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Li P, Li J, Zhu H, Sheng D, Xiao Z, Liu W, Xiao B, Zhou L. Causal effects of sedentary behaviours on the risk of migraine: A univariable and multivariable Mendelian randomization study. Eur J Pain 2024. [PMID: 38837486 DOI: 10.1002/ejp.2296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Revised: 05/02/2024] [Accepted: 05/20/2024] [Indexed: 06/07/2024]
Abstract
BACKGROUND Migraine is a common and burdensome neurological disorder. The causal relationship between sedentary behaviours (SBs) and migraine remains instinct. We aimed to evaluate the roles of SBs including watching TV, using computer and driving in the risk of migraine. METHODS We conducted a univariable and multivariable Mendelian randomization (MR) study based on summary datasets of large genome-wide association studies. The inverse variance weighted method was utilized as the primary analytical tool. Cochran's Q, MR-Egger intercept test, MR pleiotropy residual sum and outlier and leave-one-out were conducted as sensitivity analysis. Additionally, we performed a meta-analysis to combine the causal estimates. RESULTS In the discovery analysis, we identified causal associations between time spent watching TV and an increased risk of migraine (p = 0.015) and migraine without aura (MO) (p = 0.002). Such causalities with increasing risk of migraine (p = 0.005), and MO (p = 0.006) were further verified using summary datasets from another study in the replication analysis. There was no significant causal association found between time spent using computer, driving and migraine or its two subtypes. The meta-analysis and multivariable MR analysis also strongly supported the causal relationships between time spent watching TV and an increased risk of migraine (p = 0.0003 and p = 0.034), as well as MO (p < 0.0001 and p = 0.0004), respectively. These findings were robust under all sensitivity analysis. CONCLUSIONS Our study suggested that time spent watching TV may be causally associated with an increased risk of migraine, particularly MO. Large-scale and well-designed cohort studies may be warranted for further validation. SIGNIFICANCE STATEMENT This study represents the first attempt to investigate whether a causal relationship exists between SBs and migraine. Utilizing MR analysis helps mitigate reverse causation bias and confounding factors commonly encountered in observational cohorts, thereby enhancing the robustness of derived causal associations. Our MR analysis revealed that time spent watching TV may serve as a potential risk factor for migraine, particularly MO.
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Affiliation(s)
- Peihong Li
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
- National Clinical Medical Research Center for Geriatric Diseases (Xiangya Hospital), Central South University, Changsha, Hunan, China
| | - Jiaxin Li
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
- National Clinical Medical Research Center for Geriatric Diseases (Xiangya Hospital), Central South University, Changsha, Hunan, China
| | - Haoyue Zhu
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
- National Clinical Medical Research Center for Geriatric Diseases (Xiangya Hospital), Central South University, Changsha, Hunan, China
| | - Dandan Sheng
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
- National Clinical Medical Research Center for Geriatric Diseases (Xiangya Hospital), Central South University, Changsha, Hunan, China
| | - Zheng Xiao
- Department of Pathology, First Hospital of Changsha, Changsha, Hunan, China
| | - Weiping Liu
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
- National Clinical Medical Research Center for Geriatric Diseases (Xiangya Hospital), Central South University, Changsha, Hunan, China
| | - Bo Xiao
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
- National Clinical Medical Research Center for Geriatric Diseases (Xiangya Hospital), Central South University, Changsha, Hunan, China
| | - Luo Zhou
- Department of Neurology, Xiangya Hospital, Central South University, Changsha, Hunan, China
- National Clinical Medical Research Center for Geriatric Diseases (Xiangya Hospital), Central South University, Changsha, Hunan, China
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Nilles C, Williams JV, Patten SB, Pringsheim TM, Orr SL. Lifestyle Factors Associated With Frequent Recurrent Headaches in Children and Adolescents: A Canadian Population-Based Study. Neurology 2024; 102:e209160. [PMID: 38417103 DOI: 10.1212/wnl.0000000000209160] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 12/07/2023] [Indexed: 03/01/2024] Open
Abstract
BACKGROUND AND OBJECTIVES Lifestyle behaviors have been postulated to affect headache frequency in youth and are often the primary target of self-management recommendations. Our study aimed to assess the association between various lifestyle factors and frequent recurrent headaches in children and youth. METHODS Children and adolescents aged 5-17 years were enrolled in a large cross-sectional Canadian population-based health survey, completed on January 31, 2019. Headache frequency was dichotomized into "approximately once/week or less" or ">once/week" (defined as frequent recurrent headaches). The association between frequent headaches and meal schedules, screen exposure, physical activity, chronotype, and frequent substance use/exposure (alcohol, cigarettes, electronic cigarettes, and cannabis) was assessed using both unadjusted logistic regression models and models adjusted for age/sex. Fully adjusted models examined the odds of frequent headaches according to all exposures. Survey design effects were accounted for using bootstrap replicate weighting. RESULTS There were an estimated nweighted = 4,978,370 eligible participants in the population. The mean age was 10.9 years (95% CI 10.9-11.0); 48.8% were female; 6.1% had frequent headaches. Frequent headaches were associated with older age (odds ratio [OR] = 1.31, 95% CI 1.28-1.34, p < 0.001) and female sex (OR = 2.39, 95% CI 2.08-2.75, p < 0.001). In models adjusted for age/sex, the odds of frequent headaches decreased with meal regularity (adjusted OR [aOR] = 0.90, 95% CI 0.89-0.92, p < 0.001) and increased with later chronotype (aOR = 1.10, 95% CI 1.05-1.15, p < 0.001) and excess screen exposure (≥21 hours vs none in past week: aOR = 2.97, 95% CI 1.53-5.77, p = 0.001); there was no significant association with reported physical activity (aOR = 0.95, 95% CI 0.67-1.34, p = 0.77). In 12- to 17-year-olds, frequent headaches were associated with frequent alcohol use (≥1/wk vs never: aOR = 3.50, 95% CI 2.18-5.62, p < 0.001), binge drinking (≥5 times in past month vs never: aOR = 5.52, 95% CI 2.95-10.32, p < 0.001), smoking cigarettes (daily vs never: aOR = 3.81, 95% CI 1.91-7.62, p < 0.001), using e-cigarettes (daily vs never: aOR = 3.10, 95% CI 2.29-4.20, p < 0.001), and cannabis use (daily vs never: aOR = 3.59, 95% CI 2.0-6.45, p < 0.001). In the entire sample, daily exposure to smoking inside the house was associated with frequent headaches (aOR = 2.00, 95% CI 1.23-3.27, p = 0.005). DISCUSSION Several lifestyle behaviors were associated with frequent headaches in children and youth, such as meal irregularity, late chronotype, prolonged screen exposure, and frequent substance use/exposure, suggesting that these are potential modifiable risk factors to target in this population.
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Affiliation(s)
- Christelle Nilles
- From the Department of Clinical Neurosciences (C.N., S.B.P., T.M.P.), Psychiatry, Pediatrics and Community Health Sciences; Department of Community Health Sciences (J.V.W.), University of Calgary; Mathison Centre for Mental Health Research and Education (S.B.P., T.M.P., S.L.O.); Hotchkiss Brain Institute (T.M.P., S.L.O.); Department of Clinical Neurosciences (T.M.P., S.L.O.); and Departments of Pediatrics and Community Health Sciences (S.L.O.), Cumming School of Medicine, University of Calgary, Alberta, Canada
| | - Jeanne V Williams
- From the Department of Clinical Neurosciences (C.N., S.B.P., T.M.P.), Psychiatry, Pediatrics and Community Health Sciences; Department of Community Health Sciences (J.V.W.), University of Calgary; Mathison Centre for Mental Health Research and Education (S.B.P., T.M.P., S.L.O.); Hotchkiss Brain Institute (T.M.P., S.L.O.); Department of Clinical Neurosciences (T.M.P., S.L.O.); and Departments of Pediatrics and Community Health Sciences (S.L.O.), Cumming School of Medicine, University of Calgary, Alberta, Canada
| | - Scott B Patten
- From the Department of Clinical Neurosciences (C.N., S.B.P., T.M.P.), Psychiatry, Pediatrics and Community Health Sciences; Department of Community Health Sciences (J.V.W.), University of Calgary; Mathison Centre for Mental Health Research and Education (S.B.P., T.M.P., S.L.O.); Hotchkiss Brain Institute (T.M.P., S.L.O.); Department of Clinical Neurosciences (T.M.P., S.L.O.); and Departments of Pediatrics and Community Health Sciences (S.L.O.), Cumming School of Medicine, University of Calgary, Alberta, Canada
| | - Tamara M Pringsheim
- From the Department of Clinical Neurosciences (C.N., S.B.P., T.M.P.), Psychiatry, Pediatrics and Community Health Sciences; Department of Community Health Sciences (J.V.W.), University of Calgary; Mathison Centre for Mental Health Research and Education (S.B.P., T.M.P., S.L.O.); Hotchkiss Brain Institute (T.M.P., S.L.O.); Department of Clinical Neurosciences (T.M.P., S.L.O.); and Departments of Pediatrics and Community Health Sciences (S.L.O.), Cumming School of Medicine, University of Calgary, Alberta, Canada
| | - Serena L Orr
- From the Department of Clinical Neurosciences (C.N., S.B.P., T.M.P.), Psychiatry, Pediatrics and Community Health Sciences; Department of Community Health Sciences (J.V.W.), University of Calgary; Mathison Centre for Mental Health Research and Education (S.B.P., T.M.P., S.L.O.); Hotchkiss Brain Institute (T.M.P., S.L.O.); Department of Clinical Neurosciences (T.M.P., S.L.O.); and Departments of Pediatrics and Community Health Sciences (S.L.O.), Cumming School of Medicine, University of Calgary, Alberta, Canada
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Langdon RL, DiSabella MT, Strelzik JA. Screen time and pediatric headache: A scoping review of the literature. Headache 2024; 64:211-225. [PMID: 38299747 DOI: 10.1111/head.14674] [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: 04/02/2023] [Revised: 12/08/2023] [Accepted: 12/13/2023] [Indexed: 02/02/2024]
Abstract
OBJECTIVE The aim of this study was to summarize the evidence regarding screen use as a contributing factor in pediatric headache and migraine. BACKGROUND Screen exposure is often reported as a headache trigger, though there is no current consensus in terms of how screen type, duration, or frequency influences pediatric headache and the associated burden of disease. METHODS A systematic search in PubMed, Scopus, Cochrane Library, ProQuest Health and Medical Database, and Google Scholar was performed through November 2022 in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. All English-language articles of pediatric patients aged ≤18 years evaluating screen use in relation to headache were included. RESULTS A total of 48 studies were included. Nearly all studies were cross-sectional and represented international samples. The strongest association between screen use and headache found was for duration of use, and computer use emerged as the most common device type related to headache. While there were mixed findings related to screen use and specific headache diagnosis, migraine appeared to confer a higher risk. Across studies, there were insufficient data to assess the impact of screen use on headache frequency or headache-related disability. Several studies demonstrated changes in screen use and headache patterns related to the COVID-19 pandemic and computer vision syndrome was commonly reported. CONCLUSIONS While there is preliminary evidence supporting possible associations between screen use and pediatric headache, there are several limitations in the present review including a lack of prospective and randomized controlled trials to better demonstrate causal relationships as well as methodological limitations with significant variability in how both headache and screen use are defined and measured. Future studies including real-time screen use and device monitoring are needed to better understand the influence of screen use behaviors on pediatric headache and to help further define best-use guidelines around these technologies.
