Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptoms and other mental health problems in children and adolescents: a systematic review

Sampasa‐Kanyinga, Hugues; Colman, Ian; Goldfield, Gary S.; Janssen, Ian; Wang, JianLi; Podinic, Irina; Tremblay, Mark S.; Saunders, Travis J.; Sampson, Margaret; Chaput, Jean‐Philippe

doi:10.1186/s12966-020-00976-x

Cited by 210 publications

(189 citation statements)

References 61 publications

Supporting

Mentioning

166

Contrasting

Unclassified

Order By: Relevance

“…Physical activity (PA), sedentary behavior (SB), and sleep are key components of daily movement behaviors [1]. Ample evidence has con rmed the importance of all three behaviors for physical, mental, and social health in children and adolescents [2][3][4][5]. Experts recommend that children and adolescents spend at least 60 minutes in moderate-to-vigorous PA (MVPA) [6], accumulate no more than 2 hours of recreational screen time (ST) [7], and get enough sleep (9-11 hours for children and 8-10 hours for adolescents) every day [8] to maximize their health.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Correlates of Adherence to The Combined Movement Guidelines Among Czech Children and Adolescents

Rubín

Gába²,

Dygrýn

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: There are limited studies on the prevalence of adherence to the combined guidelines for physical activity (PA), sedentary behavior, and sleep in children and adolescents. Moreover, little is known about correlates of adherence to the guidelines. Therefore, the main aim of this study is to examine the prevalence and identify the correlates of adherence to the combined movement guidelines among children and adolescents. Methods: A total of 355 children and 324 adolescents from the Czech Republic participated in this study. PA and sleep duration were estimated using multi-day 24-hour raw data from wrist-worn accelerometers. Recreational screen time was self-reported. Sixteen potential correlates were grouped into three homogenous categories for biological and cognitive, behavioral, and family correlates. The multi-level multivariable regression was applied to identify correlates of adherence to combined movement guidelines and to specific combinations of any of two recommendations.Results: Approximately 6.5% of children and 2.2% of adolescents met all recommendations of the combined movement guidelines. Paternal overweight and obesity was significantly associated with adherence to the combined movement guidelines in children (OR = 0.3; 95% CI = 0.1–0.7). Additionally, children had higher odds of meeting specific combinations of two recommendations if they reported healthy diet, participated in organized PA, or if their fathers had a university degree. Meanwhile, paternal overweight and obesity, and high sleep efficiency were associated with lower odds of meeting specific combinations of recommendations. In adolescents, healthy diet, organized PA, and active play were associated with higher odds of meeting specific combinations of any two recommendations. Conclusions: A low proportion of children and adolescents met the combined movement guidelines and several correlates related to family were identified. Family is a key source of influence for healthy movement behaviors during childhood and adolescence.

show abstract

Section: Introductionmentioning

confidence: 99%

Prevalence and Correlates of Adherence to The Combined Movement Guidelines Among Czech Children and Adolescents

Rubín

Gába²,

Dygrýn

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Contrastingly, non-compositional studies have reported associations between these outcomes and sleep, ST, and physical activity (21, 24, 26, 29), but none accounted for the mutually exclusive and compensatory nature of these behaviours, which are relative to one another over a 24-hour day. Recently, this has been examined with studies showing that youth who met multiple guidelines for sleep, ST, and MVPA were likely to have better mental health than peers meeting fewer recommendations (20,32,64). However, as our sample had low prevalence of meeting physical activity and sleep guidelines, it is unlikely that this explanation would hold true with our data.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…For the rst time, the combined associations between physical activity, sedentary behaviour, and sleep with youth mental health were recently reviewed (32). Meeting public health recommendations for all three behaviours was associated with better mental health when compared to youth who did not meet any of the recommendations, and a dose-response gradient was observed between the number of recommendations achieved and more positive mental health (32). To strengthen the evidence on this topic, recommendations from Sampasa-Kanyinga et al's review included the use of robust measures of activity behaviours, validated mental health indicators, and compositional analysis approaches (32).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

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.

show abstract

“…Physical activity (PA), sedentary behavior (SB), and sleep are key components of daily movement behaviors [1]. Ample evidence has con rmed the importance of all three behaviors (independently of each other) for physical, mental, and social health in children and adolescents [2][3][4][5][6][7]. Experts recommend that children and adolescents spend at least 60 minutes in moderate-to-vigorous PA (MVPA) [8], accumulate no more than 2 hours of recreational screen time (ST) [9], and get enough sleep (9-11 hours for children and 8-10 hours for adolescents) every day [10] to maximize their health.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and correlates of adherence to the combined movement guidelines among Czech children and adolescents

Rubín

Gába²,

Dygrýn

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: There are limited studies on the prevalence of adherence to the combined guidelines for physical activity (PA), sedentary behavior, and sleep in children and adolescents. Moreover, little is known about correlates of adherence to the guidelines. Therefore, the main aim of this study is to examine the prevalence and identify the correlates of adherence to the combined movement guidelines among children and adolescents. Methods: A total of 355 children aged 8–13 years (44% boys) and 324 adolescents aged 14–18 years (43% boys) from the Czech Republic participated in this study. PA and sleep duration were estimated using multi-day 24-hour raw data from wrist-worn accelerometers. Recreational screen time was parent proxy-reported in children and self-reported in adolescents. Seventeen potential correlates were grouped into three homogenous categories for biological and cognitive, behavioral, and family correlates. The multi-level multivariable logistic regression was applied to identify correlates of adherence to combined movement guidelines and to specific combinations of any of two recommendations.Results: Approximately 6.5% of children and 2.2% of adolescents met all recommendations of the combined movement guidelines. In children, girls (OR = 0.4; 95% CI = 0.1–0.9) and participants with overweight or obese fathers (OR = 0.3; 95% CI = 0.1–0.7) had significantly lower odds of adherence to the combined movement guidelines. Additionally, children had higher odds of meeting specific combinations of two recommendations if they reported regular fruit and vegetable intake, participated in organized PA, or if their fathers had a university degree. Meanwhile, paternal overweight and obesity, and high sleep efficiency were associated with lower odds of meeting specific combinations of recommendations. In adolescents, sex, fruit and vegetable intake, organized PA, and active play were correlates of meeting specific combinations of any two recommendations. Conclusions: A low proportion of children and adolescents met the combined movement guidelines and several correlates related to family were identified. Family is a key source of influence for healthy movement behaviors during childhood and adolescence.

show abstract

Combinations of physical activity, sedentary time, and sleep duration and their associations with depressive symptoms and other mental health problems in children and adolescents: a systematic review

Cited by 210 publications

References 61 publications

Prevalence and Correlates of Adherence to The Combined Movement Guidelines Among Czech Children and Adolescents

Prevalence and Correlates of Adherence to The Combined Movement Guidelines Among Czech Children and Adolescents

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

Prevalence and correlates of adherence to the combined movement guidelines among Czech children and adolescents

Contact Info

Product

Resources

About