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Published in: Current Obesity Reports 2/2017

01-06-2017 | Obesity Prevention (A Must, Section Editor)

Screen Time, Other Sedentary Behaviours, and Obesity Risk in Adults: A Review of Reviews

Authors: Stuart J.H. Biddle, Enrique Bengoechea García, Zeljko Pedisic, Jason Bennie, Ineke Vergeer, Glen Wiesner

Published in: Current Obesity Reports | Issue 2/2017

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Abstract

Purpose of Review

The aim of this paper is to assess the association between sedentary behaviours, including screen time, and risk of obesity in adults. A review of 10 systematic reviews was undertaken.

Recent Findings

Available evidence is generally not supportive of associations between sedentary behaviour and obesity in adults. Most studies that found significant associations indicated mostly small effect sizes. Somewhat more consistent associations were shown for screen time (mainly TV viewing), among older adults, and for pre-adult sedentary behaviour to increase the risk of obesity in adulthood. Some evidence also exists for breaks in sedentary time to be associated with a more favourable BMI, and for use of a car to be associated with greater risk of obesity.

Summary

There is limited evidence for an association between sedentary behaviour in adulthood and obesity and any association that exists does not seem to be causal. Future research is required investigating potentially positive effects for frequent breaks from sitting, less car use, and an uncoupling of TV viewing and dietary intake.
Literature
2.
go back to reference Network SBR. Letter to the Editor: standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Me. 2012;37:540–2. doi:10.1139/H2012-024.CrossRef Network SBR. Letter to the Editor: standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Me. 2012;37:540–2. doi:10.​1139/​H2012-024.CrossRef
5.
go back to reference • Henson J, Davies MJ, Bodicoat DH, Edwardson CL, Gill JMR, Stensel DJ, et al. Breaking up prolonged sitting with standing or walking attenuates the postprandial metabolic response in postmenopausal women: a randomized acute study. Diabetes Care. 2016;39(1):130–8. doi:10.2337/dc15-1240. Found that breaking up prolonged sitting with 5-min bouts of standing or walking reduced postprandial glucose, insulin, and nonesterified fatty acids in women at high risk of type 2 diabetes. • Henson J, Davies MJ, Bodicoat DH, Edwardson CL, Gill JMR, Stensel DJ, et al. Breaking up prolonged sitting with standing or walking attenuates the postprandial metabolic response in postmenopausal women: a randomized acute study. Diabetes Care. 2016;39(1):130–8. doi:10.​2337/​dc15-1240. Found that breaking up prolonged sitting with 5-min bouts of standing or walking reduced postprandial glucose, insulin, and nonesterified fatty acids in women at high risk of type 2 diabetes.
6.
go back to reference •• Biddle SJH, Bennie J, Bauman A, Chau J, Dunstan D, Owen N, et al. Too much sitting and all-cause mortality: is there a causal link? BMC Public Health. 2016;16(1):635. doi:10.1186/s12889-016-3307-3. A review of reviews and primary studies showing some evidence for sedentary behaviour being causally associated with all-cause mortality. CrossRefPubMedPubMedCentral •• Biddle SJH, Bennie J, Bauman A, Chau J, Dunstan D, Owen N, et al. Too much sitting and all-cause mortality: is there a causal link? BMC Public Health. 2016;16(1):635. doi:10.​1186/​s12889-016-3307-3. A review of reviews and primary studies showing some evidence for sedentary behaviour being causally associated with all-cause mortality. CrossRefPubMedPubMedCentral
7.
go back to reference Wilmot EG, Edwardson CL, Achana FA, Davies MJ, Gorely T, Gray LJ, et al. Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia. 2012;55(11):2895–905. doi:10.1007/s00125-012-2677-z.CrossRefPubMed Wilmot EG, Edwardson CL, Achana FA, Davies MJ, Gorely T, Gray LJ, et al. Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia. 2012;55(11):2895–905. doi:10.​1007/​s00125-012-2677-z.CrossRefPubMed
14.
go back to reference •• Rezende LFM, Rey-López JP, Matsudo VKR, Luiz OC. Sedentary behavior and health outcomes among older adults: a systematic review. BMC Public Health. 2014;14:333. 1471-2458/14/333. Systematic synthesis of evidence linking sedentary behaviour to poor health outcomes in older adults. CrossRefPubMedPubMedCentral •• Rezende LFM, Rey-López JP, Matsudo VKR, Luiz OC. Sedentary behavior and health outcomes among older adults: a systematic review. BMC Public Health. 2014;14:333. 1471-2458/14/333. Systematic synthesis of evidence linking sedentary behaviour to poor health outcomes in older adults. CrossRefPubMedPubMedCentral
15.
