The Effects of Interrupting Sitting Time on Affect and State Anxiety in Children of Healthy Weight and Overweight: A Randomized Crossover Trial.

PURPOSE Sedentary time relates to higher anxiety and more negative affect in children. This study assessed whether interrupting sitting over 3 hours is sufficient to influence state anxiety, positive affect, or negative affect, and tested weight status as a moderator. METHODS Analyses were the second (preplanned) purpose of a larger study. Children (N = 61; age: mean [SD] = 9.5 [1.3]; 43% healthy weight) completed 2 experimental conditions: continuous sitting for 3 hours and sitting for 3 hours interrupted with walking for 3 minutes in every 30 minutes. State anxiety, positive affect, and negative affect were reported at pretest and posttest. Multilevel models for repeated measures assessed whether experimental condition predicted posttest scores. RESULTS Experimental condition was unrelated to posttest state anxiety or positive affect. Weight status moderated how experimental condition influenced posttest negative affect (P = .003). Negative affect was lower in the children of healthy weight after interrupted sitting (vs continuous sitting; β = -0.8; 95% confidence interval, -1.5 to 0.0, P = .05), but it was higher in the children with overweight/obesity after interrupted sitting (vs continuous sitting; β = 0.6; 95% confidence interval, 0.0 to 1.2, P = .06). CONCLUSIONS Interrupting sitting acutely reduced negative affect in children of healthy weight, but not in children with overweight. Further research is needed to better understand the potential emotional benefits of sitting interruptions in youth.

[1]  The exercise and affect relationship: evidence for the dual-mode model and a modified opponent process theory. , 2010, Journal of sport & exercise psychology.

[2]  Joss Langford,et al.  Autocalibration of accelerometer data for free-living physical activity assessment using local gravity and temperature: an evaluation on four continents , 2014, Journal of applied physiology.

[3]  H. Tiemeier,et al.  Variable selection: current practice in epidemiological studies , 2009, European Journal of Epidemiology.

[4]  G. Davey Smith,et al.  Childhood body mass index and later cancer risk: A 50‐year follow‐up of the Boyd Orr study , 2004, International journal of cancer.

[5]  Daniel P. Bailey,et al.  Breaking up prolonged sitting with light-intensity walking improves postprandial glycemia, but breaking up sitting with standing does not. , 2015, Journal of science and medicine in sport.

[6]  Daniel P. Bailey,et al.  Beneficial postprandial lipaemic effects of interrupting sedentary time with high-intensity physical activity versus a continuous moderate-intensity physical activity bout: A randomised crossover trial. , 2018, Journal of science and medicine in sport.

[7]  K. B. Hagen,et al.  Exercise in prevention and treatment of anxiety and depression among children and young people. , 2006, The Cochrane database of systematic reviews.

[8]  Thomas E. Joiner,et al.  A measure of positive and negative affect for children: Scale development and preliminary validation. , 1999 .

[9]  D. Dorr Factor structure of the state-trait anxiety inventory for children , 1981 .

[10]  Donald Hedeker,et al.  Momentary assessment of affect, physical feeling states, and physical activity in children. , 2014, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[11]  L. K. Khan,et al.  Relationship of childhood obesity to coronary heart disease risk factors in adulthood: the Bogalusa Heart Study. , 2001, Pediatrics.

[12]  F. Shaya,et al.  Anxiety and comorbid obesity and hypertension in United States children , 2014 .

[13]  M. Hyland,et al.  Mood and its association with metabolic health in adolescents: a longitudinal study, EarlyBird 65 , 2014, Pediatric diabetes.

[14]  J. Wylie-Rosett,et al.  Depressive symptoms are associated with excess weight and unhealthier lifestyle behaviors in urban adolescents. , 2014, Childhood obesity.

[15]  J. C. Basso,et al.  The Effects of Acute Exercise on Mood, Cognition, Neurophysiology, and Neurochemical Pathways: A Review , 2017, Brain plasticity.

[16]  M. Flament,et al.  Examining the bidirectional relationship between physical activity, screen time, and symptoms of anxiety and depression over time during adolescence. , 2016, Preventive medicine.

[17]  J. Reilly,et al.  Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review , 2011, International Journal of Obesity.

[18]  Andrea K. Webb,et al.  Multilevel models for repeated measures research designs in psychophysiology: an introduction to growth curve modeling. , 2007, Psychophysiology.

[19]  Donald Hedeker,et al.  A Practical Guide to Calculating Cohen’s f2, a Measure of Local Effect Size, from PROC MIXED , 2012, Front. Psychology.

[20]  J. Shaw,et al.  Breaking Up Prolonged Sitting Reduces Postprandial Glucose and Insulin Responses , 2012, Diabetes Care.

[21]  Philippe Delespaul,et al.  A time-lagged momentary assessment study on daily life physical activity and affect. , 2012, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[22]  A. Leventhal,et al.  Reciprocal associations between screen time and emotional disorder symptoms during adolescence , 2019, Preventive medicine reports.

[23]  Kevin P. Smith,et al.  Effects of Interrupting Children's Sedentary Behaviors With Activity on Metabolic Function: A Randomized Trial. , 2015, The Journal of clinical endocrinology and metabolism.

[24]  R. Motta,et al.  The effects of aerobic exercise on childhood PTSD, anxiety, and depression. , 2007, International journal of emergency mental health.

