Association between problematic internet use, socio-demographic variables and obesity among European adolescents.

Background: Overweight of children and adolescents continues to be an important and alarming global public health problem. As the adolescent's time spent online has increased, problematic internet use (PIU) potentially leads to negative health consequences. This study aimed to examine the relation b...

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Published in:European Journal of Public Health Vol. 26; no. 4; pp. 617 - 623
Main Authors: Tsitsika, Artemis K., Andrie, Elisabeth K., Psaltopoulou, Theodora, Tzavara, Chara K., Sergentanis, Theodoros N., Ntanasis-Stathopoulos, Ioannis, Bacopoulou, Flora, Richardson, Clive, Chrousos, George P., Tsolia, Maria
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Aug2016
Online Access:View this record in EBSCOhost
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      dt: Aug2016
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        atl: Association between problematic internet use, socio-demographic variables and obesity among European adolescents.
      aug:
        au:
          Tsitsika, Artemis K.
          Andrie, Elisabeth K.
          Psaltopoulou, Theodora
          Tzavara, Chara K.
          Sergentanis, Theodoros N.
          Ntanasis-Stathopoulos, Ioannis
          Bacopoulou, Flora
          Richardson, Clive
          Chrousos, George P.
          Tsolia, Maria
        affil: Adolescent Health Unit, Second Department of Pediatrics, P. and A. Kyriakou Children's Hospital, University of Athens, Athens, Greece
      sug:
        subj:
          Internet Utilization
          Internet In Adolescence
          Pediatric Obesity Europe
          Social Networks In Adolescence
          Human
          Adolescence
          Europe
          Cross Sectional Studies
          Descriptive Research
          Descriptive Statistics
          Questionnaires
          Multiple Logistic Regression
          Odds Ratio
          Confidence Intervals
          Schools, Secondary
          Male
          Female
          Univariate Statistics
          Chi Square Test
          Body Mass Index
          Socioeconomic Factors
          Pediatric Obesity Risk Factors
          Geographic Factors
          Sex Factors
          Pediatric Obesity Epidemiology
          Funding Source
          Adolescent: 13-18 years
          Male
          Female
      ab: Background: Overweight of children and adolescents continues to be an important and alarming global public health problem. As the adolescent's time spent online has increased, problematic internet use (PIU) potentially leads to negative health consequences. This study aimed to examine the relation between PIU and overweight/obesity among adolescents in seven European countries and assess the effect of demographic and lifestyle factors recorded in the European Network for Adolescent Addictive Behaviour (EU NET ADB) survey (www.eunetadb.eu). Methods: A cross-sectional school-based survey of 14- to 17-year-old adolescents was conducted in seven European countries: Germany, Greece, Iceland, the Netherlands, Poland, Romania and Spain. Anonymous self-completed questionnaires included sociodemographic data, internet usage characteristics, school achievement, parental control and the Internet Addiction Test. Associations between overweight/obesity and potential risk factors were investigated by logistic regression analysis, allowing for the complex sample design. Results: The study sample consisted of 10 287 adolescents aged 14-17 years. 12.4% were overweight/obese, and 14.1% presented with dysfunctional internet behavior. Greece had the highest percentage of overweight/obese adolescents (19.8%) and the Netherlands the lowest (6.8%). Male sex [odds ratio (OR) = 2.89, 95%CI: 2.46-3.38], heavier use of social networking sites (OR = 1.26, 95%CI: 1.09-1.46) and residence in Greece (OR = 2.32, 95%CI: 1.79-2.99) or Germany (OR = 1.48, 95%CI: 1.12-1.96) were independently associated with higher risk of overweight/obesity. A greater number of siblings (OR = 0.79, 95%CI: 0.64-0.97), higher school grades (OR = 0.74, 95%CI: 0.63-0.88), higher parental education (OR = 0.89, 95%CI: 0.82-0.97) and residence in the Netherlands (OR = 0.49, 95%CI: 0.31-0.77) independently predicted lower risk of overweight/obesity. Conclusions: The results indicate an association of overweight/obesity with PIU and suggest the importance of formulating preventive public health policies that target physical health, education and sedentary online lifestyle early in adolescence with special attention to boys.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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