A large proportion of children and adolescents spend their leisure time with predominantly sedentary pursuits and do not reach the WHO physical activity recommendations. As there remains limited research on specific sedentary behaviors in Austrian children and adolescents, we investigated time spent sitting and the utilization of various media during school days and the weekend in 6- to 15-year-old schoolchildren. Data for this cross-sectional study were collected in Spring 2022 with a standardized questionnaire that was based on the “Heidelberger Questionnaire for the Assessment of Sitting Behavior in Children and Adolescents”. Questions examined the frequency and duration of different sedentary behaviors separately for weekdays and weekends. A total of 2061 students were included in the analyses. Various factors, including school grade, sex, or recreational behavior, were implemented in a multifactorial ANOVA accounting for 1st order interactions. The mean sitting time of children and adolescents of all eight school grades was 10.4 ± 1.7 hours, with 56.7% associated with school. A significant increase in sitting time was observed from 1st grade (10.0 ± 1.3 h) to 8th grade (12.3 ± 1.2 h; p < 0.01), while sleep duration decreased with increasing age (p < 0.01). Media use was 1.2 ± 0.7 h in 1st grade and increased to 3.2 ± 1.2 h by 8th grade (p < 0.01). Physical activity decreased from 4.5 ± 1.4 h to 3.6 ± 1.0 h during the same period. While the increase in sitting time on weekdays was at the expense of sleep duration, the increase in sitting time on weekend days was at the expense of time spent in physical activity. In summary, there was a substantial increase in sedentary time from 1st to 8th grade, with school-related sedentary time accounting for the largest proportion, followed by a large increase in time spent with electronic media with increasing age. In addition, high sedentary time may come at the expense of sufficient sleep time, which further emphasizes the need to address sedentary behavior and sleep as important health correlates.
Citation: Klaus Greier, Clemens Drenowatz, Carla Greier, Elisabeth Haas, Markus Posch, Gerhard Ruedl, Herbert Riechelmann. Correlates of sedentary behaviors in Austrian children and adolescents[J]. AIMS Medical Science, 2023, 10(4): 291-303. doi: 10.3934/medsci.2023022
A large proportion of children and adolescents spend their leisure time with predominantly sedentary pursuits and do not reach the WHO physical activity recommendations. As there remains limited research on specific sedentary behaviors in Austrian children and adolescents, we investigated time spent sitting and the utilization of various media during school days and the weekend in 6- to 15-year-old schoolchildren. Data for this cross-sectional study were collected in Spring 2022 with a standardized questionnaire that was based on the “Heidelberger Questionnaire for the Assessment of Sitting Behavior in Children and Adolescents”. Questions examined the frequency and duration of different sedentary behaviors separately for weekdays and weekends. A total of 2061 students were included in the analyses. Various factors, including school grade, sex, or recreational behavior, were implemented in a multifactorial ANOVA accounting for 1st order interactions. The mean sitting time of children and adolescents of all eight school grades was 10.4 ± 1.7 hours, with 56.7% associated with school. A significant increase in sitting time was observed from 1st grade (10.0 ± 1.3 h) to 8th grade (12.3 ± 1.2 h; p < 0.01), while sleep duration decreased with increasing age (p < 0.01). Media use was 1.2 ± 0.7 h in 1st grade and increased to 3.2 ± 1.2 h by 8th grade (p < 0.01). Physical activity decreased from 4.5 ± 1.4 h to 3.6 ± 1.0 h during the same period. While the increase in sitting time on weekdays was at the expense of sleep duration, the increase in sitting time on weekend days was at the expense of time spent in physical activity. In summary, there was a substantial increase in sedentary time from 1st to 8th grade, with school-related sedentary time accounting for the largest proportion, followed by a large increase in time spent with electronic media with increasing age. In addition, high sedentary time may come at the expense of sufficient sleep time, which further emphasizes the need to address sedentary behavior and sleep as important health correlates.
