Cited by 616Physical Activity and HealthImpact of Technology on AdolescentsChild Development and Digital Technology

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The associations between sedentary behaviour and mental health among adolescents: a systematic review

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Hoare, Erin, Milton, Karen, Foster, Charlie, Allender, Steven·2016·International Journal of Behavioral Nutrition and Physical Activity

DOI 10.1186/s12966-016-0432-4PMC PMC5055671

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Abstract

BACKGROUND: With technological developments and modernised sedentary lifestyles has come an increase in diseases associated with inactivity such as obesity and other non-communicable diseases. Emerging evidence suggests that time spent sedentary may also interact with mental health. This systematic review examined the associations between sedentary behaviour and mental health problems among adolescents. METHODS: This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses, and applied a quality assessment tool for quantitative studies to identity best available evidence. Following stringent search strategy of the databases; Cumulative Index to Nursing and Allied Health Literature, Global Health, Health Source: Nursing and Academic Edition, MEDLINE, PsychARTICLES and PsycINFO, we identified 32 articles eligible for review. RESULTS: All studies reported leisure screen time among adolescents, and two thirds of identified studies examined depressive symptomatology. Other mental health measures were; anxiety symptoms, self-esteem, suicide ideation, loneliness, stress, and psychological distress. Strong consistent evidence was found for the relationship between both depressive symptomatology and psychological distress, and time spent using screens for leisure. Moderate evidence supported the relationship between low self-esteem and screen use. Poorer mental health status was found among adolescents using screen time more than 2-3 h per day, and gender differences exist. Essential information was missing for quality of evidence including heterogeneity in mental health and screen time-based measures, and self-report data collection methods. CONCLUSIONS: The findings are of particular significance given the global public health concern of lifestyle-attributed diseases and the possibility for novel approaches to mental health. Future research should examine the psychological impact of reducing time spent using screens for leisure among adolescents, whilst accounting for possible confounding factors such as physical activity and dietary behaviours. It is critical that the reciprocal relationship between lifestyle behaviours and mental health is represented in both the psychiatric and public health forum.

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Additional file 2 of The impact of COVID-19 lockdown on physical activity and sedentary behaviour in secondary school teachers: a prospective cohort study
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Additional file 2 of A mobile healthy lifestyle intervention to promote mental health in adolescence: a mixed-methods evaluation
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Authors: Hoare, E., Milton, K., Foster, C., & Allender, S.
Affiliations: Deakin University (AU)
University of Oxford (GB)
Corresponding author: Hoare, Erin
ORCID: Hoare, Erin
Milton, Karen
Foster, Charlie
Allender, Steven
Venue: International Journal of Behavioral Nutrition and Physical Activity
Publisher: Springer Science and Business Media LLC
Published: 2016-10-08
Volume: 13
Issue: 1
Pages: 108-108
ISSN: 1479-5868 (ISSN-L)
DOI: 10.1186/s12966-016-0432-4
PMC: PMC5055671
OpenAlex: W2529138009
Cited by: 616
References: 80
Citations by year: 2026: 54 · 2025: 60 · 2024: 82 · 2023: 83 · 2022: 81 · 2021: 78 · 2020: 85 · 2019: 51 · 2018: 32 · 2017: 9 · 2016: 1
FWCI: 3.64
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
UEA Digital Repository (University of East Anglia) (acceptedVersion)
Figshare (submittedVersion, cc-by)
Bristol Research (University of Bristol) (submittedVersion, cc-by)
Explore Bristol Research (submittedVersion, cc-by)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
Social Sciences › Education › Child Development and Digital Technology
Keywords: sedentary behavior, adolescent mental health, leisure screen time, depressive symptoms, psychological distress, self-esteem, suicidal ideation, loneliness, anxiety, gender differences, lifestyle-related diseases
MeSH terms: Adolescent, Computers, Depression, Female, Humans, Leisure Activities, Male, Mental Health, Self Concept, Stress, Psychological, Television, Exercise, Video Games, Internet, Sedentary Behavior

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The associations between sedentary behaviour and mental health among adolescents: a systematic review

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