IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i21p11286-d665953.html
   My bibliography  Save this article

Impact of the COVID-19 Pandemic on Sedentary Time and Behaviour in Children and Adults: A Systematic Review and Meta-Analysis

Author

Listed:
  • Adam Runacres

    (Applied Sports, Technology, Exercise and Medicine (A-STEM) Research Centre, Swansea University, Swansea SA1 8EN, UK)

  • Kelly A. Mackintosh

    (Applied Sports, Technology, Exercise and Medicine (A-STEM) Research Centre, Swansea University, Swansea SA1 8EN, UK)

  • Rachel L. Knight

    (Applied Sports, Technology, Exercise and Medicine (A-STEM) Research Centre, Swansea University, Swansea SA1 8EN, UK)

  • Liba Sheeran

    (School of Healthcare Sciences, College of Biomedical and Life Sciences, Cardiff University, Cardiff CF24 0AB, UK
    Biomechanics and Bioengineering Research Centre Versus Arthritis, Cardiff University, Cardiff CF24 0AB, UK)

  • Rhys Thatcher

    (Institute of Biological Environmental and Rural Sciences, Aberystwyth University, Ceredigion SY23 3FL, UK)

  • James Shelley

    (Applied Sports, Technology, Exercise and Medicine (A-STEM) Research Centre, Swansea University, Swansea SA1 8EN, UK
    Joint last authorship.)

  • Melitta A. McNarry

    (Applied Sports, Technology, Exercise and Medicine (A-STEM) Research Centre, Swansea University, Swansea SA1 8EN, UK)

Abstract

The aim of this meta-analysis was to quantify the change in sedentary time during the COVID-19 pandemic and its effect on health outcomes in the general population. One thousand six hundred and one articles published after 2019 were retrieved from five databases, of which 64 and 40 were included in the systematic review and meta-analysis, respectively. Studies were grouped according to population: children (<18 years), adults (18–64 years) and older adults (>65 years). Average sedentary time was calculated, with sub-analyses performed by country, behaviour type and health outcomes. Children were most affected, increasing their sedentary time by 159.5 ± 142.6 min day −1 , followed by adults (+126.9 ± 42.2 min day −1 ) and older adults (+46.9 ± 22.0 min day −1 ). There were no sex differences in any age group. Screen time was the only consistently measured behaviour and accounted for 46.8% and 57.2% of total sedentary time in children and adults, respectively. Increases in sedentary time were negatively correlated with global mental health, depression, anxiety and quality of life, irrespective of age. Whilst lockdown negatively affected all age groups, children were more negatively affected than adults or older adults, highlighting this population as a key intervention target. As lockdowns ease worldwide, strategies should be employed to reduce time spent sedentary. Trial registration: PROSPERO (CRD42020208909).

