Timing of 24-hour movement behaviours: implications for practice, policy and research

被引:3
作者
Tomasone, Jennifer R. [1 ]
Janssen, Ian [1 ,2 ]
Saunders, Travis J. [3 ]
Duggan, Mary [4 ]
Jones, Rebecca [5 ]
Brouwers, Melissa C. [6 ]
Faulkner, Guy [7 ]
Flood, Stephanie M. [1 ]
Lane, Kirstin N. [4 ,8 ]
Latimer-Cheung, Amy E. [1 ]
Chaput, Jean-Philippe [6 ,9 ]
机构
[1] Queens Univ, Sch Kinesiol & Hlth Studies, Kingston, ON K7L 3N6, Canada
[2] Queens Univ, Dept Publ Hlth Sci, Kingston, ON, Canada
[3] Univ Prince Edward Isl, Dept Appl Human Sci, Charlottetown, PE, Canada
[4] Canadian Soc Exercise Physiol, Ottawa, ON, Canada
[5] ParticipACTION, Toronto, ON, Canada
[6] Univ Ottawa, Fac Med, Sch Epidemiol & Publ Hlth, Ottawa, ON, Canada
[7] Univ British Columbia, Sch Kinesiol, Vancouver, BC, Canada
[8] Univ Victoria, Sch Exercise Sci Phys & Hlth Educ, Victoria, BC, Canada
[9] Childrens Hosp Eastern Ontario, Hlth Act Living & Obes Res Grp, Res Inst, Ottawa, ON, Canada
来源
HEALTH PROMOTION AND CHRONIC DISEASE PREVENTION IN CANADA-RESEARCH POLICY AND PRACTICE | 2022年 / 42卷 / 04期
关键词
physical activity; sedentary behaviour; sleep; timing; knowledge translation; public health; 24-Hour Movement Guidelines; AGED; 18-64; YEARS; PHYSICAL-ACTIVITY; SEDENTARY BEHAVIOR; GUIDELINES; CHILDREN; ADULTS; HEALTH; SLEEP; ASSOCIATIONS; CONSISTENCY;
D O I
10.24095/hpcdp.42.4.05
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction: To continue to inform sleep health guidelines and the development of evidence-based healthy sleep interventions for children and adolescents, it is important to better understand the associations between sleep timing (bedtime, wake-up time, midpoint of sleep) and various health indicators. The objective of this systematic review was to examine the associations between sleep timing and 9 health indicators in appar¬ently healthy children and adolescents 5 to 18 years old. Methods: Studies published in the 10 years preceding January 2021 were identified from searches in four electronic databases. This systematic review followed the guidelines pre¬scribed in PRISMA 2020, the methodological quality and risk of bias were scored, and the summary of results used a best-evidence approach for accurate and reliable reporting. Results: Forty-six observational studies from 21 countries with 208 992 unique partici¬pants were included. Sleep timing was assessed objectively using actigraphy in 24 stud¬ies and subjectively in 22 studies. The lack of studies in some of the health outcomes and heterogeneity in others necessitated using a narrative synthesis rather than a meta¬analysis. Findings suggest that later sleep timing is associated with poorer emotional regulation, lower cognitive function/academic achievement, shorter sleep duration/poorer sleep quality, poorer eating behaviours, lower physical activity levels and more sedentary behaviours, but few studies demonstrated associations between sleep timing and adiposity, quality of life/well-being, accidents/injuries, and biomarkers of cardio-metabolic risk. The quality of evidence was rated as “very low” across health outcomes using GRADE. Conclusion: The available evidence, which relies on cross-sectional findings, suggests that earlier sleep timing is beneficial for the health of school-aged children and adoles¬cents. Longitudinal studies and randomized controlled trials are needed to better advance this field of research. (PROSPERO registration no.: CRD42020173585). © 2022, Public Health Agency of Canada. All rights reserved.
引用
收藏
页码:170 / 174
页数:5
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