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Medicine

Regular Exercise Not Enough To Make Up For Sitting All Day 348

Posted by Soulskill from the now-you-tell-me dept.
An anonymous reader writes: Toronto researchers have found the amount of time a person sits during the day is associated with a higher risk of disease and death, regardless of regular exercise. The paper, published Monday in the Annals of Internal Medicine (abstract), found that prolonged sedentary behavior was associated with a 15 to 20 per cent higher risk of death from any cause; a 15 to 20 per cent higher risk of heart disease, death from heart disease, cancer, death from cancer; and as much as a 90 per cent increased risk of developing diabetes, said Alter. And that was after adjusting for the effects of regular exercise. ... Engaging in 30 to 60 minutes of moderate to vigorous daily exercise does not mean it's OK to then "sit on your rear" for the rest of the day.
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Regular Exercise Not Enough To Make Up For Sitting All Day More

Regular Exercise Not Enough To Make Up For Sitting All Day

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  • Excellent! (Score:5, Funny)

    by Anonymous Coward on Tuesday January 20, 2015 @09:14AM (#48855253)

    So there is no reason to regularly exercise any more!

  • Better take 2 minute walking breaks then... (Score:5, Interesting)

    by Anonymous Coward on Tuesday January 20, 2015 @09:18AM (#48855271)

    Sitting for eight or more hours a day can be deadly.

    That fact has been hammered home in study after study showing the negative health effects -- including heart disease, poor circulation and joint pain -- associated with being parked on your behind for most of the day. The only sure way to prevent those problems, researchers have said, is to sit far less.

    But there is growing evidence that there are ways to reverse the damage without necessarily committing to being on your feet for eight or more hours a day.

    A new study by researchers at Indiana University published in Medicine & Science in Sports & Exercise suggests that the impaired blood flow in leg arteries can actually be reversed by breaking up your sitting regimen with five-minute walking breaks.

    http://www.washingtonpost.com/news/to-your-health/wp/2014/09/08/take-a-seat-you-may-be-able-to-reverse-the-damage-to-your-health/

    • GeekDesk! (Score:5, Interesting)

      by danaris ( 525051 ) <danaris@NosPaM.mac.com> on Tuesday January 20, 2015 @11:12AM (#48855955) Homepage

      This is why I got my department to buy me a GeekDesk [geekdesk.com] a couple of years ago. I don't stand all day every day, but it lets me stand quite a lot of the time.

      Since then, my chronic low-grade upper-back stiffness has decreased a lot—but I find that on weekends, when I tend to sit on the couch with my laptop a lot, it frequently comes back. My legs still sometimes get tired from standing for a few hours at a time, but overall, I think it was a really, really good decision.

      If you can't afford a GeekDesk, and think you can handle losing the chair cold turkey, there are much cheaper standing desks that can get you off your butt and on your feet—for your health! :-)

      Dan Aris

      • Even having permanent standing desks combined with a drafting stool of the proper height could go a long way without increasing the cost of furniture. That would allow you to easily switch between standing and sitting without having a desk that has height adjustments.

      • Re:GeekDesk! (Score:4, Interesting)

        by ShanghaiBill ( 739463 ) on Tuesday January 20, 2015 @12:52PM (#48856871)

        This is why I got my department to buy me a GeekDesk [geekdesk.com] a couple of years ago.

        Instead of paying $979 for that desk, I use a regular $39 table, and bought four sections of PVC pipe for $0.79 each, and extended the legs.

        My monitor is attached to this arm [amazon.com], so I can swing it between my standing desk and a full recliner. So I work about half the time standing, and half the time laying down. The only time I sit, is in meetings.

    • Being Alive Shown to be Deadly. (Score:5, Funny)

      by McFly777 ( 23881 ) on Tuesday January 20, 2015 @12:03PM (#48856309) Homepage

      Being Alive Shown to be Deadly.

      After several years of exhaustive research, scientists have found that the greatest single contributor to death is being alive. "In 100% of the cases, the subjects death was preceded by a period of being alive," said one researcher. Even after eliminating other potential contributors, such as accidental death, suicide, etc. and adjusting for the age of the subject, the statistics remain strong. "If you are alive today, then you may die tomorrow."

