Physical Activity Levels and Screen Time among Youth with Overweight/Obesity Using Mental Health Services

Abstract

Youth with mental illness have higher levels of obesity than children in the general population. Both regular physical activity and limited screen time have been recommended to reduce and prevent childhood obesity. This study examines accelerometer-based moderate–vigorous physical activity (MVPA) and screen time among youth with overweight/obesity issues who are receiving mental health care. This study looked at a 12-month weight management randomized clinical trial for overweight/obese youth aged 8–18 years who are receiving mental health services. At baseline, MVPA was assessed using accelerometers, and screen time was self-reported. Among 100 youth, 43% were female, 44% were Black, and 48% were <13 years old. In an adjusted general linear model, higher levels of MVPA were associated with the younger age group (p = 0.012), male participants (p = 0.013), and lower BMI z-scores (p = 0.014). In a separate model, higher screen time was associated with participants who were Black (p = 0.007). Achieving optimal cardiovascular health at the population level requires an understanding of the groups that are most in need of additional assistance. These data reinforce that targeted lifestyle approaches to promote increased physical activity and decreased screen time among overweight/obese youth using mental health services may need additional tailoring for sex, age, and race subgroups.

Associations of sleep time, quality of life, and obesity indicators on physical literacy components: a structural equation model

“…Consequently, only meeting sleep recommendations is not considered a sufficient strategy for reducing obesity [48]. The existing literature provides further evidence supporting the association between being overweight and experiencing poorer health-related quality of life (HQOL), as well as reduced levels of physical literacy components [51], such as physical activity practice and sedentary behavior [52,53]. Additionally, studies have shown that the inverse relationship between sleep duration and adiposity in adolescents also impacts HQOL and physical literacy [51].…”

Associations of Sleep Time, Quality of Life, and Obesity Indicators on Physical Literacy Components: A Structural Equation Model

“…Consequently, only meeting sleep recommendations is not considered a su cient strategy for reducing obesity (46). The existing literature provides further evidence supporting the association between being overweight and experiencing poorer health-related quality of life (HQOL), as well as reduced levels of physical literacy components (49), such as physical activity practice and sedentary behavior (50,51). Additionally, studies have shown that the inverse relationship between sleep duration and adiposity in adolescents also impacts HQOL and physical literacy (52).…”

Management of pediatric obesity as a pathway towards kidney transplantation

“…Physical activity plays a very important role in prevention, as well as treatment of obesity ( 37 ). Physical activity should be adapted according to age and comorbidities ( 38 ). For example, the use of a pedometer has been associated with increased physical activity in adult patients, as well as a decrease in BMI.…”