Secondary Logo

Journal Logo

1.5 CE Test Hours

Too Much Sitting

A Newly Recognized Health Risk

Contrada, Emily

AJN The American Journal of Nursing: September 2018 - Volume 118 - Issue 9 - p 35,49
doi: 10.1097/01.NAJ.0000544949.73334.8e
Feature Articles
Back to Top | Article Outline


  • To take the test online, go to our secure Web site at . View instructions for taking the test online there.
  • If you prefer to submit your test by mail, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form.
  • Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to: Lippincott Professional Development, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
  • Registration deadline is September 4, 2020.
Back to Top | Article Outline


  • Send in together two or more tests from any nursing journal published by Lippincott Professional Development (LPD), and deduct $0.95 from the price of each test.
  • We also offer CE accounts for hospitals and other health care facilities online at Call 1-800-787-8985 for details.
Back to Top | Article Outline


LPD will award the number of contact hours indicated for each continuing nursing education activity. LPD is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center.



These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LPD is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223.

Back to Top | Article Outline

Too Much Sitting: A Newly Recognized Health Risk


To present the details of an integrative literature review examining the evidence on sedentary behavior as an independent health risk for cardiometabolic health conditions, some cancers, and all-cause mortality.

Back to Top | Article Outline


After completing this continuing education activity, you should be able to

  • recognize the effects of sedentary behavior on health.
  • list recommendations for reducing sedentary behavior.
  • describe the outcomes of strategies implemented to reduce sedentary behavior.
  1. Using metabolic equivalents of task (METs) as a unit of measure, in 2011 the American College of Sports Medicine (ACSM) recommended that adults engage weekly in aerobic activities that require an energy expenditure of at least how many METs?
    1. 2
    2. 3
    3. 4
  2. The ACSM recommendations specified at least how many minutes of moderate-intensity physical activity per week?
    1. 75
    2. 90
    3. 150
  3. The ACSM recommendations specified at least how many minutes of vigorous-intensity physical activity per week?
    1. 75
    2. 90
    3. 150
  4. Sedentary behavior generally refers to the waking activities of either sitting or reclining, which involve an energy expenditure of no greater than how many METs?
    1. 0.5
    2. 1.5
    3. 2.5
  5. Healy and colleagues found that adults who took frequent breaks in sedentary time had
    1. no significant changes in blood pressure.
    2. self-reported decreases in stress.
    3. smaller waist circumferences.
  6. According to a study by van der Berg and colleagues, each extra hour of sitting or reclining time was associated with a 39% increased risk of
    1. metabolic syndrome.
    2. lung cancer.
    3. all-cause mortality.
  7. The 2003–2004 and 2005–2006 U.S. National Health and Nutrition Examination Surveys and the 2004–2005 Australian Diabetes, Obesity and Lifestyle Study, examining transitional breaks from sedentary to more active states, found average break durations of between
    1. 2 and 3 minutes.
    2. 4 and 5 minutes.
    3. 6 and 7 minutes.
  8. Dunstan and colleagues reported some beneficial metabolic effects from interrupting sedentary time with standing or walking for 2 minutes every
    1. 20 minutes.
    2. 30 minutes.
    3. 40 minutes.
  9. Diaz and colleagues have suggested that interrupting sedentary behavior every 20 to 30 minutes with some physical activity can
    1. increase beneficial hormone production.
    2. contribute to preventing depression.
    3. have cardiometabolic health benefits.
  10. Schmid and Leitzmann's meta-analysis looked at lower and higher durations of daily television viewing time. They found that higher durations of such sedentary time were associated with an increase in the incidence of which of the following types of cancer?
    1. endometrial
    2. ovarian
    3. prostate
  11. Schmid and Leitzmann's meta-analysis also found no increase associated with higher durations of sedentary time in which of the following types of cancer?
    1. lung
    2. colon
    3. kidney
  12. A meta-analysis by Shen and colleagues showed that prolonged sedentary behavior has a statistically significant relationship with the development of which of the following types of cancer?
    1. breast
    2. renal cell
    3. non-Hodgkin lymphoid
  13. Biswas and colleagues demonstrated that a higher volume of sedentary time was independently associated with a greater risk of
    1. musculoskeletal disorders.
    2. cardiovascular disease.
    3. respiratory infections.
  14. Shi and colleagues demonstrated that every additional hour of household physical activity per week was linked to a reduction in cancer risk of
    1. 0.5%.
    2. 1%.
    3. 1.5%.
  15. Chau and colleagues demonstrated that each hour of additional sitting time was linked to a 2% increased risk of
    1. cancer.
    2. type 2 diabetes.
    3. all-cause mortality.
  16. A study by Schmid and colleagues found that replacing 30 minutes of sedentary time with an equal amount of light physical activity was associated with a reduced mortality risk of
    1. 8%.
    2. 14%.
    3. 20%.
  17. According to this article, which of the following innovative approaches may be necessary to effect behavioral change in people who spend a lot of time being sedentary?
    1. Teach them how to set goals and self-monitor.
    2. Encourage an increase in physical activity.
    3. Explain the negative consequences of sedentary behavior.
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.