Associations between objective ly measured total sedentary time and indicators of adiposity and motor development were predominantly null .
Associations between screen time and indicators of adiposity , motor or cognitive development , and psychosocial health were primarily unfavourable or null .
Associations between time spent seated ( e.g. , in car seats or strollers ) or in the supine position , and indicators of adiposity and motor development , were primarily unfavourable or null .
Conclusions These findings continue to support the importance of minimizing screen time for disease prevention and health promotion in the early years , but also highlight the potential cognitive benefits of interactive non-screen-based sedentary behaviours such as reading and storytelling .
Background The purpose of this systematic review was to examine the relationships between  sedentary behaviour ( SB ) and health indicators in children aged 0 to 4 years , and to determine what doses of SB ( i.e. , duration , patterns [ frequency , interruptions ] , and type ) were associated with health indicators .
GRADE guidelines: 3. Rating the quality of evidence.
This article introduces the approach of GRADE to rating  quality of evidence .  GRADE specifies four categories-high , moderate , low , and very low-that are applied to a body of evidence , not to individual studies . In the context of a systematic review , quality reflects our confidence that the estimates of the effect are correct . In the context of recommendations , quality reflects our confidence that the effect estimates are adequate to support a particular recommendation . R and omized trials begin as high- quality evidence , observational studies as low quality . " Quality " as used in GRADE means more than risk of bias and so may also be compromised by imprecision , inconsistency , indirectness of study results , and publication bias . In addition , several factors can increase our confidence in an estimate of effect . GRADE provides a systematic approach for considering and reporting each of these factors . GRADE separates the process of assessing quality of evidence from the process of making recommendations . Judgments about the strength of a recommendation depend on more than just the quality of evidence
Associations between objective ly measured total sedentary time and indicators of adiposity and motor development were predominantly null .
Associations between screen time and indicators of adiposity , motor or cognitive development , and psychosocial health were primarily unfavourable or null .
Associations between time spent seated ( e.g. , in car seats or strollers ) or in the supine position , and indicators of adiposity and motor development , were primarily unfavourable or null .
Conclusions These findings continue to support the importance of minimizing screen time for disease prevention and health promotion in the early years , but also highlight the potential cognitive benefits of interactive non-screen-based sedentary behaviours such as reading and storytelling .
Background The purpose of this systematic review was to examine the relationships between  sedentary behaviour ( SB ) and health indicators in children aged 0 to 4 years , and to determine what doses of SB ( i.e. , duration , patterns [ frequency , interruptions ] , and type ) were associated with health indicators .