Year 2025,
Volume: 11 Issue: 3, 121 - 127, 30.06.2025
Daniel Chagas
,
Juliane Lima
Ana Clara Lobo
Dirceu Gama
References
-
Adank, A., Van Kann, D., Hoeboer, J.J., de Vries, S., Kremers, S., & Vos, S. (2018). Investigating motor competence in association with sedentary behavior and physical activity in 7- to 11-year-old children. Int J Environ Res Public Health, 15(11), 2470. doi: 10.3390/ijerph15112470
-
Barnett, L. M., Stodden, D., Cohen, K. E., Smith, J. J., Lubans, D. R., Lenoir, M., Iivonen, S., Miller, A. D., Laukkanen, A., Dudley, D., Lander, N. J., Brown, H., & Morgan, P. J. (2016). Fundamental Movement Skills: An Important Focus. J Teach Phys Educ, 35(3), 219-225. doi: 10.1123/jtpe.2014-0209
-
Barnett, L.M., Hnatiuk, J.A., Salmon, J., & Hesketh, K.D. (2019). Modifiable factors which predict children’s gross motor competence: A prospective cohort study. Int J Behav Nutr Phys Act, 16(1), 129. doi: 10.1186/s12966-019-0888-0
-
Brenda Biaani, L. G., Palència, L., Puig-Ribera, A., Bartoll, X., & Pérez, K. (2020). Does adult recreational screen-time sedentary behavior have an effect on self-perceived health? Public Health Pract (Oxf), 1, 100055. doi: 10.1016/j.puhip.2020.100055
-
Castro, O., Bennie, J., Vergeer, I., Bosselut, G., & Biddle, S. J. H. (2020). How sedentary are university students? A systematic review and meta-analysis. Prev Sci, 21(3), 332–343. doi: 10.1007/s11121-020-01093-8.
-
Chagas, D. V., & Marinho, B. (2021). Exploring the importance of motor competence for behavioral and health outcomes in youth. Percept Mot Skills, 128(6), 2544–2560. doi: 10.1177/00315125211050631
-
Chagas, D. V., Hesketh, K., Downing, K., Mohebbi, M., & Barnett, L. M. (2023). Does sedentary behavior predict motor competence in young children? J Motor Learn Dev, 11(1), 100-116. doi: 10.1123/jmld.2022-0026
-
Coppens, E., Laureys, F., Mostaert, M., D'Hondt, E., Deconinck, F. J. A., & Lenoir, M. (2021). Validation of a motor competence assessment tool for children and adolescents (KTK3+) with normative values for 6- to 19-year-olds. Front Physiol, 12, 652952. doi: 10.3389/fphys.2021.652952
-
Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc, 35(8), 1381–1395. doi: 10.1249/01.MSS.0000078924.61453.FB
-
Crespo, P. A., Machado, A. K. F., Nunes, B. P., & Wehrmeister, F. C. (2021). Prevalence of behavioral health risk factors and their simultaneous occurrence among students at a public university in Pelotas, state of Rio Grande do Sul, Brazil, 2017. Epidemiologia e Servicos de Saude, 30(4), e2021186. doi: 10.1590/S1679-49742021000400027
-
Dadson, P., Brown, T., & Stagnitti, K. (2020). Relationship between screen-time and hand function, play and sensory processing in children without disabilities aged 4–7 years: A exploratory study. Aust Occup Ther J, 67(4), 297–308. doi: 10.1111/1440-1630.12650
-
Ferreira, R. W., Rombaldi, A. J., Ricardo, L. I., Hallal, P. C., & Azevedo, M. R. (2016). Prevalence of sedentary behavior and its correlates among primary and secondary school students. Rev Paul Pediatr, 34(1), 56–63. doi: 10.1016/j.rpped.2015.06.005
-
Gallahue, D. L.; Ozmun, J. C.; Goodway, J. D. Understanding motor development: infants, children, adolescents, adults. 7. United States: McGraw-Hill, 2012. 544.
