Systematic review of the effects of isotemporal substitution of sedentary behavior with light physical activity on body composition and cardiometabolic health in children and adolescents

WANG Siji; CHEN Jiu; XIE Jun

doi:10.11852/zgetbjzz2024-1430

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Chinese Journal of Child Health Care ›› 2026, Vol. 34 ›› Issue (1) : 46-52. DOI: 10.11852/zgetbjzz2024-1430

Column on physical activity and childhood weight management

Systematic review of the effects of isotemporal substitution of sedentary behavior with light physical activity on body composition and cardiometabolic health in children and adolescents

WANG Siji¹, CHEN Jiu², XIE Jun²

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Abstract

Objective To systematically evaluate the effects of isochronous substitution of light physical activity (LPA) for sedentary behavior (SB) on body composition and cardiometabolic health in children and adolescents based on compositional data analysis. Methods Relevant literature published up to April 8, 2024, was retrieved from CNKI, PubMed, Embase, EBSCO, and Web of Science.Literature screening and quality assessment were conducted, and data on study population, age, and substitution patterns were extracted. Results A total of 32 studies were included, with 22 focusing on body composition and 10 on cardiometabolic health.For cardiometabolic outcomes, 7 short-duration substitution studies demonstrated beneficial effects, and 2 long-duration substitution studies showed positive improvements in blood lipids.Regarding body composition, 8 short-duration and 1 long-duration substitution studies reported significant improvements; 8 short-duration and 3 long-duration substitutions showed non-significant results; and 2 short-duration substitutions indicated adverse effects. Conclusion Substituting SB with LPA may partially mitigate some health risks associated with sedentary behavior in children and adolescents, although the evidence remains inconsistent and warrants further investigation.

Key words

light physical activity / sedentary behavior / children and adolescents / body composition / cardiac metabolism / isochronous substitution / systematic review

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WANG Siji, CHEN Jiu, XIE Jun. Systematic review of the effects of isotemporal substitution of sedentary behavior with light physical activity on body composition and cardiometabolic health in children and adolescents[J]. Chinese Journal of Child Health Care. 2026, 34(1): 46-52 https://doi.org/10.11852/zgetbjzz2024-1430

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