青少年时期不同屏幕使用时间的青年自我评定健康状况：德黑兰脂质与血糖研究
Self-rated Health in Youth with Different Screen Time in Their Adolescence: Tehran Lipid and Glucose Study.
作者信息
Parvin Parnian, Mahani Fatemeh, Cheraghi Leila, Yari-Boroujeni Reza, Azizi Fereidoun, Amiri Parisa
机构信息
Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Epidemiology and Biostatistics, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Arch Iran Med. 2023 Dec 1;26(12):671-678. doi: 10.34172/aim.2023.99.
BACKGROUND
The long-term effects of childhood screen time on health-related quality of life (HRQoL) are still unclear. This study aimed to investigate the relationship between screen time during adolescence and sex-specific HRQoL in early youth.
METHODS
We studied the data from 642 adolescents aged 13-19 years, who participated in the Tehran Lipid and Glucose Study from 2005 to 2011 (baseline) with complete data on HRQoL in their early adulthood (22-28 years at the last follow-up). Physical and Mental HRQoL were assessed using the Iranian version of the short-form 12-item health survey version 2 (SF-12v2). Screen time and leisure-time physical activity were evaluated using the Iranian Modifiable Activity Questionnaire (MAQ). All analyses were conducted in Stata (version 14); MI used the mi impute command.
RESULTS
The mean±SD of age, body mass index (BMI), and physical activity in childhood were 16.33±1.27, 23.27±4.63 and 13.77±16.07, respectively. Overall, 35% of boys and 34% of girls had high screen time (HST) in childhood. In general, the HRQoL scores in male participants were higher than in females in both the mental and physical domains. HST in males in childhood was associated with decreased mental health (β=-6.41, 95% CI: -11.52, -1.3 and =0.014), social functioning (β=-5.9, 95% CI: -11.23, -0.57 and =0.03) and mental component summary (MCS) (β=-2.86, 95% CI: -5.26, -0.45 and =0.02). The odds of poor MCS were significantly higher in those with HST compared to their counterparts with low screen time (LST) after adjusting for all potential cofounders.
CONCLUSION
The results of the present study showed the negative effect of screen time during adolescence on HRQoL in early youth. This effect was observed in men, mainly in the mental dimension. Investigating the long-term consequences of screen-time behaviors on self-assessed health in other populations with the aim of effective primary prevention is also suggested.
背景
儿童期屏幕使用时间对健康相关生活质量（HRQoL）的长期影响仍不明确。本研究旨在调查青少年时期的屏幕使用时间与青年早期特定性别的HRQoL之间的关系。
方法
我们研究了642名年龄在13 - 19岁的青少年的数据，他们于2005年至2011年（基线）参与了德黑兰脂质与葡萄糖研究，并且在成年早期（最后一次随访时年龄为22 - 28岁）有关于HRQoL的完整数据。使用伊朗版的简短健康调查问卷第2版（SF - 12v2）评估身体和心理HRQoL。使用伊朗可改变活动问卷（MAQ）评估屏幕使用时间和休闲时间的身体活动。所有分析均在Stata（版本14）中进行；多重插补（MI）使用mi impute命令。
结果
儿童期年龄、体重指数（BMI）和身体活动的平均值±标准差分别为16.33±1.27、23.27±4.63和13.77±16.07。总体而言，35%的男孩和34%的女孩在儿童期有高屏幕使用时间（HST）。一般来说，男性参与者在心理和身体领域的HRQoL得分均高于女性。男性儿童期的HST与心理健康下降（β = -6.41，95%置信区间：-11.52，-1.3；P = 0.014）、社会功能（β = -5.9，95%置信区间：-11.23，-0.57；P = 0.03）和心理成分总结（MCS）（β = -2.86，95%置信区间：-5.26，-0.45；P = 0.02）相关。在调整所有潜在混杂因素后，与低屏幕使用时间（LST）的同龄人相比，HST者MCS较差的几率显著更高。
结论
本研究结果显示青少年时期的屏幕使用时间对青年早期的HRQoL有负面影响。这种影响在男性中观察到，主要在心理维度。还建议调查屏幕使用行为对其他人群自我评估健康的长期后果，以进行有效的一级预防。
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