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Associations between sleep duration, sedentary time, physical activity, and health indicators among Canadian children and youth using compositional analyses
Open accessAbstract
The purpose of this study was to examine the relationships between movement behaviours (sleep duration, sedentary time, physical activity) and health indicators in a representative sample of children and youth using compositional analyses. Cross-sectional findings are based on 4169 children and youth (aged 6–17 years) from cycles 1 to 3 of the Canadian Health Measures Survey. Sedentary time (SB), light-intensity physical activity (LPA), and moderate- to vigorous-intensity physical activity (MVPA) were accelerometer-derived. Sleep duration was subjectively measured. Body mass index z scores, waist circumference, blood pressure, behavioural strengths and difficulties, and aerobic fitness were measured in the full sample. Triglycerides, high-density lipoprotein-cholesterol, C-reactive protein, and insulin were measured in a fasting subsample. The composition of movement behaviours was entered into linear regression models via an isometric log ratio transformation and was found to be associated with all health indicators (p < 0.01). Relative to other movement behaviours, time spent in SB or LPA was positively associated (p < 0.04) and time spent in MVPA or sleep was negatively associated (p < 0.02) with obesity risk markers. Similarly, LPA was positively associated (p < 0.005) and sleep was negatively associated (p < 0.03) with unfavourable behavioural strengths and difficulties scores and systolic blood pressure. Relative to other movement behaviours, time spent in SB was negatively associated (p < 0.001) and time spent in MVPA (p < 0.001) was positively associated with aerobic fitness. Likewise, MVPA was also negatively associated with several cardiometabolic risk markers (p < 0.008). Compositional data analyses provide novel insights into collective health implications of 24-h movement behaviours and can facilitate interesting avenues for future investigations.
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“3/3 studies found that participants achieving all 3 recommendations had preferable scores for the health outcomes compared with participants who did not meet the recommendations.”
In the citing paper
“However, in the current review, only 2 studies used compositional data analyses [34, 35].”
In the citing paper
“2/10 studies used compositional data analyses and found that the composition of movement behaviours was associated with social and emotional health [34] and with HRQoL [35]”
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Items 201–300 of 414
Runacres, A., Mackintosh, K. A., CHASTIN, S. F. M., & McNarry, M. A. (2023) · PLoS ONE · doi:10.1371/journal.pone.0275557 · Cited by 12
Self-citationDo long school commutes undermine teenagers’ wellbeing? Evidence from a nation-wide survey in China
Ding, P., Li, Y., Feng, S., & Pojani, D. (2023) · Journal of Transport & Health · doi:10.1016/j.jth.2023.101605 · Cited by 16
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Sousa‐Sá, E., Zhang, Z., Pereira, J. R., Wright, I. M. R., Okely, A. D., & Santos, R. (2020) · Acta Paediatrica · doi:10.1111/apa.15204 · Cited by 12
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Bianchim, M. S., McNarry, M. A., Holland, A. E., Cox, N. S., Dreger, J., BARKER, A. R., Williams, C. A., Denford, S., & Mackintosh, K. A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19095155 · Cited by 13
“Overall, irrespective of age, SED and LPA demonstrated the greatest co-dependency, which is in accordance with research in the healthy population [12,32,33].”
BackgroundResultSitting and Screen Time Outside School Hours: Correlates in 6- to 8-Year-Old Children
Downing, K. L., Salmon, J., Timperio, A. F., Hinkley, T., Cliff, D. P., Okely, A. D., & Hesketh, K. D. (2019) · Journal of Physical Activity and Health · doi:10.1123/jpah.2018-0495 · Cited by 12
Camiletti‐Moirón, D., Timperio, A. F., Veitch, J., Fernández‐Santos, J. R., Abbott, G., Delgado-Alfonso, Á., Cabanas‐Sánchez, V., Veiga, Ó. L., Salmon, J., & Castro‐Piñero, J. (2020) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-020-00940-9 · Cited by 12
Rodríguez‐Gómez, I., Mañas, A., Losa‐Reyna, J., Rodríguez‐Mañas, L., CHASTIN, S. F. M., Alegre, L. M., García‐García, F. J., & Ara, I. (2020) · Journal of Bone and Mineral Research · doi:10.1002/jbmr.3988 · Cited by 12
“Particularly, the waking hours are made up of a sequence of periods of sedentary behavior (SB), light PA (LPA), and moderate-to-vigorous PA (MVPA), which makes it essential to use a different model such as compositional data analysis (CODA) that allows us to deal directly with the fundamental nature of movement behavi…”
BackgroundResultSelf-citationde Moura, S. S., de Menezes-Júnior, L. A. A., Carraro, J. C. C., Machado-Coelho, G. L. L., & Meireles, A. L. (2025) · BMC Public Health · doi:10.1186/s12889-024-20829-7 · Cited by 13
“The 24-hour movement guidelines [15] noted that these multiple correlates are simultaneous determinants (i.e. sleep, SBand PA), and when examined together, have demonstrated significant associations with a wide range of health indicators [16].”
