Gary S Goldfield1,2,3,4,5, Marisa Murray6, Danijela Maras7, Angela L Wilson6, Penny Phillips8, Glen P Kenny9, Stasia Hadjiyannakis10,11, Angela Alberga9, Jameason D Cameron10, Heather Tulluch12, Ronald J Sigal13. 1. Healthy Active Living and Obesity (HALO) Research Group, Children's Hospital Of Eastern Ontario Research Institute, 401 Smyth Rd, Ottawa, ON, K1H 8L1, Canada. ggoldfield@cheo.on.ca. 2. Department of Pediatrics, University of Ottawa, Ottawa, Canada. ggoldfield@cheo.on.ca. 3. School of Human Kinetics, University of Ottawa, Ottawa, Canada. ggoldfield@cheo.on.ca. 4. School of Psychology, University of Ottawa, Ottawa, Canada. ggoldfield@cheo.on.ca. 5. Department of Psychology, Carleton University, Ottawa, Canada. ggoldfield@cheo.on.ca. 6. School of Psychology, University of Ottawa, Ottawa, Canada. 7. Department of Psychology, Carleton University, Ottawa, Canada. 8. Ottawa Hospital Research Institute, Ottawa, Canada. 9. School of Human Kinetics, University of Ottawa, Ottawa, Canada. 10. Healthy Active Living and Obesity (HALO) Research Group, Children's Hospital Of Eastern Ontario Research Institute, 401 Smyth Rd, Ottawa, ON, K1H 8L1, Canada. 11. Centre for Healthy Active living (CHAL), Children's Hospital of Eastern Ontario, Ottawa, Canada. 12. Prevention and Rehabilitation Centre, University of Ottawa Heart Institute, Ottawa, Canada. 13. Department of Medicine, Cardiac Sciences and Community Health Sciences, Faculties of Medicine and Kinesiology, University of Calgary, Calgary, Canada.
Abstract
UNLABELLED: Obese adolescents spend a disproportionate time in screen-based activities and are at higher risk for clinical depression compared to their normal-weight peers. While screen time is associated with obesity and cardiometabolic risk factors, little is known about the relationship between screen time and mental health. This cross-sectional study examines the association between duration and types of screen time and depressive symptomatology (subclinical symptoms) in a sample of 358 (261 female; 97 male) overweight and obese adolescents aged 14-18 years. Self-report measures assessed depressive symptoms and time spent in different types of screen behavior (TV, recreational computer use, and video games). After controlling for age, ethnicity, sex, parental education, body mass index (BMI), physical activity, caloric intake, carbohydrate intake, and intake of sugar-sweetened beverages, total screen time was significantly associated with more severe depressive symptomatology (β = 0.21, p = 0.001). After adjustment, time spent playing video games (β = 0.13, p = 0.05) and recreational computer time (β = 0.18, p = 0.006) was associated with depressive symptoms, but TV viewing was not. CONCLUSIONS: Screen time may represent a risk factor or marker of depressive symptomatology in obese adolescents. Future intervention research should evaluate whether reducing screen exposure reduces depressive symptoms in obese youth, a population at increased risk for psychological disorders. WHAT IS KNOWN: • Screen time is associated with an increased risk of obesity in youth. • Screen time is associated with an adverse cardio-metabolic profile in youth. What is New: • Screen time is associated with more severe depressive symptoms in overweight and obese adolescents. • Time spent in recreational computer use and playing video games, but not TV viewing, was associated with more severe depressive symptoms in overweight and obese adolescents.
UNLABELLED: Obese adolescents spend a disproportionate time in screen-based activities and are at higher risk for clinical depression compared to their normal-weight peers. While screen time is associated with obesity and cardiometabolic risk factors, little is known about the relationship between screen time and mental health. This cross-sectional study examines the association between duration and types of screen time and depressive symptomatology (subclinical symptoms) in a sample of 358 (261 female; 97 male) overweight and obese adolescents aged 14-18 years. Self-report measures assessed depressive symptoms and time spent in different types of screen behavior (TV, recreational computer use, and video games). After controlling for age, ethnicity, sex, parental education, body mass index (BMI), physical activity, caloric intake, carbohydrate intake, and intake of sugar-sweetened beverages, total screen time was significantly associated with more severe depressive symptomatology (β = 0.21, p = 0.001). After adjustment, time spent playing video games (β = 0.13, p = 0.05) and recreational computer time (β = 0.18, p = 0.006) was associated with depressive symptoms, but TV viewing was not. CONCLUSIONS: Screen time may represent a risk factor or marker of depressive symptomatology in obese adolescents. Future intervention research should evaluate whether reducing screen exposure reduces depressive symptoms in obese youth, a population at increased risk for psychological disorders. WHAT IS KNOWN: • Screen time is associated with an increased risk of obesity in youth. • Screen time is associated with an adverse cardio-metabolic profile in youth. What is New: • Screen time is associated with more severe depressive symptoms in overweight and obese adolescents. • Time spent in recreational computer use and playing video games, but not TV viewing, was associated with more severe depressive symptoms in overweight and obese adolescents.
Authors: Jennifer Zink; David A Berrigan; Miranda M Broadney; Faizah Shareef; Alexia Papachristopoulou; Sheila M Brady; Shanna B Bernstein; Robert J Brychta; Jacob D Hattenbach; Ira L Tigner; Amber B Courville; Bart E Drinkard; Kevin P Smith; Douglas R Rosing; Pamela L Wolters; Kong Y Chen; Jack A Yanovski; Britni R Belcher Journal: Pediatr Exerc Sci Date: 2020-03-12 Impact factor: 2.333
Authors: María Rodriguez-Ayllon; Cristina Cadenas-Sánchez; Fernando Estévez-López; Nicolas E Muñoz; Jose Mora-Gonzalez; Jairo H Migueles; Pablo Molina-García; Hanna Henriksson; Alejandra Mena-Molina; Vicente Martínez-Vizcaíno; Andrés Catena; Marie Löf; Kirk I Erickson; David R Lubans; Francisco B Ortega; Irene Esteban-Cornejo Journal: Sports Med Date: 2019-09 Impact factor: 11.136
Authors: Martin P Paulus; Lindsay M Squeglia; Kara Bagot; Joanna Jacobus; Rayus Kuplicki; Florence J Breslin; Jerzy Bodurka; Amanda Sheffield Morris; Wesley K Thompson; Hauke Bartsch; Susan F Tapert Journal: Neuroimage Date: 2018-10-16 Impact factor: 6.556
Authors: Rosa S Wong; Keith T S Tung; Nirmala Rao; Frederick K W Ho; Ko Ling Chan; King-Wa Fu; Winnie W Y Tso; Fan Jiang; Jason C S Yam; David Coghill; Ian C K Wong; Patrick Ip Journal: Int J Environ Res Public Health Date: 2021-05-16 Impact factor: 3.390