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Hebestreit A, Sina E. [Consequences of digital media on the health of children and adolescents with a focus on the consumption of unhealthy foods]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2024; 67:292-299. [PMID: 38233498 DOI: 10.1007/s00103-024-03834-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 01/08/2024] [Indexed: 01/19/2024]
Abstract
Children and adolescents' media time has increased since 2019. Prolonged time spent with media and media multitasking is increasingly being discussed as a health determinant. This narrative review highlights the importance of media time on the development of obesity and metabolic disorders in children and adolescents and discusses in more detail the associations with consumption of unhealthy foods and increased exposure to media food marketing.The prolonged durations that children and adolescents spend with social and digital media in their leisure time are positively related to sensory taste preferences for sweet, fatty, and salty foods as well as to higher snack food and energy intakes. Moreover, prolonged media time is also associated with a long-term increased risk of metabolic syndrome and its single components. The potential of social media for promoting physical activity and healthy eating lies especially in simplifying the inclusion of otherwise hard-to-reach groups. Further, social media may facilitate social support from peers and thus positively influence the well-being of young users.Particularly against the background of the not yet fully developed cognitive abilities of children and adolescents, the article refers to options for action to protect young media users. Exposure to certain social media content appears to negatively relate to children and adolescents' food choices and eating behaviors, supporting the call to regulate advertising directed at young consumers for foods and beverages that do not meet WHO criteria for child-friendly foods in these media.
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Affiliation(s)
- Antje Hebestreit
- Abteilung: Epidemiologische Methoden und Ursachenforschung, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland.
| | - Elida Sina
- Abteilung: Epidemiologische Methoden und Ursachenforschung, Leibniz-Institut für Präventionsforschung und Epidemiologie - BIPS, Achterstr. 30, 28359, Bremen, Deutschland
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2
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Antoniassi SG, Machado CO, Santos DSD, Santos LD, Höfelmann DA. [Screen time, quality of the adolescent diet, and profile of the school environment]. CIENCIA & SAUDE COLETIVA 2024; 29:e00022023. [PMID: 38198315 DOI: 10.1590/1413-81232024291.00022023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 04/25/2023] [Indexed: 01/12/2024] Open
Abstract
Adolescents from 30 state schools in Curitiba, State of Paraná, reported total screen time, namely television, video games and laptops. Diet quality was assessed by the frequency of food consumption. The income of the school environment was taken from the Census. The built environment for physical activity was investigated by systematic observation of the school surroundings. Multilevel Poisson Regression was used to estimate associations with the exposure variables. Among 1,200 adolescents, 50.9% being male, and 74.4% were found to be exposed to excessive screen time. Excessive TV screen time (56.5%) was associated with poor diet quality. Excessive video game time (22.0%) was lower among females (PR 0.25; 95%CI 0.18;0.36), associated with poor diet quality, lower school environment income, and the worst classification of the built environment for physical activity. Excessive use of portable screens (53.2%) tended to increase with the income of the school environment. Excessive use of TV and laptops was widespread among adolescents, with different demographic and contextual variables associated according to the type of device used.
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Affiliation(s)
- Sarina Giongo Antoniassi
- Programa de Pós-Graduação em Alimentação e Nutrição, Universidade Federal do Paraná. R. Pref. Lothário Meissner 632, Jardim Botânico. 80210-170 Curitiba PR Brasil.
| | | | | | - Lais Dos Santos
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Paraná. Curitiba PR Brasil
| | - Doroteia Aparecida Höfelmann
- Programa de Pós-Graduação em Alimentação e Nutrição, Universidade Federal do Paraná. R. Pref. Lothário Meissner 632, Jardim Botânico. 80210-170 Curitiba PR Brasil.
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3
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Dos Santos AB, Prado WL, Tebar WR, Ingles J, Ferrari G, Morelhão PK, Borges LO, Ritti Dias RM, Beretta VS, Christofaro DGD. Screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional school-based study. Prev Med Rep 2024; 37:102579. [PMID: 38222306 PMCID: PMC10787249 DOI: 10.1016/j.pmedr.2023.102579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 12/22/2023] [Accepted: 12/23/2023] [Indexed: 01/16/2024] Open
Abstract
Background Time spent on screen devices affects sleep quality and duration leading to several health impairments in youth. Although physical activity (PA) benefits sleep patterns and decreases screen time in adolescents, it is unclear whether the relationship between sleep quality/duration and screen time could be influenced by PA levels. Objective To analyze the association between sleep quality and duration with screen time in Brazilian adolescents according PA levels. Methods The sample included 1010 adolescents aged 13.2 ± 2.4 years (n = 556 females - 55 % of the sample). Sleep quality and sleep duration, and PA were assessed by Mini Sleep and Baecke questionnaires, respectively. Participants in the highest quartile were classified as physically active. Screen time was analyzed by the self-reported number of hours spent on different screen devices (i.e., television, computer, videogame, and cellphone/tablet). Participants in the highest tertile were classified as having high screen time. Sex, age, and body mass index were considered covariates in binary logistic regression models. Results Poor sleep quality was observed in 52.3 % of the sample, whereas 46.6 % reported sleeping less than eight hours/day. High screen time was associated with poor sleep quality (OR = 1.45; 95 %CI = 1.01-2.12) and insufficient sleep duration (OR = 1.52; 95 %CI = 1.01-2.03) in adolescents insufficiently active. There were no associations between screen time and sleep parameters in active adolescents. Conclusion High screen time was associated with poor sleep quality and insufficient sleep duration only in insufficiently active adolescents. These results suggest that high PA levels may contribute to improving sleep patterns in pediatric population.
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Affiliation(s)
- Amanda B Dos Santos
- São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Wagner L Prado
- California State University-San Bernardino, San Bernardino, USA
| | - William R Tebar
- São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Jared Ingles
- California State University-San Bernardino, San Bernardino, USA
| | - Gerson Ferrari
- Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia 7500912, Chile
| | | | - Luan O Borges
- São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | | | - Victor S Beretta
- São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, Brazil
| | - Diego G D Christofaro
- São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, Brazil
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4
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Liebig L, Bergmann A, Voigt K, Balogh E, Birkas B, Faubl N, Kraft T, Schöniger K, Riemenschneider H. Screen time and sleep among medical students in Germany. Sci Rep 2023; 13:15462. [PMID: 37726327 PMCID: PMC10509232 DOI: 10.1038/s41598-023-42039-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 09/04/2023] [Indexed: 09/21/2023] Open
Abstract
Medical students are a vulnerable group for harmful health behaviours due to academic stress. Increased screen time is associated with adverse health behaviour, particularly delayed bedtime, shorter sleep duration and poorer sleep quality. This possible relationship has not yet been examined among medical students in Europe. Medical students at the Technical University of Dresden were invited to participate in an online questionnaire based cross-sectional study. To analyse correlations between screen time and sleep parameters, correlation coefficients, linear regression and mixed-model analysis were calculated. 415 students (average age 24 years, 70% female) were included in the analysis. The students reported an average of 7 h screen time per day and 7.25 h sleep duration per night. Approximately 23% (n = 97) reported sleeping less than 7 h per night and 25% (n = 105) reported fairly to very poor sleep quality. Students who reported more screen time for leisure went to bed significantly later (r = 0.213, p < 0.001). Students who spent more screen time for study/work tended to sleep shorter (r = - 0.108, p < 0.015). There was no significant association between screen time and sleep quality (p = 0.103). The results show a need for educational interventions to promote healthy sleep behaviour and to limit screen time.
