Sleep, sedentary behaviour, physical activity and health-related quality of life in children and adolescents: A systematic review

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2025-07-28 DOI:10.1111/bjhp.70004

Gabriela Ferreira, Andrés Redondo-Tébar, João Pedro Gonçalves, Eduarda Sousa-Sá, Olena Oliveira, Luís Lopes, Rute Santos

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引用次数: 0

Abstract

Purpose

This systematic review summarizes the associations between sleep, sedentary behaviour and physical activity and HRQoL in children and adolescents.

Methods

PubMed, Embase, PsycINFO and SPORTDiscus were searched from inception until April 2023. Studies conducted in healthy children and adolescents, aged ≤17.9 years at baseline, with validated instruments to assess HRQoL were considered.

Results

Of 6914 reports, 92 (72 cross-sectional, 10 longitudinal, 10 randomized controlled trials) were included, representing 149,760 participants aged 3–20 years. Results provide consistent evidence on (i) the detrimental associations between poor sleep quality and HRQoL; and (ii) beneficial associations between total physical activity and sports participation on HRQoL. There is some support for the detrimental associations between short sleep duration or excessive screen time and HRQoL, and beneficial associations between long sleep and HRQoL. Cross-sectional reports dominated over longitudinal and RCTs, limiting event sequencing and causal inferences, respectively. There were few sleep studies compared to other exposures. The studies' quality varied from very low to moderate.

Conclusions

Results support limiting screen time during leisure time to <2 h/day, but do not provide sufficient evidence to establish a limit for total sedentary time/day, as well as promoting moderate-to-vigorous physical activity (> 60 min/day) and sports participation. Nevertheless, high-quality studies are necessary in the future.

Registration

The protocol of this systematic review was registered in PROSPERO (CRD42023414970).

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儿童和青少年的睡眠、久坐行为、身体活动和健康相关生活质量：一项系统综述

目的对儿童和青少年睡眠、久坐行为和体力活动与HRQoL的关系进行系统综述。方法检索PubMed、Embase、PsycINFO和SPORTDiscus数据库，检索时间为建站至2023年4月。考虑在基线年龄≤17.9岁的健康儿童和青少年中进行的研究，使用有效的工具来评估HRQoL。结果6914份报告中，包括92项（72项横断面试验，10项纵向试验，10项随机对照试验），涉及3-20岁的149760名受试者。结果提供了一致的证据：(1)睡眠质量差与HRQoL之间的有害关联；（ii）总体力活动和运动参与对HRQoL的有益关联。有一些研究支持睡眠时间短或屏幕时间过长与HRQoL之间存在有害关联，而睡眠时间长与HRQoL之间存在有益关联。横断面报告在纵向和随机对照试验中占主导地位，分别限制了事件排序和因果推断。与其他暴露相比，很少有睡眠研究。这些研究的质量从极低到中等不等。研究结果支持将休闲时间的屏幕时间限制在每天2小时，但没有提供足够的证据来建立每天总久坐时间的限制，以及促进中等到剧烈的身体活动（每天60分钟）和体育活动的参与。然而，在未来，高质量的研究是必要的。本系统评价的方案在PROSPERO注册（CRD42023414970）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.