School-related sedentary behaviours and indicators of health and well-being among children and youth: a systematic review

Abstract Background The purpose of this systematic review was to examine the associations between school-related sedentary behaviours and indicators of health and well-being in children and youth (~ 5–18 years) attending school. Methods This review was conducted to inform the development of School-R...

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Main Authors: Nicholas Kuzik, Bruno G. G. da Costa, Yeongho Hwang, Simone J. J. M. Verswijveren, Scott Rollo, Mark S. Tremblay, Stacey Bélanger, Valerie Carson, Melanie Davis, Susan Hornby, Wendy Yajun Huang, Barbi Law, Jo Salmon, Jennifer R. Tomasone, Lucy-Joy Wachira, Katrien Wijndaele, Travis J. Saunders
Format: Article
Language:English
Published: BMC 2022-04-01
Series:International Journal of Behavioral Nutrition and Physical Activity
Subjects:
Online Access:https://doi.org/10.1186/s12966-022-01258-4
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author Nicholas Kuzik
Bruno G. G. da Costa
Yeongho Hwang
Simone J. J. M. Verswijveren
Scott Rollo
Mark S. Tremblay
Stacey Bélanger
Valerie Carson
Melanie Davis
Susan Hornby
Wendy Yajun Huang
Barbi Law
Jo Salmon
Jennifer R. Tomasone
Lucy-Joy Wachira
Katrien Wijndaele
Travis J. Saunders
author_facet Nicholas Kuzik
Bruno G. G. da Costa
Yeongho Hwang
Simone J. J. M. Verswijveren
Scott Rollo
Mark S. Tremblay
Stacey Bélanger
Valerie Carson
Melanie Davis
Susan Hornby
Wendy Yajun Huang
Barbi Law
Jo Salmon
Jennifer R. Tomasone
Lucy-Joy Wachira
Katrien Wijndaele
Travis J. Saunders
author_sort Nicholas Kuzik
collection DOAJ
description Abstract Background The purpose of this systematic review was to examine the associations between school-related sedentary behaviours and indicators of health and well-being in children and youth (~ 5–18 years) attending school. Methods This review was conducted to inform the development of School-Related Sedentary Behaviour Recommendations. Peer-reviewed, published, or in-press articles in English were included. Reviews, meta-analyses, and case studies were excluded; all other study designs were eligible. Further, articles had to meet the a priori study criteria for population, intervention, comparator (PROSPERO ID: CRD42021227600). Embase, MEDLINE® ALL, and PsycINFO were searched. Risk of bias was assessed for individual experimental studies using the Cochrane risk of bias assessment tool, and in observational studies based on the GRADE framework and in line with previous systematic reviews examining sedentary behaviours in children. Overall quality of evidence was assessed using the GRADE framework for each outcome category and study design. Results were synthesized narratively, grouped by study design and outcome category. Further, several high-level summaries were conducted to help interpret results. Results Evidence was synthesized from 116 reports, including 1,385,038 participants and 1173 extracted associations. More school-related sedentary behaviour was favourably associated with nearly one-third of extracted associations for cognitive (33%) and social-emotional (32%) indicators (e.g., less anxiety), but unfavourably associated with other movement behaviours (e.g., less physical activity) (35%). Active lessons were favourable (72%), compared to more school-related sedentary behaviours, when examining associations for all health and well-being indicators. More homework was favourable across all health and well-being indicators in 4% of extracted associations for primary school children, and 25% of extracted associations for secondary school children. However, ≥2 h/day of homework appeared to be unfavourable for health and well-being. Limitations for synthesized studies included generally low quality of evidence and a lack of studies in South American, African, or low-middle income countries. Conclusions Findings can help inform policy makers, schools, and teachers, regarding the amount of homework assigned and the introduction of active lessons into the classroom to enhance health and well-being of children. More research is needed examining school-related sedentary behaviours and indicators of health and well-being in low- and middle-income countries.
