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.
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American Academy of Pediatrics, Committee on Public Education (2001) American Academy of Pediatrics: children, adolescents, and television. Pediatrics 107(2):423–426
Baquet G, Stratton G, van Praagh E, Berthoin S (2007) Improving physical activity assessment in prepubertal children with high-frequency accelerometry monitoring: a methodological issue. Prev Med 44:143–147
Biddle SJH, Gorely T, Marshall SJ, Cameron N (2009) The prevalence of sedentary behavior and physical activity in leisure time: a study of Scottish adolescents using ecological momentary assessment. Prev Med 48:151–155
Biddle SJH, Pearson N, Ross GM, Braithwaite R (2010) Tracking of sedentary behaviour of young people: a systematic review. Prev Med 51:345–351
Biddle SJH, Brehm W, Verheijden M, Hopman-Rock M (2011) Population physical activity behaviour change: a review for the European College of Sport Science. Eur J Sport Sci. doi:10.1080/17461391.2011.635700
Bobakova D, Hamrik Z, Badura P, Sigmundova D, Nalecz H, Kalman M (2014) Test-retest reliability of selected physical activity and sedentary behaviour HBSC items in Czech Republic, Slovakia and Poland. Int J Public Health. doi:10.1007/s00038-014-0628-9
Brink Y, Louw QA (2013) A systematic review of the relationship between sitting and upper quadrant musculoskeletal pain in children and adolescents. Man Ther 18:281–288
Carlson SA, Fulton JE, Lee SM, Foley JT, Heitzler C, Huhman M (2010) Influence of limit-setting and participation in physical activity on youth screen time. Pediatrics 126:89–96
Chanfreau J, Lloyd Ch, Byron Ch, Roberts C, Craig R, De Feo D et al (2008) Predicting well-being. NatCen Social Research, London
Corder K, van Sluijs EM, Wright A, Whincup P, Wareham NJ, Ekelund U (2009) Is it possible to assess free living physical activity and energy expenditure in young people by self-report? Am J Clin Nutr 89(3):862–870
Costigan SA, Barnett L, Plotnikoff RC, Lubans DR (2013) The health indicators associated with screen-based sedentary behavior among adolescent girls: a systematic review. J Adolesc Health 52:382–392
Currie C, Griebler R, Inchley J, Theunissen A, Molcho M, Samdal O, Dür W (eds) (2010). Health Behaviour in School-aged Children (HBSC) Study protocol: background, methodology and mandatory items for the 2009/10 survey, CAHRU & Vienna: LBIHPR, Edinburgh
Currie C, Zanotti C, Morgan A, Currie D, de Looze M, Roberts CH (eds) (2012) Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/10 survey, WHO Regional Office for Europe, (Health Policy for Children and Adolescents, No. 6), Copenhagen
Dimech AS, Seiler R (2011) Extra-curricular sport participation: a potential buffer against social anxiety symptoms in primary school children. Psychol Sport Exerc 12:347–354
Ferrar K, Chang C, Ming L, Olds TS (2013) Adolescent time use clusters: a systematic review. J Adolesc Health 52:259–270
Gaßmann J, Vath N, van Gessel H, Kröner-Herwig B (2009) Risk factors for headache in children. Dtsch Arztebl Int 106(31–32):509–516
Hamer M, Stamatakis E, Mishra G (2009) Psychological distress, television viewing, and physical activity in children aged 4 to 12 years. Pediatrics 123:1263–1268
Higuchi S, Motohasmi Y, Liu Y, Maeda A (2005) Effects of playing a computer game using a bright display on presleep physiological variables, sleep latency, slow wave sleep and REM sleep. J Sleep Res 14:267–273
Hume C, Timperio A, Veitch J, Salmon J, Crawford D, Ball K (2011) Physical activity, sedentary behavior, and depressive symptoms among adolescents. J Phys Act Health 8(2):152–156
Iannotti RJ, Janssen I, Haug E, Kololo H, Annaheim B, Borraccino A, Hbsc Physical Activity Focus Group (2009a) Interrelationships of adolescent physical activity, screen-based sedentary behaviour, and social and psychological health. Int J Public Health 54(suppl 2):191–198