-
Hardy, L.L., Ding, D., Peralta, L.R., Mihrshahi, S., & Merom, D. (2018). Association between sitting, screen time, fitness domains, and fundamental motor skills in children aged 5–16 years: Cross-sectional population study. J Phys Act Health, 15(12), 933–940. doi: 10.1123/jpah.2017-0620
-
Hayes, G., Dowd, K. P., MacDonncha, C., & Donnelly, A. E. (2019). Tracking of Physical Activity and Sedentary Behavior From Adolescence to Young Adulthood: A Systematic Literature Review. J Adolesc Health, 65(4), 446–454. doi: 10.1016/j.jadohealth.2019.03.013
-
Hulteen, R. M., Morgan, P. J., Barnett, L. M., Stodden, D. F., & Lubans, D. R. (2018). Development of foundational movement skills: a conceptual model for physical activity across the lifespan. Sports Med, 48(7), 1533–1540. doi: 10.1007/s40279-018-0892-6
-
Kiphard, E. J., and Schilling, F. (2007). Körperkoordinationstest für Kinder: KTK. Göttingen: Beltz-Test.
Ku, P. W., Steptoe, A., Liao, Y., Hsueh, M. C., & Chen, L. J.. (2018). A cut-off of daily sedentary time and all-cause mortality in adults: a meta-regression analysis involving more than 1 million participants. BMC Med, 16, 74. doi: 10.1186/s12916-018-1062-2
-
Lopes, L., Santos, R., Pereira, B., & Lopes, V.P. (2012). Associations between sedentary behavior and motor coordination in children. Am J Hum Biol, 24(6), 746–752. doi: 10.1002/ajhb.22310
-
Malina R. M. (1996). Tracking of physical activity and physical fitness across the lifespan. Res Q Exercise Sport, 67 (3 Suppl), S48–S57. doi: 10.1080/02701367.1996.10608853
-
Matsudo, S., Araújo, T., Matsudo, V., Andrade, D., Andrade, E., Oliveira, L. C., & Braggion, G. (2012). Questionário Internacional De Atividade Física (IPAQ): Estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fis Saúde, 6(2), 5–18. doi: 10.12820/rbafs.v.6n2p5-18
-
Matthews, C. E., Carlson, S. A., Saint-Maurice, P. F., Patel, S., Salerno, E. A., Loftfield, E., Troiano, R. P., Fulton, J. E., Sampson, J. N., Tribby, C., Keadle, S. K., & Berrigan, D. (2021). Sedentary behavior in U.S. adults: Fall 2019. Med Sci Sports Exerc, 53(12), 2512–2519. doi: 10.1249/MSS.0000000000002751
-
Meirelles, F. (2024) Uso da TI nas Empresas: 35ª Pesquisa Anual [in portuguese] FGVcia. https://portal.fgv.br/en/news/research-reveals-brazil-has-480-million-digital-devices-use-22-inhabitant. Access in April 04, 2025.
-
Moreira, N. F., Luz, V. G., Moreira, C. C., Pereira, R. A., Sichieri, R., Ferreira, M. G., Muraro, A. P., & Rodrigues, P. R. M. (2018). Self-reported weight and height are valid measures to determine weight status: results from the Brazilian National Health Survey (PNS 2013). Cad Saude Publica, 34(5), e00063917. doi: 10.1590/0102-311X00063917
-
Pate, R. R., O'Neill, J. R., & Lobelo, F. (2008). The evolving definition of "sedentary". Exerc Sport Sci Rev, 36(4), 173–178. doi: 10.1097/JES.0b013e3181877d1a
-
Rezende, L. F., Rodrigues Lopes, M., Rey-López, J. P., Matsudo, V. K., & Luiz, O.doC. (2014). Sedentary behavior and health outcomes: an overview of systematic reviews. PloS One, 9(8), e105620. doi: 10.1371/journal.pone.0105620
-
Rezende, L. F. M., Sá, T. H., Mielke, G. I., Viscondi, J. Y. K., Rey-López, J. P., & Garcia, L. M. T. (2016). All-cause mortality attributable to sitting time: analysis of 54 countries worldwide. Am J Prev Med 51(2), 253–263. doi: 10.1016/j.amepre.2016.01.022
-
Salami, S., Ribeiro Bandeira, P. F., Dehkordi, P. S., Sohrabi, F., Martins, C., Duncan, M. J., Hardy, L. L., & Shams, A. (2023). Investigating the construct validity and reliability of the test of motor competence across iranians' lifespan. Percept Mot Skills, 130(2), 658–679. doi: 10.1177/00315125231152669
-
Santos, G. D., Guerra, P. H., Milani, S. A., Santos, A. B. D., Cattuzzo, M. T., & Ré, A. H. N. (2021). Sedentary behavior and motor competence in children and adolescents: a review. Revista de Saude Publica, 55, 57. doi: 10.11606/s1518-8787.2021055002917
-
Saunders, T. J., McIsaac, T., Douillette, K., Gaulton, N., Hunter, S., Rhodes, R. E., Prince, S. A., Carson, V., Chaput, J. P., Chastin, S., Giangregorio, L., Janssen, I., Katzmarzyk, P. T., Kho, M. E., Poitras, V. J., Powell, K. E., Ross, R., Ross-White, A., Tremblay, M. S., & Healy, G. N. (2020). Sedentary behaviour and health in adults: an overview of systematic reviews. Appl Physiol Nutr Metab, 45(10 (Suppl. 2)), S197–S217. doi: 10.1139/apnm-2020-0272