      With the rise of Obamacare, these findings could become even more vital, due to the potential effect that such details could have on the total cost of the program. "I think the insurance industry has known this for years, and has been keeping it away from public knowledge," said one official under condition of anonymity. One possibility would be to establish initiatives to curb the spread of being alive. "By reducing the number of people who are alive, we could significantly decrease the number of deaths, regardless of cause. This could amount to trillions of dollars in government savings, but I am not sure if the general public would be willing to give up on such a well established habit," he continued.

  • We'll get paid a risk premium now, right? (Score:5, Funny)

    by Anonymous Coward on Tuesday January 20, 2015 @09:21AM (#48855289)

    Considering how dangerous that desk job is...

    • Re: (Score:2, Informative)

      by Anonymous Coward

      Only if you do your part: Regular expressions at least twice a day!

  • Eat less (Score:2, Informative)

    by Billly Gates ( 198444 )

    If you expend less energy it needs to match down consumption too. Americans are so fat because they are used to eating more. You would never see a restaurant like Bucca Di Peppo in Europe. As an American just saying.

    A sandwich is or small salad with no sugary soda is what people who are skinny and in Europe eat for lunch. No fries supersized, coffee with sugar, or a Coke on a daily basis.

    • Re:Eat less (Score:4, Interesting)

      by Drethon ( 1445051 ) on Tuesday January 20, 2015 @09:50AM (#48855459)
      I'm 150 pounds and 5'10" and used to drink a 20 ounce pop about once a day and eating fast food two or three times a week. That was balanced out by eating nothing more than what can fit in a small lunch bag for breakfast and lunch and dinner is typically a home cooked meal. Most of the time I could eat more but just ignore the hunger. That being said just getting off the 20 ounce pop means I don't have to watch what I eat nearly as much, these days I usually just drink pop when I'm too stressed out to pass it by.

      Also I would say watch the alcohol consumption. I've seen coworkers put down more than one pitcher of beer and that is not low calorie.

    • Ten years behind but catching up! (Score:5, Informative)

      by HnT ( 306652 ) on Tuesday January 20, 2015 @09:51AM (#48855461)

      You seem to have a very utopian idea of Europe. Don't worry, Europe is generally some ten years behind contemporary developments in the States but we are quickly catching up especially in rising obesity and directly linked diseases. The massive portion sizes in the States have not always been this huge and gradually grew. There are enough restaurants over here already offering ridiculously massive portions or all-you-can-eat buffets and they make it their main selling point. Oversize clothes stores can be found everywhere as well.

    • Re:Eat less (Score:4)

      by king neckbeard ( 1801738 ) on Tuesday January 20, 2015 @11:12AM (#48855949)
      I don't think it's a matter of eating too much food as it having too much of our food be low nutrition or otherwise inappropriate food. If your body wants fat, and you cram it full of sugar, you aren't going to be filled, and you will shove your face through much more of it than your body needs in the process. Ironically, trying to eat healthy or trying to get others to eat healthy can be a big cause of this because it results in fighting and suppressing the urges of the body to meet its own needs.

  • Limited power to change working situation... (Score:5, Insightful)

    by quintessentialk ( 926161 ) on Tuesday January 20, 2015 @09:25AM (#48855301)
    I appreciate this and other studies that affirm that sitting most of the day is bad for you. What am I supposed to do about this? Like a great many professional workers, I work for a large, un-hip company whose furniture, real estate, and office layout is driven by cost and not ergonomics or health. I can't just decide to have a standing desk or reconfigure my 'workstation' -- arbitrarily, and due to client sensitivities I can't work from home. I guess I can just hope the news gets around and maybe my kids will get to have the choice.

    • Re: Limited power to change working situation... (Score:5, Insightful)

      by Anonymous Coward on Tuesday January 20, 2015 @09:31AM (#48855341)

      You are screwed. That is our system and if you do not like it, there are a billion Indians who would. Have a nice day 99.99%'er and thank you for dieing to make the .01%'ers even richer - that mega yacht is getting cramped!

    • Re:Limited power to change working situation... (Score:5, Interesting)

      by daq man ( 170241 ) on Tuesday January 20, 2015 @09:45AM (#48855419)

      Exactly, I'm in the same situation. The only thing that I can do is at least try to move as much as I can when I am allowed. So, I get up from my desk at least once an hour and walk to someone's office rather than calling them on the phone. Bathroom breaks are taken at the furthest bathroom from my office. When I was in a multi-floor office building I'd go to the bathroom on the floor three down from the office and take the stairs. In the morning I don't park in the spot closest to the building but walk a bit.