Suggested Citation

  • Adam Runacres & Kelly A. Mackintosh & Rachel L. Knight & Liba Sheeran & Rhys Thatcher & James Shelley & Melitta A. McNarry, 2021. "Impact of the COVID-19 Pandemic on Sedentary Time and Behaviour in Children and Adults: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(21), pages 1-26, October.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11286-:d:665953
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/21/11286/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/18/21/11286/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Cristina Romero-Blanco & Julián Rodríguez-Almagro & María Dolores Onieva-Zafra & María Laura Parra-Fernández & María del Carmen Prado-Laguna & Antonio Hernández-Martínez, 2020. "Physical Activity and Sedentary Lifestyle in University Students: Changes during Confinement Due to the COVID-19 Pandemic," IJERPH, MDPI, vol. 17(18), pages 1-13, September.
    2. Gemma Biviá-Roig & Valentina Lucia La Rosa & María Gómez-Tébar & Lola Serrano-Raya & Juan José Amer-Cuenca & Salvatore Caruso & Elena Commodari & Antonio Barrasa-Shaw & Juan Francisco Lisón, 2020. "Analysis of the Impact of the Confinement Resulting from COVID-19 on the Lifestyle and Psychological Wellbeing of Spanish Pregnant Women: An Internet-Based Cross-Sectional Survey," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
    3. Meiling Qi & Ping Li & Wendy Moyle & Benjamin Weeks & Cindy Jones, 2020. "Physical Activity, Health-Related Quality of Life, and Stress among the Chinese Adult Population during the COVID-19 Pandemic," IJERPH, MDPI, vol. 17(18), pages 1-10, September.
    4. Fei Qin & Yiqing Song & George P Nassis & Lina Zhao & Yanan Dong & Cuicui Zhao & Yiwei Feng & Jiexiu Zhao, 2020. "Physical Activity, Screen Time, and Emotional Well-Being during the 2019 Novel Coronavirus Outbreak in China," IJERPH, MDPI, vol. 17(14), pages 1-16, July.
    5. Daniel Mon-López & Ricardo Bernardez-Vilaboa & Antonio Alvarez Fernandez-Balbuena & Manuel Sillero-Quintana, 2020. "The Influence of COVID-19 Isolation on Physical Activity Habits and Its Relationship with Convergence Insufficiency," IJERPH, MDPI, vol. 17(20), pages 1-9, October.
    6. Xiuqiang Wang & Si Man Lei & Shenglong Le & Yanxiang Yang & Boyi Zhang & Wu Yao & Zan Gao & Sulin Cheng, 2020. "Bidirectional Influence of the COVID-19 Pandemic Lockdowns on Health Behaviors and Quality of Life among Chinese Adults," IJERPH, MDPI, vol. 17(15), pages 1-17, August.
    7. Daniela Reyes-Olavarría & Pedro Ángel Latorre-Román & Iris Paola Guzmán-Guzmán & Daniel Jerez-Mayorga & Felipe Caamaño-Navarrete & Pedro Delgado-Floody, 2020. "Positive and Negative Changes in Food Habits, Physical Activity Patterns, and Weight Status during COVID-19 Confinement: Associated Factors in the Chilean Population," IJERPH, MDPI, vol. 17(15), pages 1-14, July.
    8. Borja Sañudo & Curtis Fennell & Antonio J. Sánchez-Oliver, 2020. "Objectively-Assessed Physical Activity, Sedentary Behavior, Smartphone Use, and Sleep Patterns Pre- and during-COVID-19 Quarantine in Young Adults from Spain," Sustainability, MDPI, vol. 12(15), pages 1-12, July.
    9. Chen Zheng & Wendy Yajun Huang & Sinead Sheridan & Cindy Hui-Ping Sit & Xiang-Ke Chen & Stephen Heung-Sang Wong, 2020. "COVID-19 Pandemic Brings a Sedentary Lifestyle in Young Adults: A Cross-Sectional and Longitudinal Study," IJERPH, MDPI, vol. 17(17), pages 1-11, August.
    10. Francesca Gallè & Elita Anna Sabella & Stefano Ferracuti & Osvalda De Giglio & Giuseppina Caggiano & Carmela Protano & Federica Valeriani & Eduardo Alfonso Parisi & Giuliana Valerio & Giorgio Liguori , 2020. "Sedentary Behaviors and Physical Activity of Italian Undergraduate Students during Lockdown at the Time of CoViD−19 Pandemic," IJERPH, MDPI, vol. 17(17), pages 1-11, August.