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Affiliation(s)
- Lukas Liebig
- Department of General Practice, Medical Clinic 3, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
| | - Antje Bergmann
- Department of General Practice, Medical Clinic 3, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Karen Voigt
- Department of General Practice, Medical Clinic 3, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Erika Balogh
- Department of Public Health Medicine, University of Pécs Medical School, Pecs, Hungary
| | - Béla Birkas
- Department of Behavioral Sciences, University of Pécs Medical School, Pecs, Hungary
| | - Nora Faubl
- Department of Behavioral Sciences, University of Pécs Medical School, Pecs, Hungary
| | - Theresa Kraft
- Institute for Medical Informatics and Biometry (IMB), Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Konrad Schöniger
- Department of Biological and Clinical Psychology, Institute of Psychology, Martin-Luther-Universität Halle-Wittenberg, Halle, Germany
| | - Henna Riemenschneider
- Department of General Practice, Medical Clinic 3, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
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Fournier E, Łuszczki E, Isacco L, Chanséaume-Bussiere E, Gryson C, Chambrier C, Drapeau V, Chaput JP, Thivel D. Toward an Integrated Consideration of 24 h Movement Guidelines and Nutritional Recommendations. Nutrients 2023; 15:2109. [PMID: 37432285 DOI: 10.3390/nu15092109] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2023] [Revised: 04/24/2023] [Accepted: 04/26/2023] [Indexed: 07/12/2023] Open
Abstract
While physical activity, sleep and sedentary behaviors are almost always considered independently, they should be considered as integrated human behaviors. The 24 h Movement approach proposes a concomitant consideration of these behaviors to promote overall health. Not only do these behaviors impact energy expenditure, but they have also been shown to separately impact energy intake, which should be further explored when considering the entire integration of these movement behaviors under the 24 h movement approach. After an evaluation of the prevalence of meeting the 24 h Movement and dietary recommendations, this review summarizes the available evidence (using English publications indexed in PubMed/MEDLINE) regarding the association between the 24 h Movement Guidelines and eating habits. Altogether, the results clearly show the beneficial impact of promoting the 24 h guidelines simultaneously, highlighting that the higher the number of respected movement recommendations, the better eating behaviors in both children and adults. Importantly, our results point out the importance of emphasizing the need to reach sedentary guidelines for better eating habits. Movement and dietary behaviors appear closely related, and giving recommendations on one might impact the other. Combining the 24 h Movement with dietary Guidelines might be more efficient than promoting them separately in public health strategies.
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Affiliation(s)
- Elora Fournier
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Clermont Auvergne University, CRNH Auvergne, 63000 Clermont-Ferrand, France
| | - Edyta Łuszczki
- Institute of Health Sciences, Medical College of Rzeszów University, 35-310 Rzeszów, Poland
| | - Laurie Isacco
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Clermont Auvergne University, CRNH Auvergne, 63000 Clermont-Ferrand, France
| | | | | | | | - Vicky Drapeau
- Department of Physical Education, Faculty of Education, Université Laval, Quebec, QC G1V 0A6, Canada
| | - Jean-Philippe Chaput
- Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 5B2, Canada
| | - David Thivel
- Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Clermont Auvergne University, CRNH Auvergne, 63000 Clermont-Ferrand, France
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Gomes DR, Santos Neto ETD, Oliveira DSD, Salaroli LB. Characteristics associated with the consumption of in natura or minimally processed and ultra-processed foods in one Brazilian metropolitan region. CIENCIA & SAUDE COLETIVA 2023. [DOI: 10.1590/1413-81232023282.07942022en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Abstract This cross-sectional study aimed to analyze the sociodemographic and lifestyle characteristics associated with the consumption of in natura or minimally processed and ultra-processed foods (UPFs) by adolescents in the Metropolitan Region of Greater Vitória, in Espírito Santo, Brazil. The data were obtained between 2016 and 2017. Logistic regression was adopted for the multivariate analysis. A total of 2,285 adolescents aged between 15 and 19 participated in the study. Greater consumption of minimally processed foods was associated with the adolescent doing paid work (OR=1.27; 95%CI=1.04-1.56), a high family income (OR=1.5; 95%CI=1.10-2.17), and engagement in physical activity (OR=1.9; 95%CI=1.45-2.63). Having brown/black skin (OR=1.3; 95%CI=1.02-1.61) and the habit of eating while surfing the web (OR=1.4; 95%CI=1.02-1.88) increased the chances of consuming UPFs. Being enrolled in a private school and being in the third/fourth year of high school reduced UPF consumption by 41.7% and 37.2%, respectively. It is concluded that greater purchasing power and engagement in physical activity influenced the consumption of minimally processed foods. On the other hand, self-reporting as brown/black and internet use increased the chances of greater UPF consumption.
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Affiliation(s)
- Daiene Rosa Gomes
- Universidade Federal do Oeste da Bahia, Brasil; Universidade Federal do Espírito Santo, Brazil
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7
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Gomes DR, Santos Neto ETD, Oliveira DSD, Salaroli LB. Characteristics associated with the consumption of in natura or minimally processed and ultra-processed foods in one Brazilian metropolitan region. CIENCIA & SAUDE COLETIVA 2023; 28:643-656. [PMID: 36651414 DOI: 10.1590/1413-81232023282.07942022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 08/24/2022] [Indexed: 01/18/2023] Open
Abstract
This cross-sectional study aimed to analyze the sociodemographic and lifestyle characteristics associated with the consumption of in natura or minimally processed and ultra-processed foods (UPFs) by adolescents in the Metropolitan Region of Greater Vitória, in Espírito Santo, Brazil. The data were obtained between 2016 and 2017. Logistic regression was adopted for the multivariate analysis. A total of 2,285 adolescents aged between 15 and 19 participated in the study. Greater consumption of minimally processed foods was associated with the adolescent doing paid work (OR=1.27; 95%CI=1.04-1.56), a high family income (OR=1.5; 95%CI=1.10-2.17), and engagement in physical activity (OR=1.9; 95%CI=1.45-2.63). Having brown/black skin (OR=1.3; 95%CI=1.02-1.61) and the habit of eating while surfing the web (OR=1.4; 95%CI=1.02-1.88) increased the chances of consuming UPFs. Being enrolled in a private school and being in the third/fourth year of high school reduced UPF consumption by 41.7% and 37.2%, respectively. It is concluded that greater purchasing power and engagement in physical activity influenced the consumption of minimally processed foods. On the other hand, self-reporting as brown/black and internet use increased the chances of greater UPF consumption.
