Evidence map›Paper›PMID 38762449›Full record

ArticleBMC public health2024

Association of physical activity and screen time with cardiovascular disease risk in the Adolescent Brain Cognitive Development Study.

Jason M Nagata, Shayna Weinstein, Sana Alsamman, Christopher M Lee, Erin E Dooley, Kyle T Ganson, Alexander Testa, Holly C Gooding, Orsolya Kiss, Fiona C Baker and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

11 authors.

Jason M NagataDepartment of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA. jason.nagata@ucsf.edu.
Shayna WeinsteinDepartment of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA.
Sana AlsammanDepartment of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA.
Christopher M LeeDepartment of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA.
Erin E DooleyDepartment of Epidemiology, University of Alabama at Birmingham, 1665 University Boulevard. Birmingham, Alabama, 35233, USA.
Kyle T GansonFactor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor St W, Toronto, ON, M5S 1V4, Canada.
Alexander TestaDepartment of Management, Policy and Community Health, University of Texas Health Science Center at Houston, 1200 Pressler Street, Houston, TX, 77030, USA.
Holly C GoodingDivision of General Pediatrics and Adolescent Medicine, Department of Pediatrics, Emory University School of Medicine, Children's Healthcare of Atlanta, 2015 Uppergate Drive, Atlanta, GA, 30322, USA.
Orsolya KissCenter for Health Sciences, SRI International, 333 Ravenswood Ave, Menlo Park, CA, 94025, USA.
Fiona C BakerCenter for Health Sciences, SRI International, 333 Ravenswood Ave, Menlo Park, CA, 94025, USA.
Kelley Pettee GabrielDepartment of Epidemiology, University of Alabama at Birmingham, 1665 University Boulevard. Birmingham, Alabama, 35233, USA.

Funding

Investigating relationships between problematic social media use and binge-eating disorder to inform precision guidance for adolescentsR01MH135492 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NAGATA, JASON M · 2023 to 2024
$1.0M
Doris Duke Charitable Foundation 2022056NIH HHS K08HL1549350NIH HHS R01MH135492NIMH NIH HHS R01 MH135492
6 · The paper itself

Abstract

backgroundAccording to the Physical Activity Guidelines Advisory Committee Scientific Report, limited evidence is available on sedentary behaviors (screen time) and their joint associations with physical activity (steps) for cardiovascular health in adolescence. The objective of this study was to identify joint associations of screen time and physical activity categories with cardiovascular disease (CVD) risk factors (blood pressure, hemoglobin A1c, cholesterol) in adolescence.

methodsThis study analyzed data from the Adolescent Brain Cognitive Development (ABCD) Study, comprising a diverse sample of 4,718 U.S. adolescents aged 10-15 years between 2018 and 2021. Steps were measured by a Fitbit wearable device and levels were categorized as low (1,000-6,000), medium (> 6,000-12,000), and high (> 12,000) averaged daily step counts. Self-reported recreational screen time hours per day were classified as low (0-4), medium (> 4-8), and high (> 8) hours per day. CVD risk factors including blood pressure, hemoglobin A1c, and cholesterol (total and HDL) were measured.

resultsThe analytical sample averaged 6.6 h of screen time per day and 9,722 steps per day. In models including both screen time and steps, the high screen time category was associated with a 4.27 higher diastolic blood pressure percentile (95% CI 1.83-6.73) and lower HDL cholesterol (B= -2.85, 95% CI -4.77 to -0.94 mg/dL) compared to the low screen time category. Medium (B = 3.68, 95% CI 1.24-6.11) and low (B = 7.64, 95% CI 4.07-11.20) step categories were associated with higher diastolic blood pressure percentile compared to the high step category. The medium step category was associated with lower HDL cholesterol (B= -1.99, 95% CI -3.80 to -0.19 mg/dL) compared to the high step category. Findings were similar when screen time and step counts were analyzed as continuous variables; higher continuous step count was additionally associated with lower total cholesterol (mg/dL).

conclusionsCombinations of low screen time and high steps were generally associated with favorable cardiovascular health markers including lower diastolic blood pressure and higher HDL cholesterol, which can inform future adolescent health guidelines.

Indexed as

Cardiovascular DiseasesExerciseScreen TimeAdolescentBlood PressureChildFemaleGlycated HemoglobinHeart Disease Risk FactorsHumansMaleRisk FactorsSedentary BehaviorUnited StatesGlycated HemoglobinAdolescentBlood pressureCardiovascular diseaseCholesterolDiabetesDigital mediaDyslipidemiaHemoglobin A1cHypertensionPhysical activityScreen use

Identifiers

PMID38762449
PMCPMC11102349

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.