Associations among Screen Time and Unhealthy Behaviors, Academic Performance, and Well-Being in Chinese Adolescents

Yan, Han; Zhang, Rui; Oniffrey, Theresa M.; Chen, Guoxun; Wang, Yueqiao; Wu, Yingru; Zhang, Xinge; Wang, Quan; Ma, Lu; Li, Rui; Moore, Justin B.

doi:10.3390/ijerph14060596

Cited by 99 publications

(86 citation statements)

References 42 publications

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“…We observed that increased screen time (>2 hours per day) increased odds of breakfast skipping by almost 18%, in both sexes. Data from Chinese adolescents suggested a link between electronic games and skipping breakfast, both on school days and non‐school days . Also, a study among 12 642 US students showed that television viewing was positively related to skipping breakfast after adjustment for several confounders .…”

Section: Discussionmentioning

confidence: 99%

“…Data from Chinese adolescents suggested a link between electronic games and skipping breakfast, both on school days and non-school days. 31 Also, a study among 12 642 US students showed that television viewing was positively related to skipping breakfast after adjustment for several confounders. 16 Similarly, a systematic review including children 1-18 years revealed a positive association between TV viewing and unhealthy dietary patterns.…”

Section: Discussionmentioning

confidence: 99%

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Breakfast skipping in Greek schoolchildren connected to an unhealthy lifestyle profile. Results from the National Action for Children's Health program

Tambalis

Panagiotakos

Psarra

et al. 2019

Nutrition & Dietetics

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Aim The aim of the present study was to examine prevalence and correlates of skipping breakfast in a representative sample of children and adolescents. Methods Cross‐sectional, observational study. Population data derived from a school‐based health survey carried out in 2015 on 177 091 Greek children aged 8–17 years. Trained investigators performed all anthropometric evaluations. Breakfast skipping and adherence to the Mediterranean diet (MD) was assessed through the Mediterranean Diet Quality Index for children and adolescents. Physical activity status, sedentary activities and sleeping hours were assessed through self‐completed questionnaires. Results Almost one in four (22.4% of boys, 23.1% of girls) schoolchildren skipped breakfast. Participants’ characteristics associated with skipping breakfast were being female, being older, being overweight/obese, poorer diet, inadequate physical activity levels, insufficient sleep and increased screen time. Regression models adjusted for several potential confounders demonstrated that poor dietary habits, insufficient sleeping status (<8–9 hours per day), and increased screen time (>2 hours per day), increased the odds for skipping breakfast by almost 80% (95% CI: 1.78–1.82), 23% (95% CI: 1.20–1.26) and 22.5% (95% CI: 1.19–1.26), respectively. Conclusions Skipping breakfast was common among schoolchildren. Participants who skipped breakfast tended to have an unhealthy lifestyle profile. Policies designed to increase breakfast consumption should target schoolchildren with unhealthy lifestyle profiles.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Breakfast skipping in Greek schoolchildren connected to an unhealthy lifestyle profile. Results from the National Action for Children's Health program

Tambalis

Panagiotakos

Psarra

et al. 2019

Nutrition & Dietetics

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“…The most studied aspect was depression, with 23 (29%) studies examining the relationship between social media use and depressive symptoms (Ferguson et al, 2014;Neira and Barber, 2014;O'Connor et al, 2014;Banjanin et al, 2015;Richards et al, 2015;Spears et al, 2015;Tseng and Yang, 2015;Fahy et al, 2016;Banyai et al, 2017;Brunborg et al, 2017;Colder Carras et al, 2017;Larm et al, 2017;Nesi et al, 2017a;Salmela-Aro et al, 2017;Fredrick and Demaray, 2018;Houghton et al, 2018;Niu et al, 2018;Twenge et al, 2018;Wang et al, 2018;Wartberg et al, 2018). Twenty of the included studies focused on different aspects of good mental health, such as well-being, happiness, or quality of life (Best et al, 2014(Best et al, , 2015Bourgeois et al, 2014;Ferguson et al, 2014;Cross et al, 2015;Koo et al, 2015;Richards et al, 2015;Spears et al, 2015;Fahy et al, 2016;Foerster and Roosli, 2017;Przybylski and Bowes, 2017;Yan et al, 2017;Booker et al, 2018;de Lenne et al, 2018;Erfani and Abedin, 2018;Erreygers et al, 2018;Lai et al, 2018;…”

