Association of screen time-based sedentary behavior and the risk of depression in children and adolescents: Dose-response meta-analysis

Authors

  • Zhichun Zou Southwest University for Nationalities, Chengdu, Sichuan Province 610041, China https://orcid.org/0000-0002-2681-8463
  • Huimin Wang Department of Physical Education, Southwest University for Nationalities, Chengdu, Sichuan Province 610041, China
  • Huimin Wang Southwest University for Nationalities, Chengdu, Sichuan Province 610041, China
  • Quan Wen Southwest University for Nationalities, Chengdu, Sichuan Province 610041, China
  • Xiao Luo Southwest University for Nationalities, Chengdu, Sichuan Province 610041, China

DOI:

https://doi.org/10.15761/0101-60830000000314

Keywords:

Depression, Screen time, Children and adolescents, Dose-response meta-analysis

Abstract

Purpose: We aimed to find the association between screen time (ST)-based sedentary behavior and depression in children and adolescents.

Methods: PubMed, Embase, and Web of science database were searched to find eligible studies until April 25, 2021. Data extraction was conducted by two investigators independently, followed by quality assessment for included studies. Odd ration (OR) and 95% confidence intervals (CI) were regarded as effect size index. Heterogeneity test was conducted using Cochran’ s Q test and I 2 test. Least squares trend estimation method was used for dose-response meta analysis. All statistical analyses were conducted using Stata12.0 software.

Results: Totally 22 articles containing 197,673 cases were included. The pooled results displayed that there was a significant positive
correlation between ST and depression [OR (95%CI) = 1.24 (1.11, 1.38), P < 0.001]. Similar results were observed for watching television (TV), computer use (CU), computer game (CG)/video game (VG) and internet use (IU)/mobile phone (MP) time. Dose-response meta-analysis showed that take 1 hour/day as control, the risk of depression went down and then went up as sedentary time increased for ST (P > 0.05). The risk of depression was significantly increased when TV time beyond 4.5 hours/day (P < 0.05), or CU time beyond 0.5 hours/day (P < 0.05), or CG/VG time beyond 2 hours/day (P < 0.05), or IU MP time beyond 0.5 hours/day (P < 0.05).

Conclusions: ST-based sedentary behavior was associated with the risk of depression in a non-linear dose–response manner for children and adolescents.

Downloads

Download data is not yet available.

Downloads

Published

2021-12-01

Issue

Vol. 48 No. 6 (2021)

Section

Original Articles

License

Copyright (c) 2021 Archives of Clinical Psychiatry (São Paulo)

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Once accepted for publication, the manuscript becomes permanent property of the Archives of Clinical Psychiatry. This copyright transfer subsumes exclusive and unlimited entitlement of the Archives of Clinical Psychiatry to publish and distribute the full contents of articles in whichever publishing medium, including press and electronic media, in Brazil and abroad.

Manuscripts are accepted with the understanding that the Editor and the editorial staff have the right to make revisions aimed at greater conciseness, clarity, and conformity with Journal style, of course without changing its content.

How to Cite

Association of screen time-based sedentary behavior and the risk of depression in children and adolescents: Dose-response meta-analysis . (2021). Archives of Clinical Psychiatry (São Paulo), 48(6), 235-244. https://doi.org/10.15761/0101-60830000000314