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Affiliation(s)
- Daiene Rosa Gomes
- Centro das Ciências Biológicas e da Saúde, Universidade Federal do Oeste da Bahia. R. da Prainha 1326, Morada Nobre (Gabinete 38). 47810-047 Barreiras BA Brasil. .,Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Espírito Santo. Vitória ES Brasil
| | | | - Danila Soares de Oliveira
- Centro das Ciências Biológicas e da Saúde, Universidade Federal do Oeste da Bahia. R. da Prainha 1326, Morada Nobre (Gabinete 38). 47810-047 Barreiras BA Brasil.
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Cantarero Prieto D, Lanza-León P, Moreno P, Blázquez-Fernández C, Lera J, Gonzalez-Diego FJ, González Rodríguez I. Change in eating habits during the Spanish COVID-19 pandemic lockdown: evidence for a sample of university community. PeerJ 2023; 11:e14244. [PMID: 36718453 PMCID: PMC9884042 DOI: 10.7717/peerj.14244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 09/23/2022] [Indexed: 01/26/2023] Open
Abstract
Background The stress and anxiety caused by COVID-19 lockdown may have changed the eating habits of the population. Our aim is to assess the eating changes that have taken place due to the pandemic. Methods Data were collected through an electronic survey created by the Health Economics Research Group of the University of Cantabria and IDIVAL and conducted between 14/01/2021 and 19/02/2021. A total of 1,417 responses were recorded, but only 507 complete observations were considered. We carried out a cross-sectional analysis through ordered probit regressions. Results The improvement in post-confinement eating habits is associated with higher income level, better self-assessed health status and more physical activity. The worsening of eating habits is associated with having a certain level of nomophobia or the fear of contagion. Conclusions Our analysis can be used for designing and implementing new strategies to overcome the negative spill overs of the COVID-19 pandemic and improve the dietary patterns.
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Affiliation(s)
- David Cantarero Prieto
- Universidad de Cantabria, Santander, Spain,Valdecilla Biomedical Institute Research (IDIVAL), Santander, Spain
| | - Paloma Lanza-León
- Universidad de Cantabria, Santander, Spain,Valdecilla Biomedical Institute Research (IDIVAL), Santander, Spain
| | | | - Carla Blázquez-Fernández
- Universidad de Cantabria, Santander, Spain,Valdecilla Biomedical Institute Research (IDIVAL), Santander, Spain
| | - Javier Lera
- Valdecilla Biomedical Institute Research (IDIVAL), Santander, Spain
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Alanko D. The Health Effects of Video Games in Children and Adolescents. Pediatr Rev 2023; 44:23-32. [PMID: 36587018 DOI: 10.1542/pir.2022-005666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Play has always been an essential part of childhood, but it looks different for modern children, who increasingly engage in virtual play. More than 90% of children older than 2 years play video games, and three-quarters of American households own a video game console. Children 8 to 17 years of age spend an average of 1.5 to 2 hours daily playing video games. Recent developments framed by decades of research have provided insight into how games influence children's physical health, mental health, social behaviors, and cognitive development. Anticipatory guidance surrounding media use is often centered on screen time, but pediatricians should have some knowledge of the unique benefits and risks associated with this nearly ubiquitous activity. In light of the recent addition of gaming disorder to the International Classification of Diseases, 11th Revision, this review includes a discussion of the epidemiology, clinical features, and diagnosis of gaming disorder, including the use of existing screening tools. As games become more popular while ever-increasing in scope and complexity, this review aims to educate the modern pediatric provider about what is known, what is uncertain, and how to use this knowledge in the management of both healthy and unhealthy video gaming in children.
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Affiliation(s)
- Daniel Alanko
- Hasbro Children's Hospital and Alpert School of Medicine at Brown University, Providence, Rhode, Island
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10
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Hjetland GJ, Skogen JC, Hysing M, Sivertsen B. The Association Between Self-Reported Screen Time, Social Media Addiction, and Sleep Among Norwegian University Students. Front Public Health 2022; 9:794307. [PMID: 34976935 PMCID: PMC8716598 DOI: 10.3389/fpubh.2021.794307] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 11/24/2021] [Indexed: 02/02/2023] Open
Abstract
The aim of this study was to assess the relationship between daily screen time and sleep, evening screen time and sleep, and between social media addiction and sleep in a student population. This cross-sectional study is based on data from a national survey of all college and university students in Norway (the SHoT2018 study; n = 49,051). The sleep outcomes were sleep duration, sleep onset latency, sleep efficiency, and insomnia operationalized according to formal DSM-5 criteria. The results show a strong negative association between time spent on screen-based devices and sleep quality and quantity, and where screen use in bed had more consistent negative associations with sleep. Furthermore, there were higher rates of insomnia among those with higher levels of addiction, and curvilinear relationships with sleep duration, sleep onset latency, and sleep efficiency. Those with higher levels of addiction also had more evening screen time. The findings suggest that screen use plays an important role in students' sleep quantity and quality, where evening screen time has a stronger relationship with sleep compared to total daily screen time. The results also suggest a role of social media addiction, and addictive social media use may be a target for intervention in order to reduce evening screen time.
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Affiliation(s)
- Gunnhild J Hjetland
- Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway
| | - Jens C Skogen
- Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway.,Alcohol and Drug Research Western Norway, Stavanger University Hospital, Stavanger, Norway.,Centre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Oslo, Norway
| | - Mari Hysing
- Department of Psychosocial Science, University of Bergen, Bergen, Norway
| | - Børge Sivertsen
- Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway.,Department of Research and Innovation, Helse Fonna HF, Haugesund, Norway.,Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway
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Freire T, Santana G, Vieira A, Barbosa B. Adolescer in Time of COVID-19's Pandemic: Rationale and Construction Process of a Digital Intervention to Promote Adolescents' Positive Development. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052536. [PMID: 35270229 PMCID: PMC8909284 DOI: 10.3390/ijerph19052536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 02/18/2022] [Accepted: 02/19/2022] [Indexed: 11/16/2022]
Abstract
The coronavirus pandemic has severely impacted children's and adolescents' lives due to policies and regulations implemented to slow the virus from spreading, which led to a loss of routine, structure, academic support, and social contacts. Literature also reports a lack of outdoor activity, inappropriate diet, and disruption of sleeping habits as affecting children's and adolescents' lifestyles and well-being. Remarkably, these consequent psychological, behavioral, and emotional changes can compromise their self-esteem, sense of self-efficacy, and self-concept, affecting their immune systems. These maladaptive coping strategies and associated effects may emerge as a failure to access some of the sources of support that might help them cope. Facing this crisis, we aimed at promoting well-being, growth, and the positive development of Portuguese adolescents through an intervention focused on positive coping strategies. We developed "Adolescer in time of COVID-19-A good practices Guide for adolescents in social distancing" as a digital document to be quickly disseminated online, answering the emergent needs of Portuguese youth between 13 and 18 years old during the COVID-19 pandemic. In this article, we present the rationale and process of construction of this intervention while living within a quarantine period, considering the restrictive measures adopted at the time.