      I'm still stuck though. The rest of my time is spent typing at my desk or in meetings and I can't exactly stand and pace in the corner of the meeting room.

      • I am in the same position. What I do is set my my desk up so I can fully stretch my legs under neath. Every 15 minutes I tighten as many leg and stomach muscles as I can for at least 30 seconds. It isn't much but it does improve circulation a bit. I just wish I could figure out a way to boost cardio too.

    • Re:Limited power to change working situation... (Score:4, Informative)

      by jones_supa ( 887896 ) on Tuesday January 20, 2015 @09:46AM (#48855431)
      You could mitigate the damage by taking small walking breaks while in work. Go to the gym couple times of week. Use a standing desk at home: the Ikea Björkudden [ikea.com] is a relatively cheap option at $99.

    • Re:Limited power to change working situation... (Score:5, Informative)

      by cold fjord ( 826450 ) on Tuesday January 20, 2015 @09:56AM (#48855509)

      Take a 5 minute walk every hour if you can.

      If you have standard cubes you could see about having the desk surfaces mounted at standing desk height. Then all you need is an adjustable chair/stool. You might be able to either arrange that outright, or for a future (and probably inevitable) move as companies are fond of swapping people around.

      If you have any health issues or concerns you might talk to your doctor to see if a standing desk would help, and if so get a note. A company that wouldn't do it based on preference might be more inclined to accommodate it to address a health issue. (Of course it is better to avoid the issue to begin with.)

      • standing desk is incompatible with head-down work. (Score:2, Insightful)

        by Anonymous Coward

        The overseers want to be able to look across the sea of cubes with low walls and see everyone's head bent down, toiling on their work for the owners. The nail/person that stands up gets hammered down.

        Have you never heard the term prairie-dogging with respect to cube farms?

        And what is this suggestion about walking to the furthest restroom. You're not being paid to walk to the restroom: you're being paid to work, and work you shall! You're lucky we don't just put a slops bucket in your cube that you have t

    • Re:Limited power to change working situation... (Score:5, Funny)

      by allcoolnameswheretak ( 1102727 ) on Tuesday January 20, 2015 @10:00AM (#48855529)

      You can get up and take a five minute smoke break every 30 minutes.
      Sitting on your ass all day sounds so bad, taking up smoking might actually be a net-win.

      • Re:Limited power to change working situation... (Score:4, Interesting)

        by bitingduck ( 810730 ) on Tuesday January 20, 2015 @10:10AM (#48855599) Homepage

        You can get up and take a five minute smoke break every 30 minutes.
        Sitting on your ass all day sounds so bad, taking up smoking might actually be a net-win.

        Especially if you don't light the cigarette.

        Smoking is one of the few things where you can look at study after study and it's unambiguously very, very bad for you. They don't have to tease correlations out like in the "latitude of birth correlates with risk of hangnails" kind of studies, it just jumps right out of the data.

        So take a smoking break, but don't light up. Or at least don't inhale.

        • Re: (Score:2)

          by Anonymous Coward

          Switch to e-cigarettes. Practically all risks from smoking are because of the tar you inhale, not the nicotine. Nicotine is only harmful in very high doses.

    • Re:Limited power to change working situation... (Score:5, Informative)

      by oh_my_080980980 ( 773867 ) on Tuesday January 20, 2015 @10:04AM (#48855545)
      Actually it doesn't. What the article is trying to say is that exercise will not counteract the effect of prolonged sitting. The problem with that assertion is, it's not proven. The article simple correlates health outcomes with people who exercise and have prolonged sitting, through meta analysis.. Nothing more. IT DOES NOT PROVE CAUSATION. Therein lies the problem. Even the correlation is somewhat weak since it was not a single experiment designed to observe those outcomes but rather base those conclusions on other research.

      So there is no proof here. But it does highlight an area for future research.
    • Consider this investment. In the grand scheme of things, this isn't an insurmountable sum:

      http://www.varidesk.com/index.php/varidesk-pro [varidesk.com]
      • I have had this at the office for the past six months and love it. I know anecdotal and all that, but I switch between standing and sitting a couple times and have felt really good since getting this. I seem to have eliminated the mid afternoon sleepiness, and now I'm also much more tired when I go to sleep at night so can't make it through an episode of anything on Netflix. Feeling more energy through the day and sleeping really well through the night.

