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Correlates of leisure-time sedentary behavior among 181,793 adolescents aged 12-15 years from 66 low- and middle-income countries

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  • Davy Vancampfort
  • Tine Van Damme
  • Joseph Firth
  • Mats Hallgren
  • Lee Smith
  • Brendon Stubbs
  • Simon Rosenbaum
  • Ai Koyanagi

Abstract

Background: Sedentary behavior is a growing public health concern in young adolescents from low- and middle-income countries (LMICs). However, a paucity of multinational studies, particularly in LMICs, have investigated correlates of leisure-time sedentary behavior (LTSB) in young adolescents. In the current study, we assessed socio-demographic, socio-economic, socio-cultural and health behavior related correlates of LTSB among adolescents aged 12–15 years who participated in the Global school-based Student Health Survey (GSHS). Methods: Self-reported LTSB, which was a composite variable assessing time spent sitting and watching television, playing computer games, talking with friends during a typical day excluding the hours spent sitting at school and doing homework, was analyzed in 181,793 adolescents from 66 LMICs [mean (SD) age 13.8 (1.0) years; 49% girls). Multivariable logistic regression was used to assess the potential LTSB correlates. Results: The overall prevalence of ≥3 hours/day of LTSB was 26.4% (95%CI = 25.6%-27.2%). Increasing age (OR = 1.14; 95%CI = 1.11–1.17), past 30-day smoking (OR = 1.85; 95%CI = 1.69–2.03), alcohol consumption (OR = 2.01; 95%CI = 1.85–2.18), and bullying victimization (OR = 1.39; 95%CI = 1.31–1.48) were positively associated with increased LTSB across the entire sample of 181,793 adolescents. Food insecurity (OR = 0.93; 95%CI = 0.89–0.97) and low parental support/monitoring (OR = 0.91; 95%CI = 0.85–0.98) were negatively associated with LTSB. There were some variations in the correlates between countries. Conclusions: Our data indicate that in adolescents aged 12 to 15 years living in LMICs, LTSB is a complex and multi-dimensional behavior determined by socio-demograhic, sociocultural, socio-economic, and health behavior related factors. Future longitudinal data are required to confirm/refute these findings, and to inform interventions which aim to reduce sedentary levels in adolescents living in LMICs.

Suggested Citation

  • Davy Vancampfort & Tine Van Damme & Joseph Firth & Mats Hallgren & Lee Smith & Brendon Stubbs & Simon Rosenbaum & Ai Koyanagi, 2019. "Correlates of leisure-time sedentary behavior among 181,793 adolescents aged 12-15 years from 66 low- and middle-income countries," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-14, November.
    • Handle: RePEc:plo:pone00:0224339
    DOI: 10.1371/journal.pone.0224339
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    3. Morrow, Virginia & Tafere, Yisak & Chuta, Nardos & Zharkevich, Ina, 2017. "“I started working because I was hungry”: The consequences of food insecurity for children's well-being in rural Ethiopia," Social Science & Medicine, Elsevier, vol. 182(C), pages 1-9.
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    1. Vasiliki Tzouvara & Pinar Kupdere, 2022. "Examining Differences, Relationships, and Predictors for Loneliness in an Adult Population: The Roles of Personal Characteristics, Place of Residence, Leisure Activities, Mental Health, and Social Out," Social Sciences, MDPI, vol. 11(9), pages 1-18, September.
    2. Chuanwei Ma & Yuanyuan Zhang & Min Zhao & Pascal Bovet & Bo Xi, 2020. "Physical Activity and Sedentary Behavior among Young Adolescents in 68 LMICs, and Their Relationships with National Economic Development," IJERPH, MDPI, vol. 17(21), pages 1-18, October.

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