go back to reference • McCormack GR, Virk JS. Driving towards obesity: a systematized literature review on the association between motor vehicle travel time and distance and weight status in adults. Prev Med. 2014;66:49–55. doi:10.1016/j.ypmed.2014.06.002. Review linking the sedentary behaviour of car travel with adiposity in adults. CrossRefPubMed • McCormack GR, Virk JS. Driving towards obesity: a systematized literature review on the association between motor vehicle travel time and distance and weight status in adults. Prev Med. 2014;66:49–55. doi:10.​1016/​j.​ypmed.​2014.​06.​002. Review linking the sedentary behaviour of car travel with adiposity in adults. CrossRefPubMed
16.
go back to reference •• Neuhaus M, Eakin EG, Straker L, Owen N, Dunstan DW, Reid N, et al. Reducing occupational sedentary time: a systematic review and meta-analysis of evidence on activity-permissive workstations. Obes Rev. 2014;15(10):822–38. doi:10.1111/obr.12201. Systematic review of interventions that have been used in the workplace, including sit-to-stand desks. CrossRefPubMed •• Neuhaus M, Eakin EG, Straker L, Owen N, Dunstan DW, Reid N, et al. Reducing occupational sedentary time: a systematic review and meta-analysis of evidence on activity-permissive workstations. Obes Rev. 2014;15(10):822–38. doi:10.​1111/​obr.​12201. Systematic review of interventions that have been used in the workplace, including sit-to-stand desks. CrossRefPubMed
17.
go back to reference • Chastin S, Buck C, Freiberger E, Murphy M, Brug J, Cardon G, et al. Systematic literature review of determinants of sedentary behaviour in older adults: a DEDIPAC study. Int J Behav Nutr Phy. 2015;12(1):127. doi:10.1186/s12966-015-0292-3. Comprehensive review of correlates of sedentary behaviour in older adults—an age group of increasing focus in this area. CrossRef • Chastin S, Buck C, Freiberger E, Murphy M, Brug J, Cardon G, et al. Systematic literature review of determinants of sedentary behaviour in older adults: a DEDIPAC study. Int J Behav Nutr Phy. 2015;12(1):127. doi:10.​1186/​s12966-015-0292-3. Comprehensive review of correlates of sedentary behaviour in older adults—an age group of increasing focus in this area. CrossRef
19.
go back to reference •• Chastin SF, Egerton T, Leask C, Stamatakis E. Meta-analysis of the relationship between breaks in sedentary behavior and cardiometabolic health. Obesity. 2015;23(9):1800–10. doi:10.1002/oby.21180. First systematic review addressing the health effects of breaks in sedentary time. CrossRefPubMed •• Chastin SF, Egerton T, Leask C, Stamatakis E. Meta-analysis of the relationship between breaks in sedentary behavior and cardiometabolic health. Obesity. 2015;23(9):1800–10. doi:10.​1002/​oby.​21180. First systematic review addressing the health effects of breaks in sedentary time. CrossRefPubMed
20.
21.
go back to reference Rosenthal JA. Qualitative descriptors of strength of association and effect size. J Soc Serv Res. 1996;21(4):37–59.CrossRef Rosenthal JA. Qualitative descriptors of strength of association and effect size. J Soc Serv Res. 1996;21(4):37–59.CrossRef
22.
go back to reference Bell AC, Ge K, Popkin BM. The road to obesity or the path to prevention: motorized transportation and obesity in China. Obes Res. 2002;10(4):277–83.CrossRefPubMed Bell AC, Ge K, Popkin BM. The road to obesity or the path to prevention: motorized transportation and obesity in China. Obes Res. 2002;10(4):277–83.CrossRefPubMed
23.
go back to reference Shrestha N, Pedisic Z, Neil-Sztramko S, Kukkonen-Harjula KT, Hermans V. The impact of obesity in the workplace: a review of contributing factors, consequences and potential solutions. Curr Obes Rep. 2016;5(3):344–60. doi:10.1007/s13679-016-0227-6.CrossRefPubMed Shrestha N, Pedisic Z, Neil-Sztramko S, Kukkonen-Harjula KT, Hermans V. The impact of obesity in the workplace: a review of contributing factors, consequences and potential solutions. Curr Obes Rep. 2016;5(3):344–60. doi:10.​1007/​s13679-016-0227-6.CrossRefPubMed
24.
go back to reference Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ, et al. Breaks in sedentary time: beneficial associations with metabolic risk. Diabetes Care. 2008;31(4):661–6. doi:10.2337/dc07-2046.CrossRefPubMed Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ, et al. Breaks in sedentary time: beneficial associations with metabolic risk. Diabetes Care. 2008;31(4):661–6. doi:10.​2337/​dc07-2046.CrossRefPubMed
25.
go back to reference Hill AB. The environment and disease: association or causation? Proc Royal Soc Med. 1965;58(5):295–300. Hill AB. The environment and disease: association or causation? Proc Royal Soc Med. 1965;58(5):295–300.
28.
go back to reference • Pedisic Z. Measurement issues and poor adjustments for physical activity and sleep undermine sedentary behaviour research—the focus should shift to the balance between sleep, sedentary behaviour, standing and activity. Kinesiology. 2014;46(1):135–46. The first paper highlighting the importance of accounting for the full 24-h day in the measurement and analysis of sedentary behaviour and physical activity, in addition to looking at the displacement of one behaviour to another. • Pedisic Z. Measurement issues and poor adjustments for physical activity and sleep undermine sedentary behaviour research—the focus should shift to the balance between sleep, sedentary behaviour, standing and activity. Kinesiology. 2014;46(1):135–46. The first paper highlighting the importance of accounting for the full 24-h day in the measurement and analysis of sedentary behaviour and physical activity, in addition to looking at the displacement of one behaviour to another.
