Keywords
Abstract
Introduction: Screen time has increased during the COVID-19 pandemic, especially among children and teenagers. This has come at the expense of their healthy eating habits, physical activity and adequate amount of quality sleep. The excessive use of screen-device can lead to addiction which starts during adolescent years Objectives: 1) To assess prevalence of excess screen time among secondary school children. 2) To correlate BMI, sleep duration, duration of physical activity and food habits with screen time duration. Study settings and design: Cross-sectional study was conducted in secondary schools in the rural field practice area of a private medical college in Pune, India Methods and Material: The study included 184 school children from eighth to tenth standard. Data was collected using a self-administered, validated questionnaire. Results: Prevalence of excess screen time among secondary school children was 83.2%. Mobile phone was the most used device (98.9 %). There was a significant association between excess screen time and inadequate sleep. Conclusions: The present study reports high prevalence of excess screen time in rural school going children in rural India. There is a need for strategies to combat this in school health programs on priority.
References
Roberts DF, Foehr UG. Trends in media use. Future Child.Spring.2008;18:11–27
Bucksch J, Sigmundova D, Hamrik Z, Troped PJ, Melkevik O, Ahluwalia N, et al. International trends in adolescent screen-time behaviors from 2002 to 2010. J Adolesc Health. 2016 Apr 1;58(4):417-25.
Kontostoli E, Jones AP, Pearson N, Foley L, Biddle SJH, Atkin AJ. Age-related change in sedentary behavior during childhood and adolescence: A systematic review and meta-analysis. Wiley Obesity Reviews.2021;22:1–11
Jamir L, Duggal M, Nehra R, Singh P, Grover S. Epidemiology of technology addiction among school students in rural India. Asian journal of psychiatry.2019;40:30-8.
Krebs NF, Jacobson MS. American Academy of Pediatrics Committee on Nutrition. Prevention of pediatric overweight and obesity. Pediatrics.2003;112:424 30
Strasburger VC, Hogan MJ. Children, adolescents, and the media. Pediatrics.2013;132:958-961
Gupta P, Shah D, Bedi N, Galagali P, Dalwai S, Agrawal S, et al. Indian Academy of Pediatrics Guidelines on Screen Time and Digital Wellness in Infants, Children and Adolescents. Indian Pediatr. 2022 Mar;59(3):235-44.
Chaput JP, Willumsen J, Bull F, Chou R, Ekelund U, Firth J, et al. 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5–17 years: summary of the evidence. International Journal of Behavioral Nutrition and Physical Activity. 2020 Dec;17:1-9.
Moitra P, Madan J. Impact of screen time during COVID-19 on eating habits, physical activity, sleep, and depression symptoms: A cross-sectional study in Indian adolescents. PloS one. 2022 Mar 8;17(3):e0264951.
UNICEF.The state of the world’s children 2017 Children in a digital world. [Cited on March 10, 2023]. Available from: https://www.unicef.org/reports/state-worlds-children-2017.
Lowry R, Wechsler H, Galuska DA, Fulton JE, Kann L. Television viewing and its associations with overweight, sedentary lifestyle, and insufficient consumption of fruits and vegetables among US high school students: differences by race, ethnicity, and gender. J Sch Health.2002;72:413-21
Moriarty CM, Harrison K. Television exposure and disordered eating among children: a longitudinal panel study. J Commun.2008;58:361-81.
Harrison K, Hefner V. Media exposure, current and future body ideals, and disordered eating among preadolescent girls: a longitudinal panel study. J Youth Adolesc.2006;35:153-63
Dohnt H, Tiggemann M. The contribution of peer and media influences to the development of body satisfaction and self-esteem in young girls: a prospective study. Dev Psychol.2006;42:929-36.
Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S, et al. Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry. 2020 Apr 1;7(4):e17-8.
Pooja RS, Joseph M, John DM, John J, Biradar B, Naidu C, et al. Is Excessive Screen Time a Problem among Rural Adolescents? A Cross-sectional Study in Four Schools of Magadi Taluk, Ramanagara District, South Karnataka. Ann Community Health 2021;9(1):41-47
Jamir L, Duggal M, Nehra R, Singh P, Grover S. Epidemiology of technology addiction among school students in rural India. Asian journal of psychiatry.2019;40:30-8.
Atkin AJ, Sharp SJ, Corder K, van Sluijs EM, International Children’s Accelerometry Database (ICAD) Collaborators. Prevalence and correlates of screen time in youth: an international perspective. American journal of preventive medicine. 2014 Dec 1;47(6):803-7.
