The Relationship between Screen Time and Sleep Duration among Obese Adolescents:  Meta-Analysis


Authors

Viola Holly Flora
Master’s Program in Public Health, Universitas Sebelas Maret, Indonesia
~ Author

Abstract

Background: Management of obesity in adolescents should routinely include intensive care regarding lifestyle and diet, with consideration of ant-obesity medication and bariatric surgery if indicated. Obesity in adolescents has become a focus of global attention because of its impact on long-term health. This study aimed to estimate the relationship between sleep duration and screen time with the risk of obesity among adolescents.

Subjects and Method: This meta-analysis was conducted using a PICO research question. Population: Adolescents. Intervention: Screen time ≥2 hours/day and sleep duration <8-10 hours/day. Comparison: Sleep duration 8-10 hours/day and screen time <2 hours/day. Outcome: Obesity. The articles were searched from databases PubMed, Google Scholar, and Scopus. Keywords used “Sleep duration” AND “Screen Time” AND “Adolescent” AND “Obesity”. The inclusion criteria included were full-text paper, cross-sectional and cohort study from 2013 to 2023. The article was analyzed using Review Manager 5.3.

Results: The meta-analysis included 24 cross-sectional studies from Asia, Africa, Europe, and America. Screen time ≥2 hours/day was associated with the risk of obesity 1.11 times compared to screen time <2 hours/day (aOR= 1.11; 95%CI= 1.09 to 1.14; p<0.001) and adolescents with sleep duration <8-10 hours/day had a risk of obesity 1.24 times compared to sleep duration ≥8-10 hours/day (aOR= 1.24 95%CI= 1.12 to 1.37; p<0.001). Twelve cohort studies from Asia, Europe and America. Screen time ≥2 hours/day was associated with the risk of obesity 1.12 times compared to screen time <2 hours/day (aOR= 1.12; 95%CI= 1.07 to 1.17; p<0.001), and adolescents with sleep duration <8-10 hours/day had a risk of obesity 1.20 times compared to sleep duration ≥8-10 hours/day (aOR= 1.20; 95%CI= 1.10 to 1.31; p<0.001). Overall effect showed that screen time ≥2 hours/day was associated with the risk of obesity 1.12 times compared to screen time <2 hours/day Screen time (aOR= 1.12; 95%CI= 1.09 to 1.14; p<0.001), and adolescents with sleep duration <8-10 hours/day had a risk of obesity 1.20 times compared to sleep duration ≥8-10 hours/day sleep duration (aOR= 1.22; 95%CI= 1.14 to 1.30; p<0.001).

Conclusion: Longer screen time and shorter sleep duration are associated with an increased risk of obesity in adolescents.

How to Cite

The Relationship between Screen Time and Sleep Duration among Obese Adolescents:  Meta-Analysis. (2024). The International Conference on Public Health Proceeding, 8(01), 73. https://doi.org/10.26911/ICPH10/Maternal/2023.23