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Cited by 12Physical Activity and HealthChild and Adolescent Psychosocial and Emotional DevelopmentYouth Development and Social Support

Association of Physical Activity, Sports, and Screen Time With Adolescent Behaviors in Youth Who Visit the Pediatric Emergency Department

Open access
Shenoi, Rohit P., Linakis, James G., Bromberg, Julie R, Casper, T. Charles, Richards, Rachel, Chun, Thomas H., Gonzalez, Victor M., Mello, Michael J. +1 more·2022·Clinical Pediatrics
DOI 10.1177/00099228221075094PMC PMC11463839
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Abstract

Moderate to vigorous physical activity (MVPA), sports, and reduced screen time are associated with favorable youth risk profiles. We evaluated the association of MVPA, sports, and screen time with adolescent behaviors among pediatric emergency department youth. Adolescents were assessed for alcohol/drug use, risky behavior, conduct disorder, and depressive mood. MVPA was activity for ≥5 days/week and ≥60 minutes/day. Increased screen time was ≥3 hours/day computer/TV use for non-schoolwork. Multivariable regression studied association between MVPA, sports, and increased screen time and outcomes adjusting for demographics and academic achievement. Older age and lower academic achievement were significantly associated with risky behaviors, conduct disorder, and depression. Youth who endorsed MVPA and sports participation had less depression (odds ratio [OR] = 0.76; confidence interval [CI] = 0.66-0.87). Increased screen time was associated with conduct disorder (OR = 1.6; CI = 1.3-2.1), depression (OR = 1.2; CI = 1.0-1.4), and drug use (OR = 1.8; CI = 1.1-2.8). In pediatric emergency department youth, MVPA and sports participation is associated with less depression. Increased screen time is associated with conduct disorders, depression, and drug use.

AI snapshot

Written from the paper’s full text.

TL;DR

Among adolescents visiting pediatric emergency departments, moderate/vigorous physical activity and sports participation were associated with less depressed mood, while increased screen time was associated with conduct disorder, depression, and other drug use. The study is a cross-sectional secondary analysis and cannot establish causality.

Key findings

  • In 4,845 youth answering physical activity questions and 4,962 answering screen-time questions (median age 14 years, IQR 13–16), 46.6% reported MVPA ≥5 days/week, 76.4% reported ≥3 hours/day screen time, 34% participated in no sports teams, and 16.3% participated in ≥3 sports teams in the past 12 months.
  • Youth who endorsed MVPA and/or sports participation had lower odds of depressed mood (OR = 0.76; 95% CI = 0.66–0.87); participation in one or more sports teams was also associated with less cigarette smoking.
  • Increased screen time (≥3 hours/day) was associated with conduct disorder (OR = 1.6; CI = 1.3–2.1), depression (OR = 1.2; CI = 1.0–1.4), and other drug use (OR = 1.8; CI = 1.1–2.8).
  • MVPA or participation in one sports team showed no protective effect on unsafe sexual behavior or alcohol/other drug use; participation in ≥3 sports teams was associated with more unsafe sexual activity and alcohol use and less cigarette smoking.

Methods

  • Planned secondary analysis of a study validating the NIAAA two-question alcohol screen; self-administered tablet assessment battery among youth aged 12–17 years visiting PEDs of 17 US children’s hospitals in PECARN from May 2013 to June 2015.
  • Exposures: MVPA ≥5 days/week for ≥60 minutes/day; sports team participation (any; ≥3 teams); screen time ≥3 hours/day of TV, video/computer games, or non-school computer use. Outcomes included problematic alcohol use, cannabis use disorder, other drug use, cigarette use, risky sexual activity, conduct disorder, and depressed mood.
  • Multivariable logistic regression adjusted for demographics and academic achievement; MVPA and sports participation were analyzed in separate models.

Limitations

  • Stated by the authors: adolescents may have underreported or hurried through survey answers; computer administration may have affected responses; the cross-sectional design means associations cannot be assumed and analyses are exploratory; sport type and level were not assessed; the screen-time measure may have been underreported, overreported, or misinterpreted.
  • Evident from the text: the sample was PED attendees at children’s hospitals and not population-based, so findings may not generalize to all adolescents; screen content was not assessed.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1177/00099228221075094

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 33 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    Among adolescents aged 12-17 who visited pediatric emergency departments, playing on three or more sports teams during the previous year is linked to higher odds of unsafe sexual activity.