33.
go back to reference • Martin A, Fitzsimons C, Jepson R, Saunders DH, van der Ploeg HP, Teixeira PJ, et al. Interventions with potential to reduce sedentary time in adults: systematic review and meta-analysis. Brit J Sport Med. 2015;49(16):1056–63. doi:10.1136/bjsports-2014-094524. Meta-analysis of the effects of interventions designed to reduce sedentary behaviour in adults. CrossRef • Martin A, Fitzsimons C, Jepson R, Saunders DH, van der Ploeg HP, Teixeira PJ, et al. Interventions with potential to reduce sedentary time in adults: systematic review and meta-analysis. Brit J Sport Med. 2015;49(16):1056–63. doi:10.​1136/​bjsports-2014-094524. Meta-analysis of the effects of interventions designed to reduce sedentary behaviour in adults. CrossRef
34.
go back to reference Vernikos J. Sitting kills, moving heals. Fresno, CA: Quill Driver Books; 2011. Vernikos J. Sitting kills, moving heals. Fresno, CA: Quill Driver Books; 2011.
35.
go back to reference de Bruin A, Della SS. How biases inflate scientific evidence. The Psychologist. 2016;29(1):36–9. de Bruin A, Della SS. How biases inflate scientific evidence. The Psychologist. 2016;29(1):36–9.
37.
go back to reference Khaw K, Wareham N, Bingham S, Welch A, Luben R, Day N. Combined impact of health behaviours and mortality in men and women: the EPIC-Norfolk prospective population study. PLoS Med. 2007;5(1) doi:10.1371/journal.pmed.0050012. Khaw K, Wareham N, Bingham S, Welch A, Luben R, Day N. Combined impact of health behaviours and mortality in men and women: the EPIC-Norfolk prospective population study. PLoS Med. 2007;5(1) doi:10.​1371/​journal.​pmed.​0050012.
38.
go back to reference Hancox RJ, Poulton R. Watching television is associated with childhood obesity: but is it clinically important? Int J Obesity. 2005;30(1):171–5.CrossRef Hancox RJ, Poulton R. Watching television is associated with childhood obesity: but is it clinically important? Int J Obesity. 2005;30(1):171–5.CrossRef
39.
go back to reference • Hobbs M, Pearson NL, Foster P, Biddle SJH. Sedentary behaviour and diet across the lifespan: an updated systematic review. Brit J Sport Med. 2015;49(18):1179–88. doi:10.1136/bjsports-2014-093754. An update of the Pearson & Biddle (2011) systematic review showing a link between TV/screen time as a sedentary behaviour and unhealthy dietary intake. CrossRef • Hobbs M, Pearson NL, Foster P, Biddle SJH. Sedentary behaviour and diet across the lifespan: an updated systematic review. Brit J Sport Med. 2015;49(18):1179–88. doi:10.​1136/​bjsports-2014-093754. An update of the Pearson & Biddle (2011) systematic review showing a link between TV/screen time as a sedentary behaviour and unhealthy dietary intake. CrossRef
42.
go back to reference Bjork-Petersen C, Bauman A, Grønbæk M, Helge JW, Thygesen LC, Tolstrup JS. Total sitting time and risk of myocardial infarction, coronary heart disease and all-cause mortality in a prospective cohort of Danish adults. Int J Behav Nutr Phy. 2014;11:13. doi:10.1186/1479-5868-11-13.CrossRef Bjork-Petersen C, Bauman A, Grønbæk M, Helge JW, Thygesen LC, Tolstrup JS. Total sitting time and risk of myocardial infarction, coronary heart disease and all-cause mortality in a prospective cohort of Danish adults. Int J Behav Nutr Phy. 2014;11:13. doi:10.​1186/​1479-5868-11-13.CrossRef
43.
go back to reference •• Ekelund U, Steene-Johannessen J, Brown WJ, Fagerland MW, Owen N, Powell KE, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016;388(10051):1302–10. doi:10.1016/S0140-6736(16)30370-1. Large scale meta-analysis suggesting that high levels of physical activity may be protective of deliterious health effects of sitting. CrossRefPubMed •• Ekelund U, Steene-Johannessen J, Brown WJ, Fagerland MW, Owen N, Powell KE, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women. Lancet. 2016;388(10051):1302–10. doi:10.​1016/​S0140-6736(16)30370-1. Large scale meta-analysis suggesting that high levels of physical activity may be protective of deliterious health effects of sitting. CrossRefPubMed
Metadata
Title
Screen Time, Other Sedentary Behaviours, and Obesity Risk in Adults: A Review of Reviews
Authors
Stuart J.H. Biddle
Enrique Bengoechea García
Zeljko Pedisic
Jason Bennie
Ineke Vergeer
Glen Wiesner
Publication date
01-06-2017
Publisher
Springer US
Published in
Current Obesity Reports / Issue 2/2017
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-017-0256-9

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