ArticleBMC public health2021
Independent and combined influences of physical activity, screen time, and sleep quality on adiposity indicators in Indian adolescents.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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24 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Shared Determinants of Poor Sleep, Obesity and Adiposity in Adolescents Aged 8-18-Years: A Systematic Review.Journal of sleep research · 2025Pooled it
- Prevalence and Factors Associated With Obesity Among School-Going Adolescents of Guwahati City.Cureus · 2026Article
- Nutritional status and behaviour difficulties among adolescent girls in a rural area of Ludhiana - A cross-sectional study.Journal of family medicine and primary care · 2026Article
- Adherence to 24-hour movement guidelines and its association with the risk of overweight and obesity in Chinese adolescents: 2007 to 2022.BMC public health · 2026Article
- Worldwide Prevalence of Poor Sleep Quality in Adolescents Aged 10-19 Years: A Systematic Review and Meta-Analysis.Iranian journal of child neurology · 2026Review
- Research characteristics about the 24-h movement behaviors in children and adolescents: a scoping review.BMC public health · 2025Article
- Sleep profiles and their associations with adiposity and cardiorespiratory fitness among adolescents.Acta paediatrica (Oslo, Norway : 1992) · 2025Article
- Pre-sleep screen time and screen time addiction as shared determinants of poor sleep and obesity in adolescents aged 11-14 years in Scotland.BMC global and public health · 2025Article
- Age-specific effects of screen time on overweight/obese: a structural equation model of children and adolescents in Western Maharashtra, India.Frontiers in public health · 2025Article
- Unraveling the Potential of Attentive Bi-LSTM for Accurate Obesity Prognosis: Advancing Public Health towards Sustainable Cities.Bioengineering (Basel, Switzerland) · 2024Article
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- Association between healthy lifestyle factors and health-related quality of life among Chinese adolescents: the moderating role of gender.Health and quality of life outcomes · 2023Article
- Sleep-Body Composition Relationship: Roles of Sleep Behaviors in General and Abdominal Obesity in Chinese Adolescents Aged 17-22 Years.Nutrients · 2023Article
- Toward an Integrated Consideration of 24 h Movement Guidelines and Nutritional Recommendations.Nutrients · 2023Review
- Association of Physical Activity and Screen Time With Body Mass Index Among US Adolescents.JAMA network open · 2023Article
- Adherence to 24-h movement guidelines in Spanish schoolchildren and its association with insulin resistance: a cross-sectional study.Frontiers in public health · 2023Article
- The 2022 India Report Card on physical activity for children and adolescents.Journal of exercise science and fitness · 2023Article
- Adherence to '5-2-1-0' guidelines and multiple risky behaviours among adolescents in nine sub-Saharan African countries: evidence from Global School-based Student Health Survey 2012-2017.BMJ nutrition, prevention & health · 2023Article
- Associations of physical activity and screen time with adolescent idiopathic scoliosis.Environmental health and preventive medicine · 2023Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInadequate physical activity (PA), excess screen time (ST), and sub-optimal sleep quality tend to co-occur during adolescence. Yet, little is known about the associations of these behaviors as a cluster with adiposity indicators in Indian adolescents. This study aimed to evaluate the independent and combined influences of PA, ST, and sleep quality on body mass index (BMI) and waist to height ratio (WHtR) in 10-15 years old adolescents in Mumbai, India. A secondary aim was to explore if these influences vary between sexes.
methodsCross-sectional study. Adolescents (n = 772, mean age 13.2 (1.4) years) reported frequency and duration of moderate to vigorous PA (MVPA) and time spent using screens on a previously validated instrument. Sleep quality was estimated using the Pittsburg Sleep Quality Index (PSQI). Weight, height, and waist circumference were measured. Mixed effect logistic regression analyses were performed to explore associations between adiposity indicators (BMI z scores > +1SD and WHtR > 0.5) and unhealthy behaviors (PA < 60 min/d, ST > 120 min/d and PSQI scores > 5), stratified by sex.
resultsThe combined prevalence of overweight and obesity was 38.3%. Overall, 62.0 and 85.0% reported MVPA< 60 min/d and ST > 120 min/d respectively. Girls reported higher ST (218.21 (69.01) min/d) as compared to boys (165.3 (101.22) min/d, p < 0.001). Clustering of low PA and excess ST was observed in 69.2% and of all three unhealthy behaviors in 18.8%. Among girls, MVPA < 60 min/d (OR = 1.78, 95% CI 1.54-1.92, p < 0.001) and PSQI scores > 5 (OR = 2.01, 95% CI 1.78-2.25, p < 0.001) predicted increased BMI. The odds of overweight/obesity were 2.10 times higher in boys reporting low PA and 4.13 times higher in those with low PA+ ST > 120 min/d. Clustering of all three unhealthy behaviors increased prevalence of obesity in both sexes.
conclusionsThe results indicated a co-existence of multiple unhealthy lifestyle factors of obesity and that clustering of these behaviors can further aggravate obesity risk as compared to their independent effects. Integrated interventions that leverage the cumulative benefits of being active, less sedentary and sufficient sleep are warranted to facilitate greater improvements in obesity risk behaviors.
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