International Journal of Public Health

, Volume 60, Issue 2, pp 139–145 | Cite as

Is the association between screen-based behaviour and health complaints among adolescents moderated by physical activity?

  • Daniela BrindovaEmail author
  • Zuzana Dankulincova Veselska
  • Daniel Klein
  • Zdenek Hamrik
  • Dagmar Sigmundova
  • Jitse P. van Dijk
  • Sijmen A. Reijneveld
  • Andrea Madarasova Geckova
Original Article



The aim of this study was to assess the association between screen-based (SB) behaviour and selected health complaints in adolescents and whether physical activity (PA) moderates this association.


Data from the cross-sectional Health Behaviour of School-aged Children study collected in 2010 among Slovak adolescents (age 11–15 years, N = 8,042, 48.6 % boys) were used. Logistic regression models adjusted for age and gender were used to analyse the associations between watching TV, working with a computer or playing computer games and headache, backache, sleep difficulties, feeling low, irritability and feeling nervous. Next, we assessed the interactions of SB behaviours and PA regarding health complaints.


Watching TV more than 3 h is associated with increased chance of reporting headache, feeling low, being irritable or feeling nervous, while working with computer or playing computer games for more than 3 h does so in all of the explored health complaints. Being physically active does not moderate the associations of SB activities with health complaints.


SB behaviours are associated with health complaints among adolescents, and these associations are not moderated by PA.


Watching TV Computer use Health complaints Adolescence 



This work was supported by the Slovak Research and Development Agency under contract no. APVV-0032-11 and by the IGA UP research project “Leisure Time in School-aged Children—HBSC Study”, reg. no. FTK_2013_020.

Ethical standards

The Ethics Committee of the Faculty of Science at PJ Safarik University in Kosice approved the study.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Swiss School of Public Health 2014

Authors and Affiliations

  • Daniela Brindova
    • 1
    Email author
  • Zuzana Dankulincova Veselska
    • 1
  • Daniel Klein
    • 6
  • Zdenek Hamrik
    • 2
  • Dagmar Sigmundova
    • 3
  • Jitse P. van Dijk
    • 4
    • 5
  • Sijmen A. Reijneveld
    • 5
  • Andrea Madarasova Geckova
    • 1
    • 3
  1. 1.Health Psychology Unit, Institute of Public Health, Faculty of MedicineP.J. Safarik University in KosiceKošiceSlovak Republic
  2. 2.Department of Recreation and Leisure Studies, Faculty of Physical CulturePalacky University in OlomoucOlomoucCzech Republic
  3. 3.Center for Kinanthropology Research, Institute of Active Lifestyle, Faculty of Physical CulturePalacky University in OlomoucOlomoucCzech Republic
  4. 4.Olomouc University Social Health Institute (OUSHI)Palacky University OlomoucOlomoucCzech Republic
  5. 5.Department of Community and Occupational HealthUniversity Medical Center Groningen, University of GroningenGroningenThe Netherlands
  6. 6.Faculty of Natural Sciences, Institute of MathematicsP.J. Safarik UniversityKošiceSlovak Republic

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