Screen time, physical activity, dietary pattern and their interplay among adolescents

A survey from developing country


  • Mohnish Tundia C.U. Shah Medical College, Community Medicine Department, India
  • Dhara Thakrar C.U. Shah Medical College, Community Medicine Department, India



adolescent, screen time, physical activity, dietary pattern


Introduction: Adolescence is marked as a critical period of human life because of the rapid physical and sexual growth. Technological advances in recent decades have increased the interaction of adolescents with screen-based technologies. The adolescents have the unhealthiest diets of all age groups, and most adolescents do not meet the national guidelines for physical activity.

Objectives: To assess physical activity, dietary pattern and screen time among urban adolescents and to find out association of Screen Time with different variables.

Methods: A cross sectional study carried out in Udaipur, Rajasthan with prior permission from ethical committee. The study included 250 adolescents (10 to 19 years) selected by multistage sampling method. The Leisure Time Exercise Questionnaire of Godin and Shephard was used to find out weekly Physical Activity score. Eating habits were investigated using self-administered questionnaire in which we asked different questions about the food consumed by adolescents in a week. A Screen Time of ≥2 hours/ day was categorized as high sedentary behaviour, whereas a Screen Time <2 hours/ day was categorized as low sedentary behavior.

Results: In current study prevalence of High Screen Time and unhealthy diet was around 83% and 60% respectively. Around 25% had habit of taking breakfast regularly while less than 30% were taking meal without fail. Screen Time found to be associated significantly with physical activity p < 0.01, gender (p = 0.01) and diet p < 0.01.

Conclusion: Screen Time was found to be associated significantly with physical activity, gender and type of diet, whereas it has no role to play with phases of adolescence.


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Park K. Park’s Textbook of Preventive and Social Medicine. Jabalpur: M/s Banarsidas Bhanot; 2021.   Google Scholar

Noh JW, Kim YE, Park J, Oh IH, Kwon YD. Impact of parental socioeconomic status on childhood and adolescent overweight and underweight in Korea. J Epidemiol. 2014;24(3):221-229. doi: 10.2188/jea.je20130056. DOI:   Google Scholar

Lyngdoh M, Akoijam BS, Agui RS, Sonarjit Singh K. Diet, physical activity, and screen time among school students in Manipur. Indian J Community Med. 2019;44(2):134-137. doi: 10.4103/ijcm.IJCM_282_18.   Google Scholar

Schmidt SCE, Anedda B, Burchartz A, et al. Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: A natural experiment [published correction appears in Sci Rep. 2021 Dec 15;11(1):24329]. Sci Rep. 2020;10(1):21780. doi: 10.1038/s41598-020-78438-4 [Author correction in: Sci Rep. 2021 Dec 15;11(1):24329]. DOI:   Google Scholar

Niermann CYN, Spengler S, Gubbels JS. Physical activity, screen time, and dietary intake in families: A cluster-analysis with mother–father–child triads. Front Public Health. 2018;6:276. doi: 10.3389/fpubh.2018.00276. DOI:   Google Scholar

Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-1462. doi: 10.1136/bjsports-2020-102955. DOI:   Google Scholar

Oswald TK, Rumbold AR, Kedzior SGE, Moore VM. Psychological impacts of “screen time” and “green time” for children and adolescents: A systematic scoping review. PLoS One. 2020;15(9):e0237725. doi: 10.1371/journal.pone.0237725. DOI:   Google Scholar

Rosen LD, Lim AF, Felt J, et al. Media and technology use predicts ill-being among children, preteens and teenagers independent of the negative health impacts of exercise and eating habits. Comput Human Behav. 2014;35:364-375. doi: 10.1016/j.chb.2014.01.036. DOI:   Google Scholar

Shalani B , Azadfallah P, Farahani H. Correlates of screen time in children and adolescents: A systematic review study. Journal of Modern Rehabilitation. 2021;15(4):187-208. doi: 10.18502/jmr.v15i4.7740. DOI:   Google Scholar

Hale L, Kirschen GW, LeBourgeois MK, et al. Youth screen media habits and sleep: Sleep-friendly screen behavior recommendations for clinicians, educators, and parents. Child Adolesc Psychiatr Clin N Am. 2018;27(2):229-245. doi: 10.1016/j.chc.2017.11.014. DOI:   Google Scholar

