Association Of Sleep, Physical Activity, Sedentary Behavior, And Screen Time With Obesity Among Children In The Pediatric/ Endocrine Unit

Association Of Sleep, Physical Activity, Sedentary Behavior, And Screen Time With Obesity Among Children

Authors

  • Shireen Qassim Bham Department of Pediatrics, Darul Sehat Hospital, Liaquat College of Medicine and Dentistry, Karachi
  • Fatima Zahra Department of Medicine, Liaquat College of Medicine & Dentistry (LCMD), Karachi
  • Farhan Saeed Department of Pediatrics, Liaquat College of Medicine & Dentistry (LCMD), Karachi.
  • Umer Hayat Ahmed Sharif Dow University of Health Sciences (DUHS), Karachi
  • Ayesha khatoon Liaquat College of Medicine & Dentistry
  • Syed Ibrahim Bukhari Sindh Government Hospital Liaquatabad

DOI:

https://doi.org/10.54393/pbmj.v5i7.647

Keywords:

Obesity, Pediatrics, endocrinology, physical activity, sleeping behaviour

Abstract

The frequency of stunting, pallor, zinc, and iron deficiencies serves as evidence that the globe is undergoing a rapid epidemiological and nutritional transition that is characterised by persistent nutritional insufficiencies. Objectives: Our study aimed to observe the association of physical activity, sedentary behavior, sleep, and screen time with obesity in children of our community. Methods: A case-control study was conducted at the Department of Pediatrics and Endocrinology from 1st September 2019 to 1st March 2020. Participants were healthy children from 5 to 15 years of age. The participants (overweight or obese) and controls were selected from the same population based on BMI. We divided the sedentary activity into less than 4 hours and more than 4 hours. Results: In this study, 53% of children were boys and 47% were girls with a mean age of 7.9 in the non-obese group and 8.9 in the obese group. The majority (75.5%) were age group less than or equal to 10 years. The participants with more sleeping time were 57% less likely to develop obesity (OR: 0.424 with 95% CI of 0.19-0.94, P-value: 0.03) whereas participants with more sedentary activity were 6% more likely to develop obesity (OR:6.38 with 95% CI of 2.49-16.38, P-value: <0.01). Conclusion: This study concluded that sedentary activity is significantly associated with overweight/obesity whereas sleep has negative relation with overweight/obesity making them, a potential risk factor for childhood obesity

References

Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. Journal of Family Medicine and Primary Care. 2015 Apr-Jun; 4(2):187-92. doi: 10.4103/2249-4863.154628

Armoon B and Karimy M. Epidemiology of childhood overweight, obesity and their related factors in a sample of preschool children from Central Iran. BMC Pediatrics. 2019 May; 19(1):159. doi: 10.1186/s12887-019-1540-5

Robinson TN, Banda JA, Hale L, Lu AS, Fleming-Milici F, Calvert SL, et al. Screen Media Exposure and Obesity in Children and Adolescents. Pediatrics. 2017 Nov; 140(Suppl 2):S97-S101. doi: 10.1542/peds.2016-1758K

Chattha MN, Nawaz R, Mazhar MI. Obesity;: Prevalence of Obesity In School Children of Sialkot City. The Professional Medical Journal. 2019 Feb; 26(02):247-52

Ahmed J, Laghari A, Naseer M, Mehraj V. Prevalence of and factors associated with obesity among Pakistani schoolchildren: a school-based, cross-sectional study. Eastern Mediterranean Health Journal. 2013 Mar; 19(3):242-7

Miller AL, Lumeng JC, LeBourgeois MK. Sleep patterns and obesity in childhood. Current Opinion in Endocrinology, Diabetes and Obesity. 2015 Feb; 22(1):41-7. doi: 10.1097/MED.0000000000000125

Nielsen LA, Nielsen TR, Holm JC. The Impact of Familial Predisposition to Obesity and Cardiovascular Disease on Childhood Obesity. Obesity Facts. 2015; 8(5):319-28. doi: 10.1159/000441375

Hills AP, Andersen LB, Byrne NM. Physical activity and obesity in children. British journal of sports medicine. 2011 Sep; 45(11):866-70.

Hosseinpanah F, Seyedhoseinpour A, Barzin M, Mahdavi M, Tasdighi E, Dehghan P, et al. Comparison analysis of childhood body mass index cut-offs in predicting adulthood carotid intima media thickness: Tehran lipid and glucose study. BMC Pediatrics. 2021 Nov; 21(1):494. doi: 10.1186/s12887-021-02963-y

Flegal KM, Wei R, Ogden CL, Freedman DS, Johnson CL, Curtin LR. Characterizing extreme values of body mass index-for-age by using the 2000 Centers for Disease Control and Prevention growth charts. The American Journal of Clinical Nutrition. 2009 Nov; 90(5):1314-20. doi: 10.3945/ajcn.2009.28335

Tye LS, Scott T, Haszard JJ, Peddie MC. Physical Activity, Sedentary Behaviour and Sleep, and Their Association with BMI in a Sample of Adolescent Females in New Zealand. International Journal of Environmental Research and Public Health. 2020 Aug;17(17):6346. doi: 10.3390/ijerph17176346

Strasburger VC, Hogan MJ, Mulligan DA, Ameenuddin N, Christakis DA, Cross C, et al. Children, adolescents, and the media. Pediatrics. 2013 Nov; 132(5):958-61.

