Cited by 414Physical Activity and HealthObesity, Physical Activity, DietSleep and related disorders

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Associations between sleep duration, sedentary time, physical activity, and health indicators among Canadian children and youth using compositional analyses

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Carson, Valerie, Tremblay, Mark S., Chaput, Jean-Philippe, Chastin, Sebastien F.M.·2016·Applied Physiology, Nutrition, and Metabolism

DOI 10.1139/apnm-2016-0026

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Abstract

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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COMPLIANCE NAS ENTIDADES DE PRÁTICA DESPORTIVA
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BEDEN EĞİTİMİ ÖĞRETMENLERİ, ÖĞRENCİLER VE AİLELERİN BAKIŞ AÇISI İLE SAĞLIKLA İLGİLİ FİZİKSEL UYGUNLUK KARNESİ: YENİ BİR UYGULAMA
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Influência de características individuais, familiares e ambientais nos comportamentos de atividade física e sedentário de adolescentes
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The use of Latent Class Analysis (LCA) to Assess Children’s Movement Behaviours Measured by Accelerometer and Self-report
Caetano, I. T., Miranda, V. P. N., de Faria, F. R., Howe, C. A., & Amorim, P. R. D. S. (2024) · Measurement in Physical Education and Exercise Science · doi:10.1080/1091367x.2024.2316605
“Although many studies have suggested low PA and high ST, this is not the case for all children (Carson et al., 2016; Pearson et al., 2014; Taveras et al., 2007), as children may be involved in different combinations of behavior related to PA and ST (Chaput et al., 2017).”
Background
Successful obesity management in a 115 kg 14-year-old child: a case report
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The Association Between Recreational Cannabis Use and 24‐hour Movement Behaviours: Perceptions of Youth Citizen Scientists
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Physical activity and sleep patterns in children attending after-school programs in Arizona: a cross-sectional study
Hassan, U. A., Oyeyemi, A. L., Wilson, K., Kulinna, P. H., & Poulos, A. (2026) · Journal of Activity Sedentary and Sleep Behaviors · doi:10.1186/s44167-025-00093-9
“However, both higher PA levels and longer sleep duration are significantly associated, with longer sleep associated with higher PA levels and shorter sleep associated with increased sedentary behavior [3, 17, 22–24].”
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Işık, G., & Abanoz, E. (2025) · Trends in Pediatrics · doi:10.59213/tp.2025.189
“…short sleep duration is a risk factor for HT. 29 Previous studies have shown that both sleep quality and duration are associated with systolic BP 26-31 and diastolic BP. 30 Contrastingly, in our study, systolic and diastolic blood pressures did not show any relationship with chronotype (Table…”
Atividade física e perfil lipídico em adolescentes: uma revisão sistemática de estudos observacionais
Barbosa, A. O., Filho, A. ́., Moura, I. R. D., Silva, J. M. D. P. F., Silva, E. C. D. C., da Silva, D. J., Mendonça, G., Cureau, F. V., Costa, E. C., Mota, J. A. P. S., et al. (2025) · Ciência & Saúde Coletiva · doi:10.1590/1413-812320242911.05432023
Moderate-to-Vigorous Physical Activity, Sleep and Muscle Strength Training Are Associated with Better Diet Quality Among Multi-Disciplinary Soccer Staff in Spain and EnglandPreprint
Coope, O., Spurr, T. J., Levington, A., Davies, T., Lloyd, B., Jordán, K., & Román‐Viñas, B. (2025) · Research Square · doi:10.21203/rs.3.rs-7197270/v1
Are reallocating time to moderate-to-vigorous physical activity associated with preschoolers’ body composition?
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“Indeed, daily movement data are compositional in nature, characterized by co-dependence and collinearity between behaviors [12].”
