Postural, behavioural and cognitive effects of sit-stand desk use in primary school children – a crossover intervention pilot study
DOI:
https://doi.org/10.15584/ejcem.2025.4.31Abstract
Introduction and aim. This study explores the effects of implementing stand-biased desks in a classroom setting on physical posture, cognitive performance, and attention in elementary school students aged 11 to 12 years old.
Material and methods. The study group consisted of 51 boys from 5th and 6th grades. A crossover intervention design was employed, where students alternated between using traditional and sit-stand desks over the course of the study lasting three months. Anthropometric measurements, posture assessments, and cognitive tests (the d2 Test of Attention and Stroop), were conducted at three intervals (T1/T2/T3): initial, mid-intervention, and post-intervention.
Results. During the intervention, significant changes were observed in anthropometric parameters, except for a decrease in body fat percentage. Cognitive testing revealed significant improvements in attentiveness and cognitive control when using the sit-stand desks. Specifically, the d2 test indicated enhanced concentration performance and test effectiveness, particularly when conducted in a standing position. The Stroop test also showed improvements in both time and corrected errors between the second and third assessments.
Conclusion. The findings suggest that sit-stand desks may associate with better weight distribution and improved posture, with positive effects on attentiveness and cognitive performance of schoolchildren.
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References
Tremblay MS, LeBlanc AG, Kho ME, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act. 2011;8(1):98. doi:10.1186/1479-5868-8-98
Wick K, Faude O, Manes S, Zahner L, Donath L. I Can Stand Learning: A Controlled Pilot Intervention Study on the Effects of Increased Standing Time on Cognitive Function in Primary School Children. Int J Environ Res Public Health. 2018;15(2):356. doi:10.3390/ijerph15020356
Swartz AM, Tokarek NR, Strath SJ, Lisdahl KM, Cho CC. Attentiveness and Fidgeting While Using a Stand-Biased Desk in Elementary School Children. Int J Environ Res Public Health. 2020;17(11):3976. doi:10.3390/ijerph17113976
Clemes SA, Barber SE, Bingham DD, et al. Reducing children’s classroom sitting time using sit-to-stand desks: findings from pilot studies in UK and Australian primary schools. J Public Health (Bangkok). 2016;38(3):526-533. doi:10.1093/pubmed/fdv084
Donnelly JE, Hillman CH, Castelli D, et al. Physical Activity, Fitness, Cognitive Function, and Academic Achievement in Children: A Systematic Review. Med Sci Sport Exerc. 2016;48(6).
Guirado T, Chambonnière C, Chaput J-P, Metz L, Thivel D, Duclos M. Effects of Classroom Active Desks on Children and Adolescents’ Physical Activity, Sedentary Behavior, Academic Achievements and Overall Health: A Systematic Review. Int J Environ Res Public Health. 2021;18(6). doi:10.3390/ijerph18062828
Visier-Alfonso ME, Sánchez-López M, Bizzozero-Peroni B, et al. The impact and perceptions of standing desk interventions on movement patterns and physical, mental, and academic outcomes in university students: a scoping review. BMC Public Health. 2025;25(1):1726. doi:10.1186/s12889-025-22912-z
Sherry AP, Pearson N, Ridgers ND, et al. Impacts of a Standing Desk Intervention within an English Primary School Classroom: A Pilot Controlled Trial. Int J Environ Res Public Health. 2020;17(19). doi:10.3390/ijerph17197048
Hinckson E, Salmon J, Benden M, et al. Standing Classrooms: Research and Lessons Learned from Around the World. Sport Med. 2016;46(7):977-987. doi:10.1007/s40279-015-0436-2
Silva DR, Minderico CS, Pinto F, Collings PJ, Cyrino ES, Sardinha LB. Impact of a classroom standing desk intervention on daily objectively measured sedentary behavior and physical activity in youth. J Sci Med Sport. 2018;21(9):919-924. doi:10.1016/j.jsams.2018.01.007
Erwin H, Beighle A, Routen A, Montemayor B. Perceptions of Using Sit-to-Stand Desks in a Middle School Classroom. Health Promot Pract. 2017;19(1):68-74. doi:10.1177/1524839917730046
Sherry AP, Pearson N, Clemes SA. The effects of standing desks within the school classroom: A systematic review. Prev Med Reports. 2016;3:338-347. doi:10.1016/j.pmedr.2016.03.016
Haq IU, Mohiz A, Spadafora G, et al. The Role of Network of Extended Reality-Enabled Laboratories in Enhancing STEM Education: Bridging Theory and Practice in the Digital Classroom BT - Proceedings of I4SDG Workshop 2025 - IFToMM for Sustainable Development Goals. In: Carbone G, Quaglia G, eds. Cham: Springer Nature Switzerland; 2025:362-372.