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Affiliation(s)
- Raquel L Langdon
- Department of Neurology, Children's National Hospital, Washington, DC, USA
| | - Marc T DiSabella
- Department of Neurology, Children's National Hospital, Washington, DC, USA
| | - Jeffrey A Strelzik
- Department of Neurology, Children's National Hospital, Washington, DC, USA
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Schembri E, Heinz A, Samuel R. Associations between sedentary behavior and health and the moderating role of physical activity in young people within a cross-sectional investigation. Prev Med Rep 2023; 35:102316. [PMID: 37484923 PMCID: PMC10362304 DOI: 10.1016/j.pmedr.2023.102316] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 05/26/2023] [Accepted: 07/07/2023] [Indexed: 07/25/2023] Open
Abstract
The purpose of this study was to determine the influence of sedentary behavior (SB) on the frequency of health complaints (fHC) as well as on self-rated health (SRH) and body mass index (BMI), and to determine whether physical activity (PA) moderated this influence. Data were obtained from the Youth Survey Luxembourg 2019 (N = 2,802), a nationally representative stratified random sample of all youths aged 16 to 29 years who were living in Luxembourg. fHC is a composite measure of eight common psychosomatic health complaints, SRH was measured on a five-point scale, and BMI was calculated by dividing participants' body weight by the square of their body height (kg/m2). PA and SB values were obtained from factor analyses of the relevant questionnaire items. SB was evaluated as both leisure-time SB and gaming-associated SB. Multiple regression analyses adjusted for age, sex, socioeconomic status, and migration status were used to determine the association between SB, fHC, BMI, and SRH. We found that leisure-time SB was positively associated with fHC, but not with SRH or BMI. Gaming-associated SB was positively associated with fHC and BMI but was negatively associated with SRH. PA was negatively associated with fHC, BMI and SRH. No statistically significant moderating effects were observed. We found that both leisure-time and gaming-associated SB showed statistically significant impacts on health. Although PA is known to be beneficial to health, we conclude that its potential to mitigate the negative effects of SB is limited in young people.
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Affiliation(s)
- Emanuel Schembri
- Centre for Childhood and Youth Research, Department of Social Sciences, Faculty of Humanities, Education and Social Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
| | - Andreas Heinz
- Department of Health, IU International University of Applied Sciences
| | - Robin Samuel
- Centre for Childhood and Youth Research, Department of Social Sciences, Faculty of Humanities, Education and Social Sciences, University of Luxembourg, Esch-sur-Alzette, Luxembourg
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Salonna F, Vorlíček M, Rubín L, Vašíčková J, Mitáš J. How Czech Adolescents Perceive Their Physical Activity. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1134. [PMID: 37508631 PMCID: PMC10378483 DOI: 10.3390/children10071134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Revised: 06/19/2023] [Accepted: 06/27/2023] [Indexed: 07/30/2023]
Abstract
Adolescence is a critical stage in the development of an individual's physical activity (PA) habits and preferences. Adolescents' perceptions of PA can influence their motivation to engage in PA and, consequently, their overall level of PA. Thus, our primary aim was to investigate whether Czech adolescents misperceive their peers' PA. Our dataset comprised cross-sectional data on 1289 adolescents aged 11-15 years. PA was measured using self-reported items used in the HBSC study. To describe the gender and school grade differences in VPA, independent samples T, ANOVA, Mann-Whitney U, and Kruskal-Wallis H tests were performed. To analyze the effect of gender, school grade, school, and participants' own PA on the underestimation of PA, binomial regression models were used. Our study points out that there is a discrepancy between self-perceived levels of PA and the perceived descriptive norms of peers' PA. Adolescents underestimate the prevalence of sufficient PA, and thus perceived descriptive norms in PA as being worse than levels of own PA. These findings indicate room for targeted interventions based on social-norms-based approaches to increase the PA of adolescents or at least strengthen their actual positive behavior.
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Affiliation(s)
- Ferdinand Salonna
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University, 771 11 Olomouc, Czech Republic
| | - Michal Vorlíček
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University, 771 11 Olomouc, Czech Republic
| | - Lukáš Rubín
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University, 771 11 Olomouc, Czech Republic
- Department of Physical Education and Sport, Faculty of Science, Humanities and Education, Technical University of Liberec, 461 17 Liberec, Czech Republic
| | - Jana Vašíčková
- Department of Social Sciences in Kinanthropology, Faculty of Physical Culture, Palacký University, 771 11 Olomouc, Czech Republic
| | - Josef Mitáš
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University, 771 11 Olomouc, Czech Republic
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Yue C, Wenyao G, Xudong Y, Shuang S, Zhuying S, Yizheng Z, Linlin Z, Jinxin C, Xingqi W, Yujia L. Dose-response relationship between daily screen time and the risk of low back pain among children and adolescents: a meta-analysis of 57831 participants. Environ Health Prev Med 2023; 28:64. [PMID: 37899211 PMCID: PMC10613558 DOI: 10.1265/ehpm.23-00177] [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: 07/10/2023] [Accepted: 09/30/2023] [Indexed: 10/31/2023] Open
Abstract
BACKGROUND The risk of low back pain (LBP) increases steeply during adolescence, and adolescents with LBP are more likely to have low back pain in their adult years. This study aimed to investigate the dose-response relationship between daily screen time and the risk of low back pain among children and adolescents. METHODS PubMed, the Cochrane Library, Embase, and Web of Science were searched to collect relevant studies on daily screen time and the risk of low back pain from the establishment of the database up to December 2022. Two investigators independently screened the literature, extracted data, and evaluated the risk of bias in the included studies. Stata16.0 was used to perform a dose-response meta-analysis and the methodological quality evaluation of the included studies. RESULTS The results of the meta-analysis showed that there is a positive correlation between daily computer time (OR = 1.32, 1.05-1.60), daily mobile phone time (OR = 1.32, 1.00-1.64), daily TV watching (OR = 1.07, 1.04-1.09) and the risk of low back pain, separately. The dose-response meta-analysis showed that there is a linear relationship between daily computer use and low back pain. The risk of low back pain increased by 8.2% for each 1-hour of daily computer use. CONCLUSIONS Screen time is related to the risk of low back pain, and there is a linear relationship between daily computer use and the risk of low back pain. A number of strategic measures should be taken to prevent adolescents from developing severe low back pain.
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Affiliation(s)
- Cheng Yue
- Department of Physical Education, Jiangsu Normal University, Xuzhou, Jiangsu Province, 221116, China
| | - Guo Wenyao
- Department of Physical Education, Jiangsu Normal University, Xuzhou, Jiangsu Province, 221116, China
| | - Ya Xudong
- Department of Physical Education, Jiangsu Normal University, Xuzhou, Jiangsu Province, 221116, China
| | - Shao Shuang
- Department of Physical Education, Jiangsu Normal University, Xuzhou, Jiangsu Province, 221116, China
| | - Shao Zhuying
- Department of Physical Education, Jiangsu Normal University, Xuzhou, Jiangsu Province, 221116, China
| | - Zhu Yizheng
- Department of Physical Education, Jiangsu Normal University, Xuzhou, Jiangsu Province, 221116, China
| | - Zhou Linlin
- Department of Physical Education, Jiangsu Normal University, Xuzhou, Jiangsu Province, 221116, China
| | - Chen Jinxin
- Yancheng Xinyang Youth Development Service Center, Yancheng, Jiangsu Province, 224000, China
| | - Wang Xingqi
- Biomedical R&d Center, School of Life Science, Jiangsu Normal University, Xuzhou, Jiangsu Province, 221116, China
| | - Liu Yujia
- Department of Physical Education, Jiangsu Normal University, Xuzhou, Jiangsu Province, 221116, China
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Górna S, Pazdro-Zastawny K, Basiak-Rasała A, Krajewska J, Kolator M, Cichy I, Rokita A, Zatoński T. Physical activity and sedentary behaviors in Polish children and adolescents. Arch Pediatr 2023; 30:42-47. [PMID: 36481164 DOI: 10.1016/j.arcped.2022.11.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2021] [Revised: 06/10/2022] [Accepted: 11/11/2022] [Indexed: 12/12/2022]
Abstract
OBJECTIVE Participating in physical activity (PA) is essential for children's proper development. Promoting physical activity from early school years is considered a highly important prevention task for good health. The aim of this study was to evaluate the level of PA and sedentary behavior of children and adolescents aged 6-17 years attending primary and junior high schools in Wroclaw, Lower Silesia, Poland. The study assessed the frequency of various forms of PA and sedentary behavior in children and adolescents. The age differences in PA and sedentary behavior in the cohort studied was also analyzed. DESIGN Survey study to assess children's and adolescents' physical activity and sedentary behavior were based on a parent-reported questionnaire. PARTICIPANTS A total of 2913 children and adolescents aged 6-17 years (average age, 11.38 years) from Wroclaw, Poland, who participated in a pro-health campaign "Let's Get the Kids Moving." This project promotes a healthy lifestyle among primary and middle school students. RESULTS The frequency of physical activity significantly decreased as children grew older (p < 0.0001). As many as 18.6% of adolescents 13-17 years old undertook the recommended level of physical activity less than once a week. Time spent in front of the television or computer by pupils in group 3 was longer than in younger children (p < 0.0001). Nearly 19% of adolescents (13-17 years old) spent 5 h or more daily in a sitting position in front of the television or computer on weekends. CONCLUSIONS Polish children and adolescents do not spend the recommended level of time on physical activity and spend excessive time in front of the television and other electronic devices. The level of physical activity decreases as the number of hours spent in a sitting position increases with increasing age. Actions should be taken to avoid the long-term consequences of these behaviors.
