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Sitting is a basic action and resting position in which the body weight is supported primarily by the bony ischial tuberosities with the
buttock The buttocks (: buttock) are two rounded portions of the exterior anatomy of most mammals, located on the posterior of the pelvic region. In humans, the buttocks are located between the lower back and the perineum. They are composed of a laye ...
s in contact with the ground or a horizontal surface such as a chair seat, instead of by the
lower limb Lower may refer to: *Lower (album), ''Lower'' (album), 2025 album by Benjamin Booker *Lower (surname) *Lower Township, New Jersey *Lower Receiver (firearms) *Lower Wick Gloucestershire, England See also

*Nizhny {{Disambiguation ...
s as in
standing Standing, also referred to as orthostasis, is a position in which the body is held in an upright (orthostatic) position and supported only by the feet. Although seemingly static, the body rocks slightly back and forth from the ankle in the ...
,
squatting Squatting is the action of occupying an abandoned or unoccupied area of land or a building (usually residential) that the squatter does not own, rent or otherwise have lawful permission to use. The United Nations estimated in 2003 that there wer ...
or
kneeling Kneeling is a basic human position where one or both knees touch the ground. According to Merriam-Webster, kneeling is defined as "to position the body so that one or both knees rest on the floor". Kneeling with only one knee, and not both, is ca ...
. When sitting, the
torso The torso or trunk is an anatomical terminology, anatomical term for the central part, or the core (anatomy), core, of the body (biology), body of many animals (including human beings), from which the head, neck, limb (anatomy), limbs, tail an ...
is more or less upright, although sometimes it can lean against other objects for a more relaxed posture. Sitting for much of the day may pose significant health risks, with one study suggesting people who sit regularly for prolonged periods may have higher mortality rates than those who do not. The average person sits down for 4.7 hours per day, according to a global review representing 47% of the global adult population. The form of
kneeling Kneeling is a basic human position where one or both knees touch the ground. According to Merriam-Webster, kneeling is defined as "to position the body so that one or both knees rest on the floor". Kneeling with only one knee, and not both, is ca ...
where the buttocks sit back on the heels, for example as in the '' Seiza'' and '' Vajrasana'' postures, is also often interpreted as sitting.


Prevalence

The British Chiropractic Association said in 2006 that 32% of the British population spent more than ten hours per day sitting down.


Positions


On the floor

The most common ways of sitting on the floor involve bending the knees. One can also sit with the legs unbent, using something solid as support for the back or leaning on one's arms. Sitting with bent legs can be done with the legs mostly parallel or by crossing them over each other. A common cross-legged position is with the lower part of both legs folded towards the body, crossing each other at the ankle or calf, with both ankles on the floor, sometimes with the feet tucked under the knees or thighs. The position is known in several European languages as tailor's posture, from the traditional working posture of
tailor A tailor is a person who makes or alters clothing, particularly in men's clothing. The Oxford English Dictionary dates the term to the thirteenth century. History Although clothing construction goes back to prehistory, there is evidence of ...
s . It is also named after various plains-dwelling
nomad Nomads are communities without fixed habitation who regularly move to and from areas. Such groups include hunter-gatherers, pastoral nomads (owning livestock), tinkers and trader nomads. In the twentieth century, the population of nomadic pa ...
s: in American English Indian style, in many European languages "Turkish style", and in Japanese . In yoga it is known as sukhasana, meaning "easy pose."


