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Published on: March 7, 2019
Relationship between young peoples' sedentary behaviour and biomedical health indicators: a systematic review of
M J M Chinapaw1, K I Proper, J Brug
1Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. m.chinapaw@vumc.nl
Insights
Childhood sedentary behavior, like screen time, shows moderate evidence of an inverse relationship with aerobic fitness. Limiting screen time in youth may help prevent poor fitness levels.
Area of Science:
- Pediatrics
- Public Health
- Exercise Science
Background:
- Childhood sedentary behavior is a growing public health concern.
- Understanding its long-term health effects is crucial for preventative strategies.
Purpose of the Study:
- To systematically review prospective studies on the relationship between childhood sedentary behavior and health indicators.
- To synthesize evidence regarding the longitudinal associations.
Main Methods:
- Systematic search of PubMed, EMBASE, PsycInfo, and Cochrane databases (Jan 1989-Apr 2010).
- Inclusion of 31 papers from 27 distinct cohorts.
- Independent screening, quality assessment, and data extraction by two reviewers.
Main Results:
- Insufficient evidence for a link between sedentary time (mainly TV viewing) and body mass index or fat mass.
- Moderate evidence suggests an inverse relationship between sedentary time and aerobic fitness.
- Insufficient evidence for associations with blood pressure, blood lipids, or bone mass.
Conclusions:
- Moderate evidence supports an inverse longitudinal relationship between childhood screen time and aerobic fitness.
- Recommendations to limit screen time in young people to improve fitness.
- Further research is needed on other health indicators affected by sedentary behavior.
Abstract:
The aim of this systematic review was to describe the prospective relationship between childhood sedentary behaviour and health indicators. We identified prospective studies from searches in PubMed, EMBASE, PsycInfo and Cochrane, from January 1989 through April 2010. Two reviewers independently screened the titles and abstracts for eligibility, rated the methodological quality of the studies, and extracted data. We identified 31 papers, examining 27 different cohorts. The quality score of the studies ranged from 38 to 88%. Nine studies were scored as high quality. According to the best evidence synthesis we found insufficient evidence for a longitudinal positive relationship between 'sedentary time'- mainly TV viewing - and body mass index (BMI) and more specific indicators of fat mass. One high quality and two low quality studies found a significant inverse relationship between sedentary time - mainly TV viewing - and aerobic fitness, leading to moderate evidence for this inverse relationship. There was insufficient evidence for a longitudinal relationship between sedentary time and blood pressure, blood lipids or bone mass. Our systematic review suggests that there is moderate evidence for a longitudinal inverse relationship between screen time and aerobic fitness during childhood. Thus there is evidence to limit screen time in young people in order to prevent low levels of fitness. The possible detrimental health effects of prolonged or excessive sitting on other health indicators needs further study.
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