-
Schaan, C. W., Cureau, F. V., Sbaraini, M., Sparrenberger, K., Kohl Iii, H. W., & Schaan, B. D. (2019). Prevalence of excessive screen time and TV viewing among Brazilian adolescents: a systematic review and meta-analysis. J Pediat-Brazil, 95(2), 155–165. doi: 10.1016/j.jped.2018.04.011
-
Sebastião, E., Andrade, F.C.D., Papini, C.B. et al. A comprehensive description of sitting time in Brazilian adults: a population-based study. J Public Health, 28, 647–655 (2020). doi: 10.1007/s10389-019-01097-x
-
Silveira, E. A., Mendonça, C. R., Delpino, F. M., Elias Souza, G. V., Pereira de Souza Rosa, L., de Oliveira, C., & Noll, M. (2022). Sedentary behavior, physical inactivity, abdominal obesity and obesity in adults and older adults: A systematic review and meta-analysis. Clin Nutr ESPEN, 50, 63–73. doi: 10.1016/j.clnesp.2022.06.001
-
Slepian, R. C., Vincent, A. C., Patterson, H., & Furman, H. (2024). “Social media, wearables, telemedicine and digital health,”—A Gen Y and Z perspective. Elsevier EBooks, 1, 524–544. doi: 10.1016/b978-0-12-824010-6.00072-1
-
Vainshelboim, B., Brennan, G. M., LoRusso, S., Fitzgerald, P., & Wisniewski, K. S. (2019). Sedentary behavior and physiological health determinants in male and female college students. Physiol Behav, 204, 277–282. doi: 10.1016/j.physbeh.2019.02.041
-
Wu, J., Fu, Y., Chen, D., Zhang, H., Xue, E., Shao, J., Tang, L., Zhao, B., Lai, C., & Ye, Z. (2023). Sedentary behavior patterns and the risk of non-communicable diseases and all-cause mortality: A systematic review and meta-analysis. Int J Nurs Stud, 146, 104563. doi: 10.1016/j.ijnurstu.2023.104563
-
Wu, J., Zhang, H., Yang, L., Shao, J., Chen, D., Cui, N., Tang, L., Fu, Y., Xue, E., Lai, C., & Ye, Z. (2022). Sedentary time and the risk of metabolic syndrome: A systematic review and dose-response meta-analysis. Obes Rev, 23(12), e13510. doi: 10.1111/obr.13510
Sedentary behaviour and motor competence in adults: A correlational analysis with physical education university students
Year 2025,
Volume: 11 Issue: 3, 121 - 127, 30.06.2025
Daniel Chagas
,
Juliane Lima
Ana Clara Lobo
Dirceu Gama
Abstract
Sedentary behaviour is prevalent among adults and university students can spend more time in sedentary activities than general young adult population. While high amounts of sedentary behaviour have been associated with increased risks of chronic conditions and all case mortality in adults, it is unclear whether prolonged sitting can adversely affect motor competence. The purpose of this study was to examine the relationship between sedentary behavior and motor competence levels in adult university students. A cross-sectional study involving 30 physical education university students (16 women and 14 men, mean age = 22.2 ±4.4 years) was conducted. Sedentary behaviour was assessed using a self-administered questionnaire determining sitting time during weekdays and weekend days. Motor competence was determined through product-oriented assessment on balance, locomotor and object control skills. The average sitting time among university students was 4.4 hours per day. When considering by sex, the average sitting time of men and women were, respectively, 3.5 and 5.2 hours per day. There were no significant differences in total sitting time between male and female university students. Correlation analysis revealed no significant associations between sedentary behaviour and motor competence. In addition, there were no significant differences in balance, locomotor or object control skills between individuals with different time spent in sedentary activities. Therefore, our results did not support the assumption that sedentary behavior affects motor competence in college adults, at least among physical education university students whose average sitting time was 4.4 hours per day. Regardless, we encourage to limit sitting time due to detrimental effects on several aspects of adult health and its link to all-cause mortality.