      • Re: (Score:2)

        by Rich0 ( 548339 )

        Interesting. I've been looking into sit/stand for my home office. The thing is that it looks like the monitor height only increases by 10" when you extend this (they say 15", but it starts out at 5" based on the dimensions). I'm just over six feet tall. I feel like I'll be staring down at my work with something like this. I'd probably want something that extends upwards something like 2-3 meters beyond the base position.

        There just aren't many affordable options for sit/stand right now, though I should

    • Get up and move around occasionally. Take breaks and go for a walk. Stand and stretch in your cubicle from time to time. Get a pedometer or a fitbit or something, shoot for 10,000 steps (yes, it's not a magic number, but it's probably more than most of us do).

      You are kind of stuck with your job and your hours. You know this already.

      So, you either say "bummer, maybe my kids can do this", or you try to fit it into your day.

      It won't happen for you.

      (And I say this as someone who is pushing 50, and a little

    • You stand up and walk around for a few minutes once every 45 minutes to an hour, that's what you do.

    • Re: (Score:3, Interesting)

      by sribe ( 304414 )

      What am I supposed to do about this?

      Question the studies and the motivation behind their being pushed so hard ;-)

      Question why studies that reach contrary conclusions get no publicity [thehealthcareblog.com].

      Question why, even though there is absolutely zero evidence that stationary standing is better for you, standing desks are being pushed so hard.

      Then go for a run.

      • > even though there is absolutely zero evidence that stationary standing is better for you, standing desks are being pushed so hard.

        False.

        I switched to standing desk alternative between siting and standing. I most certainly do feel better as the constant switching every 15 mins or so breaks up the complete monotony and stress of siting all day.

        My personal subjective experience over-rules your "data."

  • Standing desks (Score:5, Interesting)

    by DoofusOfDeath ( 636671 ) on Tuesday January 20, 2015 @09:27AM (#48855307)

    This really makes me wish it was the norm for employers to provide standing desks. It seems like the evidence is mounting that traditional desks are killing us. But since a decent adjustable standing desk costs ~ $700-$1500 US, they're seen as a luxury.

    I'm not sure it would be a bad thing for OSHA to require employers to provide adjustable desks for office workers.

    • Re:Standing desks (Score:4, Interesting)

      by kenj123 ( 658721 ) on Tuesday January 20, 2015 @09:53AM (#48855481)
      wait till employers figure out they can move cube walls closer together and cram more people in the same office space. your office will look like a phone booth. (for younger people, here's what a phone booth is: http://en.wikipedia.org/wiki/T... [wikipedia.org])

      • My previous employer did this, presumably because of high rent in a metro area. The resulting cube layout was insane.

      • I'd take a narrower cube where I have to stand over one of those I've got to see you working half height cubes any day.
    • Standing desks DO NOT solve this issue since you are still not moving and poses other health issues. You can't stand in one place all day. People need to sit as well.

      • Standing desks DO NOT solve this issue since you are still not moving and poses other health issues. You can't stand in one place all day. People need to sit as well.

        Do you know of any articles that back up your claim? I had two reasons for thinking standing desks were an improvement: (1) these articles make sitting sound bad, and standing != sitting, and (2) I wondered if sitting --> obesity --> health problems was one of the causes for sitting --> death.

        • Re: (Score:3, Informative)

          by firewrought ( 36952 )

          Do you know of any articles that back up your claim?

          Read this brief on the perils of both sitting and standing [cornell.edu], and then check the references at the bottom. Notably, standing all day leads to varicose veins and puts a strain on your circulatory system.

          Just generally, the factory production line taught us long ago that holding the same pose or making the same motions all day long will have chronic repercussions. (If you ever have to work an assembly line, hope it's in a factory that practices job rotation so your tasks are varied over time.)

      • I can personally tell that working at a standing desk involves quite a lot of movement. It's not like you have to stand in attention -- you can keep changing your posture, move your feet around, etc. while actually working/typing. I also feel like it solves ADD-type issues to a great extent, as you don't have to fight your body's natural urge to move.

        It's true that standing for hours on end isn't great for you either. The idea isn't so much about sitting vs. standing, but not staying in one place/posture

        • Re: (Score:2)

          by jez9999 ( 618189 )

          How is that adjustable? Do you always have to work standing up?

