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The association between reallocations of time and health using compositional data analysis: a systematic scoping
Aaron Miatke1,2, Tim Olds3,4, Carol Maher3
1Alliance for Research in Exercise, Nutrition and Activity, Allied Health and Human Performance, University of South Australia, GPO box, Adelaide, S.A, 2471, 5001, Australia. aaron.miatke@mymail.unisa.edu.au.
Reallocating time to moderate-to-vigorous physical activity (MVPA) benefits health, while moving time away from MVPA is detrimental. This review highlights the importance of MVPA in time-use and health associations.
Area of Science:
- Public Health
- Epidemiology
- Behavioral Science
Background:
- Time allocation significantly impacts health outcomes.
- Increasing time in one behavior necessitates decreasing time in others.
- Compositional data analysis (CoDA) is increasingly used to study health implications of time reallocations.
Purpose of the Study:
- To provide an overview of studies using CoDA to model associations between time reallocations and health.
- To synthesize findings on how shifting time between different daily activities affects health.
- To identify research gaps and suggest future directions in time-use and health research.
Main Methods:
- Systematic search of four electronic databases (MEDLINE, Embase, Scopus, SPORTDiscus) conducted in October 2022.
- Inclusion of studies utilizing CoDA to analyze associations between time reallocations and health outcomes.
- Consideration of reallocations among movement behaviors (sedentary behavior, light physical activity, MVPA) and other daily activities.
Main Results:
- 103 studies were included, with adiposity being the most frequent health outcome.
- Reallocating time to moderate-to-vigorous physical activity (MVPA) generally showed favorable health associations.
- Reallocating time away from MVPA was generally associated with unfavorable health outcomes.
- Longitudinal studies often found no significant associations, and the context of behavior (leisure vs. work) mattered.
Conclusions:
- Shifting time towards MVPA yields the strongest positive health benefits.
- Shifting time away from MVPA has the most significant negative health consequences.
- Future research should employ longitudinal and experimental designs to further explore these associations across diverse outcomes.
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