Murray, R. M., Doré, I., Sabiston, C. M., Michael, F., & O’Loughlin, J. L. (2023) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.14471 · Cited by 11
“41,45 This finding may relate to the portion of time MVPA takes up in ones' day, whereby, removing 15 min of MVPA is a more significant change than removing 15 min of sedentary behavior.”
BackgroundHuang, Z., Chen, B., Dong, X., He, J., Liu, Y., Li, J., & Zhou, Y. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.10.039 · Cited by 13
Sehn, A. P., Brand, C., Silveira, J. F. D. C., Andersen, L. B., Gaya, A. R., Todendi, P. F., Valim, A. R. D. M., & Reuter, C. P. (2022) · BMC Cardiovascular Disorders · doi:10.1186/s12872-022-02537-5 · Cited by 12
Chong, K. H., Dumuid, D., Cliff, D. P., Parrish, A., & Okely, A. D. (2022) · Journal of Physical Activity and Health · doi:10.1123/jpah.2021-0630 · Cited by 13
Reis, L. N., Reuter, C. P., Okely, A. D., Brand, C., Fochesatto, C. F., Martins, C., Mota, J. A. P. S., Gaya, A. C. A., & Gaya, A. R. (2023) · Jornal de Pediatria · doi:10.1016/j.jped.2023.10.007 · Cited by 14
“6,7 Tremblay et al. 1 suggest that children should, as far as possible, replace behaviors that are harmful to health, such as screen time with physical activity at different intensities, and also with adequate sleep.”
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Larose, D., Massie, C.-L., St-Aubin, A., Boulay-Pelletier, V., Boulanger, E., Lavoie, M. D., Yessis, J. L., Tremblay, A., & Drapeau, V. (2024) · Journal of Activity Sedentary and Sleep Behaviors · doi:10.1186/s44167-024-00068-2 · Cited by 14
Investigating the influence of physical activity composition on arterial stiffness in youth
Marshall, Z. A., Mackintosh, K. A., & McNarry, M. A. (2022) · European Journal of Sport Science · doi:10.1080/17461391.2022.2039304 · Cited by 10
“The use of accelerometers without inclinometers may not fully distinguish between sedentary time and LPA, due to a lack of sensitivity and inability to identify postural changes (Carson et al., 2016; Howard et al., 2015).”
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“posity and improved gross motor skills in school-aged children born normal birth weight and at term.(4,5) Little is known of these associations in children born preterm and especially in very preterm infants born”
BackgroundInfluentialPhysical activity in out of school hours care: an observational study
Crowe, R. K., Probst, Y., Stanley, R. M., Ryan, S. T., Weaver, R. G., Beets, M. W., Norman, J. A., Furber, S. E., Vuong, C., Hammersley, M. L., et al. (2021) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-021-01197-6 · Cited by 10
Where does the time go when children don't sleep? A randomized crossover study
Morrison, S., Haszard, J. J., Galland, B. C., Jackson, R., Meredith-Jones, K. A., Elder, D. E., & Taylor, R. W. (2022) · Obesity · doi:10.1002/oby.23615 · Cited by 10
Determinants of physical activity of transitioning adult children with Autism Spectrum Disorder
Bishop, J. C., Nichols, C., Kranz, S., Lukacs, J., & Block, M. E. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e10150 · Cited by 9
“A major component of sedentary behavior is time spent watching television, movies, and playing video games, often referred to as ‘screen time’ (Chonchaiya et al., 2011; Mazurek and Wenstrup, 2013; Must et al., 2015).”
BackgroundTomova, G. D., Walmsley, R., Berrie, L., Morris, M. A., & Tennant, P. W. G. (2025) · BMC Medical Research Methodology · doi:10.1186/s12874-025-02509-1 · Cited by 8
“CoDA approaches are often justified as a means to resolve the ‘spurious correlations’ that Pearson warned can occur between ratio variables and ‘closed form’ compositional data [36–38].”
Borghese, M. M., Borgundvaag, E., McIsaac, M. A., & Janssen, I. (2019) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-019-0770-0 · Cited by 10
Laukkanen, A., Aunola, K., Korhonen, E., Barnett, L. M., & Sääkslahti, A. (2021) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-021-01128-5 · Cited by 12
“For example, PA is linked with lower cardiovascular and metabolic risk markers, body mass [1, 2], enhanced bone health [3], higher motor competence [4], adaptive mental health outcomes and cognitive functioning [5].”