Ethical Statement
The study was approved by the Departmental Council of Faculty (Institute of Physical Education and Sports, Rio de Janeiro State University (2025/02) and it was carried out in accordance with the Code of Ethics of the World Medical Association also known as a declaration of Helsinki.
References
-
Adank, A., Van Kann, D., Hoeboer, J.J., de Vries, S., Kremers, S., & Vos, S. (2018). Investigating motor competence in association with sedentary behavior and physical activity in 7- to 11-year-old children. Int J Environ Res Public Health, 15(11), 2470. doi: 10.3390/ijerph15112470
-
Barnett, L. M., Stodden, D., Cohen, K. E., Smith, J. J., Lubans, D. R., Lenoir, M., Iivonen, S., Miller, A. D., Laukkanen, A., Dudley, D., Lander, N. J., Brown, H., & Morgan, P. J. (2016). Fundamental Movement Skills: An Important Focus. J Teach Phys Educ, 35(3), 219-225. doi: 10.1123/jtpe.2014-0209
-
Barnett, L.M., Hnatiuk, J.A., Salmon, J., & Hesketh, K.D. (2019). Modifiable factors which predict children’s gross motor competence: A prospective cohort study. Int J Behav Nutr Phys Act, 16(1), 129. doi: 10.1186/s12966-019-0888-0
-
Brenda Biaani, L. G., Palència, L., Puig-Ribera, A., Bartoll, X., & Pérez, K. (2020). Does adult recreational screen-time sedentary behavior have an effect on self-perceived health? Public Health Pract (Oxf), 1, 100055. doi: 10.1016/j.puhip.2020.100055
-
Castro, O., Bennie, J., Vergeer, I., Bosselut, G., & Biddle, S. J. H. (2020). How sedentary are university students? A systematic review and meta-analysis. Prev Sci, 21(3), 332–343. doi: 10.1007/s11121-020-01093-8.
-
Chagas, D. V., & Marinho, B. (2021). Exploring the importance of motor competence for behavioral and health outcomes in youth. Percept Mot Skills, 128(6), 2544–2560. doi: 10.1177/00315125211050631
-
Chagas, D. V., Hesketh, K., Downing, K., Mohebbi, M., & Barnett, L. M. (2023). Does sedentary behavior predict motor competence in young children? J Motor Learn Dev, 11(1), 100-116. doi: 10.1123/jmld.2022-0026
-
Coppens, E., Laureys, F., Mostaert, M., D'Hondt, E., Deconinck, F. J. A., & Lenoir, M. (2021). Validation of a motor competence assessment tool for children and adolescents (KTK3+) with normative values for 6- to 19-year-olds. Front Physiol, 12, 652952. doi: 10.3389/fphys.2021.652952
-
Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc, 35(8), 1381–1395. doi: 10.1249/01.MSS.0000078924.61453.FB
-
Crespo, P. A., Machado, A. K. F., Nunes, B. P., & Wehrmeister, F. C. (2021). Prevalence of behavioral health risk factors and their simultaneous occurrence among students at a public university in Pelotas, state of Rio Grande do Sul, Brazil, 2017. Epidemiologia e Servicos de Saude, 30(4), e2021186. doi: 10.1590/S1679-49742021000400027
-
Dadson, P., Brown, T., & Stagnitti, K. (2020). Relationship between screen-time and hand function, play and sensory processing in children without disabilities aged 4–7 years: A exploratory study. Aust Occup Ther J, 67(4), 297–308. doi: 10.1111/1440-1630.12650
-
Ferreira, R. W., Rombaldi, A. J., Ricardo, L. I., Hallal, P. C., & Azevedo, M. R. (2016). Prevalence of sedentary behavior and its correlates among primary and secondary school students. Rev Paul Pediatr, 34(1), 56–63. doi: 10.1016/j.rpped.2015.06.005
-
Gallahue, D. L.; Ozmun, J. C.; Goodway, J. D. Understanding motor development: infants, children, adolescents, adults. 7. United States: McGraw-Hill, 2012. 544.