    “Youth who participated in ≥ 3 teams in the past year, were significantly more likely to engage in unsafe sexual activity and alcohol use and less likely to smoke cigarettes. (Table 4).”
    • Also stated in: § Discussion: · plain
      “However, we observed that youth who had a high level of engagement in sports (ie, past-year participation in ≥ 3 sports teams) were more likely to consume alcohol and engage in unsafe sexual activity.”
    Quote in the paperSubstantial claim
  • Findingown data

    Among adolescents aged 12-17 who visited pediatric emergency departments, increased screen time (≥3 hours/day) is linked to higher odds of other drug use (OR 1.8, 95% CI 1.1-2.8).

    “Increased screen-time was associated with conduct disorder (OR = 1.6; CI = 1.3–2.1), depression (OR = 1.2; CI = 1.0–1.4), and drug use (OR = 1.8; CI = 1.1–2.8).”
    • Also stated in: § Results: · plain
      “Youth who indulged in ≥ 3 hours per day of screen time were more likely to have a conduct disorder, depressed mood or indulge in other drug use. (Tables 2–4).”
    • Also stated in: § Discussion: · plain
      “In all our multivariate models, we observed that there were increased odds for conduct disorders (1.6 times), depressive symptoms (1.2 times) and other drug use (1.8 times) in youth who indulge in screen time of ≥ 3 hours per day.”
    Quote in the paperSubstantial claim
  • Findingown data

    Among adolescents aged 12-17 who visited pediatric emergency departments, increased screen time (≥3 hours/day) is linked to higher odds of depressed mood (OR 1.2, 95% CI 1.0-1.4).

    “Increased screen-time was associated with conduct disorder (OR = 1.6; CI = 1.3–2.1), depression (OR = 1.2; CI = 1.0–1.4), and drug use (OR = 1.8; CI = 1.1–2.8).”
    • Also stated in: § Results: · plain
      “Youth who indulged in ≥ 3 hours per day of screen time were more likely to have a conduct disorder, depressed mood or indulge in other drug use. (Tables 2–4).”
    • Also stated in: § Discussion: · plain
      “In all our multivariate models, we observed that there were increased odds for conduct disorders (1.6 times), depressive symptoms (1.2 times) and other drug use (1.8 times) in youth who indulge in screen time of ≥ 3 hours per day.”
    Quote in the paperSubstantial claim
  • Findingown data

    Among adolescents aged 12-17 who visited pediatric emergency departments, increased screen time (≥3 hours/day of TV/computer use for non-school work) is linked to higher odds of conduct disorder (OR 1.6, 95% CI 1.3-2.1).

    “Increased screen-time was associated with conduct disorder (OR = 1.6; CI = 1.3–2.1), depression (OR = 1.2; CI = 1.0–1.4), and drug use (OR = 1.8; CI = 1.1–2.8).”
    • Also stated in: § Results: · plain
      “Youth who indulged in ≥ 3 hours per day of screen time were more likely to have a conduct disorder, depressed mood or indulge in other drug use. (Tables 2–4).”
    • Also stated in: § Discussion: · plain
      “In all our multivariate models, we observed that there were increased odds for conduct disorders (1.6 times), depressive symptoms (1.2 times) and other drug use (1.8 times) in youth who indulge in screen time of ≥ 3 hours per day.”
    Quote in the paperSubstantial claim
  • Findingown data

    Among adolescents aged 12-17 who visited pediatric emergency departments, playing on three or more sports teams during the previous year is linked to higher odds of alcohol use.

    “Youth who participated in ≥ 3 teams in the past year, were significantly more likely to engage in unsafe sexual activity and alcohol use and less likely to smoke cigarettes. (Table 4).”
    • Also stated in: § Discussion: · plain
      “However, we observed that youth who had a high level of engagement in sports (ie, past-year participation in ≥ 3 sports teams) were more likely to consume alcohol and engage in unsafe sexual activity.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 13
  • May combine two claims. 14

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Teenagers who participate in organized sports report fewer mental health problems and have lower odds of emotional distress compared with peers.

    “These results are consistent with the literature in that teenagers who participate in organized sports report fewer mental health problems and have lower odds of emotional distress compared with peers.25–27”
    Quote in the paperNot a substantial claim0 of 3 sources checked
    • cites [25] Steiner H, McQuivey RW, Pavelski R, Pitts T, Kraemer H. Adolescents and sports: risk or benefit? Clin Pediatr (Phila). 2000; 39: 161– 166. 10752009 source

      Not checked in the free run.

    • cites [26] Harrison PA, Narayan G. Differences in behavior, psychological factors, and environmental factors associated with participation in school sports and other activities in adolescence. J Sch Health. 2003; 73: 113– 120. 12677730 source

      Not checked in the free run.