BackgroundHelping Children with Obesity “Move Well” To Move More: An Applied Clinical Review
Tsiros, M. D., Vincent, H. K., Getchell, N., & Shultz, S. P. (2021) · Current Sports Medicine Reports · doi:10.1249/jsr.0000000000000861 · Cited by 9
“Jeannie's obese BMI, and particularly her excess fat mass, are associated with physical disability, which may be impeding her ability and desire to be physically active.”
BackgroundInfluentialAchak, D., Azizi, A., El-Ammari, A., Youlyouz‐Marfak, I., Saad, E., Nejjari, C., Hilali, A., Peltzer, K., & Marfak, A. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1448386 · Cited by 13
Zeng, N., Jiang, S., Ringer, A., Pacheco, C. R., Zheng, C., & Ye, S. (2024) · Nutrients · doi:10.3390/nu16213678 · Cited by 8
“Since movement behaviors are interrelated, it is essential to account for collinearity between them [48,49].”
BackgroundChen, M., Chua, T. B. K., Shen, Z. X., Tay, L. Y., Wang, X., & Chia, M. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph192214969 · Cited by 7
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Physical Activity and Cardiovascular Risk Factors in Children from 4 to 9 Years of Age
Nyström, C. D., Migueles, J. H., Henriksson, P., & Löf, M. (2023) · Sports Medicine - Open · doi:10.1186/s40798-023-00647-8 · Cited by 9
“…be due to age differences (9 years present study vs. 6–17 years Carson et al. [27]), the different activity monitors and placement used (wrist-worn ActiGraph present study compared to the waist-worn Actical Carson et al. [27]), as well as different processing techniques for accelerometer data.”
BackgroundMethodResultInfluentialWell-Slept Children and Teens are Happier and More Hopeful with Fewer Emotional Problems
Lau, E. Y. Y., Lam, Y. C., & Lee, J. C. (2021) · Child Indicators Research · doi:10.1007/s12187-021-09823-2 · Cited by 9
Booker, R., Holmes, M. E., Newton, R. L., Norris, K. C., Thorpe, R. J., & Carnethon, M. R. (2022) · Annals of Epidemiology · doi:10.1016/j.annepidem.2022.09.009 · Cited by 8
Adiposity in preadolescent children: Associations with cardiorespiratory fitness
Castro, N., Bates‐Fraser, L. C., Zieff, G. H., Pagán-Lassalle, P., Faulkner, J., Lark, S. D., Hamlin, M. J., Skidmore, P. M. L., Signal, T. L., Williams, M. A., et al. (2022) · PLoS ONE · doi:10.1371/journal.pone.0275982 · Cited by 8
“Lifestyle factors such as insufficient daily PA [6, 7], high SB [6, 7], low physical fitness [8–10], poor sleep [11–13], and unhealthy dietary patterns [14] all likely contribute in both independent and interactive ways.”
BackgroundVerswijveren, S. J. J. M., Salmon, J., Daly, R. M., Arundell, L., Cerin, E., Dunstan, D. W., Hesketh, K. D., Gatta, P. A. D., & Ridgers, N. D. (2020) · Journal of Sports Sciences · doi:10.1080/02640414.2020.1822584 · Cited by 8
Biddle, G. J. H., Edwardson, C. L., Henson, J. J., Rowlands, A. V., & Yates, T. E. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16162885 · Cited by 8
Arashi, M., Webster, C. A., Mîndrilă, D., Duda, J. L., Stankić, D., Perić, D., Banićević, I., & Banićević, Ž. (2025) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2024.2446545 · Cited by 10
“…this study was designed to specifically build upon previous research that has shown PA to be associated with these MH indicators in adolescents in Australia (Farmer et al., 2020), Brazil (Hallal et al., 2015), Canada (Carson et al., 2016) and Great Britain (Ussher et al., 2007; Wiles et al., 2008).”
The Immediate and Lasting Effects of Resident Summer Camp on Movement Behaviors Among Children
Kidokoro, T., Minatoya, Y., Imai, N., Shikano, A., & Noi, S. (2022) · Frontiers in Pediatrics · doi:10.3389/fped.2022.912221 · Cited by 7
“As children’s movement behaviors are significantly associated with cardiometabolic and psychological health (13, 14), it becomes necessary to promote healthy behaviors during summer vacation.”