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Damato TM, Tebar WR, Oliveira CBS, Saraiva BTC, Morelhao PK, Ritti-Dias RM, Christofaro DGD. Relationship of sleep quality with screen-based sedentary time and physical activity in adolescents — the moderating effect of body mass index. Sleep Breath 2022; 26:1809-1816. [DOI: 10.1007/s11325-021-02519-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 10/19/2021] [Accepted: 10/26/2021] [Indexed: 12/09/2022]
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13
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Knebel MTG, Matias TS, Lopes MVV, Dos Santos PC, da Silva Bandeira A, da Silva KS. Clustering of Physical Activity, Sleep, Diet, and Screen-Based Device Use Associated with Self-Rated Health in Adolescents. Int J Behav Med 2022; 29:587-596. [PMID: 35028932 DOI: 10.1007/s12529-021-10043-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2021] [Indexed: 11/05/2022]
Abstract
BACKGROUND Little is known about how the interplay among health-related behaviors impacts self-rated health (SRH). We examined the clustering of physical activity (PA), sleep, diet, and specific screen-based device use, and the associations between the emergent clusters and SRH among Brazilian adolescents. METHOD The data used in this cross-sectional study were from the baseline of the Movimente Program. Self-reported data were analyzed. SRH was recorded as a 5-point scale (from poor to excellent). Daily duration of exposure to the computer, the television, the cell phone, and games; PA; sleep; and weekly consumption of fruits and vegetables and ultra-processed foods were included in a Two-Step cluster analysis. Multilevel ordered logistic regressions assessed the associations between the clusters and SRH. RESULTS The data of 750 students (girls: 52.8%, 13.1 ± 1.0 years) were analyzed. Good SRH was more prevalent (52.8%). Three clusters were identified: the Phubbers (50.53%; characterized by the longest cell phone use duration, shortest gaming and computer use, lowest PA levels, and low consumption of fruits and vegetables), the Gamers (22.80%; longest gaming and computer use duration, PA < sample average, highest intake of ultra-processed foods), and a Healthier cluster (26.67%; physically active, use of all screen-based devices < sample average, and healthier dietary patterns). For both Gamers (-0.85; 95% CI -1.24, -0.46) and Phubbers (-0.71; 95% CI -1.04, -0.38), it was found a decrease in the log-odds of being in a higher SRH category compared with the Healthier cluster. CONCLUSION Specific clusters represent increased health-related risk. Assuming the interdependence of health-related behaviors is indispensable for accurately managing health promotion actions for distinguishable groups.
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Affiliation(s)
- Margarethe Thaisi Garro Knebel
- School of Sports, Research Centre in Physical Activity and Health, Federal University of Santa Catarina, Florianópolis, SC, 88040-900, Brazil.
| | - Thiago Sousa Matias
- School of Sports, Research Centre in Physical Activity and Health, Federal University of Santa Catarina, Florianópolis, SC, 88040-900, Brazil
| | - Marcus Vinicius Veber Lopes
- School of Sports, Research Centre in Physical Activity and Health, Federal University of Santa Catarina, Florianópolis, SC, 88040-900, Brazil
| | - Priscila Cristina Dos Santos
- School of Sports, Research Centre in Physical Activity and Health, Federal University of Santa Catarina, Florianópolis, SC, 88040-900, Brazil
| | - Alexsandra da Silva Bandeira
- School of Sports, Research Centre in Physical Activity and Health, Federal University of Santa Catarina, Florianópolis, SC, 88040-900, Brazil
| | - Kelly Samara da Silva
- School of Sports, Research Centre in Physical Activity and Health, Federal University of Santa Catarina, Florianópolis, SC, 88040-900, Brazil
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The impact of eSports and online video gaming on lifestyle behaviours in youth: A systematic review. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2021.106974] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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15
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Silva JB, Elias BC, Warkentin S, Mais LA, Konstantyner T. Factors associated with the consumption of ultra-processed food by Brazilian adolescents: National Survey of School Health, 2015. REVISTA PAULISTA DE PEDIATRIA 2021; 40:e2020362. [PMID: 34614136 PMCID: PMC8543808 DOI: 10.1590/1984-0462/2022/40/2020362] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Accepted: 02/21/2021] [Indexed: 01/22/2023]
Abstract
Objective: To identify the prevalence and factors associated with the consumption of ultra-processed foods by Brazilian adolescents. Methods: The sample was representative of adolescents and participants in the cross-sectional population-based study National Survey of School Health, 2015 edition (PeNSE-2015). A self-administered questionnaire was used for data collection. The variable weekly consumption of ultra-processed foods was considered, and consumption more than seven times a week was considered excessive. Descriptive and inferential analyses of demographic, socioeconomic, behavioral and environmental characteristics potentially associated with the outcome were performed. Poisson's multiple regression model was adjusted to control for confounding factors. Results: The prevalence of excessive consumption of ultra-processed foods among 16,324 adolescents in Brazil was 75.4%. Nine factors independently associated with this outcome were identified: age under 15 years (RR 1.08; p<0.001), daily sitting time greater than four hours (RR 1.13; p<0.001), eating while watching TV or studying more than four days a week (RR 1.09; p<0.001), daily TV time greater than three hours (RR 1.08; p<0.001), breakfast frequency less than four days a week (RR 1,03; p=0.001), having a cell phone (RR 1.12; p<0.001), absent maternal education (RR 0.88; p<0.001), being enrolled in a private school (RR 1.05; p=0.002) located in the urban area (RR 1.13; p=0.002). Conclusions: The results express the multifactorial characteristic of excessive consumption of ultra-processed foods and suggest the need for the development and implementation of health policies to guide the consumption of these foods and the importance of adopting healthy behaviors for this population group in both school and home environments.
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Abstract
OBJECTIVE To assess changes in daily habits, food choices and lifestyle of adult Brazilians before and during the COVID-19 pandemic. DESIGN This observational study was carried out with Brazilian adults through an online questionnaire 5 months after the social distance measures implementation. The McNemar, McNemar–Bowker and Wilcoxon tests were used to investigate differences before and during the COVID pandemic period, adopting the statistical significance of P < 0·05. SETTING Brazil. PARTICIPANTS Totally, 1368 volunteers aged 18+ years. RESULTS The volunteers reported a lower frequency of breakfast, morning and lunch snacks (P < 0·05) and a higher frequency of evening snacks and other meal categories during the pandemic period (P < 0·05). The results showed an increase in the consumption of bakery products, instant meals and fast food, while the consumption of vegetables and fruits decreased (P < 0·005). There was a significant increase in the frequency of consumption of alcoholic beverages (P < 0·001), but a reduction in the dose (P < 0·001), increased frequency of smoking (P = 0·007), an increase in sleep and screen time in hours and decrease in physical activity (P < 0·001). CONCLUSIONS It was possible to observe an increase in screen time, hours of sleep, smoking and drinking frequency. On the other hand, there was a reduction in the dose of alcoholic beverages but also in the practice of physical activity. Eating habits also changed, reducing the performance of daytime meals and increasing the performance of nighttime meals. The frequency of consumption of instant meals and fast food has increased, while consumption of fruits and vegetables has decreased.