[1] | Janssen I, Leblanc AG (2010) Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act 7: 40. https://doi.org/10.1186/1479-5868-7-40 |
[2] | Donnelly JE, Hillman CH, Castelli D, et al. (2016) Physical activity, fitness, cognitive function, and academic achievement in children: A systematic review. Med Sci Sports Exerc 48: 1197-1222. https://doi.org/10.1249/MSS.0000000000000901 |
[3] | Warburton DER, Bredin SSD (2017) Health benefits of physical activity: A systematic review of current systematic reviews. Curr Opin Cardiol 32: 541-556. https://doi.org/10.1097/HCO.0000000000000437 |
[4] | Blair SN (2009) Physical inactivity: the biggest public health problem of the 21st century. Br J Sports Med 43: 1-2. |
[5] | Guthold R, Stevens GA, Riley LM, et al. (2020) Global trends in insufficient physical activity among adolescents: A pooled analysis of 298 population-based surveys with 1.6 million participants. Lancet Child Adolesc Health 4: 23-35. https://doi.org/10.1016/S2352-4642(19)30323-2 |
[6] | Sedentary Behaviour Research Network.Letter to the editor: standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Metab (2012) 37: 540-542. https://doi.org/10.1139/h2012-024 |
[7] | Manz K, Schlack R, Poethko-Müller C, et al. (2014) Physical activity and electronic media use in children and adolescents: results of the KiGGS study: first follow-up (KiGGS wave 1). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 57: 840-848. https://doi.org/10.1007/s00103-014-1986-4 (Article in German language) |
[8] | Tremblay MS, Barnes JD, González SA, et al. (2016) Global Matrix 2.0: report card grades on the physical activity of children and youth comparing 38 countries. J Phys Act Health 13: S343-S366. https://doi.org/10.1123/jpah.2016-0594 |
[9] | Van Hecke L, Loyen A, Verloigne M, et al. (2016) Variation in population levels of physical activity in European children and adolescents according to cross-European studies: A systematic literature review within DEDIPAC. Int J Behav Nutr Phys Act 13: 70. https://doi.org/10.1186/s12966-016-0396-4 |
[10] | Cocca A, Greier K, Drenowatz C, et al. (2021) Relationship between objectively and subjectively measured physical activity in adolescents during and after COVID-19 restrictions. Behav Sci 11: 177. https://doi.org/10.3390/bs11120177 |
[11] | Greier K, Drenowatz C, Bischofer T, et al. (2021) Physical activity and sitting time prior to and during COVID-19 lockdown in Austrian high-school students. AIMS Public Health 8: 531-540. https://doi.org/10.3934/publichealth.2021043 |
[12] | Ammar A, Brach M, Trabelsi K, et al. (2020) Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB-COVID19 international online survey. Nutrients 12: 1583. https://doi.org/10.3390/nu12061583 |
[13] | Kovacs VA, Starc G, Brandes M, et al. (2022) Physical activity, screen time and the COVID-19 school closures in Europe—An observational study in 10 countries. Eur J Sport Sci 22: 1094-1103. https://doi.org/10.1080/17461391.2021.1897166 |
[14] | Jarnig G, Jaunig J, van Poppel MNM (2021) Association of COVID-19 mitigation measures with changes in cardiorespiratory fitness and body mass index among children aged 7 to 10 years in Austria. JAMA Netw Open 4: e2121675. https://doi.org/10.1001/jamanetworkopen.2021.21675 |
[15] | Proper KI, Singh AS, van Mechelen W, et al. (2011) Sedentary behaviors and health outcomes among adults: A systematic review of prospective studies. Am J Prev Med 40: 174-182. https://doi.org/10.1016/j.amepre.2010.10.015 |
[16] | Lynch BM (2010) Sedentary behavior and cancer: A systematic review of the literature and proposed biological mechanisms. Cancer Epidemiol Biomarkers Prev 19: 2691-2709. https://doi.org/10.1158/1055-9965.EPI-10-0815 |