BackgroundDonnelly, S., Buchan, D. S., McLellan, G., Roberts, R., & Arthur, R. (2023) · Journal of Sports Sciences · doi:10.1080/02640414.2023.2300562 · Cited by 7
“…5) (Australian Government Department of Health, 2019), Competence in HH (Table 6) (Tremblay et al., 2016), Relatedness based on interactions within PA participation during HH tasks (Table 7) and (Carson et al., 2016) Relatedness regarding pupils perceived level of support during HH tasks (Table 8).”
BackgroundAhn, S. J., Schmidt, M. D., Tate, A. D., Rathbun, S. L., Annesi, J. J., Hahn, L., Novotny, E. R., Okitondo, C. D., Grimsley, R. N., & Johnsen, K. (2024) · npj Digital Medicine · doi:10.1038/s41746-024-01133-5 · Cited by 9
“…fi cantly impact physical and mental health in youth, (2) these behaviors may interact with each other to in fl uence health outcomes, and (3) changing the amount of time spent in one movement behavior will inevitably in fl uence time spent in one or more of the other 24-h movement behaviors 40 .”
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Álvarez, C., Paredes-Arévalo, L., Obando-Calderón, I., Oyarzún, M. L., Ávila-Pizarro, Y., Sadarangani, K. P., Delgado‐Floody, P., Alonso-Martínez, A. M., & Izquierdo, M. (2020) · Children · doi:10.3390/children8010008 · Cited by 7
“[27] showed in 3 to 4-year-old preschoolers that sleep duration was not significantly associated with BMI and waist circumference in Canadian participants (n = 552).”
BackgroundNing, K., Chen, S., Chi, X., & Liang, K. (2021) · Healthcare · doi:10.3390/healthcare9111404 · Cited by 6
Ballarin, G., Licenziati, M. R., Alicante, P., Vincenzo, O. D., Valerio, G., & Scalfi, L. (2022) · Children · doi:10.3390/children9121943 · Cited by 7
Cardiorespiratory fitness, screen time and cardiometabolic risk in South Brazilian school children
Tornquist, D., Tornquist, L., Sehn, A. P., Schneiders, L. D. B., Renner, J. D. P., Franke, S. I. R., Reuter, C. P., & Kelishadi, R. (2022) · Annals of Human Biology · doi:10.1080/03014460.2022.2030405 · Cited by 6
“Besides, other research indicates that maintaining good PA levels is more important for cardiometabolic health than the time allotted for sedentary behaviour (Carson et al. 2016; Saunders et al. 2016; Cristi-Montero et al. 2019; Skrede et al. 2019; Xiong et al. 2021).”
BackgroundTelford, D. M., Meiring, R. M., & Gusso, S. (2024) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2024.10.002 · Cited by 9
Altenburg, T. M., Gubbels, J. S., Arts, J., Lettink, A., Veldman, S. L. C., Verhoeff, A. P., & Chinapaw, M. J. M. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-081836 · Cited by 6
Brayton, R. P., Price, A. M., Jones, C., Ellis, C. S., Burkhart, S. O., & Knell, G. (2023) · Applied Neuropsychology Child · doi:10.1080/21622965.2023.2181082 · Cited by 6
“…composition, aerobic fitness, and blood lipid profile, the combined or concurrent effect of sleep and physical activity appears to be stronger than the independent effect of either sleep or physical activity (Carson et al., 2016; Chastin et al., 2015; Dulloo et al., 2017; Saunders et al., 2016).”
Brady, S. M., Salway, R., Mariapun, J., Millard, L. A. C., Ramadas, A., Rizal, H., Skinner, A., Stone, C., Johnson, L., Su, T. T., et al. (2024) · PLoS ONE · doi:10.1371/journal.pone.0297102 · Cited by 6
Hodgin, K. L., von Klinggraeff, L., Dauenhauer, B. D., McMullen, J. M., Kuhn, A. P., Stoepker, P., & Carson, R. L. (2020) · Journal of Physical Activity and Health · doi:10.1123/jpah.2018-0711 · Cited by 6
Sehn, A. P., Gaya, A. R., Brand, C., Dias, A. F., Kelishadi, R., Franke, S. I. R., Renner, J. D. P., & Reuter, C. P. (2020) · Journal of Pediatric Endocrinology and Metabolism · doi:10.1515/jpem-2020-0399 · Cited by 6
“In the literature, the combination of sleep, TV time and physical activity related to cardiometabolic risk is more commonly used [12, 15, 16].”
BackgroundGråstén, A., Huhtiniemi, M., Hakonen, H., & Jaakkola, T. T. (2021) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.14056 · Cited by 6
“A clear shortcoming of previous studies is the lack of data on school-aged children that accurately reflects the time they spend in other movement behaviors besides MVPA 16,19 in relation to motor competence and health-related fitness.”