    11. Jacob Meyer & Cillian McDowell & Jeni Lansing & Cassandra Brower & Lee Smith & Mark Tully & Matthew Herring, 2020. "Changes in Physical Activity and Sedentary Behavior in Response to COVID-19 and Their Associations with Mental Health in 3052 US Adults," IJERPH, MDPI, vol. 17(18), pages 1-13, September.
    12. Xanne Janssen & Leanne Fleming & Alison Kirk & Lesley Rollins & David Young & Madeleine Grealy & Bradley MacDonald & Paul Flowers & Lynn Williams, 2020. "Changes in Physical Activity, Sitting and Sleep across the COVID-19 National Lockdown Period in Scotland," IJERPH, MDPI, vol. 17(24), pages 1-10, December.
    13. Arkaitz Castañeda-Babarro & Ane Arbillaga-Etxarri & Borja Gutiérrez-Santamaría & Aitor Coca, 2020. "Physical Activity Change during COVID-19 Confinement," IJERPH, MDPI, vol. 17(18), pages 1-10, September.
    14. Casey Gray & Rebecca Gibbons & Richard Larouche & Ellen Beate Hansen Sandseter & Adam Bienenstock & Mariana Brussoni & Guylaine Chabot & Susan Herrington & Ian Janssen & William Pickett & Marlene Powe, 2015. "What Is the Relationship between Outdoor Time and Physical Activity, Sedentary Behaviour, and Physical Fitness in Children? A Systematic Review," IJERPH, MDPI, vol. 12(6), pages 1-20, June.
    15. Stefan Stieger & David Lewetz & Viren Swami, 2021. "Emotional Well-Being Under Conditions of Lockdown: An Experience Sampling Study in Austria During the COVID-19 Pandemic," Journal of Happiness Studies, Springer, vol. 22(6), pages 2703-2720, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Qianqian Wu & Xiaodan Niu & Yan Zhang & Jing Song & Aiping Chi, 2023. "A Comparative Study of Inhibition Function between High-Intensity Interval Training and Moderate-Intensity Continuous Training in Healthy People: A Systematic Review with Meta-Analysis," IJERPH, MDPI, vol. 20(4), pages 1-15, February.
    2. Osama Aljuhani & Rola Alsuwailem & Abdulelah Al-Salawi & Gavin Sandercock, 2022. "Physical Activity and Sedentary Behaviors in Primary School Children in Saudi Arabia during the COVID-19 Pandemic: Association with Parents’ Behaviors," IJERPH, MDPI, vol. 19(20), pages 1-14, October.
    3. Rela-Valentina CIOMAG, 2021. "Importance of Physical Activity During the Coronavirus," Marathon, Department of Pshisycal Education and Sport, Academy of Economic Studies, Bucharest, Romania, vol. 13(2), pages 93-98, December.
    4. Maria Elvén & Birgitta Kerstis & Jonas Stier & Charlotta Hellström & Petra von Heideken Wågert & Micael Dahlen & Daniel Lindberg, 2022. "Changes in Physical Activity and Sedentary Behavior before and during the COVID-19 Pandemic: A Swedish Population Study," IJERPH, MDPI, vol. 19(5), pages 1-15, February.
    5. Isabel A. L. Slurink & Veerle R. Smaardijk & Willem J. Kop & Nina Kupper & Floortje Mols & Dounya Schoormans & Sabita S. Soedamah-Muthu, 2022. "Changes in Perceived Stress and Lifestyle Behaviors in Response to the COVID-19 Pandemic in The Netherlands: An Online Longitudinal Survey Study," IJERPH, MDPI, vol. 19(7), pages 1-13, April.
    6. Rodrigo A. V. Browne & Ludmila L. P. Cabral & Gledson T. A. Oliveira & Geovani A. D. Macêdo & Júlio Sócrates & Raíssa de M. Silva & Maria B. F. Araújo & Yuri A. Freire & Eduardo C. Costa, 2022. "Life-Space Mobility and Objectively Measured Movement Behavior in Older Adults with Hypertension after Receiving COVID-19 Vaccination," IJERPH, MDPI, vol. 19(19), pages 1-17, October.
    7. Joel Martin & Michael Toczko & Emily Locke & Ryan McCarthy & Italia Milani & Nathalie Barrios & Samer Koutoubi & Jatin Ambegaonkar & Niyati Dhokai & Ali Boolani, 2022. "Influence of Grit on Physical Activity, Sitting Time and Dietary Behaviors: A Multi-Study Analysis," Sustainability, MDPI, vol. 15(1), pages 1-14, December.