[17] | Patel AV, Bernstein L, Deka A, et al. (2010) Leisure time spent sitting in relation to total mortality in a prospective cohort of US adults. Am J Epidemiol 172: 419-429. https://doi.org/10.1093/aje/kwq155 |
[18] | Biswas A, Oh PI, Faulkner GE, et al. (2015) Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: A systematic review and meta-analysis. Ann Intern Med 162: 123-132. https://doi.org/10.7326/M14-1651 |
[19] | Edwardson CL, Gorely T, Davies MJ, et al. (2012) Association of sedentary behaviour with metabolic syndrome: A meta-analysis. PLoS One 7: e34916. https://doi.org/10.1371/journal.pone.0034916 |
[20] | de Rezende LFM, Rodrigues Lopes M, Rey-López JP, et al. (2014) Sedentary behavior and health outcomes: An overview of systematic reviews. PLoS One 9: e105620. https://doi.org/10.1371/journal.pone.0105620 |
[21] | Suchert V, Hanewinkel R, Isensee B (2015) Sedentary behavior and indicators of mental health in school-aged children and adolescents: A systematic review. Prev Med 76: 48-57. https://doi.org/10.1016/j.ypmed.2015.03.026 |
[22] | Biddle SJH, Bennie JA, Bauman AE, et al. (2016) Too much sitting and all-cause mortality: is there a causal link?. BMC Public Health 16: 635. https://doi.org/10.1186/s12889-016-3307-3 |
[23] | Santaliestra-Pasías AM, Mouratidou T, Reisch L, et al. (2015) Clustering of lifestyle behaviours and relation to body composition in European children. The IDEFICS study. Eur J Clin Nutr 69: 811-816. https://doi.org/10.1038/ejcn.2015.76 |
[24] | LeBlanc AG, Katzmarzyk PT, Barreira TV, et al. (2015) Correlates of total sedentary time and screen time in 9–11-year-old children around the world: the international study of childhood obesity, lifestyle and the environment. PLoS One 10: e0129622. https://doi.org/10.1371/journal.pone.0129622 |
[25] | Katzmarzyk PT, Barreira TV, Broyles ST, et al. (2015) Physical activity, sedentary time, and obesity in an international sample of children. Med Sci Sports Exerc 47: 2062-2069. https://doi.org/10.1249/MSS.0000000000000649 |
[26] | Kett AR, Sichting F, Milani TL (2021) The effect of sitting posture and postural activity on low back muscle stiffness. Biomechanics 1: 214-224. https://doi.org/10.3390/biomechanics1020018 |
[27] | Mahdavi SB, Riahi R, Vahdatpour B, et al. (2021) Association between sedentary behavior and low back pain; A systematic review and meta-analysis. Health Promot Perspect 11: 393-410. https://doi.org/10.34172/hpp.2021.50 |
[28] | LeBlanc AG, Broyles ST, Chaput JP (2015) Correlates of objectively measured sedentary time and self-reported screen time in Canadian children. Int J Behav Nutr Phys Act 12: 38. https://doi.org/10.1186/s12966-015-0197-1 |
[29] | Paruthi S, Brooks LJ, D'Ambrosio C, et al. (2016) Recommended amount of sleep for pediatric populations: A consensus statement of the American academy of sleep medicine. J Clin Sleep Med 12: 785-786. https://doi.org/10.5664/jcsm.5866 |
[30] | Altenburg TM, Chinapaw MJM (2015) Bouts and breaks in children's sedentary time: currently used operational definitions and recommendations for future research. Prev Med 77: 1-3. https://doi.org/10.1016/j.ypmed.2015.04.019 |
[31] | Abbott RA, Straker LM, Mathiassen SE (2013) Patterning of children's sedentary time at and away from school. Obesity 21: E131-133. https://doi.org/10.1002/oby.20127 |
[32] | Huber G, Köppel M (2017) Analysis of sitting times in children and adolescents between 4 and 20 years of age. Dtsch Z Sportmed 68: 101-106. https://doi.org/10.5960/dzsm.2017.278 (Article in German language) |