BackgroundJulian, V., Bergsten, P., Ennequin, G., Forslund, A. H., Ahlström, H. K., Ciba, I., Dahlbom, M., Furthner, D., Gomahr, J., Kullberg, J., et al. (2022) · European Journal of Pediatrics · doi:10.1007/s00431-022-04539-z · Cited by 6
Noonan, R. J., Christian, D. L., Boddy, L. M., Saint‐Maurice, P. F., Welk, G. J., Hibbing, P. R., & Fairclough, S. J. (2019) · Journal of Sports Sciences · doi:10.1080/02640414.2019.1605649 · Cited by 6
“…time (Eisenmann, Bartee, Smith, Welk, & Fu, 2008; Steffen, Dai, Fulton, & Labarthe, 2009; Zhang, Wu, Zhou, Lu, & Mao, 2016), leading to the consistent finding that youth who watch high levels of TV are more likely to be overweight or obese (Carson et al., 2016a, 2011b; Tremblay et al., 2011a).”
BackgroundAllali, B., Pereira, B., Fillon, A., Pouele, L., Masurier, J., Cardenoux, C., Isacco, L., Boirie, Y., Duclos, M., Thivel, D., et al. (2024) · Pediatric Obesity · doi:10.1111/ijpo.13147 · Cited by 5
“18 The MVPA and sedentary times are also thought to be independently correlated with FM percentage in adolescents with obesity.”
Moore, K., Castillo, S., McAlister, K. L., Chapman, T. M., Crosley‐Lyons, R., & Belcher, B. R. (2025) · Journal of Sports Sciences · doi:10.1080/02640414.2025.2603845 · Cited by 5
“This study did not include sleep, which has previously been linked to glucose homeostasis (Carson et al., 2016; Derks et al., 2017; Matricciani et al., 2019). highlighting the need for additional work in this area.”
Sehn, A. P., Brand, C., Tornquist, L., Tornquist, D., Silveira, J. F. D. C., Gaya, A. R., Cristi‐Montero, C., Burns, R. D., Renner, J. D. P., & Reuter, C. P. (2024) · European Journal of Sport Science · doi:10.1002/ejsc.12070 · Cited by 5
“Physical inactivity and sedentary behavior (SB) are well ‐ established and independent determinants of increased WC and cardiometabolic risk in the pediatric population (Carson, Tremblay, et al., 2016; Tremblay et al., 2011).”
BackgroundResultValle-Muñoz, V. M., Águila-Lara, E., Ávila‐García, M., Segura-Díaz, J. M., Campos-Garzón, P., Barranco-Ruíz, Y., Saucedo‐Araujo, R. G., & Villa‐González, E. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph22020194 · Cited by 5
“Adequate sleep, regular physical activity (PA), and reduced sedentary behavior, such as by limiting screen time, are widely recognized as key factors for healthy development during childhood and adolescence [1–3].”
Zahran, S., & Janssen, I. (2023) · Addictive Behaviors · doi:10.1016/j.addbeh.2023.107755 · Cited by 6
Tennant, E. M., Tremblay, M. S., Faulkner, G., Gainforth, H. L., & Latimer‐Cheung, A. E. (2019) · Journal of Health Communication · doi:10.1080/10810730.2019.1651429 · Cited by 5
Self-citationScreen time, physical activity and cardiovascular risk factors in adolescents
Bergmann, G. G., Tassitano, R. M., Bergmann, M. L. D. A., Tenório, M. C. M., & Mota, J. A. P. S. (2018) · Revista Brasileira de Atividade Física & Saúde · doi:10.12820/rbafs.23e0008 · Cited by 5
Salman, U., & Sarı, İ. (2020) · Ankara Üniversitesi Beden Eğitimi ve Spor Yüksekokulu SPORMETRE Beden Eğitimi ve Spor Bilimleri Dergisi · doi:10.33689/spormetre.589153 · Cited by 5
Associations between children’s physical literacy and well-being: is physical activity a mediator?Preprint
Melby, P. S., Nielsen, G., Brønd, J. C., Tremblay, M. S., Bentsen, P., & Elsborg, P. (2022) · Research Square · doi:10.21203/rs.3.rs-1408100/v1 · Cited by 5
Self-citationSousa‐Sá, E., Cook, C. J., Burley, J., & Santos, R. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1252986 · Cited by 7
Marshall, Z. A., Runacres, A., Hallal, P. C., Jago, R., Kwon, S., Northstone, K., PATE, R. R., Puder, J. J., Reilly, J. J., Sardinha, L. B., et al. (2025) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2025-002568 · Cited by 4
“The majority of our understanding of the relationship between PA and health outcomes still revolves around moderate to vigorous PA (MVPA), with a developing understanding of the influence of remaining behaviours (ie, sedentary time (SED), sleep and light-intensity PA (LPA)) that make up on average 95% of a child’s day.”
