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


Autoři: Davy Vancampfort aff001;  Tine Van Damme aff001;  Joseph Firth aff003;  Mats Hallgren aff006;  Lee Smith aff007;  Brendon Stubbs aff008;  Simon Rosenbaum aff010;  Ai Koyanagi aff012
Působiště autorů: KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium aff001;  KU Leuven, University Psychiatric Center KU Leuven, Kortenberg, Belgium aff002;  NICM Health Research Institute, Western Sydney University, Sydney, Australia aff003;  Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom aff004;  Centre for Youth Mental Health, University of Melbourne, Melbourne, Australia Department of Public Health Sciences, Melbourne, Australia aff005;  Karolinska Institutet, Stockholm, Sweden aff006;  Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, United Kingdom aff007;  Physiotherapy Department, South London and Maudsley NHS Foundation Trust, Denmark Hill, London, United Kingdom aff008;  Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, United Kingdom aff009;  School of Psychiatry, University of New South Wales, Sydney, Australia aff010;  Black Dog Institute, Prince of Wales Hospital, Sydney, Australia aff011;  Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, CIBERSAM, Barcelona, Spain aff012;  ICREA, Pg. Lluis Companys 23, Barcelona, Spain aff013
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: 10.1371/journal.pone.0224339

Souhrn

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.

Klíčová slova:

Adolescents – Alcohol consumption – Behavior – Behavioral and social aspects of health – Depression – Interpersonal relationships – Schools – Social networks


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PLOS One


2019 Číslo 11