On a raised seat

Various raised surfaces at the appropriate height can be used as
seats A seat is a place to sit. The term may encompass additional features, such as back, armrest, head restraint but may also refer to concentrations of power in a wider sense (i.e " seat (legal entity)"). See disambiguation. Types of seat The ...
for humans, whether they are made for the purpose, such as
chair A chair is a type of seat, typically designed for one person and consisting of one or more legs, a flat or slightly angled seat and a back-rest. It may be made of wood, metal, or synthetic materials, and may be padded or upholstered in vario ...
s, stools and benches, or not. While the buttocks are nearly always rested on the raised surface, there are many differences in how one can hold one's legs and back. There are two major styles of sitting on a raised surface. The first has one or two of the legs in front of the sitting person; in the second, sitting astride something, the legs incline outwards on either side of the body. The feet can rest on the floor or on a footrest, which can keep them vertical, horizontal, or at an angle in between. They can also dangle if the seat is sufficiently high. Legs can be kept right to the front of the body, spread apart, or one crossed over the other. The upper body can be held upright, recline to either side or backward, or one can lean forward.


Yoga, traditions and spirituality

There are many seated positions in various traditions and rituals. Four examples are: * 正座 (zhengzuo) is a Chinese word which describes the traditional formal way of sitting in Ancient China. A related position is 跪座, which differs in the tops of the feet being raised off the ground. * Vajrasana (Diamond Pose) is a
yoga Yoga (UK: , US: ; 'yoga' ; ) is a group of physical, mental, and spiritual practices or disciplines that originated with its own philosophy in ancient India, aimed at controlling body and mind to attain various salvation goals, as pra ...
posture (
asana An āsana (Sanskrit: आसन) is a body posture, originally and still a general term for a sitting meditation pose,Verse 46, chapter II, "Patanjali Yoga sutras" by Swami Prabhavananda, published by the Sri Ramakrishna Math p. 111 and late ...
) similar to seiza. * The
lotus position Lotus position or Padmasana () is a cross-legged sitting meditation posture, meditation pose from History of India, ancient India, in which each foot is placed on the opposite thigh. It is an ancient asana in yoga, predating hatha yoga, and ...
involves resting each foot on the opposite thigh so that the soles of the feet face upwards. * The Burmese position, named so because of its use in
Buddhist Buddhism, also known as Buddhadharma and Dharmavinaya, is an Indian religion and List of philosophies, philosophical tradition based on Pre-sectarian Buddhism, teachings attributed to the Buddha, a wandering teacher who lived in the 6th or ...
sculptures in
Burma Myanmar, officially the Republic of the Union of Myanmar; and also referred to as Burma (the official English name until 1989), is a country in northwest Southeast Asia. It is the largest country by area in Mainland Southeast Asia and ha ...
, places both feet in front of the pelvis with knees bent and touching the floor to the sides. The heels are pointing toward pelvis or upward, and toes are pointed so that the tops of the feet lie on the ground. This looks similar to the cross-legged position, but the feet are not placed underneath the thigh of the next leg, therefore the legs do not cross. Instead, one foot is placed in front of the other. In various
mythologies Myth is a genre of folklore consisting primarily of narratives that play a fundamental role in a society. For scholars, this is very different from the vernacular usage of the term "myth" that refers to a belief that is not true. Instead, the ...
and folk magic, sitting is a magical act that connects the person who sits with other persons, states or places. File:Buddhist bronze sculpture NMND.JPG, An
India India, officially the Republic of India, is a country in South Asia. It is the List of countries and dependencies by area, seventh-largest country by area; the List of countries by population (United Nations), most populous country since ...
n
Buddha Siddhartha Gautama, most commonly referred to as the Buddha (),* * * was a wandering ascetic and religious teacher who lived in South Asia during the 6th or 5th century BCE and founded Buddhism. According to Buddhist legends, he was ...
, seated with legs crossed File:Tea ceremony performing 2.jpg, The
Japanese tea ceremony The Japanese tea ceremony (known as or lit. 'Hot water for tea') is a Culture of Japan, Japanese cultural activity involving the ceremonial preparation and presentation of , powdered green tea, the procedure of which is called . The term "Japa ...
is performed sitting in seiza.