-
Hardy, L.L., Ding, D., Peralta, L.R., Mihrshahi, S., & Merom, D. (2018). Association between sitting, screen time, fitness domains, and fundamental motor skills in children aged 5–16 years: Cross-sectional population study. J Phys Act Health, 15(12), 933–940. doi: 10.1123/jpah.2017-0620
-
Hayes, G., Dowd, K. P., MacDonncha, C., & Donnelly, A. E. (2019). Tracking of Physical Activity and Sedentary Behavior From Adolescence to Young Adulthood: A Systematic Literature Review. J Adolesc Health, 65(4), 446–454. doi: 10.1016/j.jadohealth.2019.03.013
-
Hulteen, R. M., Morgan, P. J., Barnett, L. M., Stodden, D. F., & Lubans, D. R. (2018). Development of foundational movement skills: a conceptual model for physical activity across the lifespan. Sports Med, 48(7), 1533–1540. doi: 10.1007/s40279-018-0892-6
-
Kiphard, E. J., and Schilling, F. (2007). Körperkoordinationstest für Kinder: KTK. Göttingen: Beltz-Test.
Ku, P. W., Steptoe, A., Liao, Y., Hsueh, M. C., & Chen, L. J.. (2018). A cut-off of daily sedentary time and all-cause mortality in adults: a meta-regression analysis involving more than 1 million participants. BMC Med, 16, 74. doi: 10.1186/s12916-018-1062-2
-
Lopes, L., Santos, R., Pereira, B., & Lopes, V.P. (2012). Associations between sedentary behavior and motor coordination in children. Am J Hum Biol, 24(6), 746–752. doi: 10.1002/ajhb.22310
-
Malina R. M. (1996). Tracking of physical activity and physical fitness across the lifespan. Res Q Exercise Sport, 67 (3 Suppl), S48–S57. doi: 10.1080/02701367.1996.10608853
-
Matsudo, S., Araújo, T., Matsudo, V., Andrade, D., Andrade, E., Oliveira, L. C., & Braggion, G. (2012). Questionário Internacional De Atividade Física (IPAQ): Estudo de validade e reprodutibilidade no Brasil. Rev Bras Ativ Fis Saúde, 6(2), 5–18. doi: 10.12820/rbafs.v.6n2p5-18
-
Matthews, C. E., Carlson, S. A., Saint-Maurice, P. F., Patel, S., Salerno, E. A., Loftfield, E., Troiano, R. P., Fulton, J. E., Sampson, J. N., Tribby, C., Keadle, S. K., & Berrigan, D. (2021). Sedentary behavior in U.S. adults: Fall 2019. Med Sci Sports Exerc, 53(12), 2512–2519. doi: 10.1249/MSS.0000000000002751
-
Meirelles, F. (2024) Uso da TI nas Empresas: 35ª Pesquisa Anual [in portuguese] FGVcia. https://portal.fgv.br/en/news/research-reveals-brazil-has-480-million-digital-devices-use-22-inhabitant. Access in April 04, 2025.