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Affiliation(s)
- Sara Górna
- Akademia Wychowania Fizycznego im Eugeniusza Piaseckiego w Poznaniu, Poland
| | - Katarzyna Pazdro-Zastawny
- Department of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University: Uniwersytet Medyczny im. Piastow Slaskich we Wroclawiu, Wrocław, Poland.
| | - Alicja Basiak-Rasała
- Department of Social Medicine, Wroclaw Medical University: Uniwersytet Medyczny im. Piastow Slaskich we Wroclawiu, Wrocław, Poland
| | - Joanna Krajewska
- Department of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University: Uniwersytet Medyczny im. Piastow Slaskich we Wroclawiu, Wrocław, Poland
| | - Mateusz Kolator
- Department of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University: Uniwersytet Medyczny im. Piastow Slaskich we Wroclawiu, Wrocław, Poland
| | - Ireneusz Cichy
- University School of Physical Education in Wrocław: Akademia Wychowania Fizycznego we Wroclawiu, Poland
| | - Andrzej Rokita
- University School of Physical Education in Wrocław: Akademia Wychowania Fizycznego we Wroclawiu, Poland
| | - Tomasz Zatoński
- Department of Otolaryngology, Head and Neck Surgery, Wroclaw Medical University: Uniwersytet Medyczny im. Piastow Slaskich we Wroclawiu, Wrocław, Poland
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Corrêa Rangel T, Falcão Raposo MC, Sampaio Rocha-Filho PA. Internet addiction, headache, and insomnia in university students: a cross-sectional study. Neurol Sci 2022; 43:1035-1041. [PMID: 34106366 DOI: 10.1007/s10072-021-05377-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 06/03/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE There is controversy about whether there is an association between headache and internet addiction. Therefore, the objective was to assess whether there is an association between the headache, insomnia, and internet addiction. METHODS This was a cross-sectional study with 420 university students. We used a semi-structured questionnaire, Headache Impact Test, Hospital Anxiety Depression Scale, Insomnia Severity Index, and Internet Addiction Test. RESULTS 51.4% were men, the median age was 21 (19, 23), 399 (95.0%) suffered from headaches in the last year, 265 (63.1%) had migraine, 182 (43.3%) had migraine with aura, 119 (28.3%) had episodic tension-type headache, 84 (20%) had internet addiction, and 95 (22.6%) had insomnia. Internet addiction was associated with anxiety (OR = 2.3; 95% CI: 1.3, 4.0; p = 0.003), insomnia (OR = 3.0; 95% CI: 2.0, 4.6; p < 0.001), and migraine with aura (OR = 1.8; 95% CI: 1.1, 2.9; p = 0.066) (logistic regression). The severity of internet dependence is associated with the impact of headache (p = 0.047) and with the severity of insomnia (p < 0.001) (multiple linear regression). CONCLUSIONS Internet addiction was associated with anxiety, migraine with aura, and insomnia. The severity of internet addiction is associated with the severity of the headache and with the severity of insomnia.
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Affiliation(s)
- Tathiana Corrêa Rangel
- Postgraduate Program in Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco (UFPE), Rua General Joaquim Inacio, 830, Sala 1412 - Edf The Plaza Business Center, Recife, CEP: 50070-495, Pernambuco, Brazil.,Department of Physiotherapy, University of Pernambuco (UPE), Petrolina, Brazil
| | | | - Pedro Augusto Sampaio Rocha-Filho
- Postgraduate Program in Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco (UFPE), Rua General Joaquim Inacio, 830, Sala 1412 - Edf The Plaza Business Center, Recife, CEP: 50070-495, Pernambuco, Brazil. .,Division of Neuropsychiatry, Centro de Ciências Médicas, Federal University of Pernambuco (UFPE), Recife, Brazil. .,Headache Clinic, Oswaldo Cruz University Hospital, University of Pernambuco (UPE), Recife, Brazil.
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Vitta AD, Bento TPF, Cornelio GP, Perrucini PDDO, Felippe LA, Conti MHSD. Incidence and factors associated with low back pain in adolescents: A prospective study. Braz J Phys Ther 2021; 25:864-873. [PMID: 34872870 DOI: 10.1016/j.bjpt.2021.10.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/05/2019] [Revised: 05/27/2021] [Accepted: 10/04/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Low back pain (LBP) is a common complaint among children and adolescents and can negatively impact their physical and mental health. Although previous studies investigating the incidence of low back pain (LBP) in children and adolescents have been performed in high income countries, it is unclear whether countries such as Brazil would show similar incidence rates. OBJECTIVE To determine the incidence and to identify predictors of new episodes of LBP in high school students. METHODS This is a 1-year longitudinal study of high school students from public schools in the city of Bauru, Sao Paulo. Collected clinical data were: demographic and socioeconomic factors, information on the use of electronic devices, mental health status (the Strengths and Difficulties Questionnaires), level of habitual physical activity (Baecke Physical Activity Questionnaire), and incidence of LBP (measured with question about LBP in the past 12 months and the Nordic Musculoskeletal Questionnaire). Descriptive analysis and bivariate and multivariate logistic regressions were performed. RESULTS The cumulative incidence of new LBP episodes for the total cohort of 757 high school students was 18.9% (95% CI: 16.2, 21.8). The cumulative incidence was 14.8% (95% CI: 11.7, 18.5) for male students and 24.1% (95% CI: 19.8, 29.9) for female students. Being a female student (OR = 1.78; 95% CI: 1.23, 2.59), sitting posture while using tablet (OR = 4.34; 95% CI: 1.19, 16.60), daily time spent on tablet (OR = 3.21; 95% CI: 1.41, 7.30), daily time spent on mobile phone (OR =1.49; 95% CI: 1.11, 2.00), lying posture while using mobile phone (OR = 1.49; 95% CI: 1.05, 2.12), and mental health status (OR = 2.81; 95% CI: 1.76, 4.48) were identified as predictor variables. CONCLUSION Our findings showed that one in five high school students reported having a LBP episode over the last year. The predictors found to be associated with low back pain include those related to sex, time and posture while using electronic devices, and mental health status.
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Affiliation(s)
- Alberto de Vitta
- Physical Therapy Course, Centro Universitário de Ourinhos, Ourinhos, SP, Brazil.
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Psychometric Properties of the Chinese-Language Attitude toward Physical Activity Scale: A Confirmatory Study on Chinese Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179253. [PMID: 34501842 PMCID: PMC8430963 DOI: 10.3390/ijerph18179253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 08/22/2021] [Accepted: 08/23/2021] [Indexed: 11/29/2022]
Abstract
Background: This study examined the psychometric properties of the Chinese version of the Attitude toward Physical Activity Scale (APAS) using a cross-sectional design. Methods: The sample consisted of 692 primary students in China (boy 52.6%, girl 47.4%). The mean age of the participants was 9.4 years (SD = 0.92). Psychometric properties of the 57-item APAS was examined using confirmatory factor analysis (CFA). Results: The hypothesized seven factors model was supported by CFA (CFI = 0.912, TLI = 0.901, SRMR = 0.041, RMSEA = 0.029) after 22 items were removed and the inclusion of seven residual covariance for items loaded on the same factor. Cronbach’s alphas of the scales ranged between 0.50 and 0.76. The composite reliability (CR) was between 0.50 and 0.75. All inter-factor correlation coefficient was less than 0.85. Conclusions: Findings provided empirical evidence that the Chinese version of the APAS has adequate psychometric properties for assessing attitudes of primary school children in China toward physical activity.
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Does physical activity moderate the association between screen time and psychosocial development in early childhood? Analysis of a longitudinal infant cohort study in Ireland. Eur J Pediatr 2021; 180:2199-2211. [PMID: 33686528 DOI: 10.1007/s00431-021-04008-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 02/13/2021] [Accepted: 03/01/2021] [Indexed: 10/22/2022]
Abstract
The objective of this study was to explore the extent to which the association between screen time and psychosocial development in preschool children differed between the sexes and according to their frequency of engagement in physical activity. Data are based on a prospective cohort of Irish children, collected between 2010 and 2013 when children were ages 3 (n=9786) and 5 years (n=9001). Children's screen time (h/day), psychosocial development (Strengths and Difficulties Questionnaire), and physical activity (bouts/week) were assessed via caregiver report. The magnitude of the association between screen time and changes in behavioural difficulties differed significantly between the sexes. For boys, the association between increased screen time and the onset of behavioural problems coincided directly with a reduction in their frequency of engagement in physical activity. The association between screen time and changes in behavioural difficulties was not moderated by girls' engagement in physical activity, however; and there was no difference in the association between screen time and prosocial behaviours at different frequencies of engagement in physical activity for either boys or girls.Conclusions: Results support recommendations to establish greater balance between physical activity and sedentary behaviours in token economy systems to minimise the negative effects of excessive screen time. What is Known: • Provision of screen time has become normalised as a behavioural reinforcer for use with young children. • Screen viewing above recommended guidelines is associated with behavioural problems that reflect poor self-regulation. What is New: • Boys' levels of engagement in physical activity moderated the relationship between screen time and changes in behavioural difficulties between the ages of 3 and 5 years. • Neither screen time nor physical activity was significantly associated with changes in prosocial behaviours between the ages of 3 and 5 years for either boys or girls.
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Balasekaran G, Ibrahim AAB, Cheo NY, Wang PK, Kuan G, Popeska B, Chin MK, Mok MMC, Edginton CR, Culpan I, Durstine JL. Using Brain-Breaks ® as a Technology Tool to Increase Attitude towards Physical Activity among Students in Singapore. Brain Sci 2021; 11:784. [PMID: 34198480 PMCID: PMC8231887 DOI: 10.3390/brainsci11060784] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2021] [Revised: 06/11/2021] [Accepted: 06/11/2021] [Indexed: 12/19/2022] Open
Abstract
The purpose of this study was to investigate the effects of classroom-based Brain Breaks® Physical Activity Solution in Southeast Asia Singaporean primary school students and their attitude towards physical activity (PA) over a ten-week intervention. A total of 113 participants (8-11 years old) were randomly assigned to either an experimental (EG) or a control group (CG), with six classes to each group; the Brain Breaks® group (EG: six classes) and the Control group (CG: six classes). All EG members participated in a Brain Breaks® video intervention (three-five min) during academic classes and the CG continued their lessons as per normal. The student's attitudes towards PA in both research conditions were evaluated using the self-reported Attitudes toward Physical Activity Scale (APAS), applied before and after intervention. The effects of the intervention on APAS scores were analysed using a mixed model analysis of variance with Time as within-subject and Group as between-subject factors. The analysis revealed evidence in support of the positive effect of classroom video interventions such as Brain Breaks® on student's attitudes toward benefits, importance, learning, self-efficacy, fun, fitness, and trying to do their personal best in PA. The Brain Breaks® intervention provided a positive significant impact on students in Singapore. This study also revealed that interactive technology tools implemented into the school curriculum benefit students in terms of health and education.
