Sedentary behaviors and anxiety among children, adolescents and adults: a systematic review and meta-analysis

Stańczykiewicz, Bartłomiej; Banik, Anna; Knoll, Nina; Keller, Jan; Hohl, Diana Hilda; Rosińczuk, Joanna; Luszczynska, Aleksandra

doi:10.1186/s12889-019-6715-3

Cited by 55 publications

(43 citation statements)

References 116 publications

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“…In general, studies of the association between sedentary behaviour and mental distress in adolescents have mainly used self-report measurements for sedentary behaviour, and the results from these studies commonly show sedentary behaviour to predict higher levels of mental distress 6 19 54–56. A review found only evidence for a significant association between self-reported sedentary time and depression among adolescents, while anxiety and overall psychological distress was considered inconclusive 5.…”

Section: Discussionmentioning

confidence: 99%

Is change in mental distress among adolescents predicted by sedentary behaviour or screen time? Results from the longitudinal population study The Tromsø Study: Fit Futures

et al. 2020

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ObjectiveThere is growing interest in the relationship between sedentary behaviour and mental distress among adolescents, but the majority of studies to date have relied on self-reported measures with poor validity. Consequently, current knowledge may be affected by various biases. The aim of this study was to investigate the cross-sectional and longitudinal association between (1) objectively measured sedentary time and (2) self-reported screen time with mental distress among adolescents participating in The Tromsø Study: Fit Futures, in order to see if the association is dependent on mode of measurement of sedentary behaviour.DesignProspective study.SettingSample drawn from upper secondary school students (mean age 16.3 years at baseline) from two municipalities in Northern Norway participating in The Tromsø Study: Fit Futures 1 and 2.Participants686 adolescents (54.5% female), with complete self-reported and accelerometer data after multiple imputation.Primary outcome measuresMental distress assessed via the Hopkins Symptom Checklist-10 (HSCL-10).ResultsMinutes in sedentary behaviour measured by accelerometer showed no significant relationship with mental distress in neither crude, partly adjusted nor multiple adjusted hierarchic linear regression analyses. Self-reported screen time was positively associated with mental distress in all analyses (multiple adjusted, B=0.038, p=0.008, 95% CI 0.010 to 0.066). However, the effect was small.ConclusionsSelf-reported screen time was associated with slightly elevated mental distress 2 years later, whereas objectively measured minutes in sedentary behaviour was not, indicating a discrepancy in the results depending on measurement methods.

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Section: Discussionmentioning

confidence: 99%

Is change in mental distress among adolescents predicted by sedentary behaviour or screen time? Results from the longitudinal population study The Tromsø Study: Fit Futures

et al. 2020

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“…However, the intensity or dosage of standing for optimal benefit in adults is still unclear [14,15]. In children, excessive sedentary behaviour has been associated with increased cardiometabolic risk factors, obesity, anxiety, and depressive symptoms [5,16,17,18,19]. It has also been found that prolonged sitting is associated with the increased prevalence of musculoskeletal symptoms in children and adolescents [20,21,22].…”

Section: Introductionmentioning

confidence: 99%

Standing Desks in a Grade 4 Classroom over the Full School Year

Parry

Oliveira

McVeigh

et al. 2019

IJERPH

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School-aged children are spending increasingly long periods of time engaged in sedentary activities such as sitting. Recent school-based studies have examined the intervention effects of introducing standing desks into the classroom in the short and medium term. The aim of this repeated-measures crossover design study was to assess the sit-stand behaviour, waking sedentary time and physical activity, and musculoskeletal discomfort at the start and the end of a full school year following the provision of standing desks into a Grade 4 classroom. Accelerometry and musculoskeletal discomfort were measured in both standing and traditional desk conditions at the start and at the end of the school year. At both time points, when students used a standing desk, there was an increase in standing time (17–26 min/school day) and a reduction in sitting time (17–40 min/school day). There was no significant difference in sit-stand behaviour during school hours or sedentary time and physical activity during waking hours between the start and the end of the school year. Students were less likely to report discomfort in the neck and shoulders when using a standing desk and this finding was consistent over the full school year. The beneficial effects of using a standing desk were maintained over the full school year, after the novelty of using a standing desk had worn off.