[33] | Carson V, Salmon J, Crawford D, et al. (2016) Longitudinal levels and bouts of objectively measured sedentary time among young Australian children in the HAPPY study. J Sci Med Sport 19: 232-236. https://doi.org/10.1016/j.jsams.2015.01.009 |
[34] | Lerchen N, Köppel M, Huber G (2016) Heidelberger questionnaire for the assessment of sitting behavior in children and adolescents between the ages 5 and 20 years. Bewegungstherapie Gesundheitssport 32: 109-112. https://doi.org/10.1055/s-0042-106337 (Article in German language) |
[35] | Tremblay MS, Carson V, Chaput JP, et al. (2016) Canadian 24-hour movement guidelines for children and youth: An integration of physical activity, sedentary behaviour, and sleep. Appl Physiol Nutr Metab 41: S311-327. https://doi.org/10.1139/apnm-2016-0151 |
[36] | Kromeyer-Hauschild K, Wabitsch M, Kunze D, et al. (2001) Body mass index percentiles for children and adolescents using different German sample populations. Monatsschr Kinderheilkd 149: 807-818. https://doi.org/10.1007/s001120170107 (Article in German language) |
[37] | Cohen J (1988) Statistical power analysis for the behavioral sciences, 2 Eds. Hillsdale: Lawrence Erlbaum Associates. |
[38] | Matthews CE, Chen KY, Freedson PS, et al. (2008) Amount of time spent in sedentary behaviors in the United States, 2003–2004. Am J Epidemiol 167: 875-881. https://doi.org/10.1093/aje/kwm390 |
[39] | Ruiz JR, Ortega FB, Martínez-Gómez D, et al. (2011) Objectively measured physical activity and sedentary time in European adolescents: the HELENA study. Am J Epidemiol 174: 173-184. https://doi.org/10.1093/aje/kwr068 |
[40] | Ortega FB, Konstabel K, Pasquali E, et al. (2013) Objectively measured physical activity and sedentary time during childhood, adolescence and young adulthood: A cohort study. PLoS One 8: e60871. https://doi.org/10.1371/journal.pone.0060871 |
[41] | Carson V, Tremblay MS, Chaput JP, et al. (2016) Associations between sleep duration, sedentary time, physical activity, and health indicators among Canadian children and youth using compositional analyses. Appl Physiol Nutr Metab 41: S294-S302. https://doi.org/10.1139/apnm-2016-0026 |
[42] | Larouche R, Garriguet D, Gunnell KE, et al. (2016) Outdoor time, physical activity, sedentary time, and health indicators at ages 7 to 14: 2012/2013 Canadian health measures survey. Health Rep 27: 3-13. |
[43] | Marques A, Ekelund U, Sardinha LB (2016) Associations between organized sports participation and objectively measured physical activity, sedentary time and weight status in youth. J Sci Med Sport 19: 154-157. https://doi.org/10.1016/j.jsams.2015.02.007 |
[44] | Brazendale K, Beets MW, Weaver RG, et al. (2017) Understanding differences between summer vs. school obesogenic behaviors of children: the structured days hypothesis. Int J Behav Nutr Phys Act 14: 100. https://doi.org/10.1186/s12966-017-0555-2 |
[45] | Drenowatz C, Greier K (2019) Cross-sectional and longitudinal association of sports participation, media consumption and motor competence in youth. Scand J Med Sci Sports 29: 854-861. https://doi.org/10.1111/sms.13400 |
[46] | Kaiser-Jovy S, Scheu A, Greier K (2017) Media use, sports activities, and motor fitness in childhood and adolescence. Wien Klin Wochenschr 129: 464-471. https://doi.org/10.1007/s00508-017-1216-9 |
[47] | Greier K, Drenowatz C, Ruedl G, et al. (2020) Effect of daily physical education on physical fitness in elementary school children. Adv Phys Educ 10: 97-105. https://doi.org/10.4236/ape.2020.102009 |
[48] | Drenowatz C, Greier K (2018) The role of motor competence in the promotion of physical activity and a healthy body weight in youth. Ann Pediatr Child Health 6: 1155. https://doi.org/10.47739/2373-9312/1155 |