep, and rapid eye movement (REM) sleep in particular, has been suggested to play an important role mood regulation. Currently, most of this research come from laboratory settings under constrained conditions; less is known about one’s their own home. The purpose study was further examine the associations between home-based polysomnography (PSG) parameters disturbance. Methods This cross-sectional used baseline data 120 inactive adults with desk-based jobs (52.5%...
Adults with desk-based occupations may have higher amounts of sedentary behavior (SB). Greater SB are independently associated negative health outcomes. The risks excessive be due to poor sleep health; however, the relationship between and is unclear. PURPOSE: To examine in a sample adults who workers. METHODS: Data were collected on 168 workers elevated blood pressure (51.8% female; 85.7% White race; age = 44.4 ± 10.8 y; body mass index [BMI] 31.1 6.5 kg/m2). was objectively measured by...
Moderate-to-vigorous intensity physical activity reduces adverse pregnancy outcomes (APOs), but pregnant persons experience many barriers to being active. Reducing sedentary behavior (SB) is a novel and perhaps more achievable change for improving health. PURPOSE: To test the effect of an SB-reduction intervention on daily SB, standing, steps in pregnancy. METHODS: The SPRING pilot feasibility trial enrolled first trimester participants with risk factors APOs self-reported high SB....
PURPOSE: While evidence suggests that sedentary behavior (SB) and physical activity (PA) may be related to mental health productivity, research on associations with domain-specific (work vs. non-work) SB PA is limited. METHODS: This secondary, cross-sectional analysis included baseline data of 251 inactive desk workers (58.6% female, age = 45.2 ± 11.6, 80.5% White, BMI 30.7 6.8) from the RESET BP clinical trial which tested impact a reduction intervention blood pressure. Participant were...
PURPOSE: Healthy 24-hour movement behaviors can positively impact health and quality of life. Despite recent increases in working from home the implications that may have on daily sleep patterns, little is known about home-based workers compared to office-based workers. This study examined across work locations. METHODS: secondary analysis used baseline data RESET BP clinical trial which enrolled inactive, desk-based with elevated blood pressure (n = 270, mean age: 45.3 ± 11.6 years, BMI:...
Introduction: High sedentary behavior (SB) is associated with cardiovascular (CV) risk in cohort studies, yet definitive data from RCTs of SB reduction on CV factors lacking. Hypothesis: A 3-month intervention would decrease blood pressure (BP) and pulse wave velocity (PWV) adults. Methods: We recruited desk workers systolic BP (SBP) 120-159 mmHg or diastolic (DBP) 80-99 mmHg, not antihypertensives, reporting low physical activity. Participants were randomized 1:1 to a control. The targeted...