    • cites [27] Steptoe A, Butler N. Sports participation and emotional wellbeing in adolescents. Lancet. 1996; 347: 1789– 1792. 8667922 source

      Not checked in the free run.

  • May combine two claims.

    Study design and conductnone given

    The cohort was not population-based but included English- or Spanish-speaking children who visited the pediatric emergency departments at several US children's hospitals.

    “Though our cohort was not population-based, it included English- or Spanish-speaking children who visited the PEDs at several US children’s hospitals.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Males who participate in sports are less likely to smoke cigarettes and use marijuana, less likely to use cocaine and other illicit drugs, and are more likely to drink alcohol than males who do not participate in organized sports.

    “Males who participate in sports are less likely to smoke cigarettes and use marijuana,28,29 less likely to use cocaine and other illicit drugs 30,31 and are more likely to drink alcohol, 32,33 than males who do not participate in organized sports.”
    Quote in the paperNot a substantial claim0 of 6 sources checked
    • cites [28] Baumert PW Jr, Henderson JM, Thompson NJ. Health risk behaviors of adolescent participants in organized sports. J Adolesc Health. 1998; 22: 460– 465. 9627816 source

      Not checked in the free run.

    • cites [29] Lisha NE, Crano WD, Delucchi KL. Participation in team sports and alcohol and marijuana use initiation trajectories. J Drug Issues. 2014; 44: 83– 93. 26594059 PMC4654460 source

      Not checked in the free run.

    • cites [30] Lisha NE, Sussman S. Relationship of high school and college sports participation with alcohol, tobacco, and illicit drug use: a review. Addict Behav 2010; 35: 399– 407. 20100638 PMC3134407 source

      Not checked in the free run.

    • cites [31] Naylor AH, Gardner D, Zaichkowsky L. Drug use patterns among high school athletes and nonathletes. Adolescence. 2001; 36: 627– 639. 11928872

      Not checked in the free run.

    • cites [32] Taliaferro LA, Rienzo BA, Donovan KA. Relationships between youth sport participation and selected health risk behaviors from 1999 to 2007. J Sch Health. 2010; 80: 399– 410. 20618623 source

      Not checked in the free run.

    • cites [33] Pate RR, Trost SG, Levin S, Dowda M. Sports participation and health-related behaviors among US youth. Arch Pediatr Adolesc Med 2000; 154: 904– 911. 10980794 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Early and prolonged exposure to violent content is linked to risk for antisocial behavior and decreased prosocial behavior.

    “Early and prolonged exposure to violent content is linked to risk for antisocial behavior and decreased prosocial behavior.9”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [9] Lissak G Adverse physiological and psychological effects of screen time on children and adolescents: Literature review and case study. Environ Res 2018; 164: 149– 157. doi: 10.1016/j.envres.2018.01.015 29499467 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    In pediatric emergency department patients, risky sexual behavior for both genders is more likely among minority youth, those with conduct problems, and those who participate in casual sex, binge drinking, or cannabis use.

    “In PED patients, risky sexual behavior for both genders is more likely among minority youth, those with conduct problems, and those who participate in casual sex, binge drinking or cannabis use.15”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [15] Chernick LS, Chun TH, Richards R,; A Pediatric Emergency Care Applied Research Network (PECARN). Sex without contraceptives in a multicenter study of adolescent emergency department patients. Acad Emerg Med 2020; 27: 283– 290. doi: 10.1111/acem.13867.c. 31596987 PMC7141959

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Riehm et al. prospectively noted that adolescent social media use is associated with increased risk of comorbid internalizing and externalizing problems, internalizing problems alone but not externalizing problems alone.

    “Riehm et al prospectively noted that adolescent social media use is associated with increased risk of comorbid internalizing and externalizing problems, internalizing problems alone but not externalizing problems alone.36”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [36] Riehm KE, Feder KA, Tormohlen KN, Associations between time spent using social media and internalizing and externalizing problems among US youth. JAMA Psychiatry. 2019; 76: 1266– 1273. 31509167 PMC6739732 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Adolescent athletes are more likely to drink alcohol, engage in binge drinking, and chew tobacco than their peers.

    “However, adolescent athletes are more likely to drink alcohol, engage in binge drinking and chew tobacco than their peers.4”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [4] Logan K, Cuff S, AAP Council on Sports Medicine and Fitness. Organized Sports for children, preadolescents, and adolescents. Pediatrics. 2019; 143(6): e20190997. doi: 10.1542/peds.2019-0997 31110166 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    The questionnaire may not have correctly measured the construct of screen time.

    “Finally, the questionnaire may not have correctly measured the construct of screen time.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.