    8. Mario Caggiano & Alfonso Acerra & Stefano Martina & Marzio Galdi & Francesco D’Ambrosio, 2023. "Infection Control in Dental Practice during the COVID-19 Pandemic: What Is Changed?," IJERPH, MDPI, vol. 20(5), pages 1-10, February.
    9. Rachel L. Knight & Melitta A. McNarry & Adam W. Runacres & James Shelley & Liba Sheeran & Kelly A. Mackintosh, 2022. "Moving Forward: Understanding Correlates of Physical Activity and Sedentary Behaviour during COVID-19 in Children and Adolescents—An Integrative Review and Socioecological Approach," IJERPH, MDPI, vol. 19(3), pages 1-13, January.
    10. Tara Zeitoun & Audrey Plante & Catherine M. Sabiston & Mélanie Dieudé & Isabelle Doré, 2023. "The Association between Change in Lifestyle Behaviors and Mental Health Indicators in Immunosuppressed Individuals during the COVID-19 Pandemic," IJERPH, MDPI, vol. 20(3), pages 1-13, January.
    11. Shinsuke Mizutani & Hideaki Matsuzaki & Kiyomi Iyota & Asuka Tani & Saori Oku & Hiroaki Tabuchi & Akiko Fujiwara & Shizuka Hase-Tamaru & Hiro Kishimoto & Kenji Narazaki, 2023. "Changes of Oral and Physical Functions in Older Japanese Who Participated in Keyboard Harmonica and Exercise Classes during COVID-19-Related Movement Restrictions," IJERPH, MDPI, vol. 20(4), pages 1-11, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Aurélie Goncalves & Sarah Le Vigouroux & Elodie Charbonnier, 2021. "University Students’ Lifestyle Behaviors during the COVID-19 Pandemic: A Four-Wave Longitudinal Survey," IJERPH, MDPI, vol. 18(17), pages 1-9, August.
    2. Teresa Rubio-Tomás & Maria Skouroliakou & Dimitrios Ntountaniotis, 2022. "Lockdown Due to COVID-19 and Its Consequences on Diet, Physical Activity, Lifestyle, and Other Aspects of Daily Life Worldwide: A Narrative Review," IJERPH, MDPI, vol. 19(11), pages 1-41, June.
    3. Vojko Vučković & Klemen Krejač & Tanja Kajtna, 2022. "Exercise Motives of College Students after the COVID-19 Lockdown," IJERPH, MDPI, vol. 19(12), pages 1-11, June.
    4. Anna Mulasso & Margherita Micheletti Cremasco & Simone Cuomo & Andrea Testa & Lynda Stella Lattke & Aurelia De Lorenzo & Alberto Rainoldi & Emanuela Rabaglietti, 2023. "“Stay at Home” during the COVID-19 Pandemic: Effects on Physical Activity and Sedentary Behavior in an Italian Academic Community," IJERPH, MDPI, vol. 20(2), pages 1-13, January.
    5. Lilian Krist & Christina Dornquast & Thomas Reinhold & Katja Icke & Ina Danquah & Stefan N. Willich & Heiko Becher & Thomas Keil, 2021. "Predictors of Changes in Physical Activity and Sedentary Behavior during the COVID-19 Pandemic in a Turkish Migrant Cohort in Germany," IJERPH, MDPI, vol. 18(18), pages 1-13, September.
    6. Rachel L. Knight & Melitta A. McNarry & Liba Sheeran & Adam W. Runacres & Rhys Thatcher & James Shelley & Kelly A. Mackintosh, 2021. "Moving Forward: Understanding Correlates of Physical Activity and Sedentary Behaviour during COVID-19—An Integrative Review and Socioecological Approach," IJERPH, MDPI, vol. 18(20), pages 1-19, October.
    7. Éva Bácsné Bába & Anetta Müller & Christa Pfau & Renátó Balogh & Éva Bartha & György Szabados & Zoltán Bács & Kinga Ráthonyi-Ódor & Gergely Ráthonyi, 2023. "Sedentary Behavior Patterns of the Hungarian Adult Population," IJERPH, MDPI, vol. 20(3), pages 1-15, February.
    8. Kathrin Wunsch & Korbinian Kienberger & Claudia Niessner, 2022. "Changes in Physical Activity Patterns Due to the Covid-19 Pandemic: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(4), pages 1-48, February.