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Qiao, T., Wang, X., & Ye, P. (2025) · Child & Family Behavior Therapy · doi:10.1080/07317107.2025.2579606
“Notably, adherence to combined behaviors (e.g., PA+SL or SL+ST) has been found to yield stronger effects than isolated compliance (Carson et al., 2016), emphasizing the importance of integrated behavior promotion.”
Associations between 24-hour movement behaviors and overweight/obesity risk among children aged 2−6 years
Xue, M., Zhang, Z.-F., Zhang, Z.-X., Li, C.-Q., Wang, X.-Q., Zheng, F., Zhang, Z., & Niu, W. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.108667
Additional file 2 of Construct validity and reliability of the physical activity parenting questionnaire for children (PAP-C)
Laukkanen, A., Aunola, K., Korhonen, E., Barnett, L. M., & Sääkslahti, A. (2021) · Figshare · doi:10.6084/m9.figshare.14545111
Additional file 1 of Adolescents’ sedentary time, affect, and contextual factors: An ecological momentary assessment study
Kracht, C. L., Beyl, R. A., Maher, J. P., Katzmarzyk, P. T., & Staiano, A. E. (2021) · Figshare · doi:10.6084/m9.figshare.14429204
Additional file 1 of The diurnal pattern and social context of screen behaviours in adolescents: a cross-sectional analysis of the Millennium Cohort Study
Kontostoli, E., Jones, A. P., & Atkin, A. J. (2022) · Figshare · doi:10.6084/m9.figshare.20025022
Additional file 1 of Associations between meeting sleep, physical activity or screen time behaviour guidelines and academic performance in Australian school children
Howie, E. K., Joosten, J., Harris, C. J., & Straker, L. M. (2020) · Figshare · doi:10.6084/m9.figshare.12150801
Additional file 1 of Physical activity interventions for cardiopulmonary fitness in obese children and adolescents: a systematic review and meta-analysis
Wang, C., Tian, Z., Hu, Y., & Luo, Q. (2024) · Figshare · doi:10.6084/m9.figshare.26636208
Additional file 2 of Associations between meeting sleep, physical activity or screen time behaviour guidelines and academic performance in Australian school children
Howie, E. K., Joosten, J., Harris, C. J., & Straker, L. M. (2020) · Figshare · doi:10.6084/m9.figshare.12150807
Additional file 1 of Sociodemographic differences in 24-hour time-use behaviours in New Zealand children
Hedayatrad, L., Stewart, T., Paine, S.-J., Marks, E. J., Walker, C., & Duncan, S. (2022) · Figshare · doi:10.6084/m9.figshare.21275723
Additional file 1 of Construct validity and reliability of the physical activity parenting questionnaire for children (PAP-C)
Laukkanen, A., Aunola, K., Korhonen, E., Barnett, L. M., & Sääkslahti, A. (2021) · Figshare · doi:10.6084/m9.figshare.14545108
Additional file 1 of Changes in and the mediating role of physical activity in relation to active school transport, fitness and adiposity among Spanish youth: the UP&DOWN longitudinal study
Camiletti‐Moirón, D., Timperio, A. F., Veitch, J., Fernández‐Santos, J. R., Abbott, G., Delgado-Alfonso, Á., Cabanas‐Sánchez, V., Veiga, O. L., Salmon, J., & Castro‐Piñero, J. (2020) · Figshare · doi:10.6084/m9.figshare.11967027
Additional file 1 of Physical Activity and Cardiovascular Risk Factors in Children from 4 to 9 Years of Age
Delisle Nyström, C., Migueles, J. H., Henriksson, P., & Löf, M. (2023) · Figshare · doi:10.6084/m9.figshare.24432053

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)
ORCID: Carson, Valerie
Tremblay, Mark S.
Chaput, Jean-Philippe
Chastin, Sebastien F.M.
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
DOI: 10.1139/apnm-2016-0026
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
Licence: cc-by
www.nrcresearchpress.com/page/about/CorporateTextAndDataMining (tdm)
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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Associations between sleep duration, sedentary time, physical activity, and health indicators among Canadian children and youth using compositional analyses

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