Jarrin DC, McGrath JJ, Drake CL. Beyond sleep duration: distinct sleep dimensions are associated with obesity in children and adolescents. International Journal of Obesity. 2013 Apr;3 7(4):552-8. doi: 10.1038/ijo.2013.4

Mansoori N, Nisar N, Shahid N, Mubeen SM, Ahsan S. Prevalence of obesity and its risk factors among school children in Karachi, Pakistan. Tropical Doctor. 2018 Oct; 48(4):266-269. doi: 10.1177/0049475518786664

Fatima Y, Doi SA, Mamun AA. Longitudinal impact of sleep on overweight and obesity in children and adolescents: a systematic review and bias-adjusted meta-analysis. Obesity Reviews. 2015 Feb; 16(2):137-49. doi: 10.1111/obr.12245

Bonanno L, Metro D, Papa M, Finzi G, Maviglia A, Sottile F, et al. Assessment of sleep and obesity in adults and children: Observational study. Medicine. 2019 Nov; 98(46):e17642. doi: 10.1097/MD.0000000000017642.

Knutson KL. Sleep duration and cardiometabolic risk: a review of the epidemiologic evidence. Best Practice and Research Clinical Endocrinology and Metabolism. 2010 Oct; 24(5):731-43. doi: 10.1016/j.beem.2010.07.001

Mushtaq MU, Gull S, Mushtaq K, Shahid U, Shad MA, Akram J. Dietary behaviors, physical activity and sedentary lifestyle associated with overweight and obesity, and their socio-demographic correlates, among Pakistani primary school children. International Journal of Behavioral Nutrition and Physical Activity. 2011 Nov; 8:130. doi: 10.1186/1479-5868-8-130

Coombs NA and Stamatakis E. Associations between objectively assessed and questionnaire-based sedentary behaviour with BMI-defined obesity among general population children and adolescents living in England. BMJ Open. 2015 Jun; 5(6):e007172. doi: 10.1136/bmjopen-2014-007172

Navti LK, Atanga MB, Niba LL. Associations of out of school physical activity, sedentary lifestyle and socioeconomic status with weight status and adiposity of Cameroon children. BMC Obesity. 2017 Nov; 4:35. doi: 10.1186/s40608-017-0171-3

Kenney EL and Gortmaker SL. United States Adolescents' Television, Computer, Videogame, Smartphone, and Tablet Use: Associations with Sugary Drinks, Sleep, Physical Activity, and Obesity. The Journal of Pediatrics. 2017 Mar; 182:144-149. doi: 10.1016/j.jpeds.2016.11.015

Tsitsika AK, Andrie EK, Psaltopoulou T, Tzavara CK, Sergentanis TN, Ntanasis-Stathopoulos I, et al. Association between problematic internet use, socio-demographic variables and obesity among European adolescents. European Journal of Public Health. 2016 Aug; 26(4):617-22. doi: 10.1093/eurpub/ckw028

Li C, Cheng G, Sha T, Cheng W, Yan Y. The Relationships between Screen Use and Health Indicators among Infants, Toddlers, and Preschoolers: A Meta-Analysis and Systematic Review. International Journal of Environmental Research and Public Health. 2020 Oct; 17(19):7324. doi: 10.3390/ijerph17197324

Amini M, Alavi-Naini A, Doustmohammadian AA, Karajibani M, Khalilian A, Nouri-Saeedloo S, et al. Childhood obesity and physical activity patterns in an urban primary school in Thailand. Rawal Medical Journal. 2009 Jan; 34(2):203-6.

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Published

2022-07-31
CITATION
DOI: 10.54393/pbmj.v5i7.647
Published: 2022-07-31

How to Cite

Qassim Bham, S. ., Zahra, F. ., Saeed , F. ., Ahmed Sharif, U. H. ., khatoon, A. ., & Ibrahim Bukhari, S. . (2022). Association Of Sleep, Physical Activity, Sedentary Behavior, And Screen Time With Obesity Among Children In The Pediatric/ Endocrine Unit: Association Of Sleep, Physical Activity, Sedentary Behavior, And Screen Time With Obesity Among Children. Pakistan BioMedical Journal, 5(7), 142–146. https://doi.org/10.54393/pbmj.v5i7.647

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