Prevalence and Correlates of Meeting Sleep, Screen-Time, and Physical Activity Guidelines Among Adolescents in the United Kingdom
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evidence from self-reported measures; thus using objective data to classify participants may result in discrepancies.The first step toward targeted intervention efforts is an understanding of the factors that are associated with engaging in multiple unhealthy behaviors.Similarly to the US study, these analyses showed that adolescent boys and girls with depressive symptoms had lower odds of meeting all 3 recommendations, although associations of other independent variables, such as income and obesity, appeared to differ by sex in the present study.Given that weight status and depression are socially patterned in the United Kingdom, the findings validate the need for UK-based prospective studies that use robust measures to understand associative pathways.It is also important to understand the socioeconomic patterning of lifestyle behaviors and health markers in girls and boys to inform interventions and policy.
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The prevalence of children and adolescents from different countries who meet all three recommendations in the Canadian 24-Hour Movement Guidelines varies between 3% and 10%.
“the prevalence of children and adolescents from different countries around the world who meet all three recommendations contained within the guidelines varies between 3 to 10% [18–23].”
The prevalence of depressive symptoms in included samples was 42.7% in more than 59,000 US adolescents, 14.4% in nearly 4000 UK adolescents, and 10.3% in more than 35,000 US children and adolescents.
“Overall, the prevalence of depressive symptoms was 42.7% (unweighted) in a sample of more than 59,000 adolescents in the United States [18], 14.4% in a sample of nearly 4000 adolescents in the United Kingdom [19], and 10.3% in a sample of more than 35,000 children and adolescents from the United States [39].”
Both sex-specific studies found that meeting all 3 recommendations was associated with lower odds of depressive symptoms in both male and female adolescents.
“Meeting all 3 recommendations was associated with lower odds of depressive symptoms among males and females, alcohol consumption among females, and cannabis use among males compared to meeting none of the recommendations.”
The quality of evidence for the three studies examining the association between the 24-h movement guidelines and depressive symptoms began at low due to observational design and was downgraded to very low due to serious risk of bias.
“Following the GRADE protocol, the quality of evidence for the three studies examining the association between the 24-h movement guidelines and depressive symptoms began with a low-quality rating due to their observational design. Given that only one study used an objective measure of physical activity and a reliable and valid measure of depression in children [19], the quality of evidence was”
Depressive symptoms were reported in 3 studies representing 3 unique datasets and 84,004 participants aged 6 to 20 years.
“Depressive symptoms were reported in 3 studies [18, 19, 39], representing 3 unique datasets, and 84,004 individual participants with age ranging from 6 to 20 years (Table 2).”
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- Authors
- Pearson, N., Sherar, L. B., & Hamer, M.
- Affiliations
- Loughborough University (GB)
- University College London (GB)
- Corresponding author
- Pearson, Natalie
- Venue
- JAMA Pediatrics
- Publisher
- American Medical Association (AMA)
- Published
- 2019-10-01
- Volume
- 173
- Issue
- 10
- Pages
- 993
- ISSN
- 1072-4710 (ISSN-L)
- 2168-6203
- PMC
- PMC6714019
- OpenAlex
- W2970813751
- Cited by
- 76
- References
- 6
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 13 · 2023: 8 · 2022: 15 · 2021: 16 · 2020: 14
- FWCI
- 7.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of Pediatrics and Adolescent Medicine (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Economic and Social Research Council (ES/M001660/1)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
- Keywords
- sleep duration, screen time, physical activity, guideline adherence, depressive symptoms, sex differences, socioeconomic status, obesity, lifestyle habits, adolescents
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