Screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional school-based study

Background: Time spent on screen devices affects sleep quality and duration leading to several health impairments in youth. Although physical activity (PA) benefits sleep patterns and decreases screen time in adolescents, it is unclear whether the relationship between sleep quality/duration and scre...

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Main Authors: Amanda B. dos Santos, Wagner L. Prado, William R. Tebar, Jared Ingles, Gerson Ferrari, Priscila K. Morelhão, Luan O. Borges, Raphael M. Ritti Dias, Victor S. Beretta, Diego G.D. Christofaro
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335523004709
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author Amanda B. dos Santos
Wagner L. Prado
William R. Tebar
Jared Ingles
Gerson Ferrari
Priscila K. Morelhão
Luan O. Borges
Raphael M. Ritti Dias
Victor S. Beretta
Diego G.D. Christofaro
author_facet Amanda B. dos Santos
Wagner L. Prado
William R. Tebar
Jared Ingles
Gerson Ferrari
Priscila K. Morelhão
Luan O. Borges
Raphael M. Ritti Dias
Victor S. Beretta
Diego G.D. Christofaro
author_sort Amanda B. dos Santos
collection DOAJ
description Background: Time spent on screen devices affects sleep quality and duration leading to several health impairments in youth. Although physical activity (PA) benefits sleep patterns and decreases screen time in adolescents, it is unclear whether the relationship between sleep quality/duration and screen time could be influenced by PA levels. Objective: To analyze the association between sleep quality and duration with screen time in Brazilian adolescents according PA levels. Methods: The sample included 1010 adolescents aged 13.2 ± 2.4 years (n = 556 females − 55 % of the sample). Sleep quality and sleep duration, and PA were assessed by Mini Sleep and Baecke questionnaires, respectively. Participants in the highest quartile were classified as physically active. Screen time was analyzed by the self-reported number of hours spent on different screen devices (i.e., television, computer, videogame, and cellphone/tablet). Participants in the highest tertile were classified as having high screen time. Sex, age, and body mass index were considered covariates in binary logistic regression models. Results: Poor sleep quality was observed in 52.3 % of the sample, whereas 46.6 % reported sleeping less than eight hours/day. High screen time was associated with poor sleep quality (OR = 1.45; 95 %CI = 1.01–2.12) and insufficient sleep duration (OR = 1.52; 95 %CI = 1.01–2.03) in adolescents insufficiently active. There were no associations between screen time and sleep parameters in active adolescents. Conclusion: High screen time was associated with poor sleep quality and insufficient sleep duration only in insufficiently active adolescents. These results suggest that high PA levels may contribute to improving sleep patterns in pediatric population.
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spelling doaj.art-8f683fe1c92745bab88130aad64d3ac82023-12-30T04:44:14ZengElsevierPreventive Medicine Reports2211-33552024-01-0137102579Screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional school-based studyAmanda B. dos Santos0Wagner L. Prado1William R. Tebar2Jared Ingles3Gerson Ferrari4Priscila K. Morelhão5Luan O. Borges6Raphael M. Ritti Dias7Victor S. Beretta8Diego G.D. Christofaro9São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BrazilCalifornia State University-San Bernardino, San Bernardino, USA; Corresponding author at: Department of Physical Education, California State University, San Bernardino, USA.São Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BrazilCalifornia State University-San Bernardino, San Bernardino, USAFaculty of Health Sciences, Universidad Autónoma de Chile, Providencia 7500912, ChileUniversidade Federal de São Paulo (UNIFESP), São Paulo, BrazilSão Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BrazilUniversidade Nove de Julho, São Paulo, BrazilSão Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BrazilSão Paulo State University (Unesp), School of Technology and Sciences, Presidente Prudente, SP, BrazilBackground: Time spent on screen devices affects sleep quality and duration leading to several health impairments in youth. Although physical activity (PA) benefits sleep patterns and decreases screen time in adolescents, it is unclear whether the relationship between sleep quality/duration and screen time could be influenced by PA levels. Objective: To analyze the association between sleep quality and duration with screen time in Brazilian adolescents according PA levels. Methods: The sample included 1010 adolescents aged 13.2 ± 2.4 years (n = 556 females − 55 % of the sample). Sleep quality and sleep duration, and PA were assessed by Mini Sleep and Baecke questionnaires, respectively. Participants in the highest quartile were classified as physically active. Screen time was analyzed by the self-reported number of hours spent on different screen devices (i.e., television, computer, videogame, and cellphone/tablet). Participants in the highest tertile were classified as having high screen time. Sex, age, and body mass index were considered covariates in binary logistic regression models. Results: Poor sleep quality was observed in 52.3 % of the sample, whereas 46.6 % reported sleeping less than eight hours/day. High screen time was associated with poor sleep quality (OR = 1.45; 95 %CI = 1.01–2.12) and insufficient sleep duration (OR = 1.52; 95 %CI = 1.01–2.03) in adolescents insufficiently active. There were no associations between screen time and sleep parameters in active adolescents. Conclusion: High screen time was associated with poor sleep quality and insufficient sleep duration only in insufficiently active adolescents. These results suggest that high PA levels may contribute to improving sleep patterns in pediatric population.http://www.sciencedirect.com/science/article/pii/S2211335523004709Sedentary behaviorSleep qualityTelevisionExerciseYouth
spellingShingle Amanda B. dos Santos
Wagner L. Prado
William R. Tebar
Jared Ingles
Gerson Ferrari
Priscila K. Morelhão
Luan O. Borges
Raphael M. Ritti Dias
Victor S. Beretta
Diego G.D. Christofaro
Screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional school-based study
Preventive Medicine Reports
Sedentary behavior
Sleep quality
Television
Exercise
Youth
title Screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional school-based study
title_full Screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional school-based study
title_fullStr Screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional school-based study
title_full_unstemmed Screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional school-based study
title_short Screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents: A Brazilian cross-sectional school-based study
title_sort screen time is negatively associated with sleep quality and duration only in insufficiently active adolescents a brazilian cross sectional school based study
topic Sedentary behavior
Sleep quality
Television
Exercise
Youth
url http://www.sciencedirect.com/science/article/pii/S2211335523004709
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