    Study design and conductnone given

    Adolescents may have underreported on the survey or may have hurried through their answers due to rapid emergency department care.

    “First, adolescents may have underreported on the survey or may have hurried through their answers due to rapid ED care.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Child and adolescent TV viewing and gaming has been associated with excess weight, underachievement in school, and adolescent risk behaviors such as truancy, cigarette smoking, sexual intercourse, and delinquency.

    “Child and adolescent TV viewing and gaming has been associated with excess weight,5 underachievement in school,5 and adolescent risk behaviors such as truancy, cigarette smoking, sexual intercourse, delinquency.1”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [1] US Department of Health and Human Services. Physical Activity Guidelines for Americans, 2nd ed. Published 2018. Accessed March 22, 2020. https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf

      Not checked in the free run.

    • cites [5] Council on Communications and Media. Media use in school-aged children and adolescents. Pediatrics. 2016; 138(5): e20162592. 27940794 source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The questionnaire was administered on a computer, which could possibly have affected the results.

    “Second, the questionnaire was administered on a computer, which could possibly have affected our results.”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [42] Knight JR, Harris SK, Sherritt L, Adolescents’ preference for substance abuse screening in primary care practice. Subst Abus 2007; 28(4): 107– 117. 18077307 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Currently available evidence suggests that counseling may have beneficial effects on physical activity and sedentary behaviors in the pediatric primary care setting, although there is no evidence of its use in the emergency department.

    “Currently available evidence suggests that counseling may have beneficial effects on physical activity and sedentary behaviors in the pediatric primary care setting although there is no evidence of its use in the emergency department. 37,38”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [37] Patrick K, Calfas KJ, Norman GJ, Randomized controlled trial of a primary care and home-based intervention for physical activity and nutrition behaviors: PACE+ for adolescents. Arch Pediatr Adolesc Med 2006; 160: 128– 136. 16461867 source

      Not checked in the free run.

    • cites [38] Meriwether RA, Lobelo F, Pate RR. Themed review: clinical interventions to promote physical activity in youth. Am J Lifestyle Med 2008; 2(1): 7– 25 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductreasoning

    The analyses should be considered exploratory.

    “These analyses should be considered exploratory and further prospective research is required.”
    Quote in the paperSubstantial claim

  • Classified as probably not a substantial claim.

    Premisecitation

    Participation in a range of physical activity-related behaviors, particularly those characterized by high parental sports/exercise involvement, is associated with favorable adolescent risk profiles and less risky behaviors.

    “Participation in a range of physical activity-related behaviors, particularly those characterized by high parental sports/exercise involvement, is associated with favorable adolescent risk profiles and less risky behaviors.2”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [2] Nelson MC, Gordon-Larsen P, Physical Activity and Sedentary Behavior Patterns Are Associated with Selected Adolescent Health Risk Behaviors Pediatrics 2006; 117: 1281– 1290. 16585325 source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductown data

    Multivariable logistic regression was performed to determine associations between physical activity, sports team participation, and screen time and outcomes after adjusting for covariates including demographics and academic achievement.

    “Multivariable logistic regression was performed to determine the association between the levels of physical activity, participation in sports teams (one and three or more) and screen/TV watching/playing time and outcomes after adjusting for covariates including demographics and academic achievement.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Excessive screen time use decreases social coping and involves craving behavior which resembles substance dependence behavior.

    “Excessive screen time use decreases social coping and involves craving behavior which resembles substance dependence behavior.9”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [9] Lissak G Adverse physiological and psychological effects of screen time on children and adolescents: Literature review and case study. Environ Res 2018; 164: 149– 157. doi: 10.1016/j.envres.2018.01.015 29499467 source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Many youth who visit the pediatric emergency department have high rates of substance use, risky sexual behavior, conduct disorder, and depression.

    “Furthermore, many have high rates of substance use, risky sexual behavior, conduct disorder and depression.11–14”
    Quote in the paperSubstantial claim0 of 4 sources checked
    • cites [11] Cunningham R, Knox L, Fein J, Before and after the trauma bay: the prevention of violent injury among youth. Ann Emerg Med 2009; 53: 490– 500. 19162376 source

      Not checked in the free run.

    • cites [12] Reed JL, Huppert JS. Adolescent Sexually Transmitted Infections: A Community Epidemic. J Prev Interv Community. 2011; 39: 243– 255. 26308310 source

      Not checked in the free run.

    • cites [13] Dolan MA, Fein JA; Committee on Pediatric Emergency Medicine. Pediatric and adolescent mental health emergencies in the emergency medical services system. Pediatrics. 2011; 127(5): e1356– 1366. doi: 10.1542/peds.2011-0522 21518712 source

      Not checked in the free run.

