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Puolitaival T, Sieppi M, Pyky R, Enwald H, Korpelainen R, Nurkkala M. Health behaviours associated with video gaming in adolescent men: a cross-sectional population-based MOPO study. BMC Public Health 2020; 20:415. [PMID: 32228539 PMCID: PMC7106563 DOI: 10.1186/s12889-020-08522-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Accepted: 03/12/2020] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Playing video games, a form of sedentary behaviour, is associated with poor well-being and increased risk of morbidity due to chronic disease. However, the association between health behaviours and video gaming is poorly understood. The purpose of this population-based study was to reveal the differences in dietary habits and physical activity for adolescent men with high amount of video games on weekdays, as compared to their peers who play less often. METHODS Seven hundred ninety-six adolescent men (age: mean = 17.8, SD = 0.6) attended compulsory conscription for military service in 2013 and completed a questionnaire regarding the amount and frequency of their video gaming. They also participated in a medical examination and underwent physiological measurements. The participants who played video games more than 3 h/d on weekdays were compared with those who played 3h/d or less. The association between health behaviours and the amount of playing video gaming was analysed using multivariable logistic regression analysis. RESULTS 24.1% (n = 192) of the participants reported video gaming in excess of 3 h/d. This group had higher incidence of having low physical fitness, having poor eating habits, and being obese. No differences were found in smoking or alcohol drinking habits. Other factors, including low leisure-time physical activity (OR = 1.94; 95% CI, 1.29-2.91), low consumption of vegetables and fruits (OR = 0.83; 95% CI, 0.72-0.97), high consumption of sweetened soft drinks (OR = 1.28; 95% CI, 1.06-1.55) and high amount of sitting time (OR = 1.40; 95% CI, 1.28-1.52), explained one-fourth of the difference. CONCLUSION In this population-based study, adolescent men who played video games a lot on weekdays had lower physical fitness, were more often obese, and had poorer dietary habits, as compared to their peers who played less often. Because playing video games typically adds to a person's total sedentary time, this activity may be associated with adverse health outcomes at a very young age- especially in combination with poor health behaviours. The results of this study can be utilized to promote health interventions targeted at adolescent men so as to raise their awareness of the disadvantages of excessive video gaming.
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Affiliation(s)
- Tuulia Puolitaival
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation sr, Albertinkatu 18A, P.O. Box 365, 90100 Oulu, Finland
- Center for Life Course Health Research, Faculty of Medicine, University of Oulu, P.O. Box 5000, 90014 Oulu, Finland
| | - Mirjam Sieppi
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation sr, Albertinkatu 18A, P.O. Box 365, 90100 Oulu, Finland
- Center for Life Course Health Research, Faculty of Medicine, University of Oulu, P.O. Box 5000, 90014 Oulu, Finland
| | - Riitta Pyky
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation sr, Albertinkatu 18A, P.O. Box 365, 90100 Oulu, Finland
- Center for Life Course Health Research, Faculty of Medicine, University of Oulu, P.O. Box 5000, 90014 Oulu, Finland
- Medical Research Center, Oulu University Hospital and University of Oulu, P.O. Box 5000, 90014 Oulu, Finland
- Research Unit of Medical Imaging, Physics and Technology, Faculty of Medicine, University of Oulu, P.O. Box 8000, 90014 Oulu, Finland
| | - Heidi Enwald
- Medical Research Center, Oulu University Hospital and University of Oulu, P.O. Box 5000, 90014 Oulu, Finland
- Information Studies, Faculty of Humanities, University of Oulu, P.O. Box 8000, 90014 Oulu, Finland
| | - Raija Korpelainen
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation sr, Albertinkatu 18A, P.O. Box 365, 90100 Oulu, Finland
- Center for Life Course Health Research, Faculty of Medicine, University of Oulu, P.O. Box 5000, 90014 Oulu, Finland
- Medical Research Center, Oulu University Hospital and University of Oulu, P.O. Box 5000, 90014 Oulu, Finland
| | - Marjukka Nurkkala
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute Foundation sr, Albertinkatu 18A, P.O. Box 365, 90100 Oulu, Finland
- Center for Life Course Health Research, Faculty of Medicine, University of Oulu, P.O. Box 5000, 90014 Oulu, Finland
- Medical Research Center, Oulu University Hospital and University of Oulu, P.O. Box 5000, 90014 Oulu, Finland
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Nurkkala M, Keränen AM, Koivumaa-Honkanen H, Ikäheimo TM, Ahola R, Pyky R, Mäntysaari M, Korpelainen R. Disordered eating behavior, health and motives to exercise in young men: cross-sectional population-based MOPO study. BMC Public Health 2016; 16:483. [PMID: 27277478 PMCID: PMC4898374 DOI: 10.1186/s12889-016-3162-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2015] [Accepted: 05/25/2016] [Indexed: 12/01/2022] Open
