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



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).


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.


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.


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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