Aşut Özen, Abuduxike Gulifeiya, Acar-Vaizoğlu Songül, Cali Sanda
Department of Public Health, Faculty of Medicine, Near East University.
Turk J Pediatr. 2019;61(4):568-579. doi: 10.24953/turkjped.2019.04.014.
Aşut Ö, Abuduxike G, Acar-Vaizoğlu S, Cali S. Relationships between screen time, internet addiction and other lifestyle behaviors with obesity among secondary school students in the Turkish Republic of Northern Cyprus. Turk J Pediatr 2019; 61: 568-579. Obesity among children and adolescents is one of the critical public health problems worldwide, and the prevalence of obesity has been increasing rapidly over decades. We examined the associations between screen time, internet addiction and other life style behaviors with obesity among high school students in Near East College in Northern Cyprus. A cross-sectional study was conducted among 469 secondary school students with mean age 11.95 ±0.81 years. A self-administrated questionnaire was applied to assess screen time and life style behaviors. The Turkish adapted version of the short-form of internet addiction test was used to assess internet addiction problems. Height and weight were measured objectively to calculate body mass Index (BMI) and classify based on the BMI percentiles for sex and age. Descriptive analysis, Chi-Square test and multivariate regression analysis were performed, and the p- value < 0.05 was accepted as significant. Of all participants, 17.2% were overweight and obese, and 18.1% had internet addiction, while 40.7% of them reported to have screen time of more than two hours a day. After adjusting the analysis for age and sex, eating snacks while watching TV (OR,3.04; 95% CI, 1.28-7.21), self- perceived body weight (OR, 24.9; 95% CI, 9.64-64.25) and having a play station in the room (OR,4.6; 95% CI, 1.85 - 11.42) were significantly associated with obesity. Screen time (OR,4.68; 95% CI, 2.61-8.38; p=0.000) and having a computer in the bedroom (OR,1.7;95% CI, 1.01- 2.87; p=0.046) were significantly associated with internet addiction, whereas parent`s complaint about lengthy technology use (OR,0.23; 95% CI, 0.11-0.46; p=0.000) was found to be a protective factor against internet addiction. The findings highlighted the significance of a family - school based integrated approach, which should be implemented to tackle obesity problem to improve the quality of life of children and adolescents.
阿舒特·Ö、阿布都西柯·G、阿恰尔-瓦伊佐卢·S、卡利·S。北塞浦路斯土耳其共和国中学生屏幕使用时间、网络成瘾及其他生活方式行为与肥胖之间的关系。《土耳其儿科学杂志》2019年；61:568 - 579。儿童和青少年肥胖是全球关键的公共卫生问题之一，且肥胖患病率在数十年间迅速上升。我们研究了北塞浦路斯近东学院高中生的屏幕使用时间、网络成瘾及其他生活方式行为与肥胖之间的关联。对469名平均年龄为11.95±0.81岁的中学生进行了一项横断面研究。采用自行填写的问卷来评估屏幕使用时间和生活方式行为。使用土耳其语改编版的网络成瘾测试简表来评估网络成瘾问题。客观测量身高和体重以计算体重指数（BMI），并根据性别和年龄的BMI百分位数进行分类。进行了描述性分析、卡方检验和多变量回归分析，p值<0.05被视为具有统计学意义。在所有参与者中，17.2%超重或肥胖，18.1%有网络成瘾问题，而其中40.7%报告每天屏幕使用时间超过两小时。在对年龄和性别进行分析调整后，边看电视边吃零食（比值比[OR]，3.04；95%置信区间[CI]，1.28 - 7.21）、自我感知体重（OR，24.9；95% CI，9.64 - 64.25）以及房间里有游戏机（OR，4.6；95% CI，1.85 - 11.42）与肥胖显著相关。屏幕使用时间（OR，4.68；95% CI，2.61 - 8.38；p = 0.000）和卧室里有电脑（OR，1.7；95% CI，1.01 - 2.87；p = 0.046）与网络成瘾显著相关，而家长对长时间使用科技产品的抱怨（OR，0.23；95% CI，0.11 - 0.46；p = 0.000）被发现是预防网络成瘾的保护因素。研究结果凸显了基于家庭 - 学校的综合方法的重要性，应实施该方法来解决肥胖问题，以提高儿童和青少年的生活质量。