InfluentialDong, Q., Liu, H., & Fu, Q. (2025) · Scientific Reports · doi:10.1038/s41598-025-11625-3 · Cited by 9
“By examining multiple screen time behaviors, health – related policy makers would be able to tackle the most common behavior related to PF and reallocate it with more favorable movement patterns beneficial for health and well – being in youth 30,31 .”
Kontostoli, E., Jones, A., & Atkin, A. J. (2022) · BMC Public Health · doi:10.1186/s12889-022-13552-8 · Cited by 4
Lahyani, Y., Adarmouch, L., Sebbani, M., Mansoury, O., Mouaddib, H. E., & Amine, M. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e41176 · Cited by 4
Bloch, M., Cordovil, R., Rodrigues, L., Martins, C., Braga, M. L., Vale, S., Proença, R., Brito, J., Guilherme, J., Neto, C., et al. (2025) · Frontiers in Sports and Active Living · doi:10.3389/fspor.2025.1541862 · Cited by 7
Kuldas, S., Ranum, B. M., Aspvik, N. P., Wichstrøm, L., & Steinsbekk, S. (2025) · SLEEP · doi:10.1093/sleep/zsaf221 · Cited by 5
“Because PA at the moderate-to-vigorous level is associated with beneficial health outcomes in youth [35, 36], we examine both overall daily PA and MVPA.”
Bourke, M., Alsop, T., Peters, R. L., Cassim, R., Wake, M. A., Tang, M. L. K., & Koplin, J. J. (2024) · Journal of Physical Activity and Health · doi:10.1123/jpah.2024-0482 · Cited by 4
Allostastic Load and Allostatic Weight: A Literature Review of a Confusing Concept
Sosso, F. A. E. (2018) · Journal of Neurology and Neuroscience · doi:10.21767/2171-6625.1000242 · Cited by 4
“The chronic stress activates the peripheral nervous system, neuro-endocrinal, and increases the risk of cardiovascular disease [36,37].”
BackgroundPereira, S., Katzmarzyk, P. T., Hedeker, D., & Maia, J. A. R. (2019) · Journal of Obesity · doi:10.1155/2019/2432131 · Cited by 4
“On the other hand, previous systematic reviews reported strong evidence that spending large proportions of awake time on screens was positively associated with obesity markers [53].”
Backgroundde Souza, E. A., Pinto, J. C. B. D. L., & Alves, F. R. (2020) · Jornal Brasileiro de Psiquiatria · doi:10.1590/0047-2085000000265 · Cited by 20
Guerrero, M., Moore, S. A., Faulkner, G., Roberts, K. C., Mitra, R., Vanderloo, L. M., Rhodes, R. E., & Tremblay, M. S. (2023) · Pediatric Exercise Science · doi:10.1123/pes.2021-0186 · Cited by 4
Self-citationGo to bed!: Sleep as a risk factor for adolescent hypertension
Wang, Y. M., Dandoy, C. E., Smith, D. F., & Hogenesch, J. B. (2023) · Progress in Pediatric Cardiology · doi:10.1016/j.ppedcard.2023.101613 · Cited by 6
Cho, M.-S., & Kim, J.-Y. (2019) · Journal of Exercise Rehabilitation · doi:10.12965/jer.1836616.308 · Cited by 4
“The study of Carson et al. (2016) on Canadian youth reported significant differences in health index between sleep, sitting time and physical activity time.”
BackgroundExamining Factors of Accelerometer-Measured Sedentary Time in a Sample of Rural Canadian Children
Button, B. L. G., Martin, G., Clark, A. F., Graat, M., & Gilliland, J. (2020) · Children · doi:10.3390/children7110232 · Cited by 4
“This large proportion of time spent in sedentary behaviors is a public health concern, as higher levels of sedentary time have been associated with negative health outcomes including obesity risk markers, lower levels of aerobic fitness [6], and poor cognitive health [7].”
BackgroundGroffik, D., Frömel, K., Vorlíček, M., & Polechoński, J. (2020) · Annals of Agricultural and Environmental Medicine · doi:10.26444/aaem/126062 · Cited by 4
“In research on adolescents’ PA, most attention has been given to its volume [29, 30], intensity [27], duration and frequency [31]; however, no research has considered long-term trends in adolescents’ PA, and no long-term studies are available on PA trends in Polish adolescents.”
