Gezondheidseffecten van veel zitten tijdens de jeugd*: Hoe sterk is het bewijs uit longitudinale studies voor negatieve effecten?

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Abstract

An evidence-update on the prospective relationship between childhood sedentary behaviour and biomedical health indicators: a systematic review and meta-analysis

This systematic review and meta-analysis summarizes the evidence on the prospective relationship between childhood sedentary behaviour and biomedical health indicators, overall and stratified by type of sedentary behaviour (TV viewing, computer use/games, screen time and objective sedentary time).

PubMed, EMBASE, PsycINFO and Cochrane were systematically searched till January 2015. Methodological quality of all included studies was scored and a best evidence synthesis was applied.

We included 109 studies of which 19 were of high quality. We found moderate-to-strong evidence for a relationship of overall sedentary time with some anthropometrics (overweight/obesity, weight-for-height), one cardiometabolic biomarker (HDL-cholesterol) and some fitness indicators (fitness, being unfit). For other health indicators, we found no convincing evidence due to inconsistent or non-significant findings. The evidence varied by type of sedentary behaviour. The meta-analysis indicated that each additional baseline hour of TV viewing (β = 0.01; 95%-CI: -0.002-0.02) or computer use (β = 0.00; 95%-CI: -0.004-0.01) per day was not significantly related with BMI at follow-up.

We conclude that the evidence for a prospective relationship between childhood sedentary behaviour and biomedical health is in general unconvincing.

Conflict of interest and financial support: ICMJE forms provided by the authors are available online along with the full text of this article.
Original languageDutch
Article numberD805
JournalNederlands Tijdschrift voor Geneeskunde
Volume160
Issue number35
Publication statusPublished - 23 Aug 2016

Cite this

@article{daf41a95588e4acd8036bf42c6b5a5f7,
title = "Gezondheidseffecten van veel zitten tijdens de jeugd*: Hoe sterk is het bewijs uit longitudinale studies voor negatieve effecten?",
abstract = "An evidence-update on the prospective relationship between childhood sedentary behaviour and biomedical health indicators: a systematic review and meta-analysisThis systematic review and meta-analysis summarizes the evidence on the prospective relationship between childhood sedentary behaviour and biomedical health indicators, overall and stratified by type of sedentary behaviour (TV viewing, computer use/games, screen time and objective sedentary time).PubMed, EMBASE, PsycINFO and Cochrane were systematically searched till January 2015. Methodological quality of all included studies was scored and a best evidence synthesis was applied.We included 109 studies of which 19 were of high quality. We found moderate-to-strong evidence for a relationship of overall sedentary time with some anthropometrics (overweight/obesity, weight-for-height), one cardiometabolic biomarker (HDL-cholesterol) and some fitness indicators (fitness, being unfit). For other health indicators, we found no convincing evidence due to inconsistent or non-significant findings. The evidence varied by type of sedentary behaviour. The meta-analysis indicated that each additional baseline hour of TV viewing (β = 0.01; 95{\%}-CI: -0.002-0.02) or computer use (β = 0.00; 95{\%}-CI: -0.004-0.01) per day was not significantly related with BMI at follow-up.We conclude that the evidence for a prospective relationship between childhood sedentary behaviour and biomedical health is in general unconvincing.Conflict of interest and financial support: ICMJE forms provided by the authors are available online along with the full text of this article.",
author = "{van Ekris}, E and TM Altenburg and E.E. Vos and MJM Chinapaw",
year = "2016",
month = "8",
day = "23",
language = "Dutch",
volume = "160",
journal = "Nederlands Tijdschrift voor Geneeskunde",
issn = "0028-2162",
publisher = "Bohn Stafleu van Loghum",
number = "35",

}

TY - JOUR

T1 - Gezondheidseffecten van veel zitten tijdens de jeugd*

T2 - Hoe sterk is het bewijs uit longitudinale studies voor negatieve effecten?

AU - van Ekris, E

AU - Altenburg, TM

AU - Vos, E.E.

AU - Chinapaw, MJM

PY - 2016/8/23

Y1 - 2016/8/23

N2 - An evidence-update on the prospective relationship between childhood sedentary behaviour and biomedical health indicators: a systematic review and meta-analysisThis systematic review and meta-analysis summarizes the evidence on the prospective relationship between childhood sedentary behaviour and biomedical health indicators, overall and stratified by type of sedentary behaviour (TV viewing, computer use/games, screen time and objective sedentary time).PubMed, EMBASE, PsycINFO and Cochrane were systematically searched till January 2015. Methodological quality of all included studies was scored and a best evidence synthesis was applied.We included 109 studies of which 19 were of high quality. We found moderate-to-strong evidence for a relationship of overall sedentary time with some anthropometrics (overweight/obesity, weight-for-height), one cardiometabolic biomarker (HDL-cholesterol) and some fitness indicators (fitness, being unfit). For other health indicators, we found no convincing evidence due to inconsistent or non-significant findings. The evidence varied by type of sedentary behaviour. The meta-analysis indicated that each additional baseline hour of TV viewing (β = 0.01; 95%-CI: -0.002-0.02) or computer use (β = 0.00; 95%-CI: -0.004-0.01) per day was not significantly related with BMI at follow-up.We conclude that the evidence for a prospective relationship between childhood sedentary behaviour and biomedical health is in general unconvincing.Conflict of interest and financial support: ICMJE forms provided by the authors are available online along with the full text of this article.

AB - An evidence-update on the prospective relationship between childhood sedentary behaviour and biomedical health indicators: a systematic review and meta-analysisThis systematic review and meta-analysis summarizes the evidence on the prospective relationship between childhood sedentary behaviour and biomedical health indicators, overall and stratified by type of sedentary behaviour (TV viewing, computer use/games, screen time and objective sedentary time).PubMed, EMBASE, PsycINFO and Cochrane were systematically searched till January 2015. Methodological quality of all included studies was scored and a best evidence synthesis was applied.We included 109 studies of which 19 were of high quality. We found moderate-to-strong evidence for a relationship of overall sedentary time with some anthropometrics (overweight/obesity, weight-for-height), one cardiometabolic biomarker (HDL-cholesterol) and some fitness indicators (fitness, being unfit). For other health indicators, we found no convincing evidence due to inconsistent or non-significant findings. The evidence varied by type of sedentary behaviour. The meta-analysis indicated that each additional baseline hour of TV viewing (β = 0.01; 95%-CI: -0.002-0.02) or computer use (β = 0.00; 95%-CI: -0.004-0.01) per day was not significantly related with BMI at follow-up.We conclude that the evidence for a prospective relationship between childhood sedentary behaviour and biomedical health is in general unconvincing.Conflict of interest and financial support: ICMJE forms provided by the authors are available online along with the full text of this article.

M3 - Article

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JO - Nederlands Tijdschrift voor Geneeskunde

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