    9. Rebecca M. Meiring & Silmara Gusso & Eloise McCullough & Lynley Bradnam, 2021. "The Effect of the COVID-19 Pandemic Movement Restrictions on Self-Reported Physical Activity and Health in New Zealand: A Cross-Sectional Survey," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    10. Raquel Lara & Martha Fernández-Daza & Sara Zabarain-Cogollo & María Angustias Olivencia-Carrión & Manuel Jiménez-Torres & María Demelza Olivencia-Carrión & Adelaida Ogallar-Blanco & Débora Godoy-Izqui, 2021. "Active Coping and Anxiety Symptoms during the COVID-19 Pandemic in Spanish Adults," IJERPH, MDPI, vol. 18(16), pages 1-17, August.
    11. Irfan Ullah & Md. Saiful Islam & Sajjad Ali & Hashaam Jamil & Muhammad Junaid Tahir & Aatik Arsh & Jaffer Shah & Sheikh Mohammed Shariful Islam, 2021. "Insufficient Physical Activity and Sedentary Behaviors among Medical Students during the COVID-19 Lockdown: Findings from a Cross-Sectional Study in Pakistan," IJERPH, MDPI, vol. 18(19), pages 1-10, September.
    12. Ilse Adriana Gutiérrez-Pérez & Pedro Delgado-Floody & Daniel Jerez-Mayorga & Diego Soto-García & Felipe Caamaño-Navarrete & Isela Parra-Rojas & Nacim Molina-Gutiérrez & Iris Paola Guzmán-Guzmán, 2021. "Lifestyle and Sociodemographic Parameters Associated with Mental and Physical Health during COVID-19 Confinement in Three Ibero-American Countries. A Cross-Sectional Pilot Study," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
    13. Marine Kirsch & Damien Vitiello, 2022. "The COVID-19 Pandemic Lowers Active Behavior of Patients with Cardiovascular Diseases, Healthy Peoples and Athletes," IJERPH, MDPI, vol. 19(3), pages 1-14, January.
    14. David Jungwirth & Daniela Haluza, 2023. "Sports and the Pandemic: The Impact of COVID-19 on Active Living and Life Satisfaction of Climbers," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    15. Kele Ding & Jingzhen Yang & Ming-Kai Chin & Lindsay Sullivan & J. Larry Durstine & Verónica Violant-Holz & Giyasettin Demirhan & Nara R.C. Oliveira & Biljana Popeska & Garry Kuan & Waheeda Khan & Jian, 2021. "Physical Activity among Adults Residing in 11 Countries during the COVID-19 Pandemic Lockdown," IJERPH, MDPI, vol. 18(13), pages 1-16, July.
    16. Sandra Haider & Lee Smith & Lovro Markovic & Felipe B. Schuch & Kabir P. Sadarangani & Guillermo Felipe Lopez Sanchez & Rubén Lopez-Bueno & Alejandro Gil-Salmerón & Anita Rieder & Mark A. Tully & Lena, 2021. "Associations between Physical Activity, Sitting Time, and Time Spent Outdoors with Mental Health during the First COVID-19 Lock Down in Austria," IJERPH, MDPI, vol. 18(17), pages 1-12, August.
    17. Federico Roggio & Bruno Trovato & Silvia Ravalli & Michelino Di Rosa & Grazia Maugeri & Antonino Bianco & Antonio Palma & Giuseppe Musumeci, 2021. "One Year of COVID-19 Pandemic in Italy: Effect of Sedentary Behavior on Physical Activity Levels and Musculoskeletal Pain among University Students," IJERPH, MDPI, vol. 18(16), pages 1-17, August.
    18. Evelia Franco & Jesús Urosa & Rubén Barakat & Ignacio Refoyo, 2021. "Physical Activity and Adherence to the Mediterranean Diet among Spanish Employees in a Health-Promotion Program before and during the COVID-19 Pandemic: The Sanitas-Healthy Cities Challenge," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    19. Aureliusz Andrzej Kosendiak & Michał Piotr Wysocki & Paweł Piotr Krysiński, 2022. "Lifestyle, Physical Activity and Dietary Habits of Medical Students of Wroclaw Medical University during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(12), pages 1-17, June.
    20. Justin A. DeBlauw & Mary Stenson & Astrid Mel & Daniela German & Aaron Jaggernauth & Brian Lora & Noa Schabes & Raymani Walker & Farouq Yusuf & Stephen J. Ives, 2023. "The Impact of COVID-19 Health and Safety Measures on the Self-Reported Exercise Behaviors and Mental Health of College Students," IJERPH, MDPI, vol. 20(24), pages 1-14, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11286-:d:665953. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.