ArticlePloS one2016
Joint Association of Screen Time and Physical Activity with Cardiometabolic Risk Factors in a National Sample of Iranian Adolescents: The CASPIANIII Study.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Physical activity, screen time, dietary habits, and health outcomes among children and adolescents in the Middle East and North Africa region: a narrative review.Frontiers in public health · 2025Pooled it
- Combinations of Physical Activity, Sedentary Behavior, and Sleep Duration and Their Associations With Physical, Psychological, and Educational Outcomes in Children and Adolescents: A Systematic Review.American journal of epidemiology · 2023Pooled it
- Independent and joint associations of out-of-school time moderate-to-vigorous physical activity and sedentary behavior with the risk of central obesity in children and adolescents.Archives of public health = Archives belges de sante publique · 2026Article
- Association of physical activity and screen time with cardiovascular disease risk in the Adolescent Brain Cognitive Development Study.BMC public health · 2024Article
- Promoting Health in Pediatric Obesity: A Decade's Research of Physical Activity's Influence on Cardiometabolic Parameters.Medical science monitor : international medical journal of experimental and clinical research · 2023Review
- Association of Physical Activity and Screen Time With Body Mass Index Among US Adolescents.JAMA network open · 2023Article
- Sedentary Behavior, Dietary Habits, and Cardiometabolic Risk in Physically Active Children and Adolescents.Arquivos brasileiros de cardiologia · 2023Article
- Associations of changes in physical activity and discretionary screen time with incident obesity and adiposity changes: longitudinal findings from the UK Biobank.International journal of obesity (2005) · 2022Article
- Article
- Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018.Diabetes & metabolism journal · 2021Article
- Decomposition of socioeconomic inequality in growth disorders to its determinants in pediatric population: the CASPIAN IV study.Journal of diabetes and metabolic disorders · 2021Article
- Effects of Screen Time and Season on Cardiovascular System Indicators in Primary Schoolchildren.Human physiology · 2021Article
- Trends of low physical activity among Iranian adolescents across urban and rural areas during 2006-2011.Scientific reports · 2020Article
- Activity-Inactivity Patterns, Screen Time, and Physical Activity: The Association with Overweight, Central Obesity and Muscle Strength in Polish Teenagers. Report from the ABC of Healthy Eating Study.International journal of environmental research and public health · 2020Article
- Determine the BMI levels, self-concept and healthy life behaviours of children during a school based obesity training programme.AIMS public health · 2020Article
- Article
- Association between individual fat depots and cardio-metabolic traits in normal- and overweight children, adolescents and adults.Nutrition & diabetes · 2017Article
- Does body mass index modify the association between physical activity and screen time with cardiometabolic risk factors in adolescents? Findings from a country-wide survey.International journal of obesity (2005) · 2017Article
- Methodology of the Comprehensive Program on Prevention and Control of Overweight and Obesity in Iranian Children and Adolescents: The IRAN-Ending Childhood Obesity (IRAN-ECHO) Program.International journal of preventive medicine · 2017Article
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Metabolic syndrome (MetS) and its contributing factors are considered important health problems in the pediatric age group. This study was designed to assess the joint association of ST and PA with cardiometabolic risk factors among Iranian adolescents. A representative sample of 5625 (50.2% boys) school students with a mean age of 14.73 (SD: 2.41) were selected through multistage random cluster sampling method from urban and rural areas of 27 provinces in Iran. ST and PA were assessed by self-administered validated questionnaires. Anthropometric measures (height, weight and waist circumference (WC)) and MetS components (abdominal obesity, elevated blood pressure (BP), low high-density lipoprotein cholesterol (HDL-C), elevated triglycerides (TG) and high fasting blood sugar (FBG)) were measured according to standardized protocols. MetS was defined according to the Adult Treatment Panel III criteria modified for the pediatric age group. Moreover, elevated total cholesterol (TC), elevated low-density lipoprotein cholesterol (LDL-C), and generalized obesity were considered as other cardiometabolic risk factors. Students with high ST levels had significantly higher body mass index z-score (BMI z-score), WC, TG, LDL-C, and BP as well as lower HDL-C level; whereas those with high PA levels had significantly higher HDL-C levels as well as lower BMI z-score, TC, and BP. Adolescents with low PA/ high ST levels had significantly higher BMI, WC, LDL-C levels, as well as higher SBP and DBP compared to their other counterparts. In Multivariate model, joint effect of low PA/ high ST (compared to the high PA/low ST group) increased the odds of overweight, abdominal obesity and low HDL-C and decreased the odds of elevated TC. The findings of this study showed that joint association of high ST and low PA have direct association with abdominal obesity, overweight and low HDL-C and indirect association with elevated TC.
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