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青少年信息系统使用生活方式的健康结果:电子游戏成瘾、睡眠减少和心血管代谢缺陷。

Health Outcomes of Information System Use Lifestyles among Adolescents: Videogame Addiction, Sleep Curtailment and Cardio-Metabolic Deficiencies.

作者信息

Turel Ofir, Romashkin Anna, Morrison Katherine M

机构信息

Department of Information Systems and Decision Sciences, Mihaylo College of Business and Economics, California State University-Fullerton, Fullerton, California, United States of America.

Brain and Creativity Institute, Department of Psychology, University of Southern California, Los Angeles, California, United States of America.

出版信息

PLoS One. 2016 May 5;11(5):e0154764. doi: 10.1371/journal.pone.0154764. eCollection 2016.

Abstract

BACKGROUND AND OBJECTIVE

Obesity is a rising problem among adolescents in modern societies; it results in long-term cardio-metabolic problems. Possible overlooked drivers of obesity and its consequent cardio-metabolic deficits include videogame addiction and the resulting curtailed sleep; both are growing problems among adolescents. The objective of this study is to examine possible associations among these concepts in adolescents, as a means to point to plausible interventions.

METHODS

Data were collected from 94 adolescents who play videogames and are enrolled in outpatient clinics, using surveys, wearable sleep monitors (FitBit), physical exams, and blood tests at three points in time. These data were subjected to structural equation modeling (SEM) analyses and bootstrapping-based mediation testing procedures.

RESULTS

Videogame addiction among adolescents was negatively associated with sleep duration (β = -0.24). Sleep duration was negatively associated with obesity (β = -0.30), which in turn was associated with elevated blood pressure (β = 0.26), low high-density lipoprotein cholesterol (β = -0.18), high triglycerides (β = 0.61), and high insulin resistance (β = 0.39). The model explained 36.2% of the variation in sleep duration, 32.7% of the variation in obesity, and between 12.8% and 28.1% of the variation in cardio-metabolic indicators. Post-hoc analyses indicated that curtailed sleep is a possible full mediator of the association between videogame addiction, abdominal obesity and the associated cardio-metabolic deficits.

CONCLUSION

The findings point to possible information systems use lifestyle-health links, which behooves researchers and practitioners to pay closer attention to possible adverse health outcomes of technology-related addictions. Interventions that target problematic video-gaming and sleep should be devised as a possible means for improving adolescents' long-term cardio-metabolic health.

摘要

背景与目的

肥胖在现代社会的青少年中是一个日益严重的问题;它会导致长期的心血管代谢问题。肥胖及其随之而来的心血管代谢缺陷可能被忽视的驱动因素包括电子游戏成瘾以及由此导致的睡眠减少;这两者在青少年中都是日益严重的问题。本研究的目的是探讨这些概念在青少年中的可能关联,以此作为指向合理干预措施的一种方式。

方法

收集了94名玩电子游戏且在门诊就诊的青少年的数据,在三个时间点使用调查问卷、可穿戴睡眠监测器(FitBit)、体格检查和血液检测。这些数据进行了结构方程模型(SEM)分析和基于自抽样的中介检验程序。

结果

青少年电子游戏成瘾与睡眠时间呈负相关(β = -0.24)。睡眠时间与肥胖呈负相关(β = -0.30),而肥胖又与血压升高(β = 0.26)、低高密度脂蛋白胆固醇(β = -0.18)、高甘油三酯(β = 0.61)和高胰岛素抵抗(β = 0.39)相关。该模型解释了睡眠时间变异的36.2%、肥胖变异的32.7%以及心血管代谢指标变异的12.8%至28.1%。事后分析表明,睡眠减少可能是电子游戏成瘾、腹部肥胖及相关心血管代谢缺陷之间关联的一个完全中介因素。

结论

研究结果指出了信息系统使用与生活方式 - 健康之间可能的联系,这促使研究人员和从业者更加关注与技术相关成瘾可能产生的不良健康后果。应设计针对有问题的电子游戏行为和睡眠的干预措施作为改善青少年长期心血管代谢健康的一种可能手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc36/4858285/b55cd3f6a359/pone.0154764.g001.jpg

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