The associations between screen time-based sedentary behavior and depression: a systematic review and meta-analysis
Wang X, Li Y, Fan H
BMC public health · 197 citations
How it was studied
- Design
- Meta-analysis (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Unclassified
- Technology Plans to Youth R&D Innovation
- Unclassified
- Technology Plans to Youth R&D Innovation
Based on 2 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2019-11-14 · BMC Public Health · vol. 19 · issue 1 · p. 1524
- Publisher
- BioMed Central
- Cited
- 310 citations · more than 96% of similar papers · 3.6× the field average
- Impact
- Top 10% most cited in its field
- References
- 61 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Physical Activity and Health · Eating Disorders and Behaviors · Mobile Health and mHealth Applications
- Keywords
- screen time, sedentary behavior, depression, depression risk, gender differences, reference groups, television viewing, computer use
- MeSH
- humans, exercise, cross-sectional studies, depression, mental health, depressive disorder, television, computers, adolescent, adult, aged, aged, 80 and over, middle aged, female, male, young adult, screen time, sedentary behavior
3 authors
From CN
- Xiao Wang · correspondingShanxi Medical University; Peking University; First Hospital of Shanxi Medical University; Peking University Sixth Hospital
- Yuexuan Li
- Haoliang Fan · correspondingSouthern Medical University; Hainan Medical University
Abstract
Background
The use of computers/TV has become increasingly common worldwide after entering the twenty-first century and depression represents a growing public health burden. Understanding the association between screen time-based sedentary behavior (ST-SB) and the risk of depression is important to the development of prevention and intervention strategies.
Methods
We searched the electronic databases of Medline, Embase and the Cochrane Library. The odds ratio (OR) with corresponding 95% confidence intervals (CIs) was adopted as the pooled measurement. Subgroup analyses were investigated by stratified meta-analyses based on age, gender and reference group (reference category of screen time, e.g. 2 h/day, 4 h/day).
Results
There were 12 cross-sectional studies and 7 longitudinal studies met the inclusion criteria. Overall, the pooled OR was 1.28 with high heterogeneity (I2 = 89%). Compared to those who reported less SB, persons reporting more SB had a significantly higher risk of depression. When the gender was stratified, the pooled OR was 1.18 in female groups while no significant association was observed in males. Among the 19 studies, 5 studies used a reference group with ST = 2 h/days (pooled OR = 1.46), 9 studies used ≥4 h as a reference group (pooled OR = 1.38), 2 studies used 1 h as a reference group (pooled OR = 1.07) and for the remaining 3 studies, hours of ST were calculated as a continuous variable (pooled OR = 1.04).
Conclusions
ST-SB is associated with depression risk and the effects vary in different populations. In addition, valid objective measures of SB should be developed in future studies.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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