Brenda Biaani León-Gómez, Palència Laia, Puig-Ribera Anna, Bartoll Xavier, Pérez Katherine
Agència de Salut Pública de Barcelona (ASPB), Barcelona, Spain.
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Public Health Pract (Oxf). 2020 Nov 12;1:100055. doi: 10.1016/j.puhip.2020.100055. eCollection 2020 Nov.
Sedentary behavior is a risk factor for comorbidities independently of physical activity. Some studies have reported screen time as an unhealthier form of sedentary behavior. This study assessed the association between recreational screen-time behavior and self-perceived health.
This is a cross-sectional study.
As part of the in 2018 a survey was conducted in a representative sample (n = 795) of residents aged ≥ 18 years living in the borough of Horta, in Barcelona. The survey assessed self-perceived health, recreational screen-time behavior on working and non-working days (Marshall questionnaire), leisure time physical activity (International Physical Activity Questionnaire [IPAQ] long form), socioeconomic status, and age. We analyzed associations between self-perceived health and recreational screen-time sedentary behavior, with adjustment of robust Poisson models for social class, age, and leisure physical activity. All analyses were stratified by gender.
A total of 82.7% of men and 82.5% of women reported sedentary behavior during recreational screen time of ≥3 h/day on working days, and 63.9% of men and 65.8% of women on non-working days. Spending ≥3 h/day sitting in front of a screen for leisure was associated with poor self-perceived health only on working days for men [PR = 1.87 (1.13-3.09)] but not for women [PR = 1.32 (0.82-2.11)] regardless of leisure physical activity, age, and social class.
In adults, sedentary behavior during recreational screen time on working days is adversely associated with perceived ill health in men, irrespective of leisure time physical activity. Public health interventions could benefit from promoting a reduction in leisure screen sitting time after working hours.
久坐行为是一种与身体活动无关的合并症风险因素。一些研究报告称，屏幕使用时间是一种更不健康的久坐行为形式。本研究评估了娱乐性屏幕使用时间行为与自我感知健康之间的关联。
这是一项横断面研究。
作为2018年 的一部分，对居住在巴塞罗那奥尔塔区年龄≥18岁的居民进行了一项代表性抽样调查（n = 795）。该调查评估了自我感知健康、工作日和非工作日的娱乐性屏幕使用时间行为（马歇尔问卷）、休闲时间身体活动（国际身体活动问卷 [IPAQ] 长表）、社会经济地位和年龄。我们分析了自我感知健康与娱乐性屏幕使用久坐行为之间的关联，并对社会阶层、年龄和休闲身体活动进行了稳健泊松模型调整。所有分析均按性别分层。
共有82.7%的男性和82.5%的女性报告在工作日娱乐性屏幕使用时间≥3小时/天时有久坐行为，在非工作日分别为63.9%的男性和65.8%的女性。无论休闲身体活动、年龄和社会阶层如何，每天花≥3小时坐在屏幕前休闲仅在男性工作日与自我感知健康不佳相关[PR = 1.87（1.13 - 3.09）]，而女性则不然[PR = 1.32（0.82 - 2.11）]。
在成年人中，工作日娱乐性屏幕使用时间的久坐行为与男性的自我感知健康不佳存在不良关联，与休闲时间身体活动无关。公共卫生干预措施可能受益于促进减少工作时间后的休闲屏幕久坐时间。
