The Ergonomic Reality of Treadmill Desks: Why Movement Needs Moderation

Based on findings from Oye-Somefun et al., 2021 (BMC Public Health)

In the push to reduce sedentary time at work, treadmill desks have emerged as a popular alternative to traditional workstations. They promise increased energy expenditure and reduced sitting time—but recent research suggests that constant movement without rest or support may introduce new ergonomic risks.

A systematic review and meta-analysis by Oye-Somefun et al. (2021) found that treadmill desks significantly increased energy expenditure—by approximately 105 kcal/hour in laboratory settings—and reduced sitting time by about 1.73 minutes per hour in workplace settings. However, the study also revealed no statistically significant improvements in key health markers such as blood pressure, cholesterol, or glucose levels in real-world office environments.

Potential Safety Concerns

While movement is beneficial, continuous walking without rest can lead to:

  • Lower limb fatigue and joint strain, especially in the knees, hips, and feet

  • Postural instability, particularly when multitasking or using screens and keyboards

  • Increased cardiovascular load, which may be problematic for individuals with underlying health conditions

  • Typing and task interference, as walking can reduce fine motor control and affect concentration

The authors caution that standing alone may also be taxing on the heart, and that cyclic muscle contractions (repeated cycles of muscle activation and relaxation) from walking are more beneficial than static standing—but only when done in moderation (Oye-Somefun et al., 2021, p. 4).

Typing While Walking: A Cognitive and Physical Challenge

Using a treadmill desk while typing or performing detailed computer tasks introduces unique ergonomic challenges:

  • Reduced hand-eye coordination: Movement can interfere with fine motor control, making typing less accurate

  • Postural misalignment: Users may lean forward or twist unnaturally to reach keyboards or view screens, increasing strain on the neck and shoulders

  • Cognitive load: Simultaneously walking and working can divide attention, potentially affecting productivity and task performance

Although some studies cited in the review found minimal impact on cognitive function (e.g., Larson et al., 2015), the long-term implications of multitasking while in motion remain under-researched and warrant caution.

Best Practice: Alternating Movement Throughout the Day

Employee walking in a cubicle office to promote movement and reduce sedentary time.

Rather than relying solely on treadmill desks, the evidence supports a balanced approach to workplace ergonomics:

  • Alternate between sitting, standing, and walking throughout the day

  • Take frequent walking breaks around the office or home to promote circulation and reduce stiffness

  • Avoid long periods of any single posture, whether sitting, standing, or walking

This strategy aligns with the study’s conclusion that short bouts of light-intensity walking at regular intervals may be easier to maintain and more beneficial for cardiometabolic health than continuous walking (Oye-Somefun et al., 2021, p. 4).

Movement With Intention

The evidence is clear: interrupting prolonged sitting with light-intensity walking can offer health benefits. But walking while working—especially for extended periods—should be approached with caution. Treadmill desks may be useful in moderation, but they are not a substitute for a well-rounded ergonomic strategy.

As we rethink the modern workspace, let’s prioritize safe, intentional movement and ergonomic diversity—because health at work is about more than just burning calories. It’s about creating environments that support both productivity and well-being.

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