Review articleThe Health Indicators Associated With Screen-Based Sedentary Behavior Among Adolescent Girls: A Systematic Review
Section snippets
Search strategy
A structured electronic search employing PRISMA reporting guidelines [35] of all publication years (through December 2011) using CINAHL, Communications and Mass Media Complete, ERIC, MEDLINE with Full Text, PsycINFO, and SPORTDiscus with Full Text was conducted. The following search strings were used: (adolesce* or youth* or teen* or young person) AND (girl* or female*) AND (sedentary behavio* or screen time or television or TV or computer or internet or video game* or electronic game*). These
Overview of studies
Electronic literature searching yielded 492 studies (Figure 1). Of these, 33 studies met the inclusion criteria. The search identified 33 studies that evaluated the physical and/or psychosocial and/or behavioral health indicators associated with screen-based sedentary behaviors among adolescent girls (Table 1). Of these, 16 evaluated physical health associations, 6 evaluated the psychosocial health associations, 5 evaluated the behavioral health associations, and 6 studies evaluated a
Discussion
The primary objective of this review was to investigate the health indicators associated with screen-based sedentary behavior in adolescent girls; a secondary objective to examine the impact of sedentary behavior in studies that have specifically adjusted for physical activity participation. The majority of studies reported screen-based activities were associated with poor health. In addition, less than half of included studies have adjusted sedentary behavior for physical activity
Acknowledgments
R.C.P. is supported by a Senior Research Fellowship Salary Award from the National Health and Medical Research Council, Australia. The authors thank Nandini Karunamuni for her assistance in preparing this manuscript.
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Conflict of Interest: The authors declare that there are no conflicts of interest.