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Kanellopoulou A, Diamantis DV, Notara V, Panagiotakos DB. Extracurricular Sports Participation and Sedentary Behavior in Association with Dietary Habits and Obesity Risk in Children and Adolescents and the Role of Family Structure: a Literature Review. Curr Nutr Rep 2021; 10:1-11. [PMID: 33595804 DOI: 10.1007/s13668-021-00352-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/02/2021] [Indexed: 01/10/2023]
Abstract
PURPOSE OF REVIEW Childhood obesity is considered a major problem in the modern world, associated with many health issues in youth. This review aimed the association between extracurricular sports participation, sedentary time/screen time, and "obesogenic" and "non-obesogenic" dietary habits among youth and to explore the role of family structure on the adoption of sedentary behaviors by children. RECENT FINDINGS Increased participation in extracurricular sports was associated with a healthier dietary pattern, containing more "non-obesogenic" food choices. Opposite results were indicated by sedentary activities. Increased time in watching TV, computer/electronic games, and other screen devices was positively associated with unhealthy dietary patterns. Overall, extracurricular activities influence the quality of food choices, which may prevent or promote childhood obesity; thus, sport-related activities should be promoted through public health policies. The role of the family structure is contradictory.
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Affiliation(s)
- Aikaterini Kanellopoulou
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 70 Eleftheriou Venizelou (Thiseos) Ave, Kallithea, 176 71, Athens, Greece
| | - Dimitrios V Diamantis
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 70 Eleftheriou Venizelou (Thiseos) Ave, Kallithea, 176 71, Athens, Greece
| | - Venetia Notara
- Department of Public and Community Health, Laboratory of Hygiene and Epidemiology, School of Public Health, University of West Attica, Athens, Greece
| | - Demosthenes B Panagiotakos
- Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 70 Eleftheriou Venizelou (Thiseos) Ave, Kallithea, 176 71, Athens, Greece. .,Faculty of Health, University of Canberra, ACT, Canberra, Australia.
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18
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Sina E, Buck C, Ahrens W, De Henauw S, Jilani H, Lissner L, Molnár D, Moreno LA, Pala V, Reisch L, Siani A, Solea A, Veidebaum T, Hebestreit A. Digital Media Use in Association with Sensory Taste Preferences in European Children and Adolescents-Results from the I.Family Study. Foods 2021; 10:foods10020377. [PMID: 33572315 PMCID: PMC7916161 DOI: 10.3390/foods10020377] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 02/01/2021] [Accepted: 02/04/2021] [Indexed: 01/01/2023] Open
Abstract
Digital media (DM) influences children's food choice. We aim to investigate associations between DM use and taste preferences (TP) for sweet, fatty, bitter, and salty in European children and adolescents. Individuals aged 6-17 years (N = 7094) providing cross-sectional data for DM use: television (TV), computer/game console (PC), smartphone and internet, were included. Children (6 to <12 years) and adolescents (≥12 years) completed a Food and Beverage Preference Questionnaire; scores were calculated for sweet, fatty, salty and bitter preference and categorized (high vs. low). Logistic regression was used to calculate odds ratios as association measures between DM exposure and TP. On average, individuals used media for 2.4 h/day (SD = 1.7). Increasing exposures to DM were associated positively with sweet, fatty and salty TP, while inversely with bitter preference. In female adolescents, DM exposure for >2 h/day was associated with sweet (OR = 1.27, 95% CI = 1.02-1.57) and fatty preference (OR = 1.37; 95% CI = 1.10-1.70). Internet exposure was inversely associated with bitter preference, notably in male adolescents (OR = 0.65, 95% CI = 0.50-0.84), but positively associated with salty preference (OR = 1.29, 95% CI = 1.02-1.64). DM exposure was associated with sweet, fatty, salty and bitter TP in children and adolescents, serving as the basis for future longitudinal studies to shed light on the underlying mechanism by which DM exposure may determine eating habits.
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Affiliation(s)
- Elida Sina
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany; (E.S.); (C.B.); (W.A.); (H.J.)
| | - Christoph Buck
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany; (E.S.); (C.B.); (W.A.); (H.J.)
| | - Wolfgang Ahrens
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany; (E.S.); (C.B.); (W.A.); (H.J.)
- Institute of Statistics, Faculty of Mathematics and Computer Science, University of Bremen, 28359 Bremen, Germany
| | - Stefaan De Henauw
- Department of Public Health and Primary Care, Ghent University, 9000 Ghent, Belgium;
| | - Hannah Jilani
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany; (E.S.); (C.B.); (W.A.); (H.J.)
- Institute for Public Health and Nursing Research—IPP, University of Bremen, 28359 Bremen, Germany
| | - Lauren Lissner
- Department of Public Health and Community Medicine, University of Gothenburg, 40530 Gothenburg, Sweden;
| | - Dénes Molnár
- Department of Pediatrics, Medical School, University of Pécs, 7623 Pécs, Hungary;
| | - Luis A. Moreno
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn), University of Zaragoza, 50009 Zaragoza, Spain;
| | - Valeria Pala
- Department of Preventive and Predictive Medicine, Fondazione IRCCS, Istituto Nazionale dei Tumori, 20133 Milan, Italy;
| | - Lucia Reisch
- Department of Management, Society and Communication, Copenhagen Business School, 2000 Frederiksberg, Denmark;
| | - Alfonso Siani
- Institute of Food Sciences, National Research Council, 83100 Avellino, Italy;
| | - Antonia Solea
- Research and Education Institute of Child Health, 2035 Strovolos, Cyprus;
| | - Toomas Veidebaum
- Department of Chronic Diseases, National Institute for Health Development, 11619 Tallinn, Estonia;
| | - Antje Hebestreit
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, 28359 Bremen, Germany; (E.S.); (C.B.); (W.A.); (H.J.)