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“…While these studies provide some support for our ndings it is important to recognise that total ST as reported in our compositional analysis is a different measure than screen time, screen time can occur in non-sedentary postures (74), and high ST is largely independent of screen time (75). It is unclear whether total ST (25) or speci c types of ST are more strongly related to mental health outcomes (76). To address this, future studies should employ methodologies such as ecological momentary assessment or device-based pattern recognition approaches to identify speci c types of sedentary behaviours (76), which may provide a more precise picture of the compositional relationships between activity behaviours and mental health.…”

Section: Discussionmentioning

confidence: 99%

“…Youth sedentary time (ST) is signi cantly associated with depression and psychological wellbeing (22,24), while a recent meta-analyses reported small but signi cant associations between overall ST and anxiety (25). Time spent using screens (e.g., TV viewing, video gaming, computer use) has different associations with health than overall ST (25), and among youth there is moderately-strong and moderate evidence for screen time associations with depression and quality of life, respectively (19). Further, unfavourable behavioural conduct, poor self-esteem, and low social support are associated with screen use in youth (26)(27)(28).…”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional Associations Between 24-hour Activity Behaviours and Mental Health Indicators in Children and Adolescents: A Compositional Data Analysis

Fairclough

Tyler

Dainty

et al. 2020

Preprint

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Background. The prevalence of mental ill health increases with age through childhood and adolescence and likely impairs mental and physical health in adulthood. Little is known about the combined influence of sleep, sedentary time (ST), and physical activity on youth mental health. This study examined associations between youth 24-hour activity behaviour compositions and mental health indicators, and investigated predicted differences in mental health when time was reallocated between activity behaviours.Methods. Demographic information and anthropometric data were collected from 359 participants (aged 9-13 years; 50.7% girls). 24-hour activity behaviours (sleep, ST, light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA)) were assessed using a wrist accelerometer, worn for 7 days. Validated questionnaires measured self-esteem, depressive symptomology, overall emotional and behavioural mental health, internalising problems, externalising problems, and prosocial behaviour. A computerised cognitive test battery assessed executive functions of switching, spatial working memory, and inhibition. Linear mixed models examined associations between activity behaviour compositions and mental health indicators for all participants and separately by primary and secondary school. Post-hoc analyses modelled the influence of reallocating fixed durations of time between activity behaviours on mental health.Results. For all participants ST was associated with worse internalising problems, relative to the other activity behaviours. Among primary school participants, relative to the other activity behaviours, ST was associated with poorer prosocial behaviour, and LPA was associated with worse switching and inhibition test scores. For all participants, reallocating time to ST from sleep and MVPA was associated with higher internalising problems. Among primary school participants, reallocating time to ST from any other behaviour was associated with poorer prosocial behaviour, and reallocating time to LPA from any other behaviour was associated with lower cognitive function.Conclusions. Relative to other activity behaviours, ST and LPA were significantly and unfavourably associated with some mental health indicators. These associations were strongest among primary school participants with no significant relationships observed for the secondary school participants. Replacing MVPA with ST or LPA reflected the greatest unfavourable predicted changes in mental health indicators. Our results provide further evidence for the influence of daily activity behaviours on youth mental health.

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Sedentary behaviors and anxiety among children, adolescents and adults: a systematic review and meta-analysis

Cited by 55 publications

References 116 publications

Is change in mental distress among adolescents predicted by sedentary behaviour or screen time? Results from the longitudinal population study The Tromsø Study: Fit Futures

Is change in mental distress among adolescents predicted by sedentary behaviour or screen time? Results from the longitudinal population study The Tromsø Study: Fit Futures

Standing Desks in a Grade 4 Classroom over the Full School Year

Cross-Sectional Associations Between 24-hour Activity Behaviours and Mental Health Indicators in Children and Adolescents: A Compositional Data Analysis

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