The Impact of sedentary behavior on health and the need for physical activity in children and adolescents

Mirela DAMIAN, Antoanela OLTEAN, Cosmin DAMIAN


Children and adolescents do not practice enough physical activity or have too much unbalanced nutrition, and the consequence of these unhealthy and bad habits is overweight that can lead to obesity, impairment of health and, implicitly, the quality of life.

The objective of the study is to summarize the evidence of published literature on the impact of sedentary lifestyle on the health of children and adolescents, the benefits of regular physical activity, as well as recommendations for their correct performance.

Results: All researched works combines regular physical activity with important health benefits. Children and adolescents aged 5-18 must be physically active for at least 60 minutes a day, with intense physical exercise being associated with the majority of authors with a better physical condition and well-being. The physical activity program should include exercises that address all fitness components: cardiorespiratory capacity, muscle strength / fitness, flexibility and body composition.

Conclusions: Some action is needed to promote a healthy lifestyle and increase physical activity to at least 60 minutes a day, in order to reduce the sedentary behavior among children and adolescents due to excessive use of the Internet, social networks or audiovisual media. Implementation and support of programs to promote physical activity among them is necessary, given the increasing number of overweight and obese persons.


physical activity;sedentary;health;obesity;children

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AAP. (2001). American Academy of Pediatrics Paper presented at the Committee on Public Education: Children, adolescents, and television. Pediatrics.

Aaron, D., J., Kriska, A., M., & Dearwater, S., R. (1993). The epidemiology of leisure time physical activity in an adolescent population. Med. Sci. Sports Exerc., 25, 847–853.

ADA. (1999). Clinical Practice Recommendations. Diabetes.

Alpert, B., & Wilmore, J. (1994). Physical activity and blood pressure in adolescents. Physical activity guidelines for adolescents. Pediatric Exercise Science, 361-380.

Andersen, L. B., Harro, M., Sardinha, L., B., Froberg, K., Ekelund, U., Brage, S., & Anderssen, S. A. (2006). Physical activity and clustered cardiovascular risk in children: a cross-sectional study The Lancet, 368, 299-304. doi:10.1016/S0140-6736(06)69075-2

Andersen, R., E., Crespo, C., J., Bartlett, S., J., Cheskin, L., J., & M., P. (1998). Relationship of physical activity and television watching with body weight and level of fatness among children.

Arion, C., Dragomir, D., & Popescu, V. (1983). Obezitatea la sugar, copil si adolescent Bucuresti: Editura Medicala.

Aznar, S., & Webster, T. (2006). Actividad Fisica y Salud en la Infancia y la Adolescencia: Ministerio de Sanidad, Consumo y Ministerio de Educacin y Ciencia

Berg, U. (2010). Physical Activity in the Prevention and Treatment of Disease swedish national institute of public health. 14.

BHF. (2000). Couch kids: the growing epidemic. London: The British Heart Foundation.

Biddle, S., Sallis, J., & Cavill, N. (1998). Policy framework for young people and health-enhancing physical activity. In Young and active? Young people and health-enhancing physical activity: evidence and implications. London, UK: Health Education Authority.

Biswas, A., Oh., P., I., Faulkner, G., E., Bajaj, R., R., Silver, M., A., S., M. M., & Alter D., A. (2015). Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Annals of Internal Medicine, 162(2), 123–132.

Blair, S. N. (2009). Physical inactivity. The biggest public health problem of the 21st century. British Journal of Sports Medicine, 43(1–2).

Blair, S. N., Cheng, Y., & Holder, J. S. (2001). Is physical activity or physical fitness more important in defining health benefits? . Med. Sci. Sports Exerc.

Blair, S. N., & Connelly, J. (1996). How much physical activity should we do? The case for moderate amounts and intensities of physical activity. Res Q Exerc Sport., 67(2), 193–205.

Bos, K. (2003). Erster Deutscher Kinder- und Jugendsportbericht. Schorndorf, Hofmann.

Bostock, L. (2001). Pathways of disadvantage? Walking as a mode of transport among low income mothers. . Health Soc Care Community, 9.

Bowman, S. A. (2006). Television-viewing characteristics of adults: correlations to eating practices and overweight and health status.

Butcher, J. (1983). Socialization of adolescent girls into physical activity. . Adolescence, 753–766.

Casperser, C., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Reports, 100(2), 126-131.

Chinapaw, M., Altenburg, T., & Brug, J. (2015). Sedentary behaviour and health in children - evaluating the evidence. Prev Med., 70.

De Rezende, L. F., Rodrigues, L., M., P., R.-L. J., K., M. V., & C., L. O. (2014). Sedentary Behavior and Health Outcomes: An Overview of Systematic Reviews. PLOS One, 9(8).

Diaz, K., M., & Daichi, S. (2013). Physical Activity and the Prevention of Hypertension. Current hypertension reports, 659–668.