Schaan CW, Cureau FV, Sbaraini M, Sparrenberger K, Kohl HW, Schaan BD. Prevalence of excessive screen time and TV viewing among Brazilian adolescents: a systematic review and meta-analysis. Jornal de pediatria. 2019 Apr 11;95:155-65
Chandran S, SN P, Sadar A, Jayaram R. A comparative study of screen time, sleep duration and behavioural disturbances in urban and rural high school children. Journal of Indian Association for Child and Adolescent Mental Health. 2020 Oct;16(4):119-41
Kaur N, Gupta M, Malhi P, Grover S. Prevalence of screen time among children aged 2 to 5 years in Chandigarh, a North Indian Union Territory. J Dev Behav Pediatr. 2022 Jan;43(1):e29-e38
Pandya A, Lodha P. Social connectedness, excessive screen time during COVID-19 and mental health: a review of current evidence. Frontiers in Human Dynamics. 2021 Jul 22;3.
Draft Guidelines for regulating food high in fat, sugar and salt (HFSS) also popularly known as junk food. [Accessed on: June 01, 2023]. Available from: www.indiaenvironmentportal.org.in/.../Junk%20Food%20Guidelines%20-%20January
Dubey M, Nongkynrih B, Gupta SK, Kalaivani M, Goswami AK, Salve HR. Screen-based media use and screen time assessment among adolescents residing in an Urban Resettlement Colony in New Delhi, India. Journal of family medicine and primary care. 2018;7(6):1236-1242.
Victor C. Strasburger, Marjorie J. Hogan, Deborah Ann Mulligan, Nusheen Ameenuddin, Dimitri A. Christakis, Corinn Cross, et al. Children, Adolescents, and the Media. Pediatrics. 2013;132(5): 958–961.
Paruthi S, Brooks LJ, D'Ambrosio C, Hall WA, Kotagal S, Lloyd RM, et al. Pediatric sleep duration consensus statement: a step forward. J Clin Sleep Med. 2016 Dec 15;12(12):1705-6.
Centers for disease control and prevention. Physical activity. How much physical activity do children need?[Cited on June 3, 2022]. Available from: How much physical activity do children need? | Physical Activity | DNPAO | CDC.
Shah RR, Fahey NM, Soni AV, Phatak AG, Nimbalkar SM. Screen time usage among preschoolers aged 2-6 in rural Western India: A cross-sectional study. J Family Med Prim Care. 2019 Jun;8(6):1999-2002
Malhotra S, Kant S, Rath R, Ahamed F, Sathiyamoorthy R, Gupta SK. Excess screen time and its associated factors among young men in a rural community of North India. Indian Journal of Public Health. 2022 Jul 1;66(3):327-30.
Dubey M, Nongkynrih B, Gupta SK, Kalaivani M, Goswami AK, Salve HR. Screen-based media use and screen time assessment among adolescents residing in an Urban Resettlement Colony in New Delhi, India. Journal of family medicine and primary care. 2018;7(6):1236.
Nair AN, Jayan AJ, Santhosh MM, Lalichen LM, Santosh A, Indu PS. High screen time and associated factors among high school students in an urban setting of Kerala: A cross-sectional study. International Journal of Community Medicine and Public Health.2022;9(2):767-71.
Maurya C, Muhammad T, Maurya P, Dhillon P. The association of smartphone screen time with sleep problems among adolescents and young adults: cross-sectional findings from India. BMC Public Health.2022;22(1):1686.
Cartanyà‐Hueso À, Lidón‐Moyano C, Martín‐Sánchez JC, González‐Marrón A, Matilla‐Santander N, Miró Q, et al. Association of screen time and sleep duration among Spanish 1‐14 years old children. Paediatric and Perinatal Epidemiology. 2021 Jan;35(1):120-9.
Stiglic N, Viner RM. Effects of screentime on the health and well-being of children and adolescents: a systematic review of reviews. BMJ open. 2019 Jan 1;9(1):e023191.
Drumheller K, Fan CW. Unprecedented times and uncertain connections: A systematic review examining sleep problems and screentime during the COVID-19 pandemic. Sleep Epidemiology. 2022 Dec;2:100029.
Kumar S. Santha, Shirley S. Alph. Association of screen time with physical activity and BMI in middle school children at Tamil Nadu, India. International Journal of Contemporary Pediatrics. 2020 Jan; 7(1): 78-83
Ahmad S, Ansari MA, Khalil S, Abedi AJ, Khan MN. Physical activity and screen time: a cross-sectional study in aligarh, north india. The Indonesian Journal of Public Health.2021;16( 2):166-176
Dahlgren A, Sjöblom L, Eke H, Bonn SE, Trolle Lagerros Y. Screen time and physical activity in children and adolescents aged 10–15 years. PloS one. 2021 Jul 9;16(7):e0254255.
Sherar LB, Esliger DW, Baxter-Jones AD, Tremblay MS. Age and gender differences in youth physical activity: does physical maturity matter?. Medicine & Science in Sports & Exercise. 2007 May 1;39(5):830-5.
Shang L, Wang J, O'Loughlin J, Tremblay A, Mathieu MÈ, Henderson M, et al. Screen time is associated with dietary intake in overweight Canadian children. Preventive Medicine Reports. 2015 Jan 1;2:265-9.