Sedentary behaviors and anxiety among children, adolescents and adults: a systematic review and meta-analysis
Bartłomiej Stanczykiewicz , Anna Banik , Nina Knoll , Jan Keller , Diana Hilda Hohl , Joanna Rosińczuk , Aleksandra Łuszczyńska
AbstractBackground Although the number of studies examining the relationships between sedentary behaviors (SB) and anxiety is growing, an overarching evidence, taking into account children, adolescents, and adults as well as different types of SB and different categories of anxiety outcomes, is still missing. Thus, this systematic review and meta-analysis aimed at obtaining a comprehensive overview of existing evidence. Methods A search in the following databases: PsycINFO, PsycARTICLES, Academic Search Complete, ERIC, HealthSource: Nursing/Academic Edition and MEDLINE, resulted in k = 31 original studies included in the systematic review (total N = 99,192) and k = 17 (total N = 27,443) included in the meta-analysis. Main inclusion criteria referred to testing the SB--anxiety relationship, the quality score (above the threshold of 65%), and the language of publications (English). The study was following the PRISMA statement and was registered at PROSPERO (CRD42017068517). Results Both the systematic review and meta-analysis indicated that overall average effects were small: higher levels of symptoms of anxiety were associated with higher levels of SB (weighted r = .093, 95% CI [.055, .130], p < .001). Moderator analyses indicated that trends for stronger effects were observed among adults, compared to children/adolescents (p = .085). Conclusions Further longitudinal studies are necessary to elucidate the predictive direction of the anxiety—SB relationship and to clarify whether the effects depend on the type of anxiety indicators.
|Journal series||BMC Public Health, ISSN 1471-2458, (N/A 100 pkt)|
|Publication size in sheets||1.05|
|Keywords in English||Anxiety; Sedentary behaviors; Children; Adolescents; Adults; Systematic review; Meta-analysis|
|Publication indicators||: 2016 = 1.259; : 2017 = 2.42 (2) - 2017=3.039 (5)|
|Citation count*||7 (2020-07-04)|
* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.