-
Moreira, N. F., Luz, V. G., Moreira, C. C., Pereira, R. A., Sichieri, R., Ferreira, M. G., Muraro, A. P., & Rodrigues, P. R. M. (2018). Self-reported weight and height are valid measures to determine weight status: results from the Brazilian National Health Survey (PNS 2013). Cad Saude Publica, 34(5), e00063917. doi: 10.1590/0102-311X00063917
-
Pate, R. R., O'Neill, J. R., & Lobelo, F. (2008). The evolving definition of "sedentary". Exerc Sport Sci Rev, 36(4), 173–178. doi: 10.1097/JES.0b013e3181877d1a
-
Rezende, L. F., Rodrigues Lopes, M., Rey-López, J. P., Matsudo, V. K., & Luiz, O.doC. (2014). Sedentary behavior and health outcomes: an overview of systematic reviews. PloS One, 9(8), e105620. doi: 10.1371/journal.pone.0105620
-
Rezende, L. F. M., Sá, T. H., Mielke, G. I., Viscondi, J. Y. K., Rey-López, J. P., & Garcia, L. M. T. (2016). All-cause mortality attributable to sitting time: analysis of 54 countries worldwide. Am J Prev Med 51(2), 253–263. doi: 10.1016/j.amepre.2016.01.022
-
Salami, S., Ribeiro Bandeira, P. F., Dehkordi, P. S., Sohrabi, F., Martins, C., Duncan, M. J., Hardy, L. L., & Shams, A. (2023). Investigating the construct validity and reliability of the test of motor competence across iranians' lifespan. Percept Mot Skills, 130(2), 658–679. doi: 10.1177/00315125231152669
-
Santos, G. D., Guerra, P. H., Milani, S. A., Santos, A. B. D., Cattuzzo, M. T., & Ré, A. H. N. (2021). Sedentary behavior and motor competence in children and adolescents: a review. Revista de Saude Publica, 55, 57. doi: 10.11606/s1518-8787.2021055002917
-
Saunders, T. J., McIsaac, T., Douillette, K., Gaulton, N., Hunter, S., Rhodes, R. E., Prince, S. A., Carson, V., Chaput, J. P., Chastin, S., Giangregorio, L., Janssen, I., Katzmarzyk, P. T., Kho, M. E., Poitras, V. J., Powell, K. E., Ross, R., Ross-White, A., Tremblay, M. S., & Healy, G. N. (2020). Sedentary behaviour and health in adults: an overview of systematic reviews. Appl Physiol Nutr Metab, 45(10 (Suppl. 2)), S197–S217. doi: 10.1139/apnm-2020-0272
-
Schaan, C. W., Cureau, F. V., Sbaraini, M., Sparrenberger, K., Kohl Iii, H. W., & Schaan, B. D. (2019). Prevalence of excessive screen time and TV viewing among Brazilian adolescents: a systematic review and meta-analysis. J Pediat-Brazil, 95(2), 155–165. doi: 10.1016/j.jped.2018.04.011
-
Sebastião, E., Andrade, F.C.D., Papini, C.B. et al. A comprehensive description of sitting time in Brazilian adults: a population-based study. J Public Health, 28, 647–655 (2020). doi: 10.1007/s10389-019-01097-x
-
Silveira, E. A., Mendonça, C. R., Delpino, F. M., Elias Souza, G. V., Pereira de Souza Rosa, L., de Oliveira, C., & Noll, M. (2022). Sedentary behavior, physical inactivity, abdominal obesity and obesity in adults and older adults: A systematic review and meta-analysis. Clin Nutr ESPEN, 50, 63–73. doi: 10.1016/j.clnesp.2022.06.001
-
Slepian, R. C., Vincent, A. C., Patterson, H., & Furman, H. (2024). “Social media, wearables, telemedicine and digital health,”—A Gen Y and Z perspective. Elsevier EBooks, 1, 524–544. doi: 10.1016/b978-0-12-824010-6.00072-1
-
Vainshelboim, B., Brennan, G. M., LoRusso, S., Fitzgerald, P., & Wisniewski, K. S. (2019). Sedentary behavior and physiological health determinants in male and female college students. Physiol Behav, 204, 277–282. doi: 10.1016/j.physbeh.2019.02.041
-
Wu, J., Fu, Y., Chen, D., Zhang, H., Xue, E., Shao, J., Tang, L., Zhao, B., Lai, C., & Ye, Z. (2023). Sedentary behavior patterns and the risk of non-communicable diseases and all-cause mortality: A systematic review and meta-analysis. Int J Nurs Stud, 146, 104563. doi: 10.1016/j.ijnurstu.2023.104563
-
Wu, J., Zhang, H., Yang, L., Shao, J., Chen, D., Cui, N., Tang, L., Fu, Y., Xue, E., Lai, C., & Ye, Z. (2022). Sedentary time and the risk of metabolic syndrome: A systematic review and dose-response meta-analysis. Obes Rev, 23(12), e13510. doi: 10.1111/obr.13510