Most standing desks are set at the wrong height. Here is how to find the correct sitting and standing positions and build a schedule that actually works.
A standing desk has two positions: sitting and standing. Both need to be set correctly and saved as presets. Getting either wrong defeats the purpose of the desk.
Sit in your chair with feet flat on the floor and thighs parallel to it. Adjust the desk height until your forearms rest parallel to the floor with elbows at approximately 90 degrees. This is your sitting preset. For most people using a standard office chair this is 68-76cm. Save this as preset 1.
Stand upright with relaxed shoulders. Bend your elbows to 90 degrees. Adjust the desk height until your forearms rest parallel to the floor. This is your standing preset. For most people this is 95-115cm depending on height. Save this as preset 2. If you wear shoes at your desk, set this height while wearing your typical footwear.
This is where most people encounter a problem. A monitor at the correct height for sitting will be too low for standing, and vice versa. The solution is a monitor arm that allows height adjustment. Set the monitor so the top of the screen is at or slightly below eye level in your standing position. In the sitting position, adjust the arm down to match your seated eye level. A monitor arm is effectively required for proper dual-position use.
If your floor is hard (concrete, tile, hardwood), an anti-fatigue mat is strongly recommended for standing periods. Standing on a hard surface accelerates lower limb fatigue significantly. A mat 15-20mm thick provides adequate cushioning. Position it so you stand centrally on it with your feet roughly shoulder-width apart.
The research consistently supports alternating between sitting and standing rather than standing all day. A practical starting point is 45 minutes sitting followed by 15-20 minutes standing. Adjust based on how your body responds. Most people find they can gradually increase standing time to 30-40% of the working day over several weeks.
Standing all day is not the goal. Standing for more than 90 minutes continuously causes lower limb fatigue and lower back loading. The benefit of a standing desk comes from variation, not from standing.