Department of Nursing, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, China.
School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.
Front Public Health. 2021 Jan 8;8:551613. doi: 10.3389/fpubh.2020.551613. eCollection 2020.
This study aimed to evaluate the television (TV) viewing and computer and mobile phone usage duration in a community sample of Chinese adults and examine their associations with BMI and obesity. We conducted a community-based health needs assessment study from February to December 2018 among 2,873 Chinese adults in Nanshan District of Shenzhen, China. We used self-administered questionnaires to collect the data from 24 community health service centers in Nanshan District. The participants individually recorded the time they spent watching TV and using computers and mobile phones. They also answered questions about their sociodemographic and lifestyle factors. We measured their height and weight by using ultrasonic height and weight scales. Then, we calculated and categorized their BMI in accordance with the standards prescribed by the World Health Organization for Asians. Most of the participants were young adults (aged 18-44 years, 74.2%). The overall prevalence of obesity was 15.30%. The prevalence of TV, computer, and mobile phone usage was 75.5, 71.2, and 93.8% in females and 71.1, 75.7, and 94.2% in males, respectively. The youth (18-24 years) and the elderly (65 years or older) had the longest time using mobile phones (3.78 ± 2.51 h) and watching TV programs (2.12 ± 1.38 h), respectively. Longer usage of computers and mobile phones was evident in males ( < 0.05) and participants with a high education level ( < 0.01). The univariate analysis results showed an association between high BMI and obesity and short duration of using computers and mobile phones (all < 0.05). By contrast, no significant associations were found between the length of TV program viewing and mobile phone usage and BMI ( > 0.05). After we adjusted for potential confounders, we found that computer usage time and the overall usage time of the three electronic devices had an inverse association with BMI ( < 0.05). Mobile phones were the most popular electronic device in Nanshan residents of Shenzhen. Unlike most previous studies, we found an inverse association between screen time and BMI. Nevertheless, scholars should conduct further studies to explore this association. Overall, we strongly encourage the appropriate use of electronic devices.
本研究旨在评估中国成年人社区样本中的电视(TV)观看时间和电脑及手机使用时间,并探讨其与 BMI 和肥胖的关系。
我们于 2018 年 2 月至 12 月期间在中国深圳市南山区的 24 个社区卫生服务中心开展了一项基于社区的健康需求评估研究,共纳入 2873 名中国成年人。参与者通过自填式问卷单独记录他们观看电视和使用电脑及手机的时间。他们还回答了关于社会人口统计学和生活方式因素的问题。我们使用超声身高体重秤测量他们的身高和体重,并按照世界卫生组织为亚洲人制定的标准计算和分类他们的 BMI。
大多数参与者为年轻人(18-44 岁,74.2%)。肥胖的总体患病率为 15.30%。女性中 TV、电脑和手机的使用率分别为 75.5%、71.2%和 93.8%,男性中分别为 71.1%、75.7%和 94.2%。年轻人(18-24 岁)和老年人(65 岁及以上)使用手机的时间最长(3.78±2.51 h),观看电视节目的时间最长(2.12±1.38 h)。男性(<0.05)和高学历者(<0.01)使用电脑和手机的时间更长。单因素分析结果显示,高 BMI 和肥胖与使用电脑和手机的时间较短有关(均<0.05)。相比之下,看电视时间和手机使用时间与 BMI 之间无显著相关性(>0.05)。在调整了潜在混杂因素后,我们发现电脑使用时间和三种电子设备的总使用时间与 BMI 呈负相关(<0.05)。手机是深圳南山区居民最受欢迎的电子设备。与大多数先前的研究不同,我们发现屏幕时间与 BMI 呈负相关。然而,学者们应开展进一步的研究来探索这种相关性。总的来说,我们强烈鼓励适当使用电子设备。