Get Up! Webinar Presentation by Dr James Levine
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At ErgoExpo 2014, Dr James Levine in partnership with Ergotron hosted a webinar discussion about his book, Get Up! The concept underpinning this presentation is NEAT: Non-Exercise Activity Thermogenesis.
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Get Up! Webinar Presentation by Dr James Levine
- 1. GET UP! WHY YOUR CHAIR IS KILLING YOU AND WHAT YOU CAN DO ABOUT IT JAMES A LEVINE MAYO CLINIC + ARIZONA STATE UNIVERSITY
- 2. HOW CAN SOMETHING THAT WE DO SO MANY TIMES EACH DAY HURT US?
- 3. HOW CAN SOMETHING THAT WE DO SO MANY TIMES EACH DAY HURT US?
- 4. QUIZ: 1 POINT FOR EACH ‘YES’ Do you work seated on a chair? Have you ever shopped on the Internet? Do you watch TV sitting for one hour a day or more? Do you ever eat while watching TV or in the car? Have you ever Internet dated? Do you own a recliner? If you go to a party, do you seek out a chair? Look at your sofa. Does it have an imprint of your buttocks? Do you spend more time with friends electronically than in real life? Have you ever fantasized about or engaged in sexual intercourse while in a chair?
- 5. QUIZ: 1 POINT FOR EACH ‘YES’ Do you work seated on a chair? Have you ever shopped on the Internet? Do you watch TV sitting for one hour a day or more? Do you ever eat while watching TV or in the car? Have you ever Internet dated? Do you own a recliner? If you go to a party, do you seek out a chair? Look at your sofa. Does it have an imprint of your buttocks? Do you spend more time with friends electronically than in real life? Have you ever fantasized about or engaged in sexual intercourse while in a chair? HOW DID YOU DO? 1–2: Chair pre-addict 3–5: Chair addict 6–8: Chair imprisoned 9–10: Chairaholic
- 6. THE CHAIRMAN’S RISE TO POWER 200 years
- 7. QUIZ: 1 POINT FOR EACH ‘YES’ Do you work seated on a chair? Have you ever shopped on the Internet? Do you watch TV sitting for one hour a day or more? Do you ever eat while watching TV or in the car? Have you ever Internet dated? Do you own a recliner? If you go to a party, do you seek out a chair? Look at your sofa. Does it have an imprint of your buttocks? Do you spend more time with friends electronically than in real life? Have you ever fantasized about or engaged in sexual intercourse while in a chair?
- 8. FEED ME: MOVE ME Lavoisier, Antoine (1743-1794)
- 9. FEED ME: MOVE ME
- 12. Science 283;212 NEAT: NON-EXERCISE ACTIVITY THERMOGENESIS Sit More: More fat
- 14. 300 400 500 600 Lie Sit Stand & ambulate Time(min/day) Lean Obese ** * Science 307;584 Sit More: More fat
- 15. THE BRAIN STRAIN
- 16. THE BRAIN STRAIN
- 17. Orexin increases NEAT more in: lean rats than obese Obese Lean Orexin A (nmol)Kiwaki AJP 2004, Novak AJP 2006 NEAT THE BRAIN STRAIN
- 19. West Forest East Forest Savana Gulf of Guinea 150 km Study regions in Ivory Coast (Cote d’Ivoire) 3352 women & men
- 20. 0 100 200 300 400 500 15-19 20-24 25-29 30-39 40-49 50-59 60-69 >70 Age (years) Minuteswork/day(min) Women Men
- 21. Forrester et al 2010 Urban Stud Rural Urban Urban AM I AN INDIVIDUAL?
- 22. United States 3,319 counties Diabetes AM I AN INDIVIDUAL?
- 23. Frances Mabel Staples OCTOBER 2013 | VOLUME 15 | NUMBER 10
- 24. When were you born? I was born on June 30, 1928 at a summer campsite in the woods. I had two sisters, Elsie and barb My family did logging there and picked rutabagas when it was rutabaga season. They picked those by the bushel.
- 25. What was life like when you were little? It was beautiful. We had to work all the time, help our parents outside in the heat and sun. We used to wash socks on one of those washboards. That was tough duty, those socks. They sure get dirty.
- 26. What foods do you remember? Same as what we eat now. Oatmeal. Bacon. Fry bread. Pancakes. We had a big garden. We used to go up and take radishes. And we’d go out in the woods. We had deer meat, our dads hunted and fished. We picked berries.
- 30. Occupation-type NEAT (kcal/day) Chair-bound 300 Seated work: no option of moving 700 Seated work: discretion & requirement to move 1000 Standing work; e.g. homemaker, shop assistant 1400 Strenuous work; e.g. agriculture 2300 Black, Eur J Clin Nutr 50:72 Data assuming BMR = 1600 kcal/day
- 31. Sitting Standing Gum Chewing Stair Climbing 1 mph 2 mph 3 mph Walking 200 70 220 150 155 20 Kcal/hour
- 32. “Call me Auntie.” AM I AN INDIVIDUAL?
- 33. “Call me Auntie.” AM I AN INDIVIDUAL? WHEN I CAN BE
- 35. THE CHAIRMAN’S CURSE The Diabetes Epidemic in the United States 1980-2009 Millions diagnosed with diabetes 20 15 10 5 1980 1990 2000 2010
- 36. Manohar Dia Care 2012;35:2493
- 40. CHAIR CURSED CAR
- 41. CHAIR CURSED CAR
- 42. • San Francisco in 2013, the average person’s travel time by foot was 4 minutes/day. • In a leg-based travel active scenario, average commutes would increase by 18 minutes. • 2,404 avoided premature deaths per year. • healthcare cost savings in San Francisco would approximate $34 billion/year.
- 44. J Phys Act Health. 2009;6:781
- 45. N=7,433 Walk ‘n play: 4 months 7,543 users 6 months 28,000 users The app: Non-Exercise Activity Thermogenesis
- 46. NASA “Design of the future” 2005
- 53. Dress NEAT:
- 55. Depression Stress management Men’s health Women’s health Ob, menopause Diabetes Cardiovascular CHF, HTN Cognitive decline Diabetes Clinical Space Homeless children Poverty clusters Homeless children TraditionalModern Responsible
- 56. 2006
- 57. ACTIVE CLASSROOM
- 61. Copeland Science proceeds from the assumption that misery is not fated..
- 62. Copeland ..that because all events are caused, all problems can eventually be solved. Science proceeds from the assumption that misery is not fated..