Combinations of Physical Activity, Sedentary Behavior, and Sleep and Their Associations With Physical, Psychological, and Educational Outcomes in Children and Adolescents: A Systematic Review.
- Publisher:
- OXFORD UNIV PRESS INC
- Publication Type:
- Journal Article
- Citation:
- Am J Epidemiol, 2023, 192, (4), pp. 665-679
- Issue Date:
- 2023
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We conducted a systematic review to evaluate combinations of physical activity, sedentary behavior, and sleep duration 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 two or more movement behaviors with an outcome, 2) analyze a population between 5-17 years old, 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 analyzes. Sleep was studied less frequently. In combination, high physical activity and low sedentary behavior were associated with the best physical health, psychological health, and education-related outcomes. Sleep was often in the combination that was associated with the most favorable outcomes. Sedentary behavior had a stronger influence in adolescents than children and tended to be associated more negatively with outcomes when it was defined as screen time than overall time spent being sedentary. More initiatives and guidelines combining all three movement behaviors will benefit adiposity, cardiometabolic risk factors, cardiorespiratory fitness, muscular physical fitness, well-being, health-related quality of life, mental health, academic performance, and cognitive/executive function.
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