Journal
OBESITY REVIEWS
Volume 17, Issue 4, Pages 330-344Publisher
WILEY
DOI: 10.1111/obr.12371
Keywords
Exercise; sedentary lifestyle; sitting; youth
Categories
Funding
- Australasian Child and Adolescent Obesity Research Network (ACAORN)
- National Heart Foundation of Australia [PH 11S 6025, CR11S 6099]
- Australian Research Council (ARC) [DE140101588]
- ARC [FT130100637, FT140100399]
- Honorary National Heart Foundation of Australia [100370]
- National Health and Medical Research Council (NHMRC) [APP1070571]
- Australian Research Council [DE120101173]
- NHMRC [APP1053426, APP1026216]
- NHMRC
- Australian Research Council [DE120101173, DE140101588] Funding Source: Australian Research Council
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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.
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