Based on 88 eligible observational studies , level of evidence grading and quantitative meta-analyses indicated that there is limited available evidence that the total volume or patterns of sedentary behaviour are associated with health in children and adolescents when accounting for moderate-intensity to vigorous-intensity physical activity or focusing on studies with low risk of bias .
Quality evidence from studies with robust design s and methods , objective measures of sitting , examining associations for various health outcomes , is needed to better underst and if the overall volume or patterns of sedentary behaviour are independent determinants of health in children and adolescents
Sedentary behaviour has emerged as a unique determinant of health in adults .
Studies in children and adolescents have been less consistent .
We review ed the evidence to determine if the total volume and patterns ( i.e. breaks and bouts ) of objective ly measured sedentary  behaviour  were associated with adverse health outcomes in young people , independent of moderate-intensity to vigorous-intensity physical activity .
Physical activity, sedentary behavior, and adiposity in English children.
BACKGROUND The importance of variation in total volume of physical activity or moderate- to vigorous-intensity physical activity ( MVPA ) to development of body fatness in childhood is unclear , and it is unclear if physical activity has a greater influence on adiposity in boys than girls . PURPOSE To assess relationships between 2-year changes in objective ly measured physical activity , sedentary behavior , and adiposity in English children . METHODS Prospect i ve cohort study , set in Northeast Engl and , of a socioeconomically representative sample of 403 children . Measures were change in accelerometer-determined physical activity and sedentary behavior  from age 7 to 9 years ( data collected 2006/2007 and 2008/2009 ; analyzed in 2010 ) and concurrent change in adiposity ( fat mass index derived from bioelectric impedance ) and change in BMI Z-score . RESULTS Decline in MVPA was associated with a greater increase in fat mass index in boys but not girls . Declining MVPA was associated with increased BMI Z-score in boys but not girls . Increased sedentary behavior was not associated with increased BMI Z-score in either gender . CONCLUSIONS Avoiding mid-late childhood reductions in MVPA may reduce excessive fat gain , although such strategies may have greater impact on boys than girls
Based on 88 eligible observational studies , level of evidence grading and quantitative meta-analyses indicated that there is limited available evidence that the total volume or patterns of sedentary behaviour are associated with health in children and adolescents when accounting for moderate-intensity to vigorous-intensity physical activity or focusing on studies with low risk of bias .
Quality evidence from studies with robust design s and methods , objective measures of sitting , examining associations for various health outcomes , is needed to better underst and if the overall volume or patterns of sedentary behaviour are independent determinants of health in children and adolescents
Sedentary behaviour has emerged as a unique determinant of health in adults .
Studies in children and adolescents have been less consistent .
We review ed the evidence to determine if the total volume and patterns ( i.e. breaks and bouts ) of objective ly measured sedentary  behaviour  were associated with adverse health outcomes in young people , independent of moderate-intensity to vigorous-intensity physical activity .