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Affiliation(s)
- Govindasamy Balasekaran
- Physical Education & Sports Science, National Institute of Education, Nanyang Technological University, Singapore 637616, Singapore;
| | - Ahmad Arif Bin Ibrahim
- Physical Education & Sports Science, National Institute of Education, Nanyang Technological University, Singapore 637616, Singapore;
| | - Ng Yew Cheo
- Sports & Physical Education, Singapore University of Social Sciences, Singapore 599494, Singapore;
| | | | - Garry Kuan
- Exercise and Sports Science Programme, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia;
| | - Biljana Popeska
- Faculty of Educational Sciences, Goce Delcev University, 2000 Stip, North Macedonia;
| | - Ming-Kai Chin
- The Foundation for Global Community Health, 1550 W Horizon Ridge Pkwy Ste R #206, Henderson, NV 89012, USA;
| | - Magdalena Mo Ching Mok
- Graduate Institute of Educational Information and Measurement, National Taichung University of Education, 140 Minsheng Road, West District, Taichung City 40306, Taiwan;
- Assessment Research Centre, Department of Psychology, The Education University of Hong Kong, 10 Lo Ping Road, Taipo, N.T., Hong Kong
| | - Christopher R. Edginton
- Department of Health, Recreation and Community Services, University of Northern Iowa, Cedar Falls, IA 50614, USA;
| | - Ian Culpan
- School of Health Sciences, University of Canterbury, Christchurch 8140, New Zealand;
| | - J. Larry Durstine
- Department of Exercise Science, University of South Carolina, Columbia, SC 29208, USA;
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Çaksen H. Electronic Screen Exposure and Headache in Children. Ann Indian Acad Neurol 2021; 24:8-10. [PMID: 33911372 PMCID: PMC8061497 DOI: 10.4103/aian.aian_972_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 10/12/2020] [Accepted: 10/14/2020] [Indexed: 11/04/2022] Open
Abstract
Headache represents the most common neurologic disorder in the general population including children and is increasingly being recognized as a major source of morbidity in youth related to missed school days and activities. Electronic screens are becoming increasingly important in the lives of preteens and teens. In this review, we discussed effects of electronic screens on primary headache in childhood to emphasize the importance of electronic screen exposure in children with headache. Using digital and social media can bring some benefits and risks for mental and physical health. Time spent on screen-based activities contributes to the chance of reporting general physical complaints, in particular, headache and backache during early adolescence. We suggest that all children with primary headache should be evaluated for abuse of electronic screens in neurology practice. We also think that restriction of electronic screen should be advised in children with migraine and tension type headache before initiation of pharmacotherapy. As online classes are a reality, use of electronic screen may be allowed for school age children up to 2 h/day with taking time away from digital media every 20 min for 20 sec. In conclusion, we would like to emphasize that limiting the time spent on the screen is important for the reduction of headache symptoms of children and adolescents.
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Affiliation(s)
- Hüseyin Çaksen
- Department of Pediatrics, Divisions of Pediatric Neurology and Genetics and Behavioral-Developmental Pediatrics, Necmettin Erbakan University, Meram Medical Faculty, Meram, Konya, Turkey
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Contributing Factors in Adolescents’ Mental Well-Being—The Role of Socioeconomic Status, Social Support, and Health Behavior. SUSTAINABILITY 2020. [DOI: 10.3390/su12229597] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Mental disorders are common in adolescents, and for effective interventions we should be aware of their determinants. However, there are only a small number of studies investigating the combined effect of multiple factors. Therefore, our aim is to assess the impact of socioeconomic status, social support, and health behavior on adolescents’ mental well-being. A cross-sectional health survey of 1641 children was carried out in accordance with the study protocol of the Hungarian Health Behavior in School-aged Children survey. Multivariate multiple regression was used to analyze the main determinants of mental well-being. The boys’ mental well-being was favorable compared to girls; lower subjective family wealth was associated with lower life satisfaction and depressive mood. Life satisfaction was positively related to healthy eating, social support, and physical activity. Unhealthy eating, sedentary lifestyle, and lower social support were associated with higher depression scores. Higher social support reduces psychosomatic symptoms, while unhealthy eating and spending a lot of time in front of the computer increase them. Both social support and healthy lifestyle seem to be protective against mental health problems among adolescents, and thus interventions should focus on these factors regardless of the socioeconomic status of the participants, with special attention given to girls.
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15
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García-Hermoso A, Hormazábal-Aguayo I, Fernández-Vergara O, Olivares PR, Oriol-Granado X. Physical activity, screen time and subjective well-being among children. Int J Clin Health Psychol 2020; 20:126-134. [PMID: 32550852 PMCID: PMC7296239 DOI: 10.1016/j.ijchp.2020.03.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Accepted: 03/09/2020] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND/OBJECTIVE The aim of the study was to explore the differences between physical activity and/or screen time levels on cognitive (Life satisfaction LS) and affective (Positive affect, PA and Negative affect NA) components of subjective well-being (SWB) in children. METHOD This cross-sectional study enrolled 1,540 children (1,040 boys, 8-12 years old). LS, PA, NA, physical activity and screen time were assessed with validated questionnaires. RESULTS Children who reported 3 days per week of physical activity or less had lower LS and PA than counterparts with ≥6 days of physical activity per week (p < .05). Participants who reported 2 hours per day or less of screen time had lower NA than counterparts with 4 hours per day or more of screen time (p < .05). Also, children who meet physical activity guidelines have higher LS and PA compared to inactive peers, even with high screen time. In contrast, excessive screen time was also related with NA independent of the level of physical activity. CONCLUSIONS Our findings suggest that physical activity is related with positive feelings and LS, but does not eliminate the effect of screen time on negative feelings among Chilean children.
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Affiliation(s)
- Antonio García-Hermoso
- Navarrabiomed, Complejo Hospitalario de Navarra (CHN), Universidad Pública de Navarra (UPNA), IdiSNA, Spain
- Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, Chile
| | - Ignacio Hormazábal-Aguayo
- Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, Chile
| | - Omar Fernández-Vergara
- Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Facultad de Ciencias Médicas, Universidad de Santiago de Chile, Chile
| | - Pedro R. Olivares
- Facultad de Educación, Psicología y Ciencias del Deporte, Universidad de Huelva, Spain
- Instituto de Actividad Física y Salud, Universidad Autónoma de Chile, Chile
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Spirituality, Religious Attendance and Health Complaints in Czech Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17072339. [PMID: 32235661 PMCID: PMC7177996 DOI: 10.3390/ijerph17072339] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 03/27/2020] [Accepted: 03/28/2020] [Indexed: 12/27/2022]
Abstract
Research in some religious countries shows that religiosity and spirituality positively affect adolescent health. We studied whether religiosity and spirituality also have positive associations with adolescent health in a secular country. We tested the associations between religious attendance and spirituality and self-reported health and health complaints using a representative sample of Czech adolescents (n = 4182, 14.4 ± 1.1 years, 48.6% boys) from the 2014 health behavior in school-aged children (HBSC) study. We used religious attendance, the adjusted shortened version of the spiritual well-being scale (SWBS), and its two components—religious well-being (RWB) and existential well-being (EWB)—as independent variables and the eight item “HBSC symptom checklist” and self-reported overall health as dependent variables. A higher level of spirituality was associated with lower chances of health complaints and self-reported health, ranging from a 9% to 30% decrease in odd ratios (OR). Religious attendance was not associated with any of the observed variables. The EWB showed a negative association with all of the observed variables, with associations ranging from a 19% to 47% decrease. The RWB was associated with a higher risk of nervousness (OR = 1.12), while other associations were not significant. Non-spiritual but attending respondents were more likely to report a higher occurrence of stomachache (OR = 2.20) and had significantly worse overall health (OR = 2.38). In a largely secular country, we found that spirituality and the EWB (unlike religious attendance and the RWB) could have a significant influence on adolescent health.
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Zaina F, Balagué F, Battié M, Karppinen J, Negrini S. Low back pain rehabilitation in 2020: new frontiers and old limits of our understanding. Eur J Phys Rehabil Med 2020; 56:212-219. [PMID: 32214063 DOI: 10.23736/s1973-9087.20.06257-7] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Low back pain (LBP) is the most common musculoskeletal condition affecting the quality of life of individuals, especially if persistent. Over the decades, a lot of work has been done in an attempt to reduce the negative impact of back pain, and help patients recover and maintain a better quality of life. New insights are coming from different fields of research, with a lot of work being done in searching for the etiology of LBP, describing the different phenotypes of symptomatic spines, and identifying factors involved in the persistence of the disease. Nevertheless, still a lot remains to be done to fully understand the problem of back pain and its causes. Even today, there appears to be a wide gap between basic science and applied rehabilitation research on LBP. The first is still searching in many different ways for the "holy grail" of the pain generator and providing very interesting results with particular relevance to surgical, drug-related and other biological approaches, while the second is pragmatically focusing on modifiable factors that may influence back pain outcomes. Yet, personalized, effective spine care has not been fully realized. While we recognize the potential of basic science advances, there is an immediate need for more translational rehabilitation research, as well as studies focused on the effectiveness of rehabilitation approaches.
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Affiliation(s)
- Fabio Zaina
- ISICO (Italian Scientific Spine Institute), Milan, Italy -
| | - Federico Balagué
- Department of Rheumatology, HFR Fribourg-Hôpital Cantonal, Fribourg, Switzerland
| | - Michele Battié
- Faculty of Health Sciences and Western's Bone and Joint Institute, Western University, London, ON, Canada
| | - Jaro Karppinen
- Medical Research Center, Oulu University Hospital, University of Oulu, Oulu, Finland.,Rehabilitation Unit of South Karelia Social and Health Care District, Oulu, Finland
| | - Stefano Negrini
- Department of Biomedical, Surgical and Dental Sciences, "La Statale" University, Milan, Italy.,IRCCS Galeazzi Orthopedic Institute, Milan, Italy
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Faltýnková A, Blinka L, Ševčíková A, Husarova D. The Associations between Family-Related Factors and Excessive Internet Use in Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17051754. [PMID: 32182673 PMCID: PMC7084393 DOI: 10.3390/ijerph17051754] [Citation(s) in RCA: 49] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Revised: 03/03/2020] [Accepted: 03/06/2020] [Indexed: 12/17/2022]
Abstract
This study examined the relationship between Excessive Internet Use (EIU) in adolescents and their family environment, namely the family type, the family economic status, the effect of parental care, the level of parental control, the amount of parental monitoring, the quality of communication, and the time spent together. The study was based on data from an international survey, Health Behaviour in School Aged Children (HBSC), conducted in Slovakia. The sample representative for adolescents included 2547 participants (51% boys) aged 13–15. Multiple-step linear regression revealed that higher parental care and parental monitoring predicted lower EIU, while higher parental overprotection and lower socioeconomic status predicted higher EIU. The results suggest that both so-called optimal parenting (i.e., the balance of emotional warmth and protection) and the adolescent′s autonomy lower the risk of EIU. Family factors explained about 14% of the variance, which suggests that aside from personal, cognitive and affective factors, a close social environment also plays an important role in adolescence EIU.
