ArticleInternational journal of public health2019
Trends in sleeping difficulties among European adolescents: Are these associated with physical inactivity and excessive screen time?
Article in International journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
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Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The mental health of European adolescents with vs. without a migration background (2013-2024)-a systematic review.European child & adolescent psychiatry · 2025Pooled it
- The Efficacy of Brief School-Based Exercise Programs in Improving Pubertal Bone Mass and Physical Fitness: A Randomized Controlled Trial.International journal of environmental research and public health · 2021Trial
- Determining health information needs among older adolescents (15-19 years): A survey in Geneva, 2023.Preventive medicine reports · 2026Article
- Beyond counting sheep: social and behavioral determinants of adolescent sleep quality in the Czech Republic.BMC public health · 2026Article
- Trends in prevalence of suicidal ideation, suicide attempt and sleep disturbance among Chinese High School Students, 2014-2023.European child & adolescent psychiatry · 2025Article
- Body image perception and dieting among "screenagers" in Poland.International journal of occupational medicine and environmental health · 2025Article
- Sleep difficulties as a consistent risk factor for medically treated injuries among adolescents in 46 countries.European journal of public health · 2025Article
- Obesity and the accelerated decline in total sleep time increases the self-reported diagnoses of diabetes.Frontiers in endocrinology · 2025Article
- Secular trends in risk factors for adolescent anxiety and depression symptoms: the Young-HUNT studies 1995-2019, Norway.European child & adolescent psychiatry · 2024Article
- Examining bidirectional relations between sleep problems and non-suicidal self-injury/suicidal behavior in adolescents: emotion regulation difficulties and externalizing problems as mediators.European child & adolescent psychiatry · 2024Article
- Clinical Manifestations' Spectrum of Smartphone Addiction: Moving from an Addiction toward a Clinical Syndrome.Clinical practice and epidemiology in mental health : CP & EMH · 2024Article
- Digital media use and its effects on digital eye strain and sleep quality in adolescents: A new emerging epidemic?PloS one · 2024Article
- Associations between physical activity, screen time, sleep time and selected academic skills in 8/9-year-old children.BMC public health · 2023Article
- Results from Portugal's 2022 report card on physical activity for children and youth.Journal of exercise science and fitness · 2023Article
- Longitudinal Trends in Sleep and Related Factors Among South Korean Adults From 2009 to 2018.Journal of clinical neurology (Seoul, Korea) · 2023Article
- Psychosocial determinants of sleep difficulties in adolescence: the role of perceived support from family, peers, and school in an Italian HBSC sample.European journal of pediatrics · 2023Article
- Trends in physical health complaints among adolescents from 2014 - 2019: Considering screen time, social media use, and physical activity.SSM - population health · 2023Article
- Smartphone Keyboard Interaction Monitoring as an Unobtrusive Method to Approximate Rest-Activity Patterns: Experience Sampling Study Investigating Interindividual and Metric-Specific Variations.Journal of medical Internet research · 2023Article
- Secular trends in physical activity in adolescents: A systematic review.Journal of Taibah University Medical Sciences · 2023Review
- Sleep Deprivation and Insomnia in Adolescence: Implications for Mental Health.Brain sciences · 2023Review
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectivesWe examined changes in sleep-onset difficulties over time and associations with physical activity and screen time behavior among adolescents.
methodsWe used data from last four survey waves of the Health Behavior in School-Aged Children (HBSC) study (2002-2006-2010-2014). Multilevel logistic regression analyses were conducted to explore associations between regular sleeping difficulties, excessive screen time exposure and being insufficiently physically active (i.e., < 60 min daily) among 33 European and non-European countries.
resultsFindings indicate an increase in the prevalence of sleep-onset difficulties and in excessive screen time exposure and a small but significant increase in physical activity levels. Additionally, adolescents exceeding 2-h daily screen time had 20% higher odds of reporting sleep-onset difficulties, while no association was found for physical activity. The strength of the association between screen time and sleep-onset difficulties increased over time, which may reflect a change in type of screen time use (e.g., the increased use of easy accessible screens such as smartphones and tablets).
conclusionsEffective strategies to reduce screen time are key to reverse the detrimental trend in sleep-onset difficulties among adolescents.
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Registered trials
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