Department of Paediatric and Adolescent Medicine, Kepler University Hospital Linz, Linz, Austria.
University of Applied Sciences Steyr, Steyr, Austria.
Acta Paediatr. 2018 Mar;107(3):517-522. doi: 10.1111/apa.14149. Epub 2017 Dec 5.
This cross-sectional study analysed the influence of socio-economic factors on screen time, overweight and obesity.
We asked adolescents aged 10, 14 and 17 from 10 school types in urban and rural regions in Upper Austria to complete questionnaires from December 2012 to February 2013. Their parents were also asked to complete questionnaires.
The questionnaires were completed by 2930 adolescents and 2209 parents. Total weekend screen time was significantly associated with a higher body mass index (BMI) in 10-year-old boys (p < 0.005) and 10-year-old girls (p = 0.002), and there were significant associations between higher BMI and television time and longer weekend video game use in subjects aged 10 and 14. Higher education levels were associated with shorter daily video game use and longer computer use. Males (p < 0.0001) and adolescents from immigrant families (p < 0.0001) reported longer screen times at all ages. Lower parental education and higher parental BMI correlated significantly with longer screen time and BMI in the youngest age group.
The greatest weight problems were in younger adolescents, despite shorter screen times, and boys and adolescents from immigrant families reported the longest screen times. Prevention strategies need to start early.
本横断面研究分析了社会经济因素对青少年屏幕时间、超重和肥胖的影响。
我们要求上奥地利城乡地区 10 种学校类型的 10、14 和 17 岁青少年在 2012 年 12 月至 2013 年 2 月期间填写问卷,并要求他们的父母也填写问卷。
共有 2930 名青少年和 2209 名家长完成了问卷。周末总屏幕时间与 10 岁男孩(p < 0.005)和 10 岁女孩(p = 0.002)的体重指数(BMI)显著相关,而且在 10 岁和 14 岁的儿童中,BMI 与电视时间和周末视频游戏使用时间较长之间存在显著关联。较高的教育水平与每日视频游戏使用时间较短和计算机使用时间较长有关。男性(p < 0.0001)和移民家庭的青少年在所有年龄段的屏幕时间都较长。较低的父母教育水平和较高的父母 BMI 与年龄最小组的屏幕时间和 BMI 显著相关。
尽管屏幕时间较短,但最严重的体重问题出现在较年轻的青少年中,而且男孩和移民家庭的青少年报告的屏幕时间最长。预防策略需要尽早开始。