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Affiliation(s)
- Anna Faltýnková
- Faculty of Social Studies, Masaryk University, Brno 601 77, Czech Republic; (A.F.); (A.Š.)
| | - Lukas Blinka
- Faculty of Social Studies, Masaryk University, Brno 601 77, Czech Republic; (A.F.); (A.Š.)
- Correspondence:
| | - Anna Ševčíková
- Faculty of Social Studies, Masaryk University, Brno 601 77, Czech Republic; (A.F.); (A.Š.)
| | - Daniela Husarova
- Department of Health Psychology and Methodology Research, Faculty of Medicine, P.J. Safarik University in Kosice, Košice 040 01, Slovakia;
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Brain Breaks® Physical Activity Solutions in the Classroom and on Attitudes toward Physical Activity: A Randomized Controlled Trial among Primary Students from Eight Countries. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17051666. [PMID: 32143392 PMCID: PMC7084371 DOI: 10.3390/ijerph17051666] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/14/2020] [Revised: 02/28/2020] [Accepted: 02/29/2020] [Indexed: 01/03/2023]
Abstract
Classroom-based physical activity (PA) interventions have received considerable attention due to improvements seen in academic achievement, classroom behaviors, and attitude toward PA. The purpose of this study was to evaluate the effectiveness of the Brain Breaks® Physical Activity Solutions in changing children’s attitudes toward PA. Students (N = 3036) aged 8–11 years from schools in Croatia, Lithuania, Macedonia, Poland, Romania, Serbia, South Africa, and Turkey were randomly assigned to either a control or an experimental group. The experimental group received Brain Breaks® videos during classroom sessions throughout the four months of intervention. Student attitudes toward PA were measured using the Attitudes toward Physical Activity Scale (APAS) before and after the intervention. Repeated measures ANOVA indicated a time interaction effect for all APAS variables except fitness. Time-by-group interaction effects with different effect sizes were found for most APAS variables, with the greatest gain effect noted in the experimental group for self-efficacy, followed by learning from the videos concerning PA benefits, exercise importance, and enjoyment from engaging in PA. This study provides evidence supporting Brain Breaks® in terms of learning experience, attitudes towards PA, and personal motivation. Using exercise videos is recommended as an interactive, technology-based PA solution that can be easily integrated into the school setting.
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Marques A, Demetriou Y, Tesler R, Gouveia ÉR, Peralta M, Matos MGD. Healthy Lifestyle in Children and Adolescents and Its Association with Subjective Health Complaints: Findings from 37 Countries and Regions from the HBSC Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16183292. [PMID: 31500252 PMCID: PMC6765801 DOI: 10.3390/ijerph16183292] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Revised: 09/02/2019] [Accepted: 09/04/2019] [Indexed: 01/20/2023]
Abstract
Background: It is important to clearly understand the factors associated with subjective health complaints. The study aimed to investigate the relationship between subjective health complaints, several health behaviors, and a composite measure of healthy lifestyle. Methods: Data were from the Health Behaviour in School-aged Children (HBSC) 2014 international database. Participants were 167,021 children and adolescents, aged 10–16 years, from 37 countries and regions. A composite score of healthy lifestyle was created using a combination of daily physical activity, daily consumption of fruit and vegetables, <2 hours spent daily in screen-based behaviors, no drinking, and no smoking. The subjective health complaints assessed were headaches, stomach aches, backache, dizziness, feeling low, irritability, nervousness, and sleep difficulties. Results: Those who engage in physical activity every day, spend less than two hours a day in screen-based behaviors, do not drink alcohol, and do not smoke tobacco presented a higher likelihood of not having subjective health complaints. A healthy lifestyle was significantly related to having less of all the subjective health complaints. Those with a healthy lifestyle were 50% (OR = 0.5, 95% CI: 0.5–0.6, p < 0.001) less likely to have multiple health complaints. Conclusions: Healthy behaviors and healthy lifestyles are related with less subjective health complaints and less multiple health complaints.
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Affiliation(s)
- Adilson Marques
- Centro Interdisciplinar do Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Lisboa, Portugal.
- Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal.
| | - Yolanda Demetriou
- Department of Sports and Health Sciences, Technical University of Munich, 80333 Munich, Germany.
| | - Riki Tesler
- Department of Health Systems Management, Faculty of Health Sciences, Ariel University, Ariel 40700, Israel, .
| | - Élvio R Gouveia
- Department of Physical Education and Sport, University of Madeira, 9000-082 Funchal, Portugal, .
- Madeira Interactive Technologies Institute, 9020-105 Funchal, Portugal.
| | - Miguel Peralta
- Centro Interdisciplinar do Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Lisboa, Portugal.
- Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal.
| | - Margarida Gaspar de Matos
- Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal.
- Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Lisboa, Portugal.
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Pans M, González LM, Úbeda-Colomer J, Devís-Devís J. Screen time among Spanish university students with disabilities: a self-organizing maps analysis. BMC Public Health 2019; 19:995. [PMID: 31340784 PMCID: PMC6657083 DOI: 10.1186/s12889-019-7339-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 07/18/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Screen time can play a significant role in the health and quality of life of people with disabilities. However, there is a lack of studies on this issue among people with disabilities, and even fewer in the university setting. Thus, the aim of our study was to explore the relationships between screen time, disability grade, body mass index (BMI), physical activity and sociodemographic variables (gender and socioeconomic status) in university students with different disabilities. METHODS A cross-sectional study was conducted on a sample of 1091 students with disabilities from 55 Spanish universities. Instruments used for data gathering were the Adolescent Sedentary Activity Questionnaire (ASAQ) and the International Physical Activity Questionnaire-Short Form (IPAQ-SF). A Self-Organizing Maps (SOM) analysis was carried out to explore the relationships between the variables under study. RESULTS Participants reported high values in overall screen time (5.45 h per day/week), with computers being the media most used (2.45 h per day/week). The SOM analysis showed slightly higher screen time values in women than men. People with a high disability grade spent less screen time than those with lower disability grade. Contradictory results exist when a group of men with the highest BMI had the highest screen time and the lowest physical activity (PA) while women with low BMI show the highest screen time and PA. CONCLUSIONS Gender and disability grade played a moderating role in screen time among people with disabilities while BMI and PA do not play such a role.
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Affiliation(s)
- Miquel Pans
- Departament d'Educació Física i Esportiva, Universitat de València, C/ Gascó Oliag, 3, 46010, València, Spain
| | - Luis-Millán González
- Departament d'Educació Física i Esportiva, Universitat de València, C/ Gascó Oliag, 3, 46010, València, Spain
| | - Joan Úbeda-Colomer
- Departament d'Educació Física i Esportiva, Universitat de València, C/ Gascó Oliag, 3, 46010, València, Spain
| | - José Devís-Devís
- Departament d'Educació Física i Esportiva, Universitat de València, C/ Gascó Oliag, 3, 46010, València, Spain.
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Association between potential parental and peers' correlates and physical activity recommendations compliance among 13-16 years old adolescents. ACTA GYMNICA 2019. [DOI: 10.5507/ag.2018.027] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Faridizad R, Ahadi Z, Heshmat R, Motlagh ME, Sheidaei A, Ziaodini H, Taheri M, Qorbani M, Baradaran Mahdavi S, Kelishadi R. Association of screen time with subjective health complaints in Iranian school-aged children and adolescents: the CASPIAN-V study. J Public Health (Oxf) 2019. [DOI: 10.1007/s10389-019-01014-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Wang H, Zhong J, Hu R, Fiona B, Yu M, Du H. Prevalence of high screen time and associated factors among students: a cross-sectional study in Zhejiang, China. BMJ Open 2018; 8:e021493. [PMID: 29921687 PMCID: PMC6009552 DOI: 10.1136/bmjopen-2018-021493] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
OBJECTIVE To investigate the prevalence and correlates of high screen time (ST) among students in Zhejiang, China. DESIGN Cross-sectional study. SETTING School-based adolescent health survey in Zhejiang Province, China. PARTICIPANTS 23 543 students in grades 7-12 from 442 different schools. OUTCOME High ST. RESULTS The mean age of the students was 15.6 years and 49.7% of them were girls. The prevalence of high ST (screen viewing ≥2 hours per day) was 42.4% (95% CI 40.2% to 44.5%), higher in boys than in girls (45.4%(95% CI 42.8% to 48.0%) vs 39.1% (95% CI 36.6% to 41.7%)). No statistically significant difference was found between urban and rural areas (43.0% (95% CI 37.2% to 48.7%) vs 42.1% (95% CI 39.6% to 44.6%)). The prevalence of high ST among middle school, academic high school and vocational high school students was 35.3%, 30.0% and 73.5%, respectively. Multivariable logistic analysis showed that older age, attendance at vocational high school, non-intact family, poor academic performance, bad self-reported health status, loneliness and drinking carbonated beverages ≥3 times every day were positively associated with high ST. Attendance at academic high school, higher parental education and being physically active were negatively associated with high ST. CONCLUSIONS High ST was prevalent among students and associated with a cluster of sociodemographic and behavioural risk factors in Zhejiang, China.