Hale L, Guan S. Screen time and sleep among school-aged children and adolescents: A systematic literature review. Sleep Med Rev. 2015;21:50-58. doi: 10.1016/j.smrv.2014.07.007. DOI:   Google Scholar

Sanchez A, Norman GJ, Sallis JF, Calfas KJ, Cella J, Patrick K. Patterns and correlates of physical activity and nutrition behaviors in adolescents. Am J Prev Med. 2007;32(2):124-130. doi: 10.1016/j.amepre.2006.10.012. DOI:   Google Scholar

Harris JL, Bargh JA. Television viewing and unhealthy diet: Implications for children and media interventions. Health Commun. 2009;24(7):660-673. doi: 10.1080/10410230903242267. DOI:   Google Scholar

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;9(1):e023191. doi: 10.1136/bmjopen-2018-023191. DOI:   Google Scholar

Doak CM, Visscher TL, Renders CM, Seidell JC. The prevention of overweight and obesity in children and adolescents: A review of interventions and programmes. Obes Rev. 2006;7(1):111-136. doi: 10.1111/j.1467-789X.2006.00234.x. DOI:   Google Scholar

Sasayama S. Heart disease in Asia. Circulation. 2008; DOI:   Google Scholar

(25):2669-2671. doi: 10.1161/CIRCULATIONAHA.108.   Google Scholar

Kumar S, Ray S, Roy D, et al. Exercise and eating habits among urban adolescents: a cross-sectional study in Kolkata, India. BMC Public Health. 2017;17(1):468. doi: 10.1186/s12889-017-4390-9. DOI:   Google Scholar

Trusswell AS, Hill ID. Course manual for adolescent health. Part 2: Indian perspective. In: Bhave SY, ed. Adolescent Health. New Delhi: Indian Academy of Pediatrics; 2002:51-57.   Google Scholar

Sigmundová D, Sigmund E, Hamrik Z, Kalman M. Trends of overweight and obesity, physical activity and sedentary behaviour in Czech schoolchildren: HBSC study. Eur J Public Health. 2014;24(2):210-215. doi: 10.1093/eurpub/ckt085. DOI:   Google Scholar

Tamura H, Nishida T, Tsuji A, Sakakibara H. Association between excessive use of mobile phone and insomnia and depression among Japanese adolescents. Int J Environ Res Public Health. 2017;14(7):701. doi: 10.3390/ijerph14070701. DOI:   Google Scholar

Wu X, Tao S, Zhang S, et al. Impact of screen time on mental health problems progression in youth: A 1-year follow-up study. BMJ Open. 2016;6(11):e011533. doi: 10.1136/bmjopen-2016-011533. DOI:   Google Scholar

Mak KK, Ho SY, Lo WS, McManus AM, Lam TH. Prevalence of exercise and non-exercise physical activity in Chinese adolescents. Int J Behav Nutr Phys Act. 2011;8:3. doi: 10.1186/1479-5868-8-3. DOI:   Google Scholar

Greca JP, Silva DA, Loch MR. Physical activity and screen time in children and adolescents in a medium size town in the South of Brazil. Atividadefísica e tempo de telaemjovens de umacidade de médioporte do Sul do Brasil. Rev Paul Pediatr. 2016;34(3):316-322. doi: 10.1016/j.rpped.2015.11.001. DOI:   Google Scholar

Gonçalves H, Hallal PC, Amorim TC, Araújo CL, Menezes AM. Fatoressocioculturais e nível de atividadefísica no início da adolescência [Sociocultural factors and physical activity level in early adolescence]. Rev Panam Salud Publica. 2007;22(4):246-253. doi: 10.1590/s1020-49892007000900004. DOI:   Google Scholar

Decelis A, Jago R, Fox KR. Physical activity, screen time and obesity status in a nationally representative sample of Maltese youth with international comparisons. BMC Public Health. 2014;14:664. doi: 10.1186/1471-2458-14-664. DOI:   Google Scholar

Fernandes RA, Reichert FF, Monteiro HL, et al. Characteristics of family nucleus as correlates of regular participation in sports among adolescents. Int J Public Health. 2012;57(2):431-435. doi: 10.1007/s00038-010-0207-7. DOI:   Google Scholar




How to Cite

Tundia, M., & Thakrar, D. (2023). Screen time, physical activity, dietary pattern and their interplay among adolescents: A survey from developing country. Health Promotion & Physical Activity, 22(1), 1–7.



Original article