Sitting has been much maligned in the last decade. News sources love to dramatize the issue, and you can find many alarming headlines—such as, “Sitting will kill you, even if you exercise” from CNN in 2015. The debate about the various risks of sitting and possible ways to mitigate them is raging, and articles and research range from “sitting is the new smoking” to “sitting isn’t actually bad for you.”
In the last few years, some research has seemed to backtrack or qualify the fears of the past, making a distinction between sitting for work versus sitting in front of the TV; news articles have begun to note the higher risks of sitting for those who are obese or inactive, and the potentially minimal risks of sitting for otherwise healthy adults. Just two years after telling us that sitting will kill us, CNN now claims, “Sitting might not be so bad for you after all.” There are also studies now suggesting that standing presents its own risks and problems including hospitalization due to varicose veins and inreased risk of atherosclerosis. In any case, studies show that after one month, users of standing desks return to sitting.
So what are we to believe? Do we sit, or stand—or are both harmful? You have to earn your living some way, and if it’s not going to be sitting, it’s going to be standing. All the back-and-forth in the media might have you believe the trendy guideline “the best position is the next position.” To me, this is a rather defeatist take on the human body. I believe all positions are good for you—if done with good posture, and in moderation.
What is overlooked in all the studies and articles on the subject, is our sitting form and our furniture. Beyond one article that explored the benefits of sitting reclined, which is a relaxing but not a very practical posture, the medical literature seldom touches on how people sit, what they sit on, and what difference these can make to health and back pain.
In my experience, a person’s posture, what the person is doing while sitting, and what they are sitting on makes a huge health difference, both through correlated factors and through causation. Sitting with poor posture, whether from habit or from bad furniture, has many negative side effects, from causing joint and muscle pain in the back (and as we know, chronic back pain can bring down your mood and keep you from being active), to limiting lung capacity and circulation, which hinders the body’s ability to heal, remove toxins, and circulate oxygen. Even just being able to breath more deeply can have wonderful effects on physical and mental health, boosting energy, digestion, and mood. All these processes are linked, and when one suffers, it is no surprise that other weak spots in a person’s system can take a big hit, even to the extent of increasing the risk of health issues like heart disease or diabetes.