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Affiliation(s)
- Hao Wang
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Diseases Control and Prevention, Hangzhou, China
| | - Jieming Zhong
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Diseases Control and Prevention, Hangzhou, China
| | - Ruying Hu
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Diseases Control and Prevention, Hangzhou, China
| | - Bragg Fiona
- Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU), Nuffield Department of Population Health, University of Oxford, Oxford, UK
| | - Min Yu
- Department of NCDs Control and Prevention, Zhejiang Provincial Center for Diseases Control and Prevention, Hangzhou, China
| | - Huaidong Du
- Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU), Nuffield Department of Population Health, University of Oxford, Oxford, UK
- Medical Research Council Population Health Research Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
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Malinakova K, Madarasova Geckova A, van Dijk JP, Kalman M, Tavel P, Reijneveld SA. Adolescent religious attendance and spirituality-Are they associated with leisure-time choices? PLoS One 2018; 13:e0198314. [PMID: 29912957 PMCID: PMC6005561 DOI: 10.1371/journal.pone.0198314] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2017] [Accepted: 05/17/2018] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND Spirituality and religious attendance (RA) have been associated with personal attitudes and values, and this may affect lifestyle. The aim of this study was to explore their association with adolescent leisure-time choices in a highly secular environment. METHODS A nationally representative sample of adolescents (n = 4,182, 14.4±1.1 years, 48.6% boys) participated in the 2014 Health Behaviour in School-aged Children cross-sectional study. We measured RA, spirituality (adjusted shortened version of the Spiritual Well-Being Scale), excessive television, computer games, and internet use, as well as participation in organized leisure-time activities. RESULTS Compared to non-attending and non-spiritual respondents, respectively, both attending respondents and spiritual respondents were less likely to watch television and play computer games excessively, with odds ratios (ORs) ranging from 0.6 (95% confidence interval 0.5-0.8) to 0.92 (0.9-0.99). Only attending and only spiritual respondents were more likely to use the internet excessively, but this was not the case for those that were both attending and spiritual. Moreover, religious and spiritual respondents were more likely to be involved in at least one organised activity. ORs were 2.9 (1.9-4.3) for RA and 1.3 (1.2-1.4) for spirituality compared to their counterparts. The same pattern was observed for sporting and non-sporting activities combined (ORs 4.6 (3.0-7.1) and 1.5 (1.4-1.7), respectively) and regularly reading books or playing a musical instrument. CONCLUSIONS Adolescent RA and spirituality are associated with a more active way of spending leisure-time. Further research should focus on understanding potential mechanisms that underlie these associations.
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Affiliation(s)
- Klara Malinakova
- Olomouc University Social Health Institute, Palacky University Olomouc, Olomouc, Czech Republic
- Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Andrea Madarasova Geckova
- Olomouc University Social Health Institute, Palacky University Olomouc, Olomouc, Czech Republic
- Graduate School Kosice Institute for Society and Health, Pavol Jozef Safarik University in Kosice, Kosice, Slovak Republic
- Department of Health Psychology, Faculty of Medicine, Pavol Jozef Safarik University in Kosice, Kosice, Slovak Republic
- Institute of Active Living, Faculty of Physical Culture, Palacky University Olomouc, Olomouc, Czech Republic
| | - Jitse P. van Dijk
- Olomouc University Social Health Institute, Palacky University Olomouc, Olomouc, Czech Republic
- Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
- Graduate School Kosice Institute for Society and Health, Pavol Jozef Safarik University in Kosice, Kosice, Slovak Republic
- Department of Social Medicine and Public Health, Faculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic
| | - Michal Kalman
- Institute of Active Living, Faculty of Physical Culture, Palacky University Olomouc, Olomouc, Czech Republic
| | - Peter Tavel
- Olomouc University Social Health Institute, Palacky University Olomouc, Olomouc, Czech Republic
| | - Sijmen A. Reijneveld
- Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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Cernikova M, Smahel D, Wright MF. Children's Experiences and Awareness about Impact of Digital Media on Health. HEALTH COMMUNICATION 2018; 33:664-673. [PMID: 28353388 DOI: 10.1080/10410236.2017.1298197] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Previous research has focused on the associations between technology use and children's health, using mainly quantitative designs. This qualitative study describes technology's impact on physical and mental health from children's perspectives. The differences between children's experiences and awareness of the health-related consequences associated with digital media use were examined. Focus groups and interviews were conducted with children between the ages of 9 and 16 in nine European countries (N = 368). Results of this study indicate that children's experiences of health-related technology impacts are different from their awareness of these impacts. Children's direct experiences with media were less extreme in contrast to their awareness of health problems, which typically involved extreme examples of possible consequences, such as killing people, kidnapping, blindness, and developing learning or psychological disorders. The results are discussed in the context of the "media panic" and "third person effect" theories.
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Affiliation(s)
- Martina Cernikova
- a Faculty of Social Studies, Institute for Research on Children, Youth and Families , Masaryk University
| | - David Smahel
- a Faculty of Social Studies, Institute for Research on Children, Youth and Families , Masaryk University
- b Faculty of Informatics , Masaryk University
| | - Michelle F Wright
- a Faculty of Social Studies, Institute for Research on Children, Youth and Families , Masaryk University
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Popeska B, Jovanova-Mitkovska S, Chin MK, Edginton CR, Mo Ching Mok M, Gontarev S. Implementation of Brain Breaks ® in the Classroom and Effects on Attitudes toward Physical Activity in a Macedonian School Setting. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15061127. [PMID: 29857491 PMCID: PMC6025620 DOI: 10.3390/ijerph15061127] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Revised: 05/21/2018] [Accepted: 05/27/2018] [Indexed: 11/16/2022]
Abstract
The purpose of this study was to explore the effects of Brain Break® activities on interest and motivation for physical activity among schoolchildren and the contribution of such activities on learning for health and holistic development. The study sample was comprised of 283 participants, primary school students from 3rd to 5th grades from two public schools in the Republic of Macedonia. Six experimental and six control groups were included in the study. Interventions in classroom settings—based Brain Break® video exercises were introduced in the experimental group during a period of three months. Students’ attitudes toward physical activity were tested using a self-report survey instrument entitled “Attitudes toward Physical Activity Scale (APAS)” before and after intervention. Applied factor analyses were completed and the results of these analysis support APAS validity and the successful use of this application in the measurement of the learning experience, self-awareness, self-efficacy, and self-confidence in developing physical fitness. Learning was enhanced by using video exercises. Information presented in this paper is meaningful for the promotion of better exercise habits and the holistic approach to better health by using personal motivation and motivation provided by others. The results from repeated ANCOVA suggest positive effects of the applied Brain Break® video exercises as an interventional program. The study confirms the effect of application of Brain Break® video exercises on children’s attitudes for physical activity, motivation for PA, internalization of movement habits as personal good.
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Affiliation(s)
- Biljana Popeska
- Faculty of Educational Sciences, Goce Delcev University, Krste Misirkov 10⁻A, Stip 2000, Macedonia.
| | | | - Ming-Kai Chin
- HOPSports, Inc., 4262 Blue Diamond Road #102-359, Las Vegas, NV 89139, USA.
| | | | - Magdalena Mo Ching Mok
- Department of Psychology and Assessment Research Centre, The Education University of Hong Kong, 10 Lo Ping Road, Tai Pol, Hong Kong, China.
| | - Serjoza Gontarev
- Faculty for Physical Education, Sport and Health, University "St. Chyril and Methodius", Zeleznicka bb, Skopje 1000, Macedonia.
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Kwong JL, Klinger DA, Janssen I, Pickett W. Derivation of some contemporary scales to measure adolescent risk-taking in Canada. Int J Public Health 2018; 63:137-147. [PMID: 29067490 PMCID: PMC5766718 DOI: 10.1007/s00038-017-1046-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2017] [Revised: 09/07/2017] [Accepted: 10/13/2017] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVES To derive a contemporary series of composite indicators of adolescent risk-taking, inspired by the US CDC Framework and Problem Behaviour Theory. METHODS Factor analyses were performed on 28-risk behaviours in a nationally representative sample of 30,096 Grades 6-10 students from the 2014 Canadian Health Behaviour in School-aged Children study. RESULTS Three composite indicators emerged from our analysis: (1) Overt Risk-Taking (i.e., substance use, caffeinated energy drink consumption, fighting, and risky sexual behaviour), (2) Aversion to a Healthy Lifestyle (i.e., physical inactivity and low fruit and vegetable consumption), and (3) Screen Time Syndrome (i.e., abnormally high screen time use combined with unhealthy snacking). These three composite indicators of risk-taking were observed consistently with strong psychometric properties across different grade groups (6-8, 9-10). CONCLUSIONS The three composite indicators of adolescent risk-taking each draw from multiple domains within the CDC framework, and support a novel, empirically directed approach of conceptualizing multiple risk behaviours among adolescents. The measures also highlight the breadth and diversity of risk behaviour engagement among Canadian adolescents. Research and preventive interventions should simultaneously consider the related behaviours within each of these composite indicators.
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Affiliation(s)
- Jonathan L Kwong
- Department of Public Health Sciences, Queen's University, Caruthers Hall, 2nd Floor, Kingston, ON, K7L 3N6, Canada
| | - Don A Klinger
- Faculty of Education, Queen's University, Kingston, ON, Canada
| | - Ian Janssen
- Department of Public Health Sciences, Queen's University, Caruthers Hall, 2nd Floor, Kingston, ON, K7L 3N6, Canada
- School of Kinesiology and Health Studies, Queen's University, Kingston, ON, Canada
| | - William Pickett
- Department of Public Health Sciences, Queen's University, Caruthers Hall, 2nd Floor, Kingston, ON, K7L 3N6, Canada.
- Department of Emergency Medicine, Queen's University, Kingston, ON, Canada.
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Are school factors and urbanization supportive for being physically active and engaging in less screen-based activities? Int J Public Health 2017; 63:359-366. [PMID: 29270723 DOI: 10.1007/s00038-017-1069-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2017] [Revised: 11/29/2017] [Accepted: 12/14/2017] [Indexed: 10/18/2022] Open
Abstract
OBJECTIVES The aim was to assess the association between physical activity and screen-based activities in adolescents and selected school factors and urbanization and whether these associations were modified by degree of urbanization. METHODS We obtained data regarding the fifth-ninth grade students from 130 schools in 2014 via the Health Behaviour in School-aged Children cross-sectional study in Slovakia (n = 9743, mean age = 13.5, 50.3% boys). We explored the associations using multilevel logistic regression. RESULTS We found significant associations between physical activity and the accessibility of an area for skating/tennis court [odds ratio (OR) = 1.20 and 95% confidence interval (CI) 1.01-1.42], and between physical activity and active breaks (OR = 0.83 and 95% CI 0.69-0.99). The rates of screen-based activities were higher in small towns (OR = 1.63, 95% CI 1.29-2.06), towns (OR = 1.30, 95% CI 1.08-1.57), and cities (OR = 1.40, 95% CI 1.04-1.87) than in villages. CONCLUSIONS School environment and degree of urbanization are associated with adolescents' physical activity and screen-based activities. This holds positively for access to an area for skating/tennis court and negatively for active breaks regarding physical activity and for living in villages regarding less use of screens.