Iannotti RJ, Kogan MD, Janssen I, Boyce WF (2009b) Patterns of adolescent physical activity, screen-based media use and positive and negative health indicators in the US and Canada. J Adolesc Health 44(5):493–499
Janssen I, Boyce WF, Pickett W (2012) Screen time and physical violence in 10 to 16-year-old Canadian youth. Int J Public Health 57:325–331
Kröner-Herwig B, Gassman J, van Gessel H, Vath N (2011) Multiple pains in children and adolescents: a risk factor analysis in a longitudinal study. J Pediatr Psychol 36(4):420–432
Lang Ch, Brand S, Feldmeth AK, Holsboer-Trachsler E, Pühse U, Gerber M (2013) Increased self-reported and objectively assessed physical activity predict sleep quality among adolescents. Physiol Behav 120:46–53
Mathers M, Canterford L, Olds T, Hesketh K, Ridley K, Wake M (2009) Electronic media use and adolescent health and well-being: cross-sectional community study. Acad Pediatr 9:307–314
Mentzoni RA, Brunborg GS, Molde H, Myrseth H, Skouverøe KJM, Hetland J et al (2011) Problematic video game use: estimated prevalence and associations with mental and physical health. Cyberpsychol Behav Soc Netw 14(10):591–596
Nilsson A, Ekelund U, Yngve A, Sjöström M (2002) Assessing physical activity among children with accelerometers using different time sampling intervals and placements. Pediatr Exerc Sci 14:87–96
Nuutinen TM, Roos E, Ray C, Villberg J, Välimaa R, Holstein B et al (2014) Computer use, sleep duration and health symptoms: a cross-sectional study of 15 year-olds in three countries. Int J Public Health 59:619–628. doi:10.1007/s00038-014-0561-y
Punamäki RL, Wallenius M, Nygård CH, Saarni L, Rimpelä A (2007) Use of information and communication technology (ICT) and perceived health in adolescence: the role of sleeping habits and waking-time tiredness. J Adolesc 30:569–585
Rahl RL (2010) Physical activity and health guidelines: Recommendations for various ages, fitness levels, and conditions from 57 authoritative sources. Human Kinetics, United States
Rothon C, Edwards P, Bhui K, Viner RM, Taylor S, Stansfeld SA (2010) Physicale activity and depressive symptoms in adolescents: a prospective study. BMC Med 8:32
Slootmaker SM, Schuit AJ, Chinapaw MJM, Seidell JC, van Mechelen W (2009) Disagreement in physical activity assessed by accelerometer and self-report in subgroups of age, gender, education and weight status. Int J Behav Nutr Phys 6:17
Smith L, Louw Q, Crous L, Grimmer-Somers K (2008) Prevalence of neck pain and headaches: impact of computer use and other associative factors. Cephalalgia 29:250–257
Torsheim T, Eriksson L, Schnohr ChW, Hansen F, Bjarnason T, Välimaa R (2010) Screen-based activities and physical complaints among adolescents from the Nordic countries. BMC Public Health 10:324
Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC et al (2011) Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys 8:98
World Health Organisation (2010) Global recommendations on physical activity for health, Switzerland
Yang F, Helgason AR, Sigfusdottir ID, Kristjansson AL (2012) Electronic screen use and mental health-being of 10-12-year-old children. Eur J Public Health 23:492–498
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.
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.
This article is part of the special issue “Communication Technology, Media Use and the Health of Our Kids”.
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Brindova, D., Veselska, Z.D., Klein, D. et al. Is the association between screen-based behaviour and health complaints among adolescents moderated by physical activity?. Int J Public Health 60, 139–145 (2015). https://doi.org/10.1007/s00038-014-0627-x
- Watching TV
- Computer use
- Health complaints