Being regularly active can improve your mental well-being, reduce your chances of disease, and increase your lifespan.

The World Health Organization (WHO) recommends that adults get at least 150 minutes of moderate activity (brisk walking, easy cycling) or at least 75 minutes of vigorous activity (running, tennis), along with at least two strengthening sessions, per week.

But only 73 percent of adults meet these guidelines worldwide, and 51 percent of Canadian adults are considered physically inactive.

I'm a professor in Health Sciences at Simon Fraser University and I study how behaviors relate to health and disease. I also write a blog on the role health behaviors play in your health.

What is physical inactivity?

Physical inactivity is defined as not meeting the minimum guidelines for being active. Being physically inactive, however, doesn't mean you're not active at all.

You could still be doing light activity, like general walking or household chores — just not moderate or vigorous activity. And in general, people who are inactive spend more of their time being sedentary.

Sedentary activities are those of very little or no movement and include sitting, lying down, and standing. For most people, the majority of sedentary time is spent sitting.

Man sitting on couch in an awkward position
Sedentary activities include sitting, lying down, and standing. (Catherine Falls Commercial/Getty Images)

Various studies report adults spend on average six hours per day sitting. But these studies are based on self-reports. The few studies that have used direct measures of activity (such as accelerometers) indicate it may be closer to 10 hours of sitting per day.

This is a concern as the WHO labels physical inactivity as the fourth leading modifiable risk factor for death. It's estimated that with a 10 percent increase in activity, 500 million early deaths could be prevented.

Biological changes and health concerns

From a biological perspective, being inactive is more than the opposite of being active. This is because sedentary activities result in unique physiological changes.

When you sit, your metabolism slows down. This makes sense, as your energy needs are much lower. It's not much different from a car engine shutting down at a stoplight.

Prolonged sitting can lead to an accumulation of fats (triglycerides) in your blood. As your body needs less energy when sitting (or lying) down, production of certain enzymes goes down. One of those is lipoprotein lipase (LPL), which breaks down fats in the blood so muscles and organs can use fat for energy.

In rodent studies, LPL decreased when the rodents were inactive. With continuous sitting over months and years, the excess fats can impair insulin and glucose metabolism, and increase your risk for Type 2 diabetes.

Other health risks include weakened muscles. Muscles need movement to keep strong. If they're not being used, they shrink and get weaker.

Varicose veins and deep vein thrombosis can also result from the continual pooling of blood in the lower legs that comes with sitting. And over years, your risk for dementia, cancer, heart disease, and early death rise.

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It's quite common to wonder if being active can compensate for sitting. The short answer is yes – being active, even in the presence of long periods of sitting, is better for you than not being active. But it depends on how active you are, and how much you sit.

In a study I co-authored, we found increased sitting was associated with early death regardless of how active you are. But the risk was worse for those who were less active.

For those who met the WHO's physical activity guidelines, sitting for more than six hours per day had the same risk as those who sat less than six hours per day but did not meet the guidelines.

Managing sitting and sedentary behavior

We're not going to do away with sitting, nor should we. Sitting is needed to provide time for rest and recovery. Also, many tasks are more comfortably performed while sitting. At present, there isn't a specific target for sitting time, other than to reduce how much sitting you do.

Standing is often mentioned as a solution. And the standing desk industry has exploded in recent years. While standing will result in less sitting, standing for long periods has a similar effect on metabolism as sitting.

Other health concerns of prolonged standing include muscle fatigue, varicose veins, and potential for greater risk for heart disease.

Replacing sitting (or standing) with movement is the best solution. Our study found replacing 30 minutes of sitting with movement reduced risk for early death by two per cent in people who sat more than four hours per day.

But getting up and moving for 30 minutes may not be possible in all situations, so it's important to reduce continuous, uninterrupted sitting time.

Breaking up sitting every 20-30 minutes with two minutes of activity (light walking, jumping jacks, squats, or anything else) is enough to keep your metabolism running and manage insulin and glucose levels. To remind yourself, set your phone alarm every 20-30 minutes and get up and move.

Related: Exercise 'Snacks' Throughout Your Day Have Real Health Benefits, Study Finds

Other ways to decrease sitting time include taking phone calls while pacing in the office and holding walking meetings.

While most people are aware that being active has health benefits, it's also important to know that being sedentary has health risks. Physical inactivity can adversely affect your health.The Conversation

Scott Lear, Professor of Health Sciences, Simon Fraser University

This article is republished from The Conversation under a Creative Commons license. Read the original article.