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Combinations of Physical Activity, Sedentary Behavior, and Sleep Duration and Their Associations With Physical, Psychological, and Educational Outcomes in Children and Adolescents : A Systematic Review

Wilhite, Katrina
Booker, Bridget
Huang, Bo-Huei
Antczak, Devan
Corbett, Lucy
Parker, Philip David
Noetel, Michael
Rissel, Chris
Lonsdale, Christopher Sean
del Pozo Cruz, Borja
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Abstract
We conducted a systematic review to evaluate combinations of physical activity, sedentary behavior, and sleep duration (defined as “movement behaviors”) and their associations with physical, psychological, and educational outcomes in children and adolescents. MEDLINE, CINAHL, PsychInfo, SPORTDiscus, PubMed, EMBASE, and ERIC were searched in June 2020. Included studies needed to 1) quantitatively analyze the association of 2 or more movement behaviors with an outcome, 2) analyze a population between 5 and 17 years of age, and 3) include at least an English abstract. We included 141 studies. Most studies included the combination of physical activity and sedentary behavior in their analyses. Sleep was studied less frequently. In combination, a high level of physical activity and a low level of sedentary behavior were associated with the best physical health, psychological health, and education-related outcomes. Sleep was often included in the combination that was associated with the most favorable outcomes. Sedentary behavior had a stronger influence in adolescents than in children and tended to be associated more negatively with outcomes when it was defined as screen time than when defined as overall time spent being sedentary. More initiatives and guidelines combining all 3 movement behaviors will provide benefit with regard to adiposity, cardiometabolic risk factors, cardiorespiratory fitness, muscular physical fitness, well-being, health-related quality of life, mental health, academic performance, and cognitive/executive function.
Keywords
adolescents, children, physical activity, sedentary behavior, sleep
Date
2023
Type
Journal article
Journal
Book
Volume
192
Issue
4
Page Range
665-679
Article Number
ACU Department
Faculty of Education and Arts
School of Behavioural and Health Sciences
Faculty of Health Sciences
Non-faculty
Institute for Positive Psychology and Education
Relation URI
Event URL
Open Access Status
License
CC BY
File Access
Open
Notes
Copyright © 2022, © The Author(s) 2022. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health.
This is an open access article distributed under the terms of the Creative Commons CC BY license, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.