Dietz, W. H., & Gortmaker, S., L. (1985). Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. Pediatrics.

Eisenmann, J. C. (2004). Physical activity and cardiovascular disease risk factors in children and adolescents. An overview. The Canadian Journal of Cardiology, 295-301.

Ekelund, U., Brage, S., Froberg, K., Harro, M., & Anderssen, S., A. . (2006). TV Viewing and Physical Activity Are Independently Associated with Metabolic Risk in Children: The European Youth Heart Study. PLOS Medicine, 3(12). doi:

Epstein, L. H., Wing, R., Koeske, R., & Vaoski, A. A. (1985). A. comparison of lifestyle exerecise, aerobic exercise and calisthenics on weight loss in obese children. Behavioural therapy, 16.

Fletcher, G., Blair, S. N., & Blumenthal, J. (1992). Statement on exercise. Benefits and recommendations for physical activity programs for all Americans. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology. American Health Association, 86.

Gerhardsson de Verdier, M., Steineck, G., Hagman, U., Rieger, A., & Norell, S., E. (1990). Physical activity and colon cancer: a case-referent study in Stockholm. International Journal of Cancer, 46, 985–989.

Gortmaker, S. L., Must, A., Sobol, A. M., Peterson., K., Colditz, G. A., & H., D. W. (1996). Television viewing as a cause of increasing obesity among children in the United States. Archives of Pediatrics and Adolescent Medicine, 150, 356–362.

Graf, C., Beneke, R., Bloch, W., Bucksch, J., Dordel, S., Eiser, S., . . . Woll, A. (2014). Karger. Recommendations for Promoting Physical Activity for Children and Adolescents in Germany. A Consensus Statement.

Haskell, W. L., Lee, I.-M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., & Bauman, A. (2007). Physical activity and public health: Updated recommendation for adults American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 1081-1093.

Hegde, S. M., & Solomon, S. D. (2015). Influence of Physical Activity on Hypertension and Cardiac Structure and Function. Current hypertension reports. Retrieved from

Herzig, M., Dossegger, A., Mader, U., Kriemler, S., Wunderlin, T., Grize, L., . . . Bringolf-Isler, B. (2012). Differences in weight status and energy-balance related behaviors among schoolchildren in German-speaking Switzerland compared to seven countries in Europe. International Journal of Behavioral Nutrition and Physical Activity, 90-139.

Howard, R. A., Freedman, D. M., Park, Y., Hollenbeck, A., Schatzkin, A., & F., L. M. (2008). Physical activity, sedentary behavior, and the risk of colon and rectal cancer in the NIH-AARP. AARP Diet and Health Study. Cancer Causes Control, 19, 939–953.

Janssen, I. (2007). Physical activity guidelines for children and youth. Physiology Nutrition and Metabolism, 32.

Janssen, I., & Leblanc, A. (2009). Systematic Review of the Health Benefits of Physical Activity in School-Aged Children and Youth. International Journal of Behavioural Nutrition and Physical Activity.

Jenvey, V. B. (2007). The relationship between television viewing and obesity in young children: a review of existing explanations. Early Child Dev Care, 177, 809–820.

Karlsson, K. M., Stenevi-Lundgren, H., Linden, C., & Gardsell, P. (2006). Daily callisthenics strengthen the skeleton (Vol. 103).

Karlsson, M. (2002). Physical training during the growth years increases bone mass (Vol. 99).

Kiens, B., Beyer, N., Brage, S., Hyldstrup, L., Ottesen, L., S., & Overgaard, K. (2007). Physical inactivity. Consequences and contexts. A report from the Danish Exercise and Nutrition Council. (Vol. 56).

Kimm, S. Y., Glynn, N. W., Kriska, A. M., Barton, B. A., Kronsberg, S. S., Daniels, S. R., . . . Liu, K. (2002). Decline in physical activity in black girls and white girls during adolescence. The New England Journal of Medicine, 347.

Kohl, H. W. (2001). Physical activity and cardiovascular disease: evidence for a dose response. Medicine & Science in Sports & Exercise.

Kopelman, P. G. (2000). Obesity as a medical problem. Nature, 404, 635-643.

Lee, I., Shiroma, E. J., Lobelo, F., Puska, P., Blair, S. N., & Katzmarzyk, P. T. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. The Lancet, 380(9838), 219-229.

Livingstone, M., B. (2001). Childhood obesity in Europe: a growing concern. . Public Health Nutrition, 109-116.

MF. (2011-2015). French National Nutrition and Health Program 2011 – 2015

MS. (2015). Ministerul sanatatii - Ghid de interventie pentru alimentatie sanatoasa si activitate fizica în gradinite si scoli.