BackgroundCompositional Data Analysis in Time-Use Epidemiology
Dumuid, D., Pedišić, Ž., Palarea‐Albaladejo, J., Fernández, J. A. M., Hron, K., & Olds, T. (2021) · Springer eBooks · doi:10.1007/978-3-030-71175-7_20 · Cited by 4
Timing of 24-hour movement behaviours: implications for practice, policy and research.
Tomasone, J., Janssen, I., Saunders, T., Duggan, M., Jones, R. J., Brouwers, M., Faulkner, G., Flood, S. M., Lane, K. N., Latimer-Cheung, A., et al. (2022) · Health Promotion and Chronic Disease Prevention in Canada · doi:10.24095/hpcdp.42.4.05 · Cited by 6
“Tomasone, PhD (1); Ian Janssen, PhD (1,2); Travis J.”
BackgroundInfluentialSelf-citationRyu, S., Lee, E., & Gao, Z. (2025) · BMC Public Health · doi:10.1186/s12889-025-24215-9 · Cited by 3
“Within the 24-hour movement paradigm asserting that movement behaviors influence one another [26], our findings may indicate that adolescents who did not achieve adequate sleep may engage in more recreational sedentary screen time [27], increasing their levels of anxiety.”
Sejín, J. R. R., Arango-Paternina, C. M., Flórez-Pregonero, A., & Villada, F. A. P. (2025) · BMC Public Health · doi:10.1186/s12889-025-22646-y · Cited by 3
“The most frequent outcomes reported by studies were the adherence to the 24-HBM guidelines ( n = 54) [33, 34, 39, 43, 44, 49–53, 55, 59, 64, 68, 70, 71, 73, 74, 100, 105, 109–111, 117, 121, 125, 129, 132, 135, 142, 154, 155, 167, 173, 183, 186, 189, 193, 195, 199, 201, 213–215, 220–223, 225, 228,…”
InfluentialDuggan, L., Lang, J. J., Timmons, B. W., Tucker, P., & Chaput, J. (2025) · Journal of Epidemiology and Population Health · doi:10.1016/j.jeph.2025.203149 · Cited by 4
Self-citationPekaslan, D., & Wagner, C. (2022) · IEEE International Conference on Fuzzy Systems (FUZZ-IEEE) · doi:10.1109/fuzz-ieee55066.2022.9882840 · Cited by 3
“Compositional statistical approaches–such as compositional linear regression– are powerful tools for modelling and reasoning about data which captures proportions of a whole [6], [7], [8], [9], [10], [11], [12].”
MethodExploring key informants’ perceptions of weather-modified recess
Ouellette, C., Martin, G., Hyndman, B., & Button, B. L. G. (2024) · Journal of Adventure Education & Outdoor Learning · doi:10.1080/14729679.2024.2335161 · Cited by 4
“Physical activity during childhood is associated with a multitude of physical, behavioural, and psychological health benefits (Biddle et al., 2019; Carson et al., 2016; Sallis et al., 2000; Tremblay et al., 2011).”
Sansum, K. M., Bond, B., Pulsford, R. M., McManus, A., Agbaje, A. O., Skinner, A. M., & BARKER, A. R. (2025) · Scientific Reports · doi:10.1038/s41598-025-95407-x · Cited by 3
“Carson et al. 19 reported favourable associations for MVPA with a range of CVD outcomes, including BMI, waist circumference, blood pressure, TAG and insulin in 6–17 years, which are consistent with the present study.”
InfluentialPhysical Fitness and Child Development: Interrelations in Preschool Age
Gavrilova, M., Veraksa, А., Leonov, S., & Musálek, M. (2022) · Early childhood research and education · doi:10.1007/978-3-031-05524-9_7 · Cited by 4
Franssen, W. M. A., Jermei, J., Savelberg, H. H. C. M., & Eijnde, B. O. (2023) · Journal of Activity Sedentary and Sleep Behaviors · doi:10.1186/s44167-023-00015-7 · Cited by 3
“To date, new approaches as compositional data analysis have been recommended as a methodological analysis that accounts for this compositional approach [14] and has already been used within the field of sedentary behaviour and physical activity research [15].”