[25]  Genevieve Fridlund Dunton,et al.  Momentary assessment of contextual influences on affective response during physical activity. , 2015, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[26]  Kevin P. Smith,et al.  Effects of Interrupting Sedentary Behavior With Short Bouts of Moderate Physical Activity on Glucose Tolerance in Children With Overweight and Obesity: A Randomized Crossover Trial , 2018, Diabetes Care.

[27]  Deniz S. Ones,et al.  The effect of acute aerobic exercise on positive activated affect: A meta-analysis , 2006 .

[28]  Joong-Myung Choi,et al.  The impacts of obesity on psychological well-being: a cross-sectional study about depressive mood and quality of life. , 2007, Journal of preventive medicine and public health = Yebang Uihakhoe chi.

[29]  R. Sigal,et al.  Screen time is associated with depressive symptomatology among obese adolescents: a HEARTY study , 2016, European Journal of Pediatrics.

[30]  Christian E. Waugh,et al.  Acute exercise attenuates negative affect following repeated sad mood inductions in persons who have recovered from depression. , 2013, Journal of abnormal psychology.

[31]  B. Armstrong,et al.  The role of overweight perception and depressive symptoms in child and adolescent unhealthy weight control behaviors: a mediation model. , 2014, Journal of pediatric psychology.

[32]  P. Kearney,et al.  Physical Activity, Sedentary Behavior and the Risk of Overweight and Obesity in School-Aged Children. , 2017, Pediatric exercise science.

[33]  G. Parfitt,et al.  Exploring affective responses to different exercise intensities in low-active young adolescents. , 2011, Journal of sport & exercise psychology.

[34]  J. Miller,et al.  Walking facilitates positive affect (even when expecting the opposite). , 2016, Emotion.

[35]  A. Steptoe,et al.  The effect of experimentally induced sedentariness on mood and psychobiological responses to mental stress , 2016, British Journal of Psychiatry.

[36]  I. Sia,et al.  Relationship Between Negative Mood and Health Behaviors in an Immigrant and Refugee Population , 2017, Journal of Immigrant and Minority Health.

[37]  G. Parfitt,et al.  Acute affective responses to prescribed and self-selected exercise intensities in young adolescent boys and girls. , 2008, Pediatric exercise science.

[38]  A F Roche,et al.  CDC growth charts: United States. , 2000, Advance data.

[39]  J. Norris,et al.  A naturalistic study of the impact of acute physical activity on feeling states and affect in women. , 1996, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[40]  Scott Duncan,et al.  Using the ActivPAL Monitor toQuantify Time Spent Sitting,Standing and Stepping atSchool: A One -day Snapshot , 2014 .

[41]  L. Wichstrøm,et al.  Role of physical and sedentary activities in the development of depressive symptoms in early adolescence , 2011, Social Psychiatry and Psychiatric Epidemiology.

[42]  Y. Liao,et al.  Relationships Among Affective States, Physical Activity, and Sedentary Behavior in Children: Moderation by Perceived Stress , 2018, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[43]  S. Daniels,et al.  Severe obesity in children: prevalence, persistence and relation to hypertension , 2014, International Journal of Pediatric Endocrinology.

[44]  J. Baker,et al.  Psychological consequences of childhood obesity: psychiatric comorbidity and prevention , 2016, Adolescent health, medicine and therapeutics.

[45]  E. Ablah,et al.  Effects of an Intervention to Reduce Sitting at Work on Arousal, Fatigue, and Mood Among Sedentary Female Employees: A Parallel-Group Randomized Trial , 2017, Journal of occupational and environmental medicine.

[46]  R. Pate,et al.  Sedentary behaviour in youth , 2011, British Journal of Sports Medicine.

[47]  C. Spielberger,et al.  Assessment of anxiety and achievement in kindergarten and first-and second-grade children , 1986, Journal of abnormal child psychology.

[48]  D. Bessesen,et al.  Breaking up Sedentary Time in Overweight/Obese Adults on Work Days and Non-Work Days: Results from a Feasibility Study , 2018, International journal of environmental research and public health.

[49]  M. Teychenne,et al.  The association between sedentary behaviour and risk of anxiety: a systematic review , 2015, BMC Public Health.

[50]  I. Janssen,et al.  Volume, patterns, and types of sedentary behavior and cardio-metabolic health in children and adolescents: a cross-sectional study , 2011, BMC public health.

[51]  F. Benatti,et al.  The Effects of Breaking up Prolonged Sitting Time: A Review of Experimental Studies. , 2015, Medicine and science in sports and exercise.

[52]  S J Petruzzello,et al.  Affective responses to acute exercise: a test of opponent-process theory. , 1997, The Journal of sports medicine and physical fitness.

[53]  B. Whipp,et al.  A new method for detecting anaerobic threshold by gas exchange. , 1986, Journal of applied physiology.

[54]  R. Pate,et al.  Associations Between Screen-Based Sedentary Behavior and Cardiovascular Disease Risk Factors in Korean Youth , 2012, Journal of Korean medical science.

[55]  R. Solomon The opponent-process theory of acquired motivation: the costs of pleasure and the benefits of pain. , 1980, The American psychologist.

[56]  Steven Reise,et al.  The 10-Item Positive and Negative Affect Schedule for Children, Child and Parent Shortened Versions: Application of Item Response Theory for More Efficient Assessment , 2012, Journal of Psychopathology and Behavioral Assessment.

[57]  Audrey Bergouignan,et al.  Effect of frequent interruptions of prolonged sitting on self-perceived levels of energy, mood, food cravings and cognitive function , 2016, International Journal of Behavioral Nutrition and Physical Activity.