Evidence map›Paper›PMID 33228624›Full record

ArticleBMC public health2020

Associations of outdoor activity and screen time with adiposity: findings from rural Chinese adolescents with relatively low adiposity risks.

Youjie Zhang, Xiaofan Zhang, Jun Li, Hua Zhong, Chen-Wei Pan

Abstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Movement Behaviour and Health Outcomes in Rural Children: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
  3. Pooled it
  4. Sleep Duration and Sun Exposure in Portuguese Children: Associations With Obesity Indicators.American journal of human biology : the official journal of the Human Biology Council · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Youjie ZhangSchool of Public Health, Medical College of Soochow University, 199 Ren Ai Road, Suzhou, 215123, China.
Xiaofan ZhangDepartment of Ophthalmology, the Second People's Hospital of Yunnan Province, Kunming, 650021, China.
Jun LiDepartment of Ophthalmology, the Second People's Hospital of Yunnan Province, Kunming, 650021, China.
Hua ZhongDepartment of Ophthalmology, the First Affiliated Hospital of Kunming Medical University, Kunming, 650032, China.
Chen-Wei PanSchool of Public Health, Medical College of Soochow University, 199 Ren Ai Road, Suzhou, 215123, China. pcwonly@gmail.com.

Funding

National Natural Science Foundation of China 81502824National Natural Science Foundation of China 81560169National Natural Science Foundation of China 81773449the Association Foundation Program of Yunnan Province Science and Technology Department and Kunming Medical University 2019FE001(-096)
6 · The paper itself

Abstract

backgroundWhether and to what extent outdoor activity and screen time are relevant to adiposity among rural adolescents remain largely unknown as most of relevant evidence was generated from high-income countries and urban areas. This study aimed to investigate associations of outdoor activity and screen time with adiposity among early adolescents living in rural southwest China.

methodsIn this cross-sectional study, seventh graders (n = 2264) were recruited from 10 middle schools of a rural county. Overweight and obesity was assessed using adolescents' body mass index and waist circumference. Adolescents' outdoor activity and screen time were measured using self-reported daily time spending on outdoor activity, watching TV, playing video games, and computers on weekdays and weekends, respectively.

resultsThe prevalence of overweight/obesity and high waist circumferences were 8.0 and 4.9% and were higher among those from one-child families and with parents having high school or higher education and whose fathers were not farmers. Adolescents who did not have ≥1 h outdoor activity on weekdays were more likely to be overweight/obese (OR: 1.86, 95% CI: 1.30, 2.66) and have high waist circumferences (OR: 2.22, 95%CI: 1.39, 3.57). Adolescents who had > 2 h screen time on weekends were more likely to have high waist circumferences (OR: 2.08, 95% CI: 1.14, 3.80). Lack of outdoor activity and excessive screen time also showed synergistic effects on overweight/obesity (OR: 1.93. 95% CI: 1.15, 3.24) and high waist circumferences (OR: 3.02, 95% CI: 1.54, 5.94).

conclusionsLack of outdoor activity and excessive screen time were relevant to adiposity among rural Chinese adolescents even when the obesity prevalence was low. Efforts to promote active lifestyles may help prevent rural adolescents from losing their advantage in the era of the global obesity epidemic.

Indexed as

AdiposityExerciseScreen TimeAdolescentChinaCross-Sectional StudiesFemaleHumansMalePediatric ObesityPrevalenceRisk AssessmentRural PopulationTime FactorsEarly adolescentsOutdoor activityOverweight and obesityRuralScreen timeWaist circumference

Identifiers

PMID33228624
PMCPMC7684968

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.