@misc{10481/106377,
year = {2025},
month = {8},
url = {https://hdl.handle.net/10481/106377},
abstract = {Aim:
Sedentary behaviour may influence children's cardiometabolic health; however, evidence remains limited. This study investigated the associations between sedentary behaviour and cardiometabolic outcomes in nine-year-old children and from 4 to 9 years of age. Associations between adherence to screen time guidelines and cardiometabolic outcomes at 9 years of age were also examined.

Methods:
Movement behaviours were assessed using accelerometers in 411 children at 4 and 9 years of age. Cardiometabolic outcomes at 9 years of age comprised blood pressure, lipid and glucose biomarkers, and a metabolic syndrome score. Screen time was assessed via questionnaire. Compositional data analysis and analysis of covariance were used.

Results:
Increasing sedentary behaviour at the expense of physical activity and sleep at 9 years of age was associated with higher systolic (p = 0.021) and diastolic (p = 0.019) blood pressure. Greater sedentary behaviour at 4 years of age was associated with higher diastolic blood pressure (p = 0.050) and lower high-density lipoprotein (p = 0.034) at 9 years of age. Children adhering to screen time guidelines had a lower metabolic syndrome score (p = 0.014), low-density lipoprotein (p = 0.045), and triglycerides (p = 0.022).

Conclusion:
Higher sedentary behaviour and not adhering to screen time guidelines were associated with unfavourable cardiometabolic outcomes from 4 to 9 years and at 9 years of age.},
publisher = {John Wiley & Sons Ltd},
keywords = {blood pressure},
keywords = {cardiovascular risk factors},
keywords = {children},
title = {Higher Sedentary Behaviour and Not Following Screen Time Guidelines Were Associated With Unfavourable Cardiometabolic Outcomes in Childhood},
doi = {10.1111/apa.70276},
author = {Nilsson, Ellinor and Hidalgo Migueles, Jairo and Henriksson, Pontus and Delisle Nyström, Christine},
}