Kneeling chairs

The kneeling chair (often just referred to as " ergonomic chair") was designed to motivate better posture than the conventional chair. To sit in a kneeling chair, one rests one's buttocks on the upper sloping pad and rests the front of the lower legs atop the lower pad, i.e., the human position as both sitting and
kneeling Kneeling is a basic human position where one or both knees touch the ground. According to Merriam-Webster, kneeling is defined as "to position the body so that one or both knees rest on the floor". Kneeling with only one knee, and not both, is ca ...
at the same time.


Health risks

In 1700, '' De Morbis Artificum Diatriba'' listed sitting in odd postures as a cause of diseases in "chair-workers". Current studies indicate there is a significantly higher mortality rate among people who regularly sit for prolonged periods, and the risk is not negated by regular exercise, though it is lowered. The causes of mortality and morbidity include
heart disease Cardiovascular disease (CVD) is any disease involving the heart or blood vessels. CVDs constitute a class of diseases that includes: coronary artery diseases (e.g. angina pectoris, angina, myocardial infarction, heart attack), heart failure, ...
,
obesity Obesity is a medical condition, considered by multiple organizations to be a disease, in which excess Adipose tissue, body fat has accumulated to such an extent that it can potentially have negative effects on health. People are classifi ...
,
type 2 diabetes Type 2 diabetes (T2D), formerly known as adult-onset diabetes, is a form of diabetes mellitus that is characterized by high blood sugar, insulin resistance, and relative lack of insulin. Common symptoms include increased thirst, frequent ...
and
cancer Cancer is a group of diseases involving Cell growth#Disorders, abnormal cell growth with the potential to Invasion (cancer), invade or Metastasis, spread to other parts of the body. These contrast with benign tumors, which do not spread. Po ...
, specifically,
breast The breasts are two prominences located on the upper ventral region of the torso among humans and other primates. Both sexes develop breasts from the same embryology, embryological tissues. The relative size and development of the breasts is ...
, endometrial, colorectal,
lung The lungs are the primary Organ (biology), organs of the respiratory system in many animals, including humans. In mammals and most other tetrapods, two lungs are located near the Vertebral column, backbone on either side of the heart. Their ...
, and epithelial ovarian cancer. The link between heart disease and diabetes mortality and sitting is well-established, but the risk of cancer mortality is unclear. Sedentary time is also associated with an increased risk of depression in children and adolescents. A correlation between occupational sitting specifically and higher
body mass index Body mass index (BMI) is a value derived from the mass (Mass versus weight, weight) and height of a person. The BMI is defined as the human body weight, body mass divided by the square (algebra), square of the human height, body height, and is ...
has been demonstrated, but causality has not yet been established. There are several hypotheses explaining why sitting is a health risk. These include changes in cardiac output,
vitamin D Vitamin D is a group of structurally related, fat-soluble compounds responsible for increasing intestinal absorption of calcium, magnesium, and phosphate, along with numerous other biological functions. In humans, the most important compo ...
,
inflammation Inflammation (from ) is part of the biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. The five cardinal signs are heat, pain, redness, swelling, and loss of function (Latin ''calor'', '' ...
, sex hormone activity,
lipoprotein lipase Lipoprotein lipase (LPL) (EC 3.1.1.34, systematic name triacylglycerol acylhydrolase (lipoprotein-dependent)) is a member of the lipase gene family, which includes pancreatic lipase, hepatic lipase, and endothelial lipase. It is a water-solubl ...
activity, and GLUT4 activity due to long periods of muscular unloading, among others. Sitting may occupy up to half of an adult's workday in developed countries. Workplace programs to reduce sitting vary in method. They include sit-stand desks,
counseling Counseling is the professional guidance of the individual by utilizing psychological methods especially in collecting case history data, using various techniques of the personal interview, and testing interests and aptitudes. This is a list of c ...
, workplace policy changes, walking or standing meetings, treadmill desks, breaks, therapy ball chairs, and stepping devices. Results of these programs are mixed, but there is moderate evidence to show that changes to chairs (adjusting the biomechanics of the chair or using different types of chairs) can effectively reduce musculoskeletal symptoms in workers who sit for most of their day. Public health programs typically focus on increasing physical activity rather than reducing sitting time. One major target for these public health programs is sitting in the workplace. For example, WHO Europe recommended in September 2015 the provision of adjustable desks in the workplace. In general, there is conflicting evidence regarding the precise risks of sitting for long periods. A 2018 Cochrane review found low-quality evidence that providing employees with a
standing desk A standing desk or stand-up desk is a desk conceived for writing, reading or drawing while Standing, standing up or while sitting on a high stool. History Several writers and statesmen wrote standing up: Thomas Jefferson, Charles Dickens, Win ...
option may reduce the length of time some people sit at work in the first year. This reduction in sitting may decrease with time, and there is no evidence that standing desks are effective in the long term. In addition, a 2018 ''British Journal of Medicine'' systematic review concluded that interventions aimed at reducing sitting outside of work were only modestly effective. It is not clear how standing desks compare to other work-place interventions to reduce the length of time employees are sitting during the work day.


