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Studies conducted in healthy children and adolescents, aged \u226417.9\u2009years at baseline, with validated instruments to assess HRQoL were considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 6914 reports, 92 (72 cross\u2010sectional, 10 longitudinal, 10 randomized controlled trials) were included, representing 149,760 participants aged 3\u201320\u2009years. Results provide consistent evidence on (i) the detrimental associations between poor sleep quality and HRQoL; and (ii) beneficial associations between total physical activity and sports participation on HRQoL. There is some support for the detrimental associations between short sleep duration or excessive screen time and HRQoL, and beneficial associations between long sleep and HRQoL. Cross\u2010sectional reports dominated over longitudinal and RCTs, limiting event sequencing and causal inferences, respectively. There were few sleep studies compared to other exposures. The studies' quality varied from very low to moderate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Results support limiting screen time during leisure time to &lt;2\u2009h\/day, but do not provide sufficient evidence to establish a limit for total sedentary time\/day, as well as promoting moderate\u2010to\u2010vigorous physical activity (&gt;\u200960\u2009min\/day) and sports participation. Nevertheless, high\u2010quality studies are necessary in the future.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>The protocol of this systematic review was registered in PROSPERO (CRD42023414970).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.70004","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T13:07:32Z","timestamp":1753708052000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sleep, sedentary behaviour, physical activity and health\u2010related quality of life in children and adolescents: A systematic review"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0993-5614","authenticated-orcid":false,"given":"Gabriela","family":"Ferreira","sequence":"first","affiliation":[{"name":"Research Centre on Child Studies University of Minho  Braga Portugal"}]},{"given":"Andr\u00e9s","family":"Redondo\u2010T\u00e9bar","sequence":"additional","affiliation":[{"name":"Social and Health Research Center Universidad de Castilla\u2010La Mancha  Cuenca Spain"},{"name":"Facultad de Enfermer\u00eda Universidad de Castilla\u2010La Mancha  Ciudad Real Spain"}]},{"given":"Jo\u00e3o Pedro","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Research Centre on Child Studies University of Minho  Braga Portugal"}]},{"given":"Eduarda","family":"Sousa\u2010S\u00e1","sequence":"additional","affiliation":[{"name":"Liberal Arts Department, American University of the Middle East  Egaila Kuwait"}]},{"given":"Olena","family":"Oliveira","sequence":"additional","affiliation":[{"name":"EPIUnit \u2013 Institute of Public Health University of Porto  Porto Portugal"},{"name":"Laboratory for Integrative and Translational Research in Population Health (ITR) University of Porto  Porto Portugal"}]},{"given":"Lu\u00eds","family":"Lopes","sequence":"additional","affiliation":[{"name":"Research Centre in Physical Activity, Health and Leisure. 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