RT journal article
T1 Associations Between Sedentary Behaviors and Sedentary Patterns with Metabolic Syndrome in Children and Adolescents: The UP&DOWN Longitudinal Study
A1 Sánchez Delgado, Alejandro
A1 Perez-Bey, Alejandro
A1 Conde de Caveda, Julio
A1 Izquierdo Gómez, Rocío
A1 Gómez Martínez, Sonia
A1 Veiga, Óscar L.
A1 Ascensión, Marcos
A1 Castro Piñero, José
A2 Didáctica de la Educación FísicaPlástica y Musical
K1 cardiovascular disease
K1 accelerometry
K1 youth
K1 sedentary bouts
K1 sedentary lifestyle
AB Background/Objectives: The longitudinal associations between different modalities of sedentary behaviors (SBs) and sedentary patterns (SPs) with metabolic syndrome (MetS) in children and adolescents are unclear. We aimed to analyze the cross-sectional and longitudinal (2-year follow-up) association between SB and SP with the MetS score in Spanish children and adolescents. Methods: 76 children (34 females) and 186 adolescents (94 females) were included for SB analyses, and 175 children (82 females) and 188 adolescents (95 females) for SP. Children and adolescents were aged 6–11.9 years and 12–17.9 years, respectively. SB were assessed by a self-reported questionnaire and SP were determined by accelerometry. The MetS score was computed from the waist circumference, systolic blood pressure, triglycerides, high-density lipoprotein cholesterol, and glucose levels. Different linear regression models were implemented to examine cross-sectional, longitudinal, and change associations of SB and SP with MetS. Results: Total daily SB, educative daily SB, and mean SB were longitudinal and inversely associated with MetS (β = −0.001, all p < 0.05) in male adolescents, while other daily SB was longitudinal and inversely associated with MetS (β = −0.002, all p < 0.05) in female adolescents. Changes in screen and other daily SB were directly associated with MetS in female adolescents (β = 0.001 to 0.002, all p < 0.05). In contrast, changes in educative daily SB were inversely associated with MetS in female adolescents (β = −0.001, all p < 0.05). Conclusions: Few associations between SB modalities and the MetS score were found, mainly in adolescents and often in unexpected directions. In male adolescents, total and educative daily SB were negatively associated with MetS. In female adolescents, other daily SB and changes in educative daily SB showed negative associations, while changes in screen-based and other daily SB were positively associated with MetS. No associations were found between SP and MetS. Given the low evidence available to date, more longitudinal studies analyzing SB and SP simultaneously are needed to reach solid conclusions.
PB MDPI
SN 2227-9032
YR 2025
FD 2025-10-09
LK http://hdl.handle.net/10498/39288
UL http://hdl.handle.net/10498/39288
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 06-nov-2026