The DOI matches its Crossref record; 59 of the 60 references it cites were found in a registry or an index.
Socioeconomic Correlates of Sedentary Behavior in Adolescents: Systematic Review and Meta-Analysis
Open accessAbstract
BACKGROUND: The body of evidence on associations between socioeconomic status (SES) and sedentary behaviors in adolescents is growing. OBJECTIVES: The overall aims of our study were to conduct a systematic review and meta-analysis of this evidence and to assess whether (1) the associations between SES and sedentary behavior are consistent in adolescents from low-middle-income and from high-income countries, (2) the associations vary by domain of sedentary behavior, and (3) the associations vary by SES measure. METHODS: We performed a systematic literature search to identify population-based studies that investigated the association between SES and sedentary behavior in adolescents (aged 10-19 years). Only studies that presented risk estimates were included. We conducted meta-analyses using random effects and univariate meta-regression and calculated pooled effect sizes (ES). RESULTS: Data from 39 studies were included; this provided 106 independent estimates for meta-analyses. Overall, there was an inverse association between SES and sedentary behavior (ES 0.89; 95 % confidence interval [CI] 0.81-0.98). However, the direction of the association varied: in high-income countries, SES was inversely associated with sedentary behavior (ES 0.67; 95 % CI 0.62-0.73), whereas in low-middle-income countries, there was a positive association between SES and sedentary behavior (ES 1.18; 95 % CI 1.04-1.34). In high-income countries, the associations were strongest for screen time (ES 0.68; 95 % CI 0.62-0.74) and television (TV) time (ES 0.58; 95 % CI 0.49-0.69), whereas in low-middle-income countries, the associations were strongest for 'other' screen time (i.e., computer, video, study time, but not including TV time) (ES 1.38; 95 % CI 1.07-1.79). All indicators of SES were negatively associated with sedentary behavior in high-income countries, but only resources (income and assets indexes) showed a significant positive association in low-middle-income countries. CONCLUSION: The associations between SES and sedentary behavior are different in high- and low-middle-income countries, and vary by domain of sedentary behavior. These findings suggest that different approaches may be required when developing intervention strategies for reducing sedentary behavior in adolescents in different parts of the world.
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“This may be particularly important for children and adolescents from low socioeconomic backgrounds, who typically engage in greater amounts of ST [48–51] and are also less likely to live in green neighbourhoods [52].”
From Psychological impacts of “screen time” and “green time” for children and adolescents: A systematic scoping review (2020) · cites this paper as [51]
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Physical activity behaviours in adolescence: Current evidence and opportunities for intervention
van Sluijs, E. M. F., Ekelund, U., Crochemore-Silva, I., Guthold, R., Ha, A., Lubans, D., Oyeyemi, A. L., Ding, D., & Katzmarzyk, P. T. (2021) · The Lancet · doi:10.1016/s0140-6736(21)01259-9 · Cited by 919
Oswald, T. K., Rumbold, A. R., Kedzior, S. G. E., & Moore, V. M. (2020) · PLoS ONE · doi:10.1371/journal.pone.0237725 · Cited by 367
Socioeconomic Status and Cardiovascular Disease: an Update
de Mestral, C., & Stringhini, S. (2017) · Current Cardiology Reports · doi:10.1007/s11886-017-0917-z · Cited by 228
Margaritis, I., Houdart, S., Ouadrhiri, Y. E., Bigard, X. A., Vuillemin, A., & Duché, P. (2020) · Archives of Public Health · doi:10.1186/s13690-020-00432-z · Cited by 154
Chen, S., Liu, Y., Tremblay, M. S., Hong, J., Tang, Y., Cao, Z., Zhuang, J., Zhu, Z., Wu, X., Wang, L., et al. (2020) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2020.07.002 · Cited by 144
Metadata
- Authors
- Mielke, G. I., Brown, W. J., Nunes, B. P., Silva, I. C. M., & Hallal, P. C.
- Affiliations
- The University of Queensland (AU)
- Universidade Federal de Pelotas (BR)
- Venue
- Sports Medicine
- Published
- 2016-06-03
- Volume
- 47
- Issue
- 1
- Pages
- 61-75
- ISSN
- 0112-1642 (ISSN-L)
- 1179-2035
- PMC
- PMC5215067
- OpenAlex
- W2412267073
- Cited by
- 158
- References
- 60
- Citations by year
- 2026: 11 · 2025: 19 · 2024: 17 · 2023: 14 · 2022: 23 · 2021: 23 · 2020: 19 · 2019: 9 · 2018: 7 · 2017: 15
- FWCI
- 1.21
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Sports Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Universidade Federal de Pelotas
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- sedentary behavior, socioeconomic status, adolescents, screen time, television viewing, low-middle income countries, high-income countries, socioeconomic inequalities in health, physical activity, intervention strategies, educational attainment, parental education, parental income, household income, household assets, urban-rural residence, sex differences, age differences
- MeSH terms
- Adolescent, Computers, Humans, Income, Social Class, Socioeconomic Factors, Television, Sedentary Behavior
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