MethodNilsson, E., Migueles, J. H., Henriksson, P., Nyström, C. D., & Löf, M. (2025) · Acta Paediatrica · doi:10.1111/apa.70276 · Cited by 4
Lifestyle Behaviors Associated With Body Fat Percent in 9- to 11-Year-Old Children
Swindell, N. J., Berridge, D. M., McNarry, M. A., Mackintosh, K. A., Boddy, L. M., Fairclough, S. J., & Stratton, G. (2021) · Pediatric Exercise Science · doi:10.1123/pes.2020-0010 · Cited by 3
“Given cardio-respiratory fitness 116 is negatively associated with BF (30), BMI (31) and sedentary time (32) and positively 117 associated with physically active (33) it was controlled for in the analysis.”
BackgroundHatta, N., Tada, Y., Ishikawa‐Takata, K., Furusho, T., Kanehara, R., Hata, T., Hida, A., & Kawano, Y. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19031819 · Cited by 3
“Previous studies have reported that 13-year-old children who exercise three or more times per week have improved grip and 50-metre run [3], and that moderate-to-vigorous physical activity (associated with ≥ 3 metabolic equivalents) by school-age and adolescent children is positively correlated with motor fitness [7,17…”
BackgroundDietary Intake of Young Male Ice Hockey Players 10–13 Years of Age during a Week-Long Hockey Camp
Vermeulen, T. F., Boville, S. M., Gamble, A. S. D., Bigg, J. L., McCarthy, D. G., Eskedjian, G. S., & Spriet, L. L. (2022) · Nutrients · doi:10.3390/nu14142978 · Cited by 3
“A healthy BMI for these young athletes can be achieved by having a high physical activity, high sleep, and low sedentary behavior in comparison to an unhealthier state of having low physical activity, low sleep, and high sedentary behavior [20].”
BackgroundMethodInfluence of Socioeconomic Status and Stress Over Quality of Sleep: A Systematic ReviewPreprint
Sosso, F. A. E., Jagannath, A., Oliveira, F., Surani, & Mysliwiec, V. (2018) · Preprints.org · doi:10.20944/preprints201810.0641.v1 · Cited by 3
How family sports behavior shapes adolescent sleep: mediating effects in causation
Wu, W., Xie, A., Li, X., & Xun, Y. F. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1518960 · Cited by 2
Hayes, G., Browne, L., Dowd, K., MacDonncha, C., Carson, B. P., Purtill, H., Herring, M. P., Connor, E. M. O., O’Gorman, C. S., & Donnelly, A. (2025) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2025.01.020 · Cited by 2
Karácsony, I., & Hideg, G. (2025) · Scientific Reports · doi:10.1038/s41598-025-12686-0 · Cited by 2
Metadata
- Authors
- Carson, V., Tremblay, M. S., Chaput, J.-P., & Chastin, S. F. M.
- Affiliations
- University of Alberta (CA)
- Children's Hospital of Eastern Ontario (CA)
- Glasgow Caledonian University (GB)
- Venue
- Applied Physiology, Nutrition, and Metabolism
- Publisher
- Canadian Science Publishing
- Published
- 2016-06
- Volume
- 41
- Issue
- 6 (Suppl. 3)
- Pages
- S294-S302
- ISSN
- 1715-5312 (ISSN-L)
- 1715-5320
- OpenAlex
- W2423833455
- Semantic Scholar
- 824aa8e7306286fb30dde13958b2c0379a5c9d60
- Cited by
- 414
- References
- 40
- Citations by year
- 2026: 7 · 2025: 41 · 2024: 37 · 2023: 43 · 2022: 63 · 2021: 50 · 2020: 63 · 2019: 36 · 2018: 45 · 2017: 19 · 2016: 9
- FWCI
- 29.22
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Applied Physiology, Nutrition, and Metabolism (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ResearchOnline (Glasgow Caledonian University) (acceptedVersion, cc-by)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- UniSA Research Outputs Repository (University of South Australia) (submittedVersion)
- Funders
- Public Health Agency of Canada
- Public Health Agency
- Canadian Institutes of Health Research
- Social Sciences and Humanities Research Council of Canada
- 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 › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- sleep duration, sedentary behavior, physical activity, 24-hour movement behaviours, children and young people, cardiometabolic risk, systolic blood pressure, cardiorespiratory fitness, light physical activity, moderate-to-vigorous physical activity, compositional data analysis, isometric log-ratio
- MeSH terms
- Adolescent, Adolescent Behavior, Blood Pressure, C-Reactive Protein, Canada, Cardiovascular Diseases, Child, Child Behavior, Cross-Sectional Studies, Female, Health Status, Humans, Insulin, Cholesterol, HDL, Cholesterol, LDL, Male, Obesity, Risk Factors, Sleep, Triglycerides, Biomarkers, Exercise, Body Mass Index, Metabolic Syndrome, Waist Circumference, Young Adult, Sedentary Behavior, Accelerometry
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