Sedentary Behaviors in Today’s Youth: Approaches to the Prevention and Management of Childhood Obesity: A Scientific Statement From the American Heart Association
Abstract
This scientific statement is about sedentary behavior and its relationship to obesity and other cardiometabolic outcomes in youth. A deleterious effect of sedentary behavior on cardiometabolic health is most notable for screen-based behaviors and adiposity; however, this relation is less apparent for other cardiometabolic outcomes or when sedentary time is measured with objective movement counters or position monitors. Increasing trends of screen time are concerning; the portability of screen-based devices and abundant access to unlimited programming and online content may be leading to new patterns of consumption that are exposing youth to multiple pathways harmful to cardiometabolic health. This American Heart Association scientific statement provides an updated perspective on sedentary behaviors specific to modern youth and their impact on cardiometabolic health and obesity. As we reflect on implications for practice, research, and policy, what emerges is the importance of understanding the context in which sedentary behaviors occur. There is also a need to capture the nature of sedentary behavior more accurately, both quantitatively and qualitatively, especially with respect to recreational screen-based devices. Further evidence is required to better inform public health interventions and to establish detailed quantitative guidelines on specific sedentary behaviors in youth. In the meantime, we suggest that televisions and other recreational screen-based devices be removed from bedrooms and absent during meal times. Daily device-free social interactions and outdoor play should be encouraged. In addition, parents/guardians should be supported to devise and enforce appropriate screen time regulations and to model healthy screen-based behaviors.
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Automated wearable cameras present an emerging opportunity to more accurately assess adolescents' exposures to screens, including the social and environmental contexts in which they occur.
“Automated wearable cameras present an emerging opportunity to more accurately assess adolescents’ exposures to screens, including the social and environmental contexts in which they occur [25]”
From Using Wearable Cameras to Categorize the Type and Context of Screen-Based Behaviors Among Adolescents: Observational Study (2022) · cites this paper as [25]
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Cited by
Sorted by citations
Thomas, G., Bennie, J. A., De Cocker, K., Dwi Andriyani, F., Booker, B., & Biddle, S. J. H. (2022) · JMIR Pediatrics and Parenting · doi:10.2196/28208 · Cited by 26 · see citing works
“Automated wearable cameras present an emerging opportunity to more accurately assess adolescents’ exposures to screens, including the social and environmental contexts in which they occur [25].”
Background
- Authors
- Barnett, T. A., Kelly, A. S., Young, D. R., Perry, C. K., Pratt, C. A., Edwards, N. M., Rao, G., Vos, M. B., & On behalf of the American Heart Association Obesity Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular Disease in the Young; and Stroke Council
- ORCID
- Venue
- Circulation
- Published
- 2018-09-11
- Volume
- 138
- Issue
- 11
- Pages
- e142-e159
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2886717478
- Cited by
- 249
- References
- 181
- Citations by year
- 2026: 20 · 2025: 28 · 2024: 45 · 2023: 39 · 2022: 43 · 2021: 35 · 2020: 29 · 2019: 8 · 2012: 1
- FWCI
- 2.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- EspaceINRS (National Institute for Scientific Research (Canada)) (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
- sedentary behavior, childhood obesity, screen time, cardiometabolic health, youth, outdoor play, screen time regulation, parental role modeling, obesity prevention, adiposity
- MeSH terms
- Healthy Lifestyle, Screen Time, Adolescent, Adolescent Behavior, Age Factors, American Heart Association, Child, Child Behavior, Child, Preschool, Humans, Infant, Health Knowledge, Attitudes, Practice, Play and Playthings, Risk Factors, Time Factors, United States, Health Behavior, Exercise, Risk Assessment, Risk Reduction Behavior, Sedentary Behavior, Pediatric Obesity, Protective Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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