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Sedentary Behavior and Health Outcomes: An Overview of Systematic Reviews

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  • Leandro Fornias Machado de Rezende
  • Maurício Rodrigues Lopes
  • Juan Pablo Rey-López
  • Victor Keihan Rodrigues Matsudo
  • Olinda do Carmo Luiz

Abstract

Objective: 1) To synthesize the current observational evidence for the association between sedentary behavior and health outcomes using information from systematic reviews. 2) To assess the methodological quality of the systematic reviews found. Methodology/Principal Findings: Medline; Excerpta Medica (Embase); PsycINFO; and Web of Science were searched for reviews published up to September 2013. Additional publications were provided by Sedentary Behaviour Research Network members. The methodological quality of the systematic reviews was evaluated using recommended standard criteria from AMSTAR. For each review, improper use of causal language in the description of their main results/conclusion was evaluated. Altogether, 1,044 review titles were identified, 144 were read in their entirety, and 27 were included. Based on the systematic reviews with the best methodological quality, we found in children and adolescents, strong evidence of a relationship between time spent in sedentary behavior and obesity. Moreover, moderate evidence was observed for blood pressure and total cholesterol, self-esteem, social behavior problems, physical fitness and academic achievement. In adults, we found strong evidence of a relationship between sedentary behavior and all-cause mortality, fatal and non-fatal cardiovascular disease, type 2 diabetes and metabolic syndrome. In addition, there is moderate evidence for incidence rates of ovarian, colon and endometrial cancers. Conclusions: This overview based on the best available systematics reviews, shows that sedentary behavior may be an important determinant of health, independently of physical activity. However, the relationship is complex because it depends on the type of sedentary behavior and the age group studied. The relationship between sedentary behavior and many health outcomes remains uncertain; thus, further studies are warranted.