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Sigmundová D, Sigmund E, Bucksch J, Baďura P, Kalman M, Hamřík Z. Trends in Screen Time Behaviours in Czech Schoolchildren between 2002 and 2014: HBSC Study. Cent Eur J Public Health 2017; 25 Suppl 1:S15-S20. [PMID: 28752742 DOI: 10.21101/cejph.a4822] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Accepted: 05/15/2017] [Indexed: 11/15/2022]
Abstract
OBJECTIVE Screen-based behaviours such as watching television or computer use are among the most prevalent sedentary behaviours adolescents spend time on. There is a lack of recent estimates on prevalence and changes in the amount of time spent on screen-based behaviour across Central and Eastern Europe. The main aim is to assess the trends in the prevalence of current recommendations for the screen time (≤2 hours per day) of school-aged children in the Czech Republic between 2002 and 2014. METHODS We used an internationally established methodology based on the Health Behaviour in School-aged Children (HSBC) study. Data was derived from Czech national representative samples of 11-, 13- and 15-year-olds collected in the years 2002 (N=4,065), 2006 (N=4,170), 2010 (N=3,962) and 2014 (N=4,338). RESULTS The results indicated that the boys and girl surveyed in 2014 are up to two times more likely to meet the current recommendations for watching television in comparison with groups of schoolchildren of the same age surveyed in 2002. In contrast, computer use by adolescents increased markedly between 2006 and 2014. Taking total screen time into account, spending two hours per day or less on it decreased significantly among boys (OR=0.74, 95% CI=0.62-0.89) and girls (OR=0.80, 95% CI=0.70-0.92) between 2006 and 2014. CONCLUSIONS As screen time is an important indicator of time spent in a sedentary way, our findings call for more interventions to reduce the time that school-aged children spend in front of screens.
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Affiliation(s)
- Dagmar Sigmundová
- Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic
| | - Erik Sigmund
- Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic
| | - Jens Bucksch
- Department of Natural and Human Sciences, Prevention and Health Promotion, Heidelberg University of Education, Heidelberg, Germany
| | - Petr Baďura
- Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic
| | - Michal Kalman
- Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic
| | - Zdeněk Hamřík
- Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic
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Ferreira NL, Claro RM, Mingoti SA, Lopes ACS. Coexistence of risk behaviors for being overweight among Brazilian adolescents. Prev Med 2017; 100:135-142. [PMID: 28412185 DOI: 10.1016/j.ypmed.2017.04.018] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Revised: 04/05/2017] [Accepted: 04/09/2017] [Indexed: 11/16/2022]
Abstract
This study aimed to evaluate the magnitude of and the factors associated with the coexistence of risk behaviors for being overweight among Brazilian adolescents. This is a cross-sectional study with a representative sample of adolescents (mostly aged 13-15years) enrolled from public and private schools of Brazil in 2012. The co-occurring sedentary behavior and inadequate food consumption (regular intake of sugary and fried foods, and irregular consumption of fruits and vegetables-FV) was estimated using a Venn diagram. Sociodemographic, familial, and behavioral factors associated with the number of risk behaviors for being overweight were identified using an ordinal logistic regression analysis. Sedentary behavior was observed in 62.0% of adolescents. Regular intake of sugary or fried food was observed in 55.3% and 23.5% of adolescents, respectively, with 51.9% having an inadequate intake of FV. At least one risk behavior was reported in >90.0% of adolescents; 6.1% reported all 4. Being female, having a higher maternal education level, attending private school, not having breakfast or meals with parents regularly, eat watching television, and not practicing weekly leisure time physical activity were associated with an increased chance of having multiple risk behaviors. This study observed a high prevalence of coexisting of risk behaviors, which was associated with sociodemographic, familial, and behavioral factors. These findings may contribute to a clearer understanding of the associations between different behaviors among adolescents, and may be used to improve public health surveillance and to develop strategies that address multiple behaviors, in order to prevent overweight among adolescents.
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Affiliation(s)
- Nathália Luíza Ferreira
- Department of Nutrition, Universidade Federal de Minas Gerais, Research Group in Nutrition Interventions (GIN), Av. Alfredo Balena, 190, room 316, Santa Efigênia, Belo Horizonte, Minas Gerais 30130-100, Brazil
| | - Rafael Moreira Claro
- Department of Nutrition, Universidade Federal de Minas Gerais, Research Group in Nutrition Interventions (GIN), Av. Alfredo Balena, 190, room 316, Santa Efigênia, Belo Horizonte, Minas Gerais 30130-100, Brazil; Department of Nutrition, Universidade Federal de Minas Gerais, Research Group in Nutrition Interventions (GIN), Av. Alfredo Balena, 190, room 322, Santa Efigênia, Belo Horizonte, Minas Gerais 30130-100, Brazil
| | - Sueli Aparecida Mingoti
- Department of Statistics, Institute of Exact Sciences, Universidade Federal de Minas Gerais, Av. Antônio Carlos, 6627, room 4054, Pampulha, Belo Horizonte, Minas Gerais 31270-901, Brazil
| | - Aline Cristine Souza Lopes
- Department of Nutrition, Universidade Federal de Minas Gerais, Research Group in Nutrition Interventions (GIN), Av. Alfredo Balena, 190, room 316, Santa Efigênia, Belo Horizonte, Minas Gerais 30130-100, Brazil.
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Domingues-Montanari S. Clinical and psychological effects of excessive screen time on children. J Paediatr Child Health 2017; 53:333-338. [PMID: 28168778 DOI: 10.1111/jpc.13462] [Citation(s) in RCA: 170] [Impact Index Per Article: 24.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2016] [Revised: 10/11/2016] [Accepted: 11/11/2016] [Indexed: 01/31/2023]
Abstract
Over recent years, screen time has become a more complicated concept, with an ever-expanding variety of electronic media devices available throughout the world. Television remains the predominant type of screen-based activity among children. However, computer use, video games and ownership of devices, such as tablets and smart phones, are occurring from an increasingly young age. Screen time, in particular, television viewing, has been negatively associated with the development of physical and cognitive abilities, and positively associated with obesity, sleep problems, depression and anxiety. The physiological mechanisms that underlie the adverse health outcomes related to screen time and the relative contributions of different types of screen and media content to specific health outcomes are unclear. This review discusses the positive and negative effects of screen time on the physiological and psychological development of children. Furthermore, recommendations are offered to parents and clinicians.
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Keane E, Kelly C, Molcho M, Nic Gabhainn S. Physical activity, screen time and the risk of subjective health complaints in school-aged children. Prev Med 2017; 96:21-27. [PMID: 27974234 DOI: 10.1016/j.ypmed.2016.12.011] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2016] [Revised: 10/13/2016] [Accepted: 12/09/2016] [Indexed: 10/20/2022]
Abstract
Internationally, subjective health complaints have become increasingly prevalent in children. Thus, a comprehensive understanding of the determinants of health complaints is needed to inform effective policies and strategies. This study explores if meeting physical activity and total screen time (TST) recommendations are associated with the risk of reporting health complaints weekly or more. The 2014 Irish Health Behaviour in School-aged Children study collected questionnaire data from 10,474 10-17year olds. Children reported how often they experienced eight health complaints as less than weekly or weekly or more. Children who met moderate-to-vigorous physical activity recommendations were active for 60min/day in the past seven days. Three types of screen based activity were categorised to reflect if children met TST recommendations of ≤2h/day. Poisson regression examined the association between meeting recommendations and the risk of health complaints. The prevalence of individual health complaints ranged from 20.4-44.3% in girls and from 10.1-35.4% in boys. Overall, 5.1% (4.5-5.6%) of girls and 8.7% (7.8-9.5%) of boys met both (physical activity and TST) recommendations, while two thirds of girls (67.3%, 66.1-68.5%) and over half of boys (55.0%, 53.5-56.6%) met neither recommendation. Not meeting TST recommendations was significantly associated with the risk of reporting health complaints while associations with physical activity were less apparent. Children who did not meet either recommendation had a significantly increased risk for six of the health complaints when compared to those who met both recommendations. As health complaints and poor lifestyle behaviours were common in children, population level measures are warranted.
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Affiliation(s)
- Eimear Keane
- Health Promotion Research Centre, National University of Ireland Galway, Galway, Ireland.
| | - Colette Kelly
- Health Promotion Research Centre, National University of Ireland Galway, Galway, Ireland
| | - Michal Molcho
- Health Promotion Research Centre, National University of Ireland Galway, Galway, Ireland; Children's Studies, National University of Ireland Galway, Galway, Ireland
| | - Saoirse Nic Gabhainn
- Health Promotion Research Centre, National University of Ireland Galway, Galway, Ireland
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Pavelka J, Husarova D, Sevcikova A, Madarasova Geckova A. Country, age, and gender differences in the prevalence of screen-based behaviour and family-related factors among school-aged children. ACTA GYMNICA 2016. [DOI: 10.5507/ag.2016.011] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
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Husárová D, Veselská ZD, Sigmundová D, Gecková AM. Age and Gender Differences in Prevalence of Screen Based Behaviour, Physical Activity and Health Complaints among Slovak School-aged Children. Cent Eur J Public Health 2016; 23 Suppl:S30-6. [PMID: 26849541 DOI: 10.21101/cejph.a4177] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2014] [Accepted: 04/24/2015] [Indexed: 11/15/2022]
Abstract
AIM The aim of this study was to assess age and gender differences in prevalence of screen based behaviour, physical activity and health complaints among Slovak school-aged children. METHODS Data from the cross-sectional Health Behaviour of School-aged Children study collected in 2010 among Slovak children (age 11-15 years, N=8,042) was used. Logistic regression models adjusted to age and gender were used to analyse the associations between watching TV, working with a computer or playing computer games and physical activity and headache, backache, sleep difficulties, feeling low, irritability, and feeling nervous. RESULTS Around one-quarter of adolescents is spending more than three hours a day with screen-based activities. While the age was significantly associated with watching TV and computer use, gender was significantly associated only with excessive computer use. As for physical activity only 25% of adolescents reported being physically active every day as recommended, and this number decreases with increasing age. Boys used to be more often active in comparison with girls. A sizeable number of adolescents suffer with selected health complaints every week. Moreover, the prevalence of health complaints increases with age and is significantly higher among girls. CONCLUSIONS The prevalence of screen-based activities as well as insufficient physical activity and health complaints among adolescents is relatively high and it increases with age. Gender differences are also significant, except for watching TV.
