The Health Indicators Associated With Screen-Based Sedentary Behavior Among Adolescent Girls: A Systematic Review
Abstract
Purpose Evidence suggests sitting time is independently associated with a range of health issues in adults, yet the relationship between sedentary behavior and health indicators in young people is less clear. Age-related increases in sedentary behavior are well-documented; the behavioral patterns of adolescent girls are of particular concern. More than one third of adolescent girls' sedentary behavior time is accumulated through use of recreational screen-based behaviors. The objective of this review was to investigate the association between recreational screen-based sedentary behavior and the physical, behavioral, and psychosocial health indicators for adolescent girls. A secondary objective was to identify studies that have adjusted sedentary behavior indicators for physical activity.Methods A structured electronic search of all publication years (through December 2011) was conducted to identify studies in: CINAHL, Communications and Mass Media Complete, ERIC, MEDLINE with Full Text, PsycINFO, and SPORTDiscus with Full Text. Included publications were observational and interventional studies involving adolescent girls (12-18 years) that examined associations between screen-based, sedentary behavior and health indicators (physical, psychosocial, and/or behavioral). The search identified 33 studies that evaluated health indicators of screen-based sedentary behaviors among adolescent girls.Results Strong evidence for a positive association between screen-based sedentary behavior and weight status was found. A positive association was observed between screen-time and sleep problems, musculoskeletal pain and depression. Negative associations were identified between screen time and physical activity/fitness, screen time and psychological well-being, and screen time and social support. The relationship between screen-based sedentary behavior and diet quality was inconclusive. Less than half of the studies adjusted sedentary behavior indicators for physical activity.Conclusions Screen-based sedentary behavior is associated with a range of adverse health consequences, but additional longitudinal studies are needed to better understand the health impacts. In addition, screen-time guidelines for youth should be regularly revised and updated to reflect rapid technological changes.
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More screen time has been associated with depressive symptoms among children and adolescents in several systematic reviews.
“More screen time has been associated with depressive symptoms among children and adolescents in several systematic reviews [11, 12, 43–50].”
From Screen time and mental health: a prospective analysis of the Adolescent Brain Cognitive Development (ABCD) Study (2024) · cites this paper as [44]
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- Authors
- Costigan, S. A., Barnett, L., Plotnikoff, R. C., & Lubans, D. R.
- Affiliations
- University of Newcastle Australia (AU)
- Deakin University (AU)
- Corresponding author
- Plotnikoff, Ronald C.
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2013-04
- Volume
- 52
- Issue
- 4
- Pages
- 382-392
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W2039803662
- Cited by
- 290
- References
- 77
- Citations by year
- 2026: 8 · 2025: 13 · 2024: 18 · 2023: 18 · 2022: 37 · 2021: 23 · 2020: 37 · 2019: 21 · 2018: 18 · 2017: 21 · 2016: 27 · 2015: 24 · 2014: 21 · 2013: 4
- FWCI
- 1.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Education › Child Development and Digital Technology
- Keywords
- screen-based sedentary behavior, adolescent girls, recreational screen time, weight status, sleep disorders, musculoskeletal pain, depression, physical activity, psychological well-being, social support, diet quality, screen time guidelines
- MeSH terms
- Adolescent, Female, Health Status Indicators, Humans, Leisure Activities, Microcomputers, Motor Activity, Statistics as Topic, Television, Sedentary Behavior, Health Impact Assessment
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