- Correspondence: ; Tel.: +49-421-218.56849
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The potential health impact of restricting less-healthy food and beverage advertising on UK television between 05.30 and 21.00 hours: A modelling study. PLoS Med 2020; 17:e1003212. [PMID: 33048922 PMCID: PMC7553286 DOI: 10.1371/journal.pmed.1003212] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Accepted: 09/08/2020] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Restrictions on the advertising of less-healthy foods and beverages is seen as one measure to tackle childhood obesity and is under active consideration by the UK government. Whilst evidence increasingly links this advertising to excess calorie intake, understanding of the potential impact of advertising restrictions on population health is limited. METHODS AND FINDINGS We used a proportional multi-state life table model to estimate the health impact of prohibiting the advertising of food and beverages high in fat, sugar, and salt (HFSS) from 05.30 hours to 21.00 hours (5:30 AM to 9:00 PM) on television in the UK. We used the following data to parameterise the model: children's exposure to HFSS advertising from AC Nielsen and Broadcasters' Audience Research Board (2015); effect of less-healthy food advertising on acute caloric intake in children from a published meta-analysis; population numbers and all-cause mortality rates from the Human Mortality Database for the UK (2015); body mass index distribution from the Health Survey for England (2016); disability weights for estimating disability-adjusted life years (DALYs) from the Global Burden of Disease Study; and healthcare costs from NHS England programme budgeting data. The main outcome measures were change in the percentage of the children (aged 5-17 years) with obesity defined using the International Obesity Task Force cut-points, and change in health status (DALYs). Monte Carlo analyses was used to estimate 95% uncertainty intervals (UIs). We estimate that if all HFSS advertising between 05.30 hours and 21.00 hours was withdrawn, UK children (n = 13,729,000), would see on average 1.5 fewer HFSS adverts per day and decrease caloric intake by 9.1 kcal (95% UI 0.5-17.7 kcal), which would reduce the number of children (aged 5-17 years) with obesity by 4.6% (95% UI 1.4%-9.5%) and with overweight (including obesity) by 3.6% (95% UI 1.1%-7.4%) This is equivalent to 40,000 (95% UI 12,000-81,000) fewer UK children with obesity, and 120,000 (95% UI 34,000-240,000) fewer with overweight. For children alive in 2015 (n = 13,729,000), this would avert 240,000 (95% UI 65,000-530,000) DALYs across their lifetime (i.e., followed from 2015 through to death), and result in a health-related net monetary benefit of £7.4 billion (95% UI £2.0 billion-£16 billion) to society. Under a scenario where all HFSS advertising is displaced to after 21.00 hours, rather than withdrawn, we estimate that the benefits would be reduced by around two-thirds. This is a modelling study and subject to uncertainty; we cannot fully and accurately account for all of the factors that would affect the impact of this policy if implemented. Whilst randomised trials show that children exposed to less-healthy food advertising consume more calories, there is uncertainty about the nature of the dose-response relationship between HFSS advertising and calorie intake. CONCLUSIONS Our results show that HFSS television advertising restrictions between 05.30 hours and 21.00 hours in the UK could make a meaningful contribution to reducing childhood obesity. We estimate that the impact on childhood obesity of this policy may be reduced by around two-thirds if adverts are displaced to after 21.00 hours rather than being withdrawn.
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Tebar WR, Ritti Dias RM, Scarabottolo CC, Gil FCS, Saraiva BTC, Delfino LD, Zanuto EF, Vanderlei LCM, Christofaro DGD. Sedentary behavior is more related with cardiovascular parameters in normal weight than overweight adolescents. J Public Health (Oxf) 2020; 42:e215-e222. [PMID: 31340011 DOI: 10.1093/pubmed/fdz082] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Revised: 05/17/2019] [Accepted: 06/26/2019] [Indexed: 11/12/2022] Open
Abstract
This study analyzed the relationship between sedentary behavior and cardiovascular parameters in normal weight and overweight adolescents. The sample included 449 boys and 555 girls with mean age of 13 years from public schools, which were divided into five geographical regions, with data collections performed in one selected school from each region. Sedentary behavior was assessed by screen time on TV, computer, videogame and cell phone/tablet, with good reliability in adolescents. Physical activity was assessed by Baecke's questionnaire, validated for adolescents. Measures of body weight, height and waist circumference were collected. Adolescents were classified as overweight or normal weight by cut-off points of body mass index for age and sex. Cardiovascular parameters were evaluated by oscillometric device and heart rate by specific monitor. Computer use was positively related to systolic blood pressure (SBP) (β = 0.35; 95%CI = 0.07-0.62) and diastolic blood pressure (DBP) (β = 0.25; 95%CI = 0.05-0.44) in normal weight but not in overweight adolescents. Similar results were observed for cell phone/tablet in SBP (β = 0.46; 95%CI = 0.20-0.72) and DBP (β = 0.36; 95%CI = 0.18-0.54), only for normal weight. The cluster of screen time was related to SBP in normal weight (β = 0.44; 95%CI = 0.03-0.84) and overweight (β = 0.60; 95%CI = 0.01-1.19). Screen time in computer and cell phone/tablet was more related to cardiovascular parameters in normal weight than overweight adolescents.
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Affiliation(s)
- William R Tebar
- Movement Sciences Post Graduation Program-Sao Paulo State University (Unesp), School of Technology and Sciences, Department of Physical Education. Roberto Simonsen Street, Number 305, Postal Code 19.060-900, Presidente Prudente, Brazil
| | - Raphael M Ritti Dias
- Rehabilitation Sciences Post Graduation Program-Universidade Nove de Julho, Department of Physical Education. Vergueiro Street, Number 235-249, Postal Code 01504-001, Sao Paulo, Brazil
| | - Catarina C Scarabottolo
- Movement Sciences Post Graduation Program-Sao Paulo State University (Unesp), School of Technology and Sciences, Department of Physical Education. Roberto Simonsen Street, Number 305, Postal Code 19.060-900, Presidente Prudente, Brazil
| | - Fernanda C S Gil
- Physiotherapy Post Graduation Program-Sao Paulo State University (Unesp), School of Technology and Sciences, Department of Physiotherapy. Roberto Simonsen Street, Number 305, Postal Code 19.060-900, Presidente Prudente, Brazil
| | - Bruna T C Saraiva
- Movement Sciences Post Graduation Program-Sao Paulo State University (Unesp), School of Technology and Sciences, Department of Physical Education. Roberto Simonsen Street, Number 305, Postal Code 19.060-900, Presidente Prudente, Brazil
| | - Leandro D Delfino
- Physiotherapy Post Graduation Program-Sao Paulo State University (Unesp), School of Technology and Sciences, Department of Physiotherapy. Roberto Simonsen Street, Number 305, Postal Code 19.060-900, Presidente Prudente, Brazil
| | - Edner F Zanuto
- Physiotherapy Post Graduation Program-Sao Paulo State University (Unesp), School of Technology and Sciences, Department of Physiotherapy. Roberto Simonsen Street, Number 305, Postal Code 19.060-900, Presidente Prudente, Brazil
| | - Luiz Carlos M Vanderlei
- Physiotherapy Post Graduation Program-Sao Paulo State University (Unesp), School of Technology and Sciences, Department of Physiotherapy. Roberto Simonsen Street, Number 305, Postal Code 19.060-900, Presidente Prudente, Brazil
| | - Diego G D Christofaro
- Movement Sciences Post Graduation Program-Sao Paulo State University (Unesp), School of Technology and Sciences, Department of Physical Education. Roberto Simonsen Street, Number 305, Postal Code 19.060-900, Presidente Prudente, Brazil.,Physiotherapy Post Graduation Program-Sao Paulo State University (Unesp), School of Technology and Sciences, Department of Physiotherapy. Roberto Simonsen Street, Number 305, Postal Code 19.060-900, Presidente Prudente, Brazil
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Tebar WR, Canhin DS, Colognesi LA, Morano AEVA, Silva DTC, Christofaro DGD. Body dissatisfaction and its association with domains of physical activity and of sedentary behavior in a sample of 15,632 adolescents. Int J Adolesc Med Health 2020; 33:539-546. [PMID: 32549167 DOI: 10.1515/ijamh-2019-0241] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Accepted: 01/08/2020] [Indexed: 12/31/2022]
Abstract
Objectives Body image is widely related to behavioral factors in adolescents and negative levels has been associated to poor physical and mental health. This study analyzed the association of physical activity and sedentary behavior with body dissatisfaction in adolescents. Methods Data from 15,632 adolescents between 11 and 17 years from the Brazilian National Scholar Health Survey - PeNSE 2015 were analyzed. Body dissatisfaction was self-reported. Sedentary behavior was assessed by hours in television (TV) viewing and in overall sitting behaviors. Physical activity was assessed by amount of time in domains of active commuting, physical education classes at school, and physical activities outside the school. Analyses were adjusted by age, ethnicity, body mass index, and scholarity of mother. Results Body dissatisfaction prevalence was 18.5%, being higher in girls than boys (24.2 vs. 12.7%, p < 0.001). Female gender (OR = 2.35), higher age-group (OR = 1.64), high scholarity of mother (OR = 1.43), and had overweight/obesity (OR = 2.38/4.81) were positively related to body dissatisfaction. Higher sedentary time was associated with body dissatisfaction in adolescents when compared to less than 2 h/day of sedentary time (OR varying from 1.45 to 2.14). Physical activity was negatively associated with adolescent body dissatisfaction in all assessed domains, with odds ratio varying from 0.66 to 0.89. Conclusions Body dissatisfaction showed an independent association of with total sedentary behavior (positively) and with different domains of physical activity (negatively) in a large scholar sample of Brazilian adolescents.
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Affiliation(s)
- William R Tebar
- Department of Physical Education, Faculty of Sciences and Technology, Sao Paulo State University-UNESP, Roberto Simonsen Street, 305, 19060900, Presidente Prudente, Sao Paulo State, Brazil
| | - Daniel S Canhin
- Movement Sciences Post Graduation Program, Sao Paulo State University - UNESP, Presidente Prudente, Brazil
| | - Lucas Antônio Colognesi
- Movement Sciences Post Graduation Program, Sao Paulo State University - UNESP, Presidente Prudente, Brazil
| | - Ana Elisa von Ah Morano
- Movement Sciences Post Graduation Program, Sao Paulo State University - UNESP, Presidente Prudente, Brazil
| | - Daniela T C Silva
- Post Graduation Program in Physiotherapy, Sao Paulo State University - UNESP, Presidente Prudente, Brazil
| | - Diego G D Christofaro
- Movement Sciences Post Graduation Program, Sao Paulo State University - UNESP, Presidente Prudente, Brazil.,Post Graduation Program in Physiotherapy, Sao Paulo State University - UNESP, Presidente Prudente, Brazil
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Margaritis I, Houdart S, El Ouadrhiri Y, Bigard X, Vuillemin A, Duché P. How to deal with COVID-19 epidemic-related lockdown physical inactivity and sedentary increase in youth? Adaptation of Anses' benchmarks. ACTA ACUST UNITED AC 2020; 78:52. [PMID: 32514348 PMCID: PMC7267755 DOI: 10.1186/s13690-020-00432-z] [Citation(s) in RCA: 74] [Impact Index Per Article: 18.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 05/19/2020] [Indexed: 01/08/2023]
Abstract
Faced with the spread of the SARS-CoV-2 virus, regulatory measures aiming to prevent interpersonal contaminations have been undertaken and among these, lockdown. Due to strong restrictions out-of-home movements, we hypothesize that overall physical activity will decrease and sedentary behavior increase. This could result in highest exposure to the well-known risk related to insufficient physical activity. To mitigate physical inactivity and sedentary behaviors health-related risks related to children and adolescents lockdown and school closure, Anses (French Agency for Food, Environmental and Occupational Health & Safety) has adapted, within the first days of the public authorities' prescription, its former benchmarks. This paper supports and comments Anses' Opinion by raising the questions of whether, why, and how to deal with short- or medium-term lockdown-related physical inactivity and sedentary behavior increases. Short-term and unknown long term-impacts on mental health and well-being, physical fitness and eating behaviors clearly appearing for children and adolescents as being the main issues of concern are highlighted. Targeting the compensations of the physical inactivity increase, the types, frequencies and durations of physical activity, are adapted to restricted environment. Sedentary behavior limitation and frequent interruptions becomes a priority. Overall, considering children and adolescents, the emerging risk justifies proposing specific adaptations and type of activities in order to ensure maintaining health underpinned, at least partly, by physiological equilibrium and physical fitness and avoid the installation of new unhealthy habits or routines that young people could keep after lockdown.
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Affiliation(s)
- Irène Margaritis
- French Agency for Food, Environmental and Occupational Health & Safety (Anses), Nutrition Risk Assessment Unit, 14 rue Pierre et Marie Curie, 94701 Maisons-Alfort, Cedex France
| | - Sabine Houdart
- French Agency for Food, Environmental and Occupational Health & Safety (Anses), Nutrition Risk Assessment Unit, 14 rue Pierre et Marie Curie, 94701 Maisons-Alfort, Cedex France
| | - Youssef El Ouadrhiri
- French Agency for Food, Environmental and Occupational Health & Safety (Anses), Nutrition Risk Assessment Unit, 14 rue Pierre et Marie Curie, 94701 Maisons-Alfort, Cedex France
| | - Xavier Bigard
- International Cycling Union (UCI), Allée Ferdi Kübler 12, 1860 Aigle, Switzerland
| | - Anne Vuillemin
- Université Côte d'Azur, Laboratoire Motricité Humaine Expertise Sport Santé (LAMHESS), 261 Boulevard du Mercantour, BP 3259, 06205 Nice, Cedex 3 France
| | - Pascale Duché
- Université de Toulon, Unité de recherche Impact de l'activité physique sur la santé (IAPS), CS 60584, 83041 Toulon, Cedex 9 France
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Delfino LD, Tebar WR, Silva DAS, Gil FCS, Mota J, Christofaro DGD. Food advertisements on television and eating habits in adolescents: a school-based study. Rev Saude Publica 2020; 54:55. [PMID: 32491114 PMCID: PMC7263799 DOI: 10.11606/s1518-8787.2020054001558] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2019] [Accepted: 02/19/2020] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To analyze the association of television food advertisements with eating habits in Brazilian adolescents. METHODS The sample was composed of 1,011 adolescents, aged from 10-17 years. The influence of television food advertisements on eating habits, as well as food consumption and socioeconomic variables were assessed through questionnaires. A binary logistic regression was performed to assess the magnitude of the associations, adjusted for gender, age, socioeconomic status, and parental schooling. RESULTS Of the sample, 83.3% (n = 843) reported food consumption while watching TV. Adolescents who do not consume food while watching TV had a higher weekly consumption of fruits (3.98, SD = 2.0 versus 3.39, SD = 2.1) and vegetables (4.1, SD = 2.2 versus 3.4, SD = 2.3). Adolescents that consume food while watching TV had higher weekly consumption of fried foods (3.1, SD = 2.0 versus 2.3, SD = 1.7), sweets (4.1, SD = 2.1 versus 3.3, SD = 2.1), soft drinks (3.2, SD = 2.1 versus 2.2, SD = 1.9), and snacks (2.3, SD = 2.0 versus 1.6, SD = 1.7). For 73,8% of the sample, food advertisements induce product consumerism, most commonly sweets and fast foods. Buying or asking to buy food after seeing it on the television was associated with fried foods (OR = 1.36, 95%CI = 1.03- 1.79), sweets (OR = 1.69, 95%CI = 1.30-2.18), and snacks (OR = 1.57, 95%CI = 1.12-2.22). CONCLUSION Food advertisements were associated with greater consumption of fried foods, sweets, and snacks in adolescents, even after adjusting for confounding factors.
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Affiliation(s)
- Leandro Dragueta Delfino
- Programa de Pós-graduação em Ciências da Motricidade, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil
| | - William Rodrigues Tebar
- Programa de Pós-graduação em Ciências da Motricidade, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil
| | - Diego Augusto Santos Silva
- Departamento de Educação Física, Centro de Desportos, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil
| | - Fernanda Caroline Staquecini Gil
- Programa de Pós-graduação em Fisioterapia, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, Presidente Prudente, SP, Brasil
| | - Jorge Mota
- Centro de Investigação em Actividade Física, Saúde e Lazer, Faculdade de Desporto, Universidade do Porto, Porto, Portugal
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Oliveira CB, Pinto RZ, Saraiva BTC, Tebar WR, Delfino LD, Franco MR, Silva CCM, Christofaro DGD. Effects of active video games on children and adolescents: A systematic review with meta-analysis. Scand J Med Sci Sports 2019; 30:4-12. [PMID: 31418915 DOI: 10.1111/sms.13539] [Citation(s) in RCA: 31] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 07/07/2019] [Accepted: 08/07/2019] [Indexed: 12/12/2022]
Abstract
OBJECTIVE To investigate the effectiveness of active video games (AVGs) on obesity-related outcomes and physical activity levels in children and adolescents. DESIGN Systematic review with meta-analysis. METHODS Literature search was performed in five electronic databases and the main clinical trials registries. Randomized controlled trials investigating the effect of AVGs compared with no/minimal intervention on obesity-related outcomes (body mass index [BMI], body weight, body fat, and waist circumference) and physical activity levels of children and adolescents were eligible. Two independent reviewers extracted the data of each included study. PEDro scale was used to assess risk of bias and GRADE approach to evaluate overall quality of evidence. Pooled estimates were obtained using random effect models. RESULTS Twelve studies were considered eligible for this review. Included studies mostly reported outcome data at short-term (less or equal than three months) and intermediate-term follow-up (more than 3 months, but <12 months). AVGs were more effective than no/minimal intervention in reducing BMI/zBMI at short-term (SMD = -0.34; 95% CI: -0.62 to -0.05) and intermediate-term follow-up (SMD = -0.36; 95% CI: -0.01 to -0.71). In addition, AVGs were more effective in reducing body weight compared with no/minimal intervention at intermediate-term follow-up (SMD = -0.25; 95% CI: -0.46 to -0.04). Regarding physical activity levels, AVGs were not more effective compared with minimal intervention at short-term and intermediate-term follow-up. CONCLUSIONS Our review identified that AVGs were better than minimal intervention in reducing BMI and body weight, but not for increasing physical activity in young people.
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Affiliation(s)
- Crystian B Oliveira
- Department of Physiotherapy, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Rafael Z Pinto
- Department of Physiotherapy, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil.,Department of Physiotherapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Bruna T C Saraiva
- Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - William R Tebar
- Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Leandro D Delfino
- Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | | | - Claudiele C M Silva
- Department of Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
| | - Diego G D Christofaro
- Department of Physical Education, School of Technology and Sciences, São Paulo State University (UNESP), Presidente Prudente, Brazil
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Zagalaz-Sánchez ML, Cachón-Zagalaz J, Sánchez-Zafra M, Lara-Sánchez A. Mini Review of the Use of the Mobile Phone and Its Repercussion in the Deficit of Physical Activity. Front Psychol 2019; 10:1307. [PMID: 31244720 PMCID: PMC6563677 DOI: 10.3389/fpsyg.2019.01307] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Accepted: 05/20/2019] [Indexed: 11/13/2022] Open
Abstract
Background Current technology has the ability to distract and evade its users, this resulting in an addiction or "escape" from the real world. The excessive use of smartphones can cause a decrease in physical activity (PA) for many people prefer to use these devices rather than do the recommended physical exercise. Objective The objective of this paper is to analyze the possible relation between the use of smartphones and the reduction in the practice of PA that is reflected in scientific articles. Methods The PRISMA statement has been followed for systematic reviews and meta-analyses in order to achieve a correct organization and integrity of the work. Our search for bibliography has been carried out in the WOS and Scopus databases, together with the research domains "Social Sciences Other Topics," "Education Educational Research," and "Sport Sciences." After applying the inclusion criteria, a total of 14 articles were obtained, these forming the base body of this research. Results Nine of the fourteen articles show that there is a negative relationship between the smartphone and PA practice. The age groups most studied in relation to this topic range from 13 to 18 and from 19 to 25. Conclusion It is our conclusion that the inappropriate use of these mobile devices is associated with low levels of motivation and practice of PA in their users. Similarly, we have emphasized the lack of scientific work dealing with this issue.
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Affiliation(s)
| | | | - María Sánchez-Zafra
- Department of Musical, Plastic and Body Expression, University of Jaén, Jaén, Spain
| | - Amador Lara-Sánchez
- Department of Musical, Plastic and Body Expression, University of Jaén, Jaén, Spain
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26
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Dietary changes and its psychosocial moderators during the university examination period. Eur J Nutr 2019; 59:273-286. [DOI: 10.1007/s00394-019-01906-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Accepted: 01/17/2019] [Indexed: 10/27/2022]
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