Relationship between posture and health conditions

Though most studies even until early 21st century relate human body postures to various musculoskeletal conditions, recent researches show no potential causal relationship between postures and these conditions like
back pain Back pain (Latin: ''dorsalgia'') is pain felt in the back. It may be classified as neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia (tailbone or sacral pain) based on the segment affected. The lumbar area ...
; other causes like
sleep deprivation Sleep deprivation, also known as sleep insufficiency or sleeplessness, is the condition of not having adequate duration and/or quality of sleep to support decent alertness, performance, and health. It can be either Chronic (medicine), chronic ...
, stress and long-term physical inactivity or prolonged static unnatural postural stress could be significant confounders for various health conditions. However some research show that prolonged slouched position may be a cause for minor breathing disorders. Though still a large proportion of the clinical practitioners attribute absence of a neutral spine posture as one of the main causes of conditions like
back pain Back pain (Latin: ''dorsalgia'') is pain felt in the back. It may be classified as neck pain (cervical), middle back pain (thoracic), lower back pain (lumbar) or coccydynia (tailbone or sacral pain) based on the segment affected. The lumbar area ...
and neck pain, the relationship is not thoroughly established. It is also thought that much of so-called " poor posture" is actually just postural stress and being stuck with bad
ergonomics Ergonomics, also known as human factors or human factors engineering (HFE), is the application of Psychology, psychological and Physiology, physiological principles to the engineering and design of products, processes, and systems. Primary goa ...
that could be causing the pain, and not really a postural problem. iHunch is an example of postural stress which could cause upper back pain and neck pain, which is prevalent in younger generations and people whose occupation involves prolonged usage of computers. The concept of "good posture" has led to a common misconception that sitting in one good sitting position will allay the negative effects of sitting.


Sedentary behaviour

Sedentary behaviour is any waking behaviour, whether in sitting or reclining posture, by an energy expenditure less than or equal to 1.5 metabolic equivalents of task (METs). MET, beside the watt and kilojoules, is the unit for expressing the energy cost of physical activities. One MET is defined as resting metabolic rate – as energy used with a person at rest, sitting quietly in a chair or as the amount of oxygen (O2) consumed with that person. MET for an adult weighing 70 kg equals 3.5 ml O2 per kg body weight per min. Sedentary behaviour should be distinguished from being inactive – performing insufficient amounts of MVPA (moderate to vigorous physical activity). The
World Health Organization The World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Gen ...
recommends at least 60 min of daily MVPA for children and adolescents aged 5–17 years, and 150 min of weekly MVPA for adults. Sedentary behaviour can not be equated with screen time, although some researchers found out that a large share of waking time by children and adolescents in a sedentary position is accumulated by media consumption in front of a screen.


See also

* Baddha Koṇāsana * Bharadvajasana * Coccydynia * Right to sit * Flandrin pose * Siddhasana * Sitting disability * Sitting on one's haunches


Notes


References


Further reading

* * * *


External links

* {{Commons category-inline Human positions