    • cites [14] Pickner WJ, Puumala SE, Chaudhary KR, Burgess KM, Payne NR, Kharbanda AB. Emergency department utilization for mental health in American Indian children. J Pediatr 2016; 174: 226– 231.e3 27131404 PMC4925236 source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    Among youth who visit pediatric emergency departments, engaging in moderate-to-vigorous physical activity and/or sports activities and reducing screen/TV time is linked to better physical and mental well-being and fewer risk-taking behaviors.

    “Based on our results, participation in MVPA and/or sports activities and reduced screen/TV time or inappropriate computer use by youth is associated with improved physical and mental well-being and reduced risk-taking behaviors.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The assessment battery included validated measures: the Alcohol Use Disorders Identification Test (AUDIT), the Diagnostic Inventory for Screening Children (DISC), a subset of the Reckless Behavior Questionnaire, the physical activity section of the Youth Risk Behavior Surveillance System (YRBSS), a Drug Use Questionnaire (DUQ), a 3-question screening tool proposed by Newton et al., the CRAFFT, the

    “The assessment battery included the following validated measures: the Alcohol Use Disorders Identification Test (AUDIT), the Diagnostic Inventory for Screening Children (DISC), a subset of the Reckless Behavior Questionnaire, the physical activity section of the Youth Risk Behavior Surveillance System (YRBSS), a Drug Use Questionnaire (DUQ), a 3-question screening tool proposed by Newton et al,17”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [17] Newton AS, Gokiert R, Mabood N, Instruments to detect alcohol and other drug Misuse in the emergency department: A systematic review. Pediatrics. 2011; 128: e180– e192. 21646259 source

      Not checked in the free run.

    • cites [18] Stewart AL, Wells KB. Measuring functioning and well-being: The medical outcomes study approach. Duke University Press; 1992. source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    Recreational physical activity and participating in sports are independent protective factors for tobacco use behaviors but not smokeless tobacco use, and are protective for marijuana use in females but not males.

    “Recreational physical activity and participating in sports are independent protective factors for tobacco use behaviors but not smokeless tobacco use and are protective for marijuana use in females but not males.3”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [3] Dunn MS. Association between physical activity and substance use behaviors among high school students participating in the 2009 Youth Risk Behavior Survey. Psychol Rep 2014; 114(3): 675– 685. 25074297 source

      Not checked in the free run.

20 of 20

  • The paper relies on this without support.

    The relation of physical activity, sports participation, and screen time to substance use, risky behavior, and mental health has not been studied in youth who visit the pediatric emergency department.

    “The relation of physical activity, participation in sports teams and effect of screen time on substance use, risky behavior and mental health has not been studied in youth who visit the PED.”
1 of 1

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Cites

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Research works printed but not linked: 4

  1. Chassiakos YLR, 2016, Pediatrics, 138
  2. 10.1111/acem.13867.c · DOI
  3. Naylor AH, 2001, Adolescence, 36, 627
  4. Kann L, 2014, MMWR Suppl, 63, 1

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Related

Authors
Shenoi, R. P., Linakis, J. G., Bromberg, J. R., Casper, T. C., Richards, R., Chun, T. H., Gonzalez, V. M., Mello, M. J., & Spirito, A.
Affiliations
  • Baylor College of Medicine (US)
  • Brown University (US)
  • University of Utah (US)
Corresponding author
Shenoi, Rohit P.
ORCID
Venue
Clinical Pediatrics
Publisher
SAGE Publications
Published
2022-02-13
Volume
61
Issue
4
Pages
335-346
ISSN
  • 0009-9228 (ISSN-L)
  • 1938-2707
DOI
10.1177/00099228221075094
PMC
PMC11463839
OpenAlex
W4213326472
Semantic Scholar
9779d4c4680c81ce16924b37426ed7dfa264de70
Cited by
12
References
42
Citations by year
2026: 1 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 3
FWCI
1.70
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Clinical Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Digital Commons-TMC (Texas Medical Center) (submittedVersion)
Funders
national institute on alcohol abuse and alcoholism (NIAAA 1R01AA021900)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Safety Research › Youth Development and Social Support
Keywords
moderate-to-vigorous physical activity, sports participation, screen time, adolescents, pediatric emergency department visits, conduct disorder, depressive mood, substance use, risk-taking, academic performance, youth risk behavior
MeSH terms
Screen Time, Adolescent, Adolescent Behavior, Child, Emergency Service, Hospital, Humans, Sports, Exercise

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