Cited by 290Physical Activity and HealthObesity, Physical Activity, DietChild Development and Digital Technology

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The Health Indicators Associated With Screen-Based Sedentary Behavior Among Adolescent Girls: A Systematic Review

Costigan, Sarah A., Barnett, Lisa, Plotnikoff, Ronald C., Lubans, David R.·2013·Journal of Adolescent Health

DOI 10.1016/j.jadohealth.2012.07.018

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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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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.
ORCID: Costigan, Sarah A.
Barnett, Lisa
Plotnikoff, Ronald C.
Lubans, David R.
Venue: Journal of Adolescent Health
Publisher: Elsevier BV
Published: 2013-04
Volume: 52
Issue: 4
Pages: 382-392
ISSN: 1054-139X (ISSN-L)
DOI: 10.1016/j.jadohealth.2012.07.018
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Adolescent Health (publishedVersion)
PubMed (publishedVersion)
NOVA (University of Newcastle Australia) (submittedVersion)
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 › 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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The Health Indicators Associated With Screen-Based Sedentary Behavior Among Adolescent Girls: A Systematic Review

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