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spelling doaj.art-bd939e5e8dd04a79a56c237c189c1d982022-12-22T03:13:39ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682022-04-0119113210.1186/s12966-022-01258-4School-related sedentary behaviours and indicators of health and well-being among children and youth: a systematic reviewNicholas Kuzik0Bruno G. G. da Costa1Yeongho Hwang2Simone J. J. M. Verswijveren3Scott Rollo4Mark S. Tremblay5Stacey Bélanger6Valerie Carson7Melanie Davis8Susan Hornby9Wendy Yajun Huang10Barbi Law11Jo Salmon12Jennifer R. Tomasone13Lucy-Joy Wachira14Katrien Wijndaele15Travis J. Saunders16Healthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research InstituteSchool of Physical & Health Education, Nipissing UniversityFaculty of Kinesiology, Sport, and Recreation, University of AlbertaInstitute for Physical Activity and Nutrition, Deakin UniversityHealthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research InstituteHealthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research InstituteDépartement de Pédiatrie, Faculté de Médicine, Université de Montréal and CHU Sainte Justine, CIRENE (Centre Intégré du Réseau en Neurodéveloppement de L’Enfant)Faculty of Kinesiology, Sport, and Recreation, University of AlbertaPhysical and Health Education (PHE) CanadaPan-Canadian Joint Consortium for School Health (JCSH)Department of Sport, Physical Education and Health, Hong Kong Baptist UniversitySchool of Physical & Health Education, Nipissing UniversityInstitute for Physical Activity and Nutrition, Deakin UniversitySchool of Kinesiology and Health Studies, Queen’s UniversityPhysical Education, Exercise and Sports Science, Kenyatta UniversityMRC Epidemiology Unit, University of CambridgeDepartment of Applied Human Sciences, University of Prince Edward IslandAbstract Background The purpose of this systematic review was to examine the associations between school-related sedentary behaviours and indicators of health and well-being in children and youth (~ 5–18 years) attending school. Methods This review was conducted to inform the development of School-Related Sedentary Behaviour Recommendations. Peer-reviewed, published, or in-press articles in English were included. Reviews, meta-analyses, and case studies were excluded; all other study designs were eligible. Further, articles had to meet the a priori study criteria for population, intervention, comparator (PROSPERO ID: CRD42021227600). Embase, MEDLINE® ALL, and PsycINFO were searched. Risk of bias was assessed for individual experimental studies using the Cochrane risk of bias assessment tool, and in observational studies based on the GRADE framework and in line with previous systematic reviews examining sedentary behaviours in children. Overall quality of evidence was assessed using the GRADE framework for each outcome category and study design. Results were synthesized narratively, grouped by study design and outcome category. Further, several high-level summaries were conducted to help interpret results. Results Evidence was synthesized from 116 reports, including 1,385,038 participants and 1173 extracted associations. More school-related sedentary behaviour was favourably associated with nearly one-third of extracted associations for cognitive (33%) and social-emotional (32%) indicators (e.g., less anxiety), but unfavourably associated with other movement behaviours (e.g., less physical activity) (35%). Active lessons were favourable (72%), compared to more school-related sedentary behaviours, when examining associations for all health and well-being indicators. More homework was favourable across all health and well-being indicators in 4% of extracted associations for primary school children, and 25% of extracted associations for secondary school children. However, ≥2 h/day of homework appeared to be unfavourable for health and well-being. Limitations for synthesized studies included generally low quality of evidence and a lack of studies in South American, African, or low-middle income countries. Conclusions Findings can help inform policy makers, schools, and teachers, regarding the amount of homework assigned and the introduction of active lessons into the classroom to enhance health and well-being of children. More research is needed examining school-related sedentary behaviours and indicators of health and well-being in low- and middle-income countries.https://doi.org/10.1186/s12966-022-01258-4Sedentary BehaviourSchoolChildrenYouthAdolescentSystematic Review
spellingShingle Nicholas Kuzik
Bruno G. G. da Costa
Yeongho Hwang
Simone J. J. M. Verswijveren
Scott Rollo
Mark S. Tremblay
Stacey Bélanger
Valerie Carson
Melanie Davis
Susan Hornby
Wendy Yajun Huang
Barbi Law
Jo Salmon
Jennifer R. Tomasone
Lucy-Joy Wachira
Katrien Wijndaele
Travis J. Saunders
School-related sedentary behaviours and indicators of health and well-being among children and youth: a systematic review
International Journal of Behavioral Nutrition and Physical Activity
Sedentary Behaviour
School
Children
Youth
Adolescent
Systematic Review
title School-related sedentary behaviours and indicators of health and well-being among children and youth: a systematic review
title_full School-related sedentary behaviours and indicators of health and well-being among children and youth: a systematic review
title_fullStr School-related sedentary behaviours and indicators of health and well-being among children and youth: a systematic review
title_full_unstemmed School-related sedentary behaviours and indicators of health and well-being among children and youth: a systematic review
title_short School-related sedentary behaviours and indicators of health and well-being among children and youth: a systematic review
title_sort school related sedentary behaviours and indicators of health and well being among children and youth a systematic review
topic Sedentary Behaviour
School
Children
Youth
Adolescent
Systematic Review
url https://doi.org/10.1186/s12966-022-01258-4
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