School-Related Sedentary Behaviours and Indicators of Health and Well-Being among Children and Youth: A Systematic Review
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Date
2022
Authors
Kuzik, Nicholas
Da Costa, Bruno G. G
Hwang, Yeongho
Verswijveren, Simone J. J. M
Rollo, Scott
Tremblay, Mark S
Bélanger, Stacey
Carson, Valerie
Davis, Melanie
Hornby, Susan
Journal Title
Journal ISSN
Volume Title
Publisher
BioMed Central
Abstract
Background: The purpose of this systematic review was to examine the associations between school-related seden‑
tary 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 Recom‑
mendations. 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 examin‑
ing 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 associa‑
tions. More school-related sedentary behaviour was favourably associated with nearly one-third of extracted associa‑
tions 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, ≥2h/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
Description
Article
Keywords
Sedentary Behaviour, School, Children, Youth, Adolescent, Systematic Review
Citation
Kuzik, N., da Costa, B. G., Hwang, Y., Verswijveren, S. J., Rollo, S., Tremblay, M. S., ... & Saunders, T. J. (2022). 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, 19(1), 1-32.