Section: Mental Health Foci Of Included Studiesmentioning

confidence: 99%

Social Media Use and Mental Health and Well-Being Among Adolescents – A Scoping Review

et al. 2020

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Introduction: Social media has become an integrated part of daily life, with an estimated 3 billion social media users worldwide. Adolescents and young adults are the most active users of social media. Research on social media has grown rapidly, with the potential association of social media use and mental health and well-being becoming a polarized and much-studied subject. The current body of knowledge on this theme is complex and difficult-to-follow. The current paper presents a scoping review of the published literature in the research field of social media use and its association with mental health and well-being among adolescents. Methods and Analysis: First, relevant databases were searched for eligible studies with a vast range of relevant search terms for social media use and mental health and well-being over the past five years. Identified studies were screened thoroughly and included or excluded based on prior established criteria. Data from the included studies were extracted and summarized according to the previously published study protocol. Results: Among the 79 studies that met our inclusion criteria, the vast majority (94%) were quantitative, with a cross-sectional design (57%) being the most common study design. Several studies focused on different aspects of mental health, with depression (29%) being the most studied aspect. Almost half of the included studies focused on use of non-specified social network sites (43%). Of specified social media, Facebook (39%) was the most studied social network site. The most used approach to measuring social media use was frequency and duration (56%). Participants of both genders were included in most studies (92%) but seldom examined as an explanatory variable. 77% of the included studies had social media use as the independent variable. Conclusion: The findings from the current scoping review revealed that about 3/4 of the included studies focused on social media and some aspect of pathology. Focus on the potential association between social media use and positive outcomes seems to be rarer in the current literature. Amongst the included studies, few separated between different forms of (inter)actions on social media, which are likely to be differentially associated with mental health and well-being outcomes.

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“…A study with the largest representative sample of school-aged children and adolescents in China found that the prevalence of obesity increased from 0.2% to 8.1% between 1985 and 2010 ( Song et al, 2013 ). Many factors are associated with physical activity in Chinese youth, including psychological, social, environmental, and systemic ( Tudor-Locke et al, 2003 ; Abdullah et al, 2005 ; Yan et al, 2017 ; Zhang et al, 2016 ). For example, Shi and colleagues ( Shi et al, 2006 ) reported that Chinese girls with low socioeconomic status (SES) had the highest levels of physical activity, while boys with high SES reported the lowest rates of walking to school.…”

Section: Introductionmentioning

confidence: 99%

Physical activity and park use of youth in Nanchang, China

Moore

Cook

Schuller

et al. 2017

Preventive Medicine Reports

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Physical inactivity is a growing issue in Chinese youth, but parks can facilitate traditional and non-traditional forms of physical activity for little to no cost. Despite this opportunity, very little is known regarding park use among Chinese youth. The purpose of this study was to conduct a cross-sectional observational study of park usage and physical activity of youth in municipal parks in Nanchang, China. Data were collected in June of 2014 in eight parks across Nanchang, Jiangxi a large city in southeast China. Physical activity was measured by a modified version of System for Observing Play and Recreation in Communities. Ordered hierarchic generalized linear models were estimated using a logit link function. The influence of the park was estimated using random effects, with fixed effects and park, environmental, and park user characteristics. Youth were most often seen active in the afternoon, on weekends, and during cooler times (≤ 29 °C). Paradoxically, more children were active when air quality was poorer. Older boys were more active than younger boys, but no differences were observed in girls. More children were seen active in unstructured play compared to structured activities. The results suggest parks are an important setting for physical activity among Chinese youth, and that unstructured activities can play an important role in promoting greater youth physical activity.

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Associations among Screen Time and Unhealthy Behaviors, Academic Performance, and Well-Being in Chinese Adolescents

Cited by 99 publications

References 42 publications

Breakfast skipping in Greek schoolchildren connected to an unhealthy lifestyle profile. Results from the National Action for Children's Health program

Breakfast skipping in Greek schoolchildren connected to an unhealthy lifestyle profile. Results from the National Action for Children's Health program

Social Media Use and Mental Health and Well-Being Among Adolescents – A Scoping Review

Physical activity and park use of youth in Nanchang, China

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