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Affiliation(s)
- Daniela Husárová
- Department of Health Psychology, Faculty of Medicine, P. J. Šafárik University in Košice, Košice, Slovak Republic
| | - Zuzana Dankulincová Veselská
- Department of Health Psychology, Faculty of Medicine, P. J. Šafárik University in Košice, Košice, Slovak Republic
| | - Dagmar Sigmundová
- Centre for Kinanthropology Research, Institute of Active Lifestyle, Faculty of Physical Culture, Palacký University Olomouc, Olomouc, Czech Republic
| | - Andrea Madarasová Gecková
- Department of Health Psychology, Faculty of Medicine, P. J. Šafárik University in Košice, Košice, Slovak Republic.,Olomouc University Social Health Institute, Palacký University Olomouc, Olomouc, Czech Republic
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Husarova D, Geckova AM, Blinka L, Sevcikova A, van Dijk JP, Reijneveld SA. Screen-based behaviour in school-aged children with long-term illness. BMC Public Health 2016; 16:130. [PMID: 26861123 PMCID: PMC4746885 DOI: 10.1186/s12889-016-2804-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Accepted: 02/01/2016] [Indexed: 11/30/2022] Open
Abstract
Background Evidence is lacking on the screen-based behaviour of adolescents with a chronic condition. The aim of our study was to analyse differences in screen-based behaviour of adolescents by long-term illness, asthma and learning disabilities. Methods We used data from the cross-sectional Health Behaviour of School-aged Children study collected in 2014 among Slovak adolescents (age 13 to 15 years old, N = 2682, 49.7 % boys). We analysed the associations between screen-based behaviour and long-term illness, asthma and learning disabilities using logistic regression models adjusted for gender. Results We found no associations between screen-based behaviour and long-term illness, except that children with asthma had a 1.60-times higher odds of excessively playing computer games than healthy children (95 % confidence interval of odds ratio (CI): 1.11–2.30). Children with learning disabilities had 1.71-times higher odds of risky use of the Internet (95 % CI: 1.19–2.45). Conclusion Adolescents with a long-term illness or with a chronic condition or a learning disability do not differ from their peers in screen-based activities. Exceptions are children with asthma and children with learning disabilities, who reported more risky screen-based behaviour.
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Affiliation(s)
- Daniela Husarova
- Department of Health Psychology, Faculty of Medicine, P.J. Safarik University in Kosice, Tr. SNP 1, Kosice, 040 01, Slovak Republic. .,Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University in Kosice, Tr. SNP 1, Kosice, 040 01, Slovak Republic.
| | - Andrea Madarasova Geckova
- Department of Health Psychology, Faculty of Medicine, P.J. Safarik University in Kosice, Tr. SNP 1, Kosice, 040 01, Slovak Republic. .,Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University in Kosice, Tr. SNP 1, Kosice, 040 01, Slovak Republic. .,Center for Kinanthropology Research, Institute of Active Lifestyle, Faculty of Physical Culture, Palacky University in Olomouc, Tr. Miru 115, Olomouc, 77111, Czech Republic. .,Olomouc University Social Health Institute, Palacky University Olomouc, Tr. Miru 115, Olomouc, 77111, Czech Republic.
| | - Lukas Blinka
- Institute for Research on Children, Youth and Family, Faculty of Social Studies, Masaryk University Brno, Joštova 10, 602 00, Brno, Czech Republic.
| | - Anna Sevcikova
- Institute for Research on Children, Youth and Family, Faculty of Social Studies, Masaryk University Brno, Joštova 10, 602 00, Brno, Czech Republic.
| | - Jitse P van Dijk
- Graduate School Kosice Institute for Society and Health, Faculty of Medicine, P.J. Safarik University in Kosice, Tr. SNP 1, Kosice, 040 01, Slovak Republic. .,Olomouc University Social Health Institute, Palacky University Olomouc, Tr. Miru 115, Olomouc, 77111, Czech Republic. .,Department of Community & Occupational Health, University of Groningen, University Medical Center Groningen, A. Deusinglaan 1, 9713 AV, Groningen, The Netherlands.
| | - Sijmen A Reijneveld
- Department of Community & Occupational Health, University of Groningen, University Medical Center Groningen, A. Deusinglaan 1, 9713 AV, Groningen, The Netherlands.
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Badura P, Geckova AM, Sigmundova D, van Dijk JP, Reijneveld SA. When children play, they feel better: organized activity participation and health in adolescents. BMC Public Health 2015; 15:1090. [PMID: 26499458 PMCID: PMC4619483 DOI: 10.1186/s12889-015-2427-5] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2015] [Accepted: 10/16/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Participation in organized leisure-time activities (OLTA) has been linked to healthy youth development. This study aimed to assess whether participation in OLTA is associated with both physical and mental health in adolescents, and whether this association differs by pattern of activity participation, age and gender. METHODS The present study was based on data from the 2013/2014 Health Behaviour in School-aged Children study in the Czech Republic. This data concerned 10,503 adolescents (49.2 % boys) aged 11, 13 and 15. A cluster analysis was carried out to obtain patterns of activity participation and yielded five groups (all-rounders, artists, individual sports, team sports and inactive). The association between participation in types of OLTA and physical and mental health was analysed using logistic regression models adjusted for age and gender. We also assessed interactions between types of OLTA and gender and age. RESULTS Participation in OLTA was associated with better self-rated health and higher life satisfaction regardless of gender or age. Participation in team or individual sports was associated with better general health and less frequent health complaints in boys, while participation in art activities was associated with lower occurrence of health complaints in girls and 11-year-olds. CONCLUSION Participation in OLTA is associated with better physical and mental health in adolescents. The association varies by pattern of activity participation and is partly gender- and age-specific.
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Affiliation(s)
- Petr Badura
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacky University Olomouc, Tr. Miru 117, Olomouc, 771 11, Czech Republic.
| | - Andrea Madarasova Geckova
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacky University Olomouc, Tr. Miru 117, Olomouc, 771 11, Czech Republic. .,Olomouc Institute for Society and Health, Palacky University, Olomouc, Czech Republic. .,Department of Health Psychology, Faculty of Medicine, Safarik University, Kosice, Slovakia. .,Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovakia.
| | - Dagmar Sigmundova
- Institute of Active Lifestyle, Faculty of Physical Culture, Palacky University Olomouc, Tr. Miru 117, Olomouc, 771 11, Czech Republic.
| | - Jitse P van Dijk
- Olomouc Institute for Society and Health, Palacky University, Olomouc, Czech Republic. .,Graduate School Kosice Institute for Society and Health, Safarik University, Kosice, Slovakia. .,Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
| | - Sijmen A Reijneveld
- Department of Community and Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
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Marques A, Calmeiro L, Loureiro N, Frasquilho D, de Matos MG. Health complaints among adolescents: Associations with more screen-based behaviours and less physical activity. J Adolesc 2015; 44:150-7. [PMID: 26275746 DOI: 10.1016/j.adolescence.2015.07.018] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2015] [Revised: 07/25/2015] [Accepted: 07/31/2015] [Indexed: 11/26/2022]
Abstract
In this study, we investigated the relationship between screen-based behaviours, physical activity, and health complaints (headaches, feeling low, irritability, and nervousness). Screen-based behaviour included TV viewing, computer use, and time spent playing video games. Data were collected from 4462 Portuguese adolescents (2394 girls) aged 11-16 years. Girls who reported engaging in more screen-based behaviour (hours/day) also reported having more headaches, feeling lower, being more irritable, and feeling more nervous. Boys who reported more screen time were more irritable. Physical activity (times/week) was negatively associated with reports of feeling nervous among girls, and with headaches, feeling low, irritability, and feeling nervous among boys. Considering that time spent using the computer is related with more health complaints, and physical activity was related with fewer health complaints among boys, it is important to develop strategies to reduce adolescents' computer screen time, and to promote physical activity.
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Affiliation(s)
- Adilson Marques
- Projeto Aventura Social, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal; ISAMB - Instituto de Saúde Ambiental, Universidade de Lisboa, Lisboa, Portugal; Centro Interdisciplinar de Estudo da Performance Humana, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal.
| | - Luís Calmeiro
- Projeto Aventura Social, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal; ISAMB - Instituto de Saúde Ambiental, Universidade de Lisboa, Lisboa, Portugal; Abertay University, Dundee, United Kingdom
| | - Nuno Loureiro
- Projeto Aventura Social, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal; ISAMB - Instituto de Saúde Ambiental, Universidade de Lisboa, Lisboa, Portugal; Escola Superior de Educação, Instituto Politécnico de Beja, Beja, Portugal
| | - Diana Frasquilho
- Projeto Aventura Social, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal; Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Portugal
| | - Margarida Gaspar de Matos
- Projeto Aventura Social, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal; ISAMB - Instituto de Saúde Ambiental, Universidade de Lisboa, Lisboa, Portugal; William James Center for Research, Instituto Superior de Psicologia Aplicada, Lisboa, Portugal
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What difference does 'the digital' make to children's experiences of risk? Int J Public Health 2015; 60:127-8. [PMID: 25645103 DOI: 10.1007/s00038-015-0661-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Brindova D, Pavelka J, Ševčikova A, Žežula I, van Dijk JP, Reijneveld SA, Geckova AM. How parents can affect excessive spending of time on screen-based activities. BMC Public Health 2014; 14:1261. [PMID: 25494708 PMCID: PMC4295288 DOI: 10.1186/1471-2458-14-1261] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2014] [Accepted: 12/08/2014] [Indexed: 12/21/2022] Open
Abstract
Background The aim of this study is to explore the association between family-related factors and excessive time spent on screen-based activities among school-aged children. Methods A cross-sectional survey using the methodology of the Health Behaviour in School-aged Children study was performed in 2013, with data collected from Slovak (n = 258) and Czech (n = 406) 11- and 15-year-old children. The effects of age, gender, availability of a TV or computer in the bedroom, parental rules on time spent watching TV or working on a computer, parental rules on the content of TV programmes and computer work and watching TV together with parents on excessive time spent with screen-based activities were explored using logistic regression models. Results Two-thirds of respondents watch TV or play computer games at least two hours a day. Older children have a 1.80-times higher chance of excessive TV watching (CI: 1.30-2.51) and a 3.91-times higher chance of excessive computer use (CI: 2.82-5.43) in comparison with younger children. More than half of children have a TV (53%) and a computer (73%) available in their bedroom, which increases the chance of excessive TV watching by 1.59 times (CI: 1.17-2.16) and of computer use by 2.25 times (CI: 1.59-3.20). More than half of parents rarely or never apply rules on the length of TV watching (64%) or time spent on computer work (56%), and their children have a 1.76-times higher chance of excessive TV watching (CI: 1.26-2.46) and a 1.50-times greater chance of excessive computer use (CI: 1.07-2.08). A quarter of children reported that they are used to watching TV together with their parents every day, and these have a 1.84-times higher chance of excessive TV watching (1.25-2.70). Conclusions Reducing time spent watching TV by applying parental rules or a parental role model might help prevent excessive time spent on screen-based activities.
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Affiliation(s)
- Daniela Brindova
- Health Psychology Unit, Institute of Public Health, Faculty of Medicine, P,J, Safarik University in Kosice, Tr, SNP 1, Košice 041 01, Slovak Republic.
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