Jan A, Ul Haq I, Anas M, Husnain G, Ahmad W. Development and evaluation of a novel force myography (FMG) based human-machine interface for transradial prosthetics: A comparative study with electromyography (EMG) techniques. Mehran Univ Res J Eng Technol. 2024;43(4):55-62. doi:10.22581/muet1982.2948
Janssen X, Mann KD, Basterfield L, et al. Development of sedentary behavior across childhood and adolescence: longitudinal analysis of the Gateshead Millennium Study. Int J Behav Nutr Phys Act. 2016;13(1):88. doi:10.1186/s12966-016-0413-7
Kułaga Z, Różdżyńska-Świątkowska A, Grajda A, et al. Percentile charts for growth and nutritional status assessment in Polish children and adolescents from birth to 18 year of age. Stand Med. 2015;12(1):119-135.
Barlow SE. Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report. Pediatrics. 2007;120(Supplement 4):S164 LP-S192. doi:10.1542/peds.2007-2329C
Tyrrell VJ, Richards G, Hofman P, Gillies GF, Robinson E, Cutfield WS. Foot-to-foot bioelectrical impedance analysis: a valuable tool for the measurement of body composition in children. Int J Obes. 2001;25(2):273-278. doi:10.1038/sj.ijo.0801531
McCarthy HD, Cole TJ, Fry T, Jebb SA, Prentice AM. Body fat reference curves for children. Int J Obes. 2006;30(4):598-602. doi:10.1038/sj.ijo.0803232
Sadeh A. The role and validity of actigraphy in sleep medicine: An update. Sleep Med Rev. 2011;15(4):259-267. doi:10.1016/j.smrv.2010.10.001
Acebo C, Sadeh A, Seifer R, et al. Estimating Sleep Patterns with Activity Monitoring in Children and Adolescents: How Many Nights Are Necessary for Reliable Measures? Sleep. 1999;22(1):95-103. doi:10.1093/sleep/22.1.95
ActiGraph. ActiLife 6 User’s Manual, Version 9.0.0. https://s3.amazonaws.com/actigraphcorp.com/wp-content/uploads/2018/02/22094137/SFT12DOC13-ActiLife-6-Users-Manual-Rev-A-110315.pdf. Published 2012. Accessed October 6, 2022.
Troiano RP, Berrigan D, Dodd KW, et al. Physical activity in the united states measured by accelerometer: comment. Med Sci Sport Exerc. 2008;40(6).
Evenson KR, Catellier DJ, Gill K, Ondrak KS, McMurray RG. Calibration of two objective measures of physical activity for children. J Sports Sci. 2008;26(14):1557-1565. doi:10.1080/02640410802334196
Hinckson EA, Aminian S, Ikeda E, et al. Acceptability of standing workstations in elementary schools: A pilot study. Prev Med (Baltim). 2013;56(1):82-85. doi:10.1016/j.ypmed.2012.10.014
Benden ME, Zhao H, Jeffrey CE, Wendel ML, Blake JJ. The Evaluation of the Impact of a Stand-Biased Desk on Energy Expenditure and Physical Activity for Elementary School Students. Int J Environ Res Public Health. 2014;11(9):9361-9375. doi:10.3390/ijerph110909361
Swartz AM, Tokarek NR, Lisdahl K, Maeda H, Strath SJ, Cho CC. Do Stand-Biased Desks in the Classroom Change School-Time Activity and Sedentary Behavior? Int J Environ Res Public Health. 2019;16(6). doi:10.3390/ijerph16060933
Cardon G, De Clercq D, De Bourdeaudhuij I, Breithecker D. Sitting habits in elementary schoolchildren: a traditional versus a “Moving school.” Patient Educ Couns. 2004;54(2):133-142. doi:10.1016/S0738-3991(03)00215-5
Donnelly JE, Lambourne K. Classroom-based physical activity, cognition, and academic achievement. Prev Med (Baltim). 2011;52:S36-S42. doi:10.1016/j.ypmed.2011.01.021
Mehta RK, Shortz AE, Benden ME. Standing Up for Learning: A Pilot Investigation on the Neurocognitive Benefits of Stand-Biased School Desks. Int J Environ Res Public Health. 2016;13(1):ijerph13010059. doi:10.3390/ijerph13010059
Wallace AL, Swartz AM, Cho CC, Kaiver CM, Sullivan RM, Lisdahl KM. Stand-Biased Desks Impact on Cognition in Elementary Students Using a Within-Classroom Crossover Design. Int J Environ Res Public Health. 2022;19(9):5684. doi:10.3390/ijerph19095684
van der Niet AG, Hartman E, Smith J, Visscher C. Modeling relationships between physical fitness, executive functioning, and academic achievement in primary school children. Psychol Sport Exerc. 2014;15(4):319-325. doi:10.1016/j.psychsport.2014.02.010
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