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Objectively measured sedentary behaviour and health and development in children and adolescents: Systematic review and meta-analysis
Cliff, Dylan Hesketh, Kylie Vella, S. A. Hinkley, T. Tsiros, Margarita D. Ridgers, Nicola D. Carver, Alison Veitch, Jenny Parrish, A. M. Hardy, L. L.
Cliff, Dylan
Hesketh, Kylie
Vella, S. A.
Hinkley, T.
Tsiros, Margarita D.
Ridgers, Nicola D.
Carver, Alison
Veitch, Jenny
Parrish, A. M.
Hardy, L. L.
Abstract
Sedentary behaviour has emerged as a unique determinant of health in adults. Studies in children and adolescents have been less consistent. We reviewed the evidence to determine if the total volume and patterns (i.e. breaks and bouts) of objectively measured sedentary behaviour were associated with adverse health outcomes in young people, independent of moderate-intensity to vigorous-intensity physical activity. Four electronic databases (EMBASE MEDLINE, Ovid EMBASE, PubMed and Scopus) were searched (up to 12 November 2015) to retrieve studies among 2- to 18-year-olds, which used cross-sectional, longitudinal or experimental designs, and examined associations with health outcomes (adiposity, cardio-metabolic, fitness, respiratory, bone/musculoskeletal, psychosocial, cognition/academic achievement, gross motor development and other outcomes). Based on 88 eligible observational studies, level of evidence grading and quantitative meta-analyses indicated that there is limited available evidence that the total volume or patterns of sedentary behaviour are associated with health in children and adolescents when accounting for moderate-intensity to vigorous-intensity physical activity or focusing on studies with low risk of bias. Quality evidence from studies with robust designs and methods, objective measures of sitting, examining associations for various health outcomes, is needed to better understand if the overall volume or patterns of sedentary behaviour are independent determinants of health in children and adolescents.
Keywords
exercise, sedentary lifestyle, sitting, youth
Date
2016
Type
Journal article
Journal
Obesity Reviews
Book
Volume
17
Issue
4
Page Range
330-344
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled