Prevalence of Meeting Physical Activity, Screen-Time, and Sleep Guidelines Among Children and Adolescents With and Without Visual Impairments in the United States

2019 ◽  
pp. 399-405 ◽  
Author(s):  
Justin A. Haegele ◽  
Carrie J. Aigner ◽  
Sean Healy

The purpose of this study was to compare the degree to which children and adolescents with and without visual impairments (VIs) met national physical activity, screen-time, and sleep guidelines. This observational, cross-sectional analysis of the 2016 National Survey of Children’s Health focused on children (age 6–12 yr) and adolescents (age 13–17 yr) with and without VIs. The sample included 241 (weighted n = 472,127) and 17,610 (weighted n = 28,249,833) children, and 255 (weighted n = 505,401) and 17,417 (weighted n = 20,071,557) adolescents with and without VIs, respectively. Chi-square statistics were computed to examine the degree to which participants with and without VIs met health-behavior guidelines. Children (p = .02) with VIs were less likely to meet screen-time guidelines, but adolescents with VIs were not (p = .87). VI status was not associated with the likelihood of meeting physical activity or sleep guidelines (p < .05). Low numbers of children and adolescents with and without VIs meeting health-behavior guidelines warrant targeted interventions aimed at enhancing engagement.

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254255
Author(s):  
Anna Dahlgren ◽  
Linnea Sjöblom ◽  
Helén Eke ◽  
Stephanie E. Bonn ◽  
Ylva Trolle Lagerros

Background Previous research studies have demonstrated a relationship between low levels of physical activity and high amounts of screen time in children and adolescents. However, this is usually based on self-reported data. Therefore, the aim of this cross-sectional study was to investigate the association between objectively measured smartphone screen time and physical activity among children and adolescents aged 10–15 years. Methods During seven consecutive days, we objectively assessed smartphone screen time, using the SCRIIN smartphone application, and physical activity, using the SCRIIN activity tracker, in children and adolescents recruited from two schools in Stockholm County, Sweden. Moreover, the children/adolescents and their parents responded to a questionnaire, obtaining among other things: self-reported screen time, physical activity, sleep and health-related quality of life. Results A total of 121 children and adolescents (mean age: 12.1 ± 1.5) were included in the study. Objectively measured smartphone screen time was 161.2 ± 81.1 min/day. Mean physical activity, measured with the SCRIIN activity tracker, was 32.6 ± 16.5 active min/day. Minutes of screen time and physical activity did not differ between the children and adolescents from the two schools, despite located in different socioeconomic areas. Further, we found no association between smartphone screen time and physical activity. However, girls aged 14–15 years, had more smartphone screen time (p<0.01) and were significantly more physically active (p<0.01) than girls aged 10–12 years. In addition, boys reported more than five times more time spent on computer and video games than girls did. Conclusion Smartphone screen time was not associated with physical activity level among children and adolescents aged 10–15 years.


2021 ◽  
Author(s):  
Denver M. Y. Brown ◽  
Matthew Kwan

Background: Studies have shown reallocating screen time for healthy movement behaviours such as physical activity and sleep can provide important benefits for mental health. However, the focus on positive aspects of mental health such as wellbeing has received limited attention, particularly among adolescents. The purpose of this study was to examine the effects of reallocating physical activity, screen time, and sleep on mental wellbeing in adolescents. Methods: This study involved cross-sectional analysis of data from Wave 1 of the ADAPT study. A total of 1,118 Canadian adolescents enrolled in grade 11 classes (Mage = 15.92; 54.5% female) self-reported their movement behaviours – moderate-to-vigorous physical activity (MVPA), recreational screen time and sleep – and completed three measures of mental wellbeing: flourishing, self-esteem and resiliency. Results: Isotemporal substitution analysis revealed replacing 60 minutes of screen time with either MVPA or sleep has significant benefits for mental wellbeing. Comparatively, reallocating 60 minutes between MVPA and sleep does not impact mental wellbeing. Discussion: Findings suggest healthy movement behaviours confer similar benefits effects for adolescent’s mental wellbeing. Health promotion campaigns targeted towards adolescents should consider highlighting that reallocation of screen time to either sleep or MVPA may provide important benefits for mental wellbeing.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carina Nigg ◽  
Claudia Niessner ◽  
Claudio R. Nigg ◽  
Doris Oriwol ◽  
Steffen C. E. Schmidt ◽  
...  

Abstract Background Outdoor play, sedentary behavior (SB), and moderate-to-vigorous physical activity (MVPA) are related to youth’s health, however, there are research gaps regarding 1) associations between outdoor play, SB, and MVPA across a broad pediatric age range (6–17 years), and 2) longitudinal associations between outdoor play, SB, and MVPA across childhood and adolescence. Two studies were conducted to address those research gaps: Study 1 aimed to investigate relationships between outdoor play and accelerometer-assessed SB and MVPA in a cross-sectional nationwide sample of children and adolescents in Germany. Study 2 aimed to investigate prospective associations between outdoor play and self-reported screen-time SB and MVPA and in a sample of children with three measurement timepoints across 11 years. Methods Data were obtained of the German national representative Motorik-Modul (MoMo) Study and the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). In Study 1, N = 2278 participants (6–17 years) were included with self-reported outdoor play and accelerometer-assessed SB and MVPA. Associations were examined via multiple linear regressions. In Study 2, N = 570 participants (baseline: 4–7 years) were included in the longitudinal analysis with follow-ups six and 11 years later. Screen-time SB (TV watching and PC/Gaming), MVPA, and outdoor play were self-reported. Associations were investigated through a path prediction model. Results Study 1 showed that compared to <1 h outdoor play, higher engagement in daily outdoor play was related to lower SB (1-2 h: − 9.75 min/day, P = 0.017; ≥2 h: − 17.78 min/day, P < 0.001) and higher MVPA (≥2 h: + 3.87 min/day, P = 0.001). The cross-sectional relationship between MVPA and outdoor play was moderated by sex (in favor of males) and age (in favor of younger children). Study 2 showed that outdoor play in early childhood negatively predicted PC use/Gaming in later childhood, but was unrelated to MVPA. Conclusion In Study 1, outdoor play was negatively related to SB cross-sectionally. In Study 2, outdoor play in early childhood was negatively related to PC and Gaming time in later childhood. Thus, providing outdoor play opportunities, especially during early childhood, has potential to prevent SB. Future research should investigate longitudinal relationships using device-based assessments for SB and MVPA.


2017 ◽  
Vol 26 (2) ◽  
pp. 25-35
Author(s):  
Eun-Young Lee ◽  
Stephen Hunter ◽  
Scott T. Leatherdale ◽  
Valerie Carson

This study was to compare the levels of physical activity (PA) and sedentary behavior (SB) between Canadian and Guatemalan adolescents, and to examine associations of sociodemographic variables with PA and screen time among adolescents in Canada and Guatemala. Self-reported, cross-sectional data from students in grades 9–12 who participated in the 2015 COMPASS study (Canada; n = 39,817; mean age = 15.6 years) and COMPASS-Guatemala ( n = 1,221; mean age = 15.1 years) were used. Sociodemographic variables included age, gender, ethnicity (exclusively among Canadians), and weekly money allowance. Outcome variables included meeting the PA guidelines (⩾60 minutes/day) and the screen time recommendations within the SB guidelines (<2 hours/day), and participation in organized sports in and out of school. Chi-squared tests and linear and logistic regressions were used to test the study objectives. The proportions of participants meeting the PA guidelines were 48.7% and 41.3% for Canadians and Guatemalans, respectively. More Guatemalan adolescents than Canadians met the screen time recommendations (24.9% vs. 16.5%). Older age, being male, being non-White, and $0–$5/unknown of allowance were associated with meeting the PA guidelines among Canadians. Gender (being male) was the only variable associated with meeting the PA guidelines among Guatemalan adolescents. Older age, being male, being non-White, and $0–$5/unknown of allowance were associated with organized sport participation among Canadians. Among Guatemalans, being aged 15–16 years and having 0–35 quetzals/unknown of allowance were associated with participating in competitive school sports. Being male was associated with participating in recreational school sports or league/team sports outside of school. Older age, being female, being non-White, and ⩾$6 of allowance were associated with meeting the screen time recommendations among Canadians. Older age and having ⩾150 quetzals of allowance were associated with meeting the screen time recommendations among Guatemalan adolescents. These findings can inform researchers and policy makers when developing country-specific targeted interventions and programs that promote physically active lifestyles.


2021 ◽  
pp. 155982762110425
Author(s):  
Hannah Uhlig-Reche ◽  
Allison R. Larson ◽  
Julie K. Silver ◽  
Adam Tenforde ◽  
Alisa McQueen ◽  
...  

As the proportion of women in the physician workforce increases, burnout in this population warrants further investigation. Exercise is an often-proposed strategy to combat burnout. Evaluating physical activity across a cohort of women physicians can assess associations of health behaviors with burnout. Cross-sectional study of women attending physicians in the United States who are actively engaged in a social media group for runners. An electronic survey comprised of 60 questions covering demographics, health behaviors, and burnout was administered. A healthy lifestyle subgroup (HLS) was defined based on American Heart Association physical activity and nutrition recommendations. We determine the prevalence of burnout and investigate associations between health behavior factors and burnout. Of the 369 included surveys, most respondents were at least six years out from medical training (85.9%) and White (74.5%). Forty-two percent experienced burnout symptoms. Time exercising was significantly associated with fruit/vegetable consumption ( P=.00002). There was no significant difference in burnout between the HLS compared to others ( P = .37). This group of self-reported physically active women physicians was found to have a lower prevalence of burnout when compared to other women physicians. Exercise and nutrition may be protective against burnout in women physicians but deserve further investigation.


2019 ◽  
Vol 8 (2) ◽  
pp. 73
Author(s):  
Anandita Mega Kumala ◽  
Ani Margawati ◽  
Ayu Rahadiyanti

Latar belakang: Beberapa studi menunjukkan terdapat hubungan antara screen-time viewing, aktivitas fisik dan pola makan dengan status gizi pada remaja. Penggunaan gadget yang berlebihan pada remaja berkaitan dengan status gizi. Screen-time yang tinggi, tingkat aktivitas fisik rendah, dan pola makan menjadi tidak sesuai dengan rekomendasi sehingga dalam jangka panjang dapat mempengaruhi status gizi.Metode: Desain studi observasional dengan rancangan cross-sectional yang melibatkan remaja usia 13-15 tahun di Kendal. Pengambilan sampel menggunakan simple random sampling dengan 61 responden. Status gizi ditentukan berdasarkan z-score indeks massa tubuh terhadap umur (IMT/U). Data durasi penggunaan alat elektronik (gadget) diperoleh dari kuesioner terstruktur yang telah divalidasi, data aktivitas fisik diperoleh dari kuesioner International Physical Activity Questionnaire (IPAQ) dan data pola makan diperoleh melalui wawancara dan kuesioner Semi-Quantitative Food Frequency Questionnare (SQ-FFQ) yang ditentukan berdasarkan Pedoman Gizi Seimbang (PGS). Analisis data menggunakan uji Chi-Square serta Fisher Exact.Hasil: Hasil penelitian menunjukkan 72,1% responden memiliki durasi penggunaan alat elektronik (gadget) yang tinggi. Selain itu, ditemukan 14,8% responden dengan aktivitas fisik rendah. Pola makan pada 80,3% responden sudah sesuai dengan anjuran PGS, tetapi 96,7% responden tidak memenuhi anjuran konsumsi sayur. Status gizi pada responden berdasarkan Z-score IMT/U ditemukan sebanyak 6,6% responden dengan kategori kurus dan 14,8% gemuk. Hasil analisis menunjukkan terdapat hubungan antara durasi penggunaan alat elektronik (gadget), aktivitas fisik dan pola makan dengan status gizi (p<0,05).Simpulan: Terdapat hubungan antara durasi penggunaan alat elektronik (gadget), aktivitas fisik dan pola makan dengan status Gizi pada remaja usia 13-15 tahun (p<0,05).


2017 ◽  
Vol 14 (7) ◽  
pp. 506-512 ◽  
Author(s):  
Anna K. Porter ◽  
Krystin J. Matthews ◽  
Deborah Salvo ◽  
Harold W. Kohl

Background:Most US adolescents do not meet guidelines of at least 60 daily minutes of moderate- to vigorous-intensity physical activity. In addition, sedentary behaviors among this age group are of increasing concern. This study examined the association of movement behaviors with cardiovascular fitness among US adolescents.Methods:Data from the 2012 NHANES National Youth Fitness Survey were used to assess the association of movement behaviors (physical activity, sedentary time, screen time) with cardiovascular fitness among adolescent males and females. Multiple logistic regressions were used to test the independent and interactive effects of movement behaviors on cardiovascular fitness.Results:Among females, physical activity was directly associated with cardiovascular fitness; no significant association was observed between sedentary behaviors and CVF. Among males, sedentary time moderated the relationship between physical activity and cardiovascular fitness, such that a significant, direct association was only observed among those with high sedentary time (OR: 5.01; 95% CI: 1.60, 15.70).Conclusions:Results from this cross-sectional analysis suggest that among female US adolescents, physical activity, but not sedentary behavior, is associated with cardiovascular fitness. Among males, the interaction between physical activity and sedentary time seems to be important for cardiovascular fitness. Longitudinal studies are warranted to confirm these findings.


2020 ◽  
Vol 34 (5) ◽  
pp. 505-511
Author(s):  
Sean Healy ◽  
John Foley ◽  
Justin A. Haegele

Purpose: To compare the degree to which youth with and without chronic conditions in the United States met physical activity (PA), screen time, and sleep duration guidelines. Design: A cross-sectional study using data from the 2016 National Survey of Children’s Health. Participants: A total of 24 405 youth (aged 10-17 years) with and without 1 of 19 prevalent chronic health conditions who participated in the 2016 National Survey of Children’s Health. Measures: Parents reported on the time spent by their children in PA, screen time, and sleep. Analysis: Descriptive and bivariate analyses were conducted to estimate and compare health behavior guideline adherence rates among children with and without chronic conditions. Results: Overall, 18.7% of children with chronic conditions did not meet any health behavior guidelines compared to 15.6% of children without chronic conditions. Children with hearing impairments, diabetes, and depression were most likely to not meet any health behavior guidelines (27.9%, 25.4%, and 21.7%, respectively). Of the 3 guidelines, children with and without chronic conditions were least likely to meet the PA guideline (18.6% and 21%, respectively). Conclusions: This study identifies specific groups of children with chronic conditions that are most at risk of not meeting health behavior guidelines. The findings highlight specific behaviors in most need of intervention for children with chronic conditions; PA was identified as the most frequently unmet guideline. Overall findings suggest a need for a more integrated, holistic view of health promotion for children with chronic conditions.


2016 ◽  
Vol 32 (1) ◽  
pp. 96-105 ◽  
Author(s):  
Stephen J. Onufrak ◽  
Kathleen B. Watson ◽  
Joel Kimmons ◽  
Liping Pan ◽  
Laura Kettel Khan ◽  
...  

Purpose: To examine the workplace food and physical activity (PA) environments and wellness culture reported by employed United States adults, overall and by employer size. Design: Cross-sectional study using web-based survey on wellness policies and environmental supports for healthy eating and PA. Setting: Worksites in the United States. Participants: A total of 2101 adults employed outside the home. Measures: Survey items were based on the Centers for Disease Control and Prevention Worksite Health ScoreCard and Checklist of Health Promotion Environments and included the availability and promotion of healthy food items, nutrition education, promotion of breast-feeding, availability of PA amenities and programs, facility discounts, time for PA, stairwell signage, health promotion programs, and health risk assessments. Analysis: Descriptive statistics were used to examine the prevalence of worksite environmental and facility supports by employer size (<100 or ≥100 employees). Chi-square tests were used to examine the differences by employer size. Results: Among employed respondents with workplace food or drink vending machines, approximately 35% indicated the availability of healthy items. Regarding PA, 30.9% of respondents reported that their employer provided opportunities to be physically active and 17.6% reported worksite exercise facilities. Wellness programs were reported by 53.2% working for large employers, compared to 18.1% for smaller employers. Conclusion: Employee reports suggested that workplace supports for healthy eating, PA, and wellness were limited and were less common among smaller employers.


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