NHS. (1996). National institutes of health consensus development panel on physical activity and cardiovascular health Physical activity and cardiovascular health. JAMA 276. Retrieved from

NICE. (2009). Promoting physical activity for children and young people

NIH. (1996). National institutes of health consensus development panel on physical activity and cardiovascular health Physical activity and cardiovascular health

NIHCE. (2009). National Institute for Health and Care Excellence. NICE: Promoting physical activity for children and young people

PAGAC. (2008). Physical Activity Guidelines Advisory Committee Report Retrieved from Washington:

Parlamentul, E. (2007). Cartea alba-Strategie pentru Europa privind problemele de sanatate legate de alimentatie, excesul de greutate si obezitate.

Pate, R. R., Pratt, M., & Blair, S. N. (1995). Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine

Powell , K. E., Thompson, P. D., & Caspersen, C., J. (1987). Physical activity and the incidence of coronary heart disease. Annual Review of Public Health, 8, 253-287.

Proper, K., I., Singh, A., S., Van, M., W., & Chinapaw, M. J. (2011). Sedentary behaviors and health outcomes among adults: a systematic review of prospective studies. American Journal of Preventive Medicine, 40(2), 174–182

Sallis, J. F., Prochaska, J. J., & Taylor, W. C. A. (2000). A review of correlates of physical activity of children and adolescents. Medicine and Science in Sports and Exercise, 32(5), 963–975.

Salmon, J., Bauman, A., Crawford, D., Timperio, A., & Owen, N. (2000). The association between television viewing and overweight among Australian adults participating in varying levels of leisure-time physical activity International Journal of Obesity and Related Metabolic Disorders, 600–606.

SBU. (2004). Swedish Council on Technology Assessment in Health Care. Preventative measures against obesity. A sytematic literature review. Stockholm: : SBU.

SNIPHPA. (2010). Swedish National Institute of Public Health Physical Activity in the Prevention and Treatment of Disease professional associations for physical activity. Sweden.

Speiser, P. W., Rudolf, M. C., Anhalt, H., Camacho-Hubner, C., Chiarelli., F., Eliakim, A., . . . Iughetti, L. (2005). Childhood obesity The Journal of Clinical Endocrinology & Metabolism, 90(3), 1871-1887.

SRBN. (2012). Letter to the editor: Standardized use of the terms “sedentary” and “sedentary behaviours. Applied Physiology, Nutrition, and Metabolism - NRC Research Press, 37.

Stanner, S. (2004). At Least Five a Week – a summary of the report from the Chief Medical Officer on physical activity Retrieved from London Department of Health

Strasburger, V. C. (2010). Council on Communications and Media American Academy of Pediatrics: Media education. Pediatrics, 126(1012–1017).

Swinburn, B., & Shelly, A. (2009). Effects of TV time and other sedentary pursuits. International Journal of Obesity, Nature Publishing Group.

Teodor, D. (2017). Hydration in tennis performance-water, carbohydrate or electrolyte sports drink? Paper presented at the Annals, Series Physical Education and Sport / SCIENCE, MOVEMENT AND HEALTH

Thomas, N. R. (1999). Reducing Children's Television Viewing to Prevent ObesityA Randomized Controlled Trial. JAMA, 282(16), 1561–1567.

Thorp, A. A., Owen, N., Neuhaus, M., & Dunstan, D. W. (2011). Sedentary behaviors and subsequent health outcomes in adults. A systematic review of longitudinal studies. American Journal of Preventive Medicine, 41(2).

Tremblay, M. S., Leblanc, A. G., Kho, M. E., Saunders, T. J., Larouche, R., & Colley, R. C. (2011). Systematic review of sedentary behaviour and health indicators in school-aged children and youth. International Journal of Behavioral Nutrition and Physical Activity, 8.

U.S. (1996). Physical Activity and Health: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion. Retrieved from

Van der Ploeg, Chey, T., Korda, R. J., Banks, E., & Bauman, A. (2012). Sitting time and all-cause mortality risk in 222 497 Australian adults. Archives of internal medicine, 173(6).

Verloigne, M., Loyen, A., & Van Hecke, L. (2016). Variation in population levels of sedentary time in European children and adolescents according to cross-European studies: a systematic literature review within DEDIPAC. The International Journal of Behavioral Nutrition and Physical Activity, 13. doi:10.1186/s12966-016-0395-5

Victor, C., Strasburger, M. D., & Amy, B. (2010). Health Effects of Media on Children and Adolescents. American Academy of Peditrics, 125(4), 756-767. doi:10.1542/peds.2009-2563

WHO. (2006). World Health Organization. Constitution of the World Health Organization -Basic Documents, Supplement.

WHO. (2010, 31.03.2014). Global Recommendations on Physical Activity for Health. Geneva, World Health Organization. Retrieved from 2010.

WHO. (2014). World Health Organization. Retrieved from Global Recommendations on Physical Activity for Health. Geneva, World Health Organization

WHO. (2015). Regional Office for Europe nutrient profile model. Retrieved from prevention/nutrition/publications/2015/who-regional-office-for-europe-nutrient-profile



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