Abstract
BACKGROUND Being overweight is an increasing problem among young people, among whom disordered eating behavior is linked with weight problems as well as unhealthy weight control. The aim of the present study was to investigate whether health factors and motives to exercise differ in young men by the type of disordered eating behavior. METHODS The population-based, cross-sectional MOPO study consisted of 2,096 young Finnish men (mean age 17.9, SD 0.7) attending compulsory call-ups for military service in the Oulu area in 2010, 2011, and 2013. They responded to a questionnaire that included two subscales of the Eating Disorder Inventory-3 indicating drive for thinness and bulimic behavior and questions on health, physical activity, and motives to exercise. The association between disordered eating behavior and related factors was analyzed by binary logistic regression. RESULTS Altogether, 6.9 % (n = 145) of the men had symptoms of disordered eating, i.e., 5.4 % had a drive for thinness (n = 114) and 3.7 % had bulimic behavior (n = 77). Drive for thinness was associated with a perception of being overweight (OR 3.7; 95 % CI 2.2-6.1), poor self-rated health (2.3; 1.2-4.4), more leisure sitting time (1.1; 1.0-1.2), and body-related exercise motives (body acceptance: 3.0; 1.7-5.2; weight loss: 2.5; 1.4-4.4). Bulimic behavior was positively associated with poor self-rated health (2.6; 1.1-5.8) and several motives to exercise, i.e., due to another person's suggestion (2.8; 1.6-4.8), competitive sports (2.1; 1.2-3.7), body acceptance (2.1; 1.1-3.9), and weight loss (1.9; 1.1-3.3), but inversely associated with health/fitness-related exercise motives (health promotion: 0.3; 0.1-0.5; muscular strength or physical performance: 0.5; 0.2-0.9). CONCLUSIONS In young men, disordered eating behavior was associated with being overweight, having poor self-rated health, and having a greater amount of leisure sitting time as well as non-health-related motives to exercise. In order to recognize those at risk for disordered eating behavior, evaluating these factors could be beneficial.
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Affiliation(s)
- Marjukka Nurkkala
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute, P.O. BOX 365, FI-90101, Oulu, Finland.
- Center for Life Course Health Research, Faculty of Medicine, University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland.
- Medical Research Center Oulu, University Hospital of Oulu and University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland.
| | - Anna-Maria Keränen
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute, P.O. BOX 365, FI-90101, Oulu, Finland
- Medical Research Center Oulu, University Hospital of Oulu and University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
- Clinical Research Center, Internal Medicine, University Hospital of Oulu, University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
| | - Heli Koivumaa-Honkanen
- Department of Psychiatry, Institute of Clinical Medicine, Psychiatry, University of Eastern Finland, P.O. BOX 100, FI-70029, Kuopio, Finland
- Clinic of Child Psychiatry, Oulu University Hospital, P.O. BOX 26, FI-90029 OYS, Oulu, Finland
- Departments of Psychiatry, Kuopio University Hospital (KUH), South Savonia Hospital District, Mikkeli; North Karelia Central Hospital, Joensuu; SOSTERI, Savonlinna; SOTE, Iisalmi; Lapland Hospital District, Rovaniemi, Finland
| | - Tiina M Ikäheimo
- Medical Research Center Oulu, University Hospital of Oulu and University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
- Center for Environmental and Respiratory Health Research, University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
| | - Riikka Ahola
- Medical Research Center Oulu, University Hospital of Oulu and University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
- Research Unit of Medical Imaging, Physics and Technology, Faculty of Medicine, University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
| | - Riitta Pyky
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute, P.O. BOX 365, FI-90101, Oulu, Finland
- Center for Life Course Health Research, Faculty of Medicine, University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
- Medical Research Center Oulu, University Hospital of Oulu and University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
- Research Unit of Medical Imaging, Physics and Technology, Faculty of Medicine, University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
| | - Matti Mäntysaari
- Center for Life Course Health Research, Faculty of Medicine, University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
| | - Raija Korpelainen
- Department of Sports and Exercise Medicine, Oulu Deaconess Institute, P.O. BOX 365, FI-90101, Oulu, Finland
- Center for Life Course Health Research, Faculty of Medicine, University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
- Medical Research Center Oulu, University Hospital of Oulu and University of Oulu, P.O. BOX 5000, FI-90014, Oulu, Finland
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