          • How is that adjustable? Do you always have to work standing up?

            It's not adjustable. A good question, though. My standing desk is for the computer only, and I have another, regular desk for paperwork. I find this a good, balanced setup, as I have quite a bit of paperwork due to studying math. I've also had full coding/writing days on the standing computer with no problems -- I do take breaks, after all.

    • I bought one of these [thehumansolution.com] a few months ago. It's pretty spacious, adjustable, and is regularly on sale for $450 or so.If you're in the market for one and don't want to spend lots of money for something fancy, this might be a good option for you.

    • Re: (Score:2)

      by sribe ( 304414 )

      This really makes me wish it was the norm for employers to provide standing desks. It seems like the evidence is mounting that traditional desks are killing us.

      There is absolutely zero evidence that standing desks are any better. And they cause their own set of problems.

      I'm not sure it would be a bad thing for OSHA to require employers to provide adjustable desks for office workers.

      So, because you're not sure it would be a bad thing, they should do it???

    • Re: (Score:2)

      by mytec ( 686565 )

      I purchased this desk [amazon.com] (Amazon.com) for $286 (with a Prime membership).

      I wanted to get a relatively inexpensive standing desk to see how I'd like it. I've been using the desk for two months now and love it. I'm sure it doesn't have all the adjustments more expensive desks have but I feel very comfortable working all day.

      It took almost two weeks to adjust to standing all day long, but now I cannot imagine not working at a standing desk. I think part of the aforementioned comfort is due to all the movemen

  • Comment removed (Score:5, Insightful)

    by account_deleted ( 4530225 ) on Tuesday January 20, 2015 @09:30AM (#48855327)
    Comment removed based on user account deletion

  • Allow me to summarize every medical finding (Score:4, Insightful)

    by NotDrWho ( 3543773 ) on Tuesday January 20, 2015 @09:30AM (#48855329)

    Anything enjoyable, comfortable, or sinful is bad for you. Ideally, we should all work as rowers on a slave ship eating nothing but cardboard and water.

    That must be why our ancestors in the past led such long, disease-free lives.

  • "15 to 20 per cent higher risk of death (Score:4, Funny)

    by wiredog ( 43288 ) on Tuesday January 20, 2015 @09:33AM (#48855355) Journal

    from any cause"

    Isn't the risk of death from any cause 100%? At least for us mortals?

    • That's assuming that you've only got one cause trying to kill you. When in fact, there are many competing causes.

    • I think that says "people who sit all day have a 15-20% higher chance of dying, no matter what the specific cause".

      Long term, yes, nobody gets out alive.

      But over the same time period, people who sit all day long are more likely to die sooner -- no matter what it's from.

      The implication being that sitting all day seems to help whatever is already killing you do it faster.

      • Re: (Score:3)

        by rossdee ( 243626 )

        "But over the same time period, people who sit all day long are more likely to die sooner -- no matter what it's from.

        The implication being that sitting all day seems to help whatever is already killing you do it faster."

        So the people who sit all day have increased their risk of being hit by a large asteroid, but such an impact is going to wipe out the rest of us as well, therefore we need to get those people up and moving or we are all going to die!

    • "'from any cause.'" The study I want to see is how exactly, does sitting at my desk increase my overall chances of getting eaten by a shark or struck by lighting?

  • is sleeping for 8 hours straight as bad? (Score:5, Funny)

    by kenj123 ( 658721 ) on Tuesday January 20, 2015 @09:36AM (#48855379)
    I'm going to set my alarm clock to go off every hour at night so I can take a 5 minute walk. i'll live forever.

  • Sitting or over eating? (Score:3)

    by Drethon ( 1445051 ) on Tuesday January 20, 2015 @09:40AM (#48855403)
    From the article: "The authors extrapolated from available research that those who spend long hours in sedentary activity are 90% more likely than those who don't to develop type 2 diabetes." I am not a doctor but my understanding is a majority of type 2 diabetes is caused by being overweight. So is it the sitting that is causing the problems in general, and the type 2 diabetes specifically, or is it due to burning less calories than those in an active job so consuming the same calories leads to being over weight? Just my bent $0.02.

