Evidence Based Case Report : Prolonged Screen Time as a Risk Factor for Childhood Obesity
DOI:
https://doi.org/10.53366/jimki.v11i1.776Keywords:
children, screen time, overweight/obesityAbstract
Background: The COVID-19 pandemic has affected children's daily activities, including school activities that are forced to be conducted online and thus increasing their total screen time. Along with this increase, there is likewise an increase in the prevalence of childhood obesity as children become less active. However, it is still unclear how prolonged screen time becomes a risk factor for overweight/obesity in children. This paper aims to determine the association between prolonged screen time and overweight/obesity in children.
Methods: The articles in this study were selected from four databases (Pubmed, Embase, Cochrane Library, and ScienceDirect) with language limitations (published in English). Each of the included studies was evaluated using Oxford Critical Appraisal Tools.
Discussion: There are three articles that are included in this study, two of which are meta-analysis and systematic review, and the other one is a cohort study. The included studies have positive similarities with clinical questions and showed positive associations between prolonged screen time and overweight/obesity in children. Two meta-analysis studies showed positive correlation with each odds ratio are 1,67 (95% CI(1.48,1.88)) and 1,262 (95% CI(1.155,1,379)). Another article showed large increases in TSB (time spent in sedentary behavior) (? 81.3) among overweight students and a modest increase (? 27.4) among obese students compared to normal weight students.
Conclusion: Prolonged screen time (>2 hours/day) has a significant relationship with increased BMI leading to overweight or obesity.
References
1. Laporan Hasil riset Kesehatan Dasar (Riskesdas) [Internet]. Badan Litbangkes. 2022 [cited 2022 Apr 4]. Available from : https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
2. Indonesia, B.P.S. (2023, August 31). Statistik Telekomunikasi Indonesia 2022. Badan Pusat Statistik Indonesia. Available from : https://www.bps.go.id/id/publication/2023/08/31/131385d0253c6aae7c7a59fa/statistik-telekomunikasi-indonesia-2022.html
3. Presiden Republik Indonesia. Peraturan Pemerintah Republik Indonesia Nomor 21 Tahun 2020 Tentang Pembatasan Sosial Berskala Besar Dalam Rangka Percepatan Penanganan Coronavirus Disease 2019 (COVID-19). Jakarta; 2020 Mar 31.
4. Dhamayanti AP. Hubungan Screen Time Selama Pembelajaran Jarak Jauh Terhadap Pola Tidur Anak Usia 6 - 12 Tahun pada Masa Pandemi Covid - 19 = The Relationship of Distance Learning Screen Time to Sleep Patterns Among 6 - 12 Years Old Children During Covid - 19 Pandemic. Makassar: Universitas Hasanuddin; 2021.
5. WHO NMH PND 2019.4 - World Health Organization [Internet]. 2019 [cited 2022 Apr 4]. Available from: https://apps.who.int/iris/bitstream/handle/10665/325147/WHO-NMH-PND-2019.4-eng.pdf
6. American Academy of Pediatrics Committee on Public Education. Children, adolescents, and television. Pediatrics. 2001;107(2):423-6.
7. Endalifer M, Diress G. Epidemiology, Predisposing Factors, Biomarkers, and Prevention Mechanism of Obesity: A Systematic Review. Journal of Obesity. 2020;2020:1-8.
8. Pandit M, Behl T, Sachdeva M, Arora S. Role of brain derived neurotrophic factor in obesity. Obes Med. 2020;17(January):100189.
9. Marosi K, Mattson M. BDNF mediates adaptive brain and body responses to energetic challenges. Trends in Endocrinology & Metabolism. 2014;25(2):89-98.
10. Goldfield G, Cameron J, Sigal R, Kenny G, Holcik M, Prud’homme D et al. Screen time is independently associated with serum brain-derived neurotrophic factor (BDNF) in youth with obesity. Applied Physiology, Nutrition, and Metabolism. 2021;46(9):1083-1090.
11. Robinson TN, Banda JA, Hale L, et al. Screen Media Exposure and Obesity in Children and Adolescents. Pediatrics. 2017;140(Suppl 2):S97-S101.
12. Sleiman SF, Henry J, Al-Haddad R, et al. Exercise promotes the expression of brain derived neurotrophic factor (BDNF) through the action of the ketone body β-hydroxybutyrate. Elife. 2016;5:e15092.
13. Stensel D. Exercise, Appetite and Appetite-Regulating Hormones: Implications for Food Intake and Weight Control. Ann Nutr Metab. 2010;57(suppl 2):36-42.
14. Centre for Evidence-Based Medicine. Critical Appraisal Tools. Oxford: University of Oxford. [cited 2022 Mar 13]. Available from: https://www.cebm.ox.ac.uk/resources/ebm-tools/critical-appraisal-tools
15. Styne DM, Arslanian SA, Connor EL, Farooqi IS, Murad MH, Silverstein JH, et al. Pediatric Obesity—Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline. The Journal of Clinical Endocrinology & Metabolism. 2017;102(3):709-57.
16. Fang K, Mu M, Liu K, He Y. Screen time and childhood overweight/obesity: A systematic review and meta-analysis. Child Care Health Dev. 2019 Sep;45(5):744-753. doi: 10.1111/cch.12701.
17. Li C, Cheng G, Sha T, Cheng W, Yan Y. The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review. Int J Environ Res Public Health. 2020 Oct 7;17(19):7324. doi: 10.3390/ijerph17197324.
18. Leatherdale S, Harvey A. Examining communication- and media-based recreational sedentary behaviors among Canadian youth: Results from the COMPASS study. Preventive Medicine. 2015;74:74-80. doi: 10.1016/j.ypmed.2015.02.005.
19. US Department of Health and Human Services. Physical Activity Guidelines for Americans. 2nd edition. USA: Centers for Disease Control and Prevention; 2008.
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