ArticleInternational journal of obesity (2005)2017
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.
Article in International journal of obesity (2005), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Prolonged screen watching behavior is associated with high blood pressure among children and adolescents: a systematic review and dose-response meta-analysis.Journal of health, population, and nutrition · 2023Pooled 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
- A Critical Appraisal of the Links Between Video Gaming, Lifestyle Factors, Diet and Eating Behaviour: A Narrative Review.Nutrients · 2026Review
- Combined association between physical activity and sedentary behavior on the cardiometabolic risk score in students.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026Article
- Physical activity and the risk of developing 8 age-related diseases: epidemiological and Mendelian randomization studies.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024Article
- Screen Time and Its Health Consequences in Children and Adolescents.Children (Basel, Switzerland) · 2023Review
- COVID-19: Insights into long-term manifestations and lockdown impacts.Journal of sport and health science · 2023Review
- Television viewing time and all-cause mortality: interactions with BMI, physical activity, smoking, and dietary factors.The international journal of behavioral nutrition and physical activity · 2022Article
- Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association.Circulation · 2021Article
- Health-Risk Behaviors and Dietary Patterns Among Jordanian College Students: A Pilot Study.Frontiers in nutrition · 2021Article
- Relationship between sleep duration and TV time with cardiometabolic risk in adolescents.Environmental health and preventive medicine · 2020Article
- Adolescent Physical Activity at Public Schools, Private Schools, and Homeschools, United States, 2014.Preventing chronic disease · 2020Article
- Daily School Physical Activity Is Associated with Higher Level of Physical Activity Independently of Other Socioecological Factors.Sports (Basel, Switzerland) · 2020Article
- The Olympic Experimental Gymnasium Program and its Association with the Prevalence of Cardiovascular Risk Factors in Adolescents: A Cross-Sectional Study.Arquivos brasileiros de cardiologia · 2019Article
- The Associations between Dietary Patterns and Sedentary Behaviors in Polish Adults (LifeStyle Study).Nutrients · 2018Article
- Prevalence of high screen time and associated factors among students: a cross-sectional study in Zhejiang, China.BMJ open · 2018Article
- Physical Activity and Sedentary Time Associations with Metabolic Health Across Weight Statuses in Children and Adolescents.Obesity (Silver Spring, Md.) · 2017Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
Abstract
backgroundModerate and vigorous physical activity (MVPA) and screen time (ST) have been associated with cardiometabolic health in youth. However, previous studies are conflicting whether these associations are independent of each other and it is unknown if they are modified by adiposity. We aimed to examine the independent and joint associations between MVPA and ST with cardiometabolic risk across body mass index (BMI) categories.
methodsA total of 36 956 Brazilian adolescents (12-17 years) from the Study of Cardiovascular Risks in Adolescents were included. Information on time spent in MVPA and ST were assessed by self-reports. Blood pressure, Homeostasis Model Assessment of Insulin Resistance, triglycerides, high-density lipoprotein-cholesterol and waist circumference were used to calculate a cardiometabolic risk score (sex-age-specific top-risk quintile for each biomarker). Ordered logistic regression was used to examine the associations.
resultsIn final adjusted models, both higher MVPA (proportional odds ratio (POR)=0.80; 95% confidence interval (CI): 0.67-0.95) and ST (POR=1.23; 95% CI: 1.10-1.37) were independently associated with cardiometabolic risk. After stratification by normal weight vs overweight/obese, the inverse independent association for MVPA remained unchanged, whereas ST was positively associated with cardiometabolic risk only in overweight/obese adolescents (POR=1.62; 95% CI: 1.18-2.22). Participants who met the recommendations for both MVPA and ST had lower odds for cardiometabolic risk, especially if they were overweight/obese (POR=0.46; 95% CI: 0.31-0.68).
conclusionsMVPA and ST are independently associated with cardiometabolic risk; the association with ST, however, appears modified by BMI. Normal-weight adolescents should be encouraged to increase MVPA, whereas a combination of increasing MVPA and decreasing ST is recommended in those who are overweight or obese.
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