Suggested Citation

  • Leandro Fornias Machado de Rezende & Maurício Rodrigues Lopes & Juan Pablo Rey-López & Victor Keihan Rodrigues Matsudo & Olinda do Carmo Luiz, 2014. "Sedentary Behavior and Health Outcomes: An Overview of Systematic Reviews," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-7, August.
    • Handle: RePEc:plo:pone00:0105620
    DOI: 10.1371/journal.pone.0105620
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    1. Mirela DAMIAN & Antoanela OLTEAN & Cosmin DAMIAN, 2018. "The Impact of sedentary behavior on health and the need for physical activity in children and adolescents," Revista romaneasca pentru educatie multidimensionala - Journal for Multidimensional Education, Editura Lumen, Department of Economics, vol. 10(1), pages 71-83, March.
    2. Tirman, Laura & Biggs, Hannah & Morrison, Kathleen & Manner, Jillian & Sivaramakrishnan, Divya & Baker, Graham & Jepson, Ruth, 2021. "Stand Up for Health: Programme theory for an intervention to reduce sedentary behaviour in contact centres," Evaluation and Program Planning, Elsevier, vol. 89(C).
    3. Mirela DAMIAN & Antoanela OLTEAN & Cosmin DAMIAN, 2018. "The Impact of sedentary behavior on health and the need for physical activity in children and adolescents," Revista romaneasca pentru educatie multidimensionala - Journal for Multidimensional Education, Editura Lumen, Department of Economics, vol. 10(1), pages 71-83, March.
    4. Dendup, Tashi & Putra, I Gusti Ngurah Edi & Dorji, Tandin & Tobgay, Tashi & Dorji, Gampo & Phuntsho, Sonam & Tshering, Pandup, 2020. "Correlates of sedentary behaviour among Bhutanese adolescents: Findings from the 2016 Global School-based health survey," Children and Youth Services Review, Elsevier, vol. 119(C).
    5. Katrien De Cocker & Greet Cardon & Jason A. Bennie & Tracy Kolbe-Alexander & Femke De Meester & Corneel Vandelanotte, 2018. "From Evidence-Based Research to Practice-Based Evidence: Disseminating a Web-Based Computer-Tailored Workplace Sitting Intervention through a Health Promotion Organisation," IJERPH, MDPI, vol. 15(5), pages 1-11, May.
    6. Tiia Kekäläinen & Alexandra M. Freund & Sarianna Sipilä & Katja Kokko, 2020. "Cross-Sectional and Longitudinal Associations between Leisure Time Physical Activity, Mental Well-Being and Subjective Health in Middle Adulthood," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 15(4), pages 1099-1116, September.
    7. Getter Marie Lemberg & Merike Kull & Katrin Mägi & Henri Tilga & Kerli Mooses & Evelin Mäestu, 2021. "Higher Physical Activity of School Personnel Is Related to More Positive Attitudes towards Children’s Physical Activity at School," Sustainability, MDPI, vol. 13(19), pages 1-12, September.
    8. Szczuka, Zofia & Kulis, Ewa & Boberska, Monika & Banik, Anna & Kruk, Magdalena & Keller, Jan & Knoll, Nina & Scholz, Urte & Abraham, Charles & Luszczynska, Aleksandra, 2021. "Can individual, dyadic, or collaborative planning reduce sedentary behavior? A randomized controlled trial," Social Science & Medicine, Elsevier, vol. 287(C).
    9. Rebecca Robbins & Matthew D Weaver & Mark É Czeisler & Laura K Barger & Stuart F Quan & Charles A Czeisler, 2022. "Associations Between Changes in Daily Behaviors and Self-Reported Feelings of Depression and Anxiety About the COVID-19 Pandemic Among Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 77(7), pages 150-159.
    10. Ana Sofia Sousa & Joana Mendes & Rita S. Guerra & Patrícia Padrão & Pedro Moreira & Alejandro Santos & Nuno Borges & Cláudia Afonso & Cátia Martins & Graça Ferro & Teresa F. Amaral, 2020. "Sitting time and associated factors among Portuguese older adults: results from Nutrition UP 65," European Journal of Ageing, Springer, vol. 17(3), pages 321-330, September.
    11. Chutima Jalayondeja & Wattana Jalayondeja & Keerin Mekhora & Petcharatana Bhuanantanondh & Asadang Dusadi-Isariyavong & Rujiret Upiriyasakul, 2017. "Break in Sedentary Behavior Reduces the Risk of Noncommunicable Diseases and Cardiometabolic Risk Factors among Workers in a Petroleum Company," IJERPH, MDPI, vol. 14(5), pages 1-9, May.
    12. Louise Mansfield & Jennifer Hall & Lee Smith & Molly Rasch & Emily Reeves & Stephen Dewitt & Benjamin Gardner, 2018. "“Could you sit down please?” A qualitative analysis of employees’ experiences of standing in normally-seated workplace meetings," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-16, June.
    13. Mei-Lan Liu & Chia-Hui Chang & Ming-Chun Hsueh & Yi-Jin Hu & Yung Liao, 2020. "Occupational, Transport, Leisure-Time, and Overall Sedentary Behaviors and Their Associations with the Risk of Cardiovascular Disease among High-Tech Company Employees," IJERPH, MDPI, vol. 17(10), pages 1-9, May.
    14. Satoshi Kurita & Shohei Yano & Kaori Ishii & Ai Shibata & Hiroyuki Sasai & Yoshio Nakata & Noritoshi Fukushima & Shigeru Inoue & Shigeho Tanaka & Takemi Sugiyama & Neville Owen & Koichiro Oka, 2017. "Comparability of activity monitors used in Asian and Western-country studies for assessing free-living sedentary behaviour," PLOS ONE, Public Library of Science, vol. 12(10), pages 1-14, October.
    15. Yi Guo & Jiang Bian & Qian Li & Trevor Leavitt & Eric I Rosenberg & Thomas W Buford & Megan D Smith & Heather K Vincent & François Modave, 2018. "A 3-minute test of cardiorespiratory fitness for use in primary care clinics," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-11, July.
    16. Gergely Ráthonyi & Karolina Kósa & Zoltán Bács & Kinga Ráthonyi-Ódor & István Füzesi & Péter Lengyel & Éva Bácsné Bába, 2021. "Changes in Workers’ Physical Activity and Sedentary Behavior during the COVID-19 Pandemic," Sustainability, MDPI, vol. 13(17), pages 1-25, August.
    17. Pau Farrés-Godayol & Javier Jerez-Roig & Eduard Minobes-Molina & Meltem Yildirim & Miriam Molas-Tuneu & Anna Escribà-Salvans & Sandra Rierola-Fochs & Montse Romero-Mas & Miriam Torres-Moreno & Laura C, 2022. "Urinary Incontinence and Its Association with Physical and Psycho-Cognitive Factors: A Cross-Sectional Study in Older People Living in Nursing Homes," IJERPH, MDPI, vol. 19(3), pages 1-24, January.

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