Changes in physical activity and screen time related to psychological well-being in early adolescence: Findings from longitudinal study ELANA
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BACKGROUND: Psychological well-being influences health behaviours differently in adolescent boys and girls. We evaluated the role of psychological well-being in early adolescence in the onset and persistence of insufficient physical activity and exceeding recommended screen time, depending on gender. METHODS: This work derives from a cohort study called Longitudinal Study of Adolescent Nutritional Assessment conducted among elementary school students from two public and four private schools in Rio de Janeiro, Brazil from 2010-2013. We analysed data from 2010 and 2012 from 526 adolescents. Physical activity was evaluated using the International Physical Activity Questionnaire. Those who performed less than 60 min per day of moderate to vigorous physical activity (MVPA) were classified as insufficiently active. Screen time was evaluated based on daily time spent in front of television, video games, and computers. Those who had 4 h or more screen time per day were classified as exceeding the recommended time. Psychological well-being was assessed using the psychological domain of the KIDSCREEN 27 questionnaire. Linear regression was used to estimate coefficient (β) and r (2) values for continuous variables. Relative risks (RR) and confidence intervals (95 % CI) for onset and persistence of insufficient activity and exceeding recommended screen time were estimated with Poisson regression models. RESULTS: Among girls, linear regression analyses showed a significant inverse association between psychological well-being and screen minutes per day at T2 (r (2) = 0.049/β = -3.81 (95 % CI -7.0, -0.9)), as well as an association between poor psychological well-being and onset of exceeding recommended screen time in categorical analyses (RR crude: 1.3; CI 95 % 1.1, 1.7; RR adjusted: 1.3; CI 95 % 1.0, 1.6). For boys, an association was found between psychological well-being and onset of insufficient activity 2 years later (RR crude: 1.3; CI 95 % 1.2, 1.4; RR adjusted: 1.2; CI 95 % 1.1, 1.4). CONCLUSION: Adolescence is crucial for the development of unhealthy behaviours related to psychological well-being status in the context of a middle-income country. Gender differences are important because poor psychological well-being seems to affect sedentary behaviour in girls more than in boys, and predicts insufficient activity among boys.
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The association between psychological wellbeing at baseline and subsequent screen time was smaller and non-significant among males.
“This association was smaller and non-significant among males.”
From The relationship between screen time and mental health in young people: A systematic review of longitudinal studies (2021) · cites this paper as Straatmann et al., 2016
There was a significant, negative association between psychological wellbeing at baseline and subsequent screen time among females.
“The authors found a significant, negative association between psychological wellbeing at baseline and subsequent screen time among females.”
From The relationship between screen time and mental health in young people: A systematic review of longitudinal studies (2021) · cites this paper as Straatmann et al., 2016
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- Authors
- Straatmann, V. S., Oliveira, A. J., Rostila, M., & Lopes, C. S.
- Affiliations
- Universidade do Estado do Rio de Janeiro (BR)
- Universidade Federal Rural do Rio de Janeiro (BR)
- Centre for Health Equity Studies (SE)
- Corresponding author
- Straatmann, Viviane S.
- Venue
- BMC Public Health
- Published
- 2016-09-15
- Volume
- 16
- Issue
- 1
- Pages
- 977-977
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC5024465
- OpenAlex
- W2518866431
- Cited by
- 50
- References
- 59
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 2 · 2022: 4 · 2021: 14 · 2020: 7 · 2019: 3 · 2018: 3 · 2017: 4
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro
- CNPq
- International Cooperation Program between a Brazilian federal government agency research and the Swedish Foundation for International Cooperation in Research and Higher Education (CAPES/STINT ) (012/13)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- psychological well-being, physical activity, screen time, early adolescence, sedentary behavior, physical inactivity, gender differences, KIDSCREEN-27, middle-income countries
- MeSH terms
- Adolescent, Brazil, Computers, Female, Humans, Longitudinal Studies, Male, Surveys and Questionnaires, Risk, Schools, Sex Factors, Students, Television, Time Factors, Health Behavior, Exercise, Linear Models, Video Games, Sedentary Behavior
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