  • Correlation Causation? (Score:3)

    by HnT ( 306652 ) on Tuesday January 20, 2015 @09:45AM (#48855421)

    Is this merely a correlation or actual causation directly linked to the sitting? This study-of-studies seems very nebulous at best with different studies having different thresholds for what "prolonged sitting" actually means and what alternatives are there? Are standing desks really an alternative?

    • It's not causation since no experiment was conducted to measure this. It's a weak correlation at best, since again, no correlation study was conducted to measure this outcome. It was a meta analysis not an experiment. That's the limitation of the study. It should be touted as proving anything. What it does point to is an interesting of study, something that should be looked at.

      I think a reasonable conclusion to be drawn is that prolonged sitting is associated with a number of bad health outcomes and

  • Well then we're all doomed (Score:3)

    by Karmashock ( 2415832 ) on Tuesday January 20, 2015 @09:53AM (#48855475)

    because the sitting all day is happening... so... genetic engineering anyone?

    I look forward to a new genetically engineered super species... and of course the gills... and flying squirrel wings... and internal testicles. And I assume women would like to lay eggs or something because they don't appear to like the whole pregnancy thing.

    • Yes, we're all doomed... to an average life expectancy of 85+ years, and rising. Spending your days on your butt may cost you a year or two, on average, but given that two hundred years ago your life expectancy would have been around 40 years, drastic action is hardly called for.

  • Engaging in 30-60 minutes of moderate to vigorous daily exercise does not mean it's okay to "sit on your rear" the rest of the day.

    Maybe not, but if your lot in life involves sitting for a paycheck, I guarantee you're still better off with the exercise.

  • Ok, I have myself taken these warning seriously. But at the same time it has left me wondering why just in the recent one or two years, this issue has come up so strongly? The "Sit and you will die, bitch!" headlines are everywhere. Surely static postures are always harmful, but if the risk was that bad, wouldn't this alarm bell have ringed years ago? Is this just some kind of new "fish oil" trend?

  • If it feels good than it is illegal, immoral, or fattening.

  • Walking Paper? (Score:3)

    by Luthair ( 847766 ) on Tuesday January 20, 2015 @10:02AM (#48855537)
    Wasn't there a paper recently about how walking for 30-minutes countered about 4-hours of sitting?

  • What if you don't sit still (Score:3)

    by king neckbeard ( 1801738 ) on Tuesday January 20, 2015 @10:05AM (#48855553)
    We keep hearing about how bad sitting is for your health, but usually don't have much on the specific details. There's the sedentary element, which would be taken care of by exercise, but there's also apparent negative factors. However, not much research seems to try and nail down the specifics. Are people who are not in static positions, or bounce their leg not subject to these health effects? If so, it could be that a lot of children are naturally fighting for their health, much to the chagrin of strict teachers.

    Also, do any of the negative effects apply, other than perhaps bone stress inherent to putting weight, to someone very active while sitting, such as a drummer?

  • standing desks (Score:5, Interesting)

    by mrjacques ( 646975 ) on Tuesday January 20, 2015 @10:30AM (#48855715) Homepage
    We have a budding activist for a son (he's 12). We all stand at our desks at our house, but our son, of course, has to sit all day long at school. We're encouraging him to start campaigning for standing desks at his public school, for all children. Yeah, yeah, I know; it'd be a change, and change is difficult, but it seems that the benefits to our society would far outweigh the fixed costs and the socio-educational-cultural adjustments that would have to be made. My own lay estimate is that we'd eliminate most of the childhood type-2 diabetes and improve the classroom educational environment.

  • Comment removed (Score:4, Interesting)

    by account_deleted ( 4530225 ) on Tuesday January 20, 2015 @10:43AM (#48855785)
    Comment removed based on user account deletion
  • I'm not convinced the sitting variable has been properly isolated. The people who get regular exercise but sit for long periods are mostly office workers. Perhaps it's the stress of an office job that is getting to these people rather than sitting. I also note that this "study" aggregated other studies. One of those studies defined excessive sitting as someone who watches more than five hours of television a day. I submit that anybody who watches more than five hours of television a day is suffering from de

  • Fine. (Score:3)

    by russotto ( 537200 ) on Tuesday January 20, 2015 @01:36PM (#48857435) Journal

    If I stand for any length of time, my knees hurt. My back hurts. Walking isn't so bad, but standing... ugh. Better to die a little earlier than be in pain all the time, no matter what health researchers think.

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