Effect of Screen Time and Other Factors on the Risk of Overweight in Children 4 to 6 Years of Age in Purworejo, Central Java: A Path Analysis

Sofia Paramita1), Yulia Lanti Retno Dewi2), Vitri Widyaningsih2)


1)Masters Program in Public Health, Universitas Sebelas Maret

2)Faculty of Medicine, Universitas Sebelas Maret



Background: Children spent a large amount of time with the screen. Electronic media acts as a trigger for consumption of high-energy food and beverage. It also distracts children by obscuring feelings of satiety. The purpose of this study was to examine the effect of screen time and other factors on the risk of overweight in children 4 to 6 years of age using path analysis model.

Subjects and Method: A case control study was carried out at 25 nursery schools in Purworejo, Central Java, from April to May 2019. A sample of 200 children aged 4 to 6 years old was selected by simple random sampling. The dependent variable was overweight. The independent variables were exclusive breastfeeding, physical activity, sleep duration, screen time, income, and maternal nutritional status. Physical activity was measured by early year physical activity instrument. Body weight was measured by weight scale and height was measured by microtoise. The other variables were collected by questionnaire. The data were analyzed by path analysis.

Results: The risk of overweight in children directly increased with high family income (b= 3.63; 95% CI= 1.44 to 9.10; p= 0.006), overweight mother (b= 6.30; 95% CI= 2.28 to 17.38; p<0.001), non-exclusive breastfeeding (b= 0.20; 95% CI= 0.08 to 0.54; p= 0.001), low physical activity (b= 0.09; 95% CI= 0.03 to 0.26; p<0.001), short sleep duration (b= 0.17; 95% CI= 0.05 to 0.53; p= 0.002), and long screen time (b= 5.65; 95% CI= 1.97 to 16.23; p= 0.001). Overweight in children was indirectly affected by maternal education.

Conclusion: The risk of overweight in children directly increased with high family income, overweight mother, exclusive breastfeeding, low physical activity, short sleep duration, and long screen time. Overweight in children is indirectly affected by maternal education.

Keywords: overweight, screen time, children

Correspondence: Sofia Paramita. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: sofiaazzahra.94@gmail.com. Mobile: +6285227902336.

DOI: https://doi.org/10.26911/the6thicph.03.69

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