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BMC Primary Care
Published in: BMC Primary Care 1/2022

Open Access 01-12-2022 | Obesity | Research

Screen time increases overweight and obesity risk among adolescents: a systematic review and dose-response meta-analysis

Authors: Purya Haghjoo, Goli Siri, Ensiye Soleimani, Mahdieh Abbasalizad Farhangi, Samira Alesaeidi

Published in: BMC Primary Care | Issue 1/2022

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Abstract

Background

Adolescence is a critical period in human life, associated with reduced physical activity and increased sedentary behaviors. In this systematic review and dose-response meta-analysis, we evaluated the association between screen time and risk of overweight/obesity among adolescents.

Methods

A systematic search in electronic databases, including PubMed, Embase, and Scopus was performed up to September 2021. All published studies evaluating the association between screen time and risk of overweight/obesity among adolescents were retrieved. Finally, a total of 44 eligible studies were included in the meta-analysis.

Results

The results of the two-class meta-analysis showed that adolescents at the highest category of screen time were 1.27 times more likely to develop overweight/obesity (OR = 1.273; 95% CI = 1.166–1.390; P < 0.001; I-squared (variation in ES attributable to heterogeneity) = 82.1%). The results of subgrouping showed that continent and setting were the possible sources of heterogeneity. Moreover, no evidence of non-linear association between increased screen time and risk of overweight/obesity among adolescents was observed (P-nonlinearity = 0.311).

Conclusion

For the first time, the current systematic review and meta-analysis revealed a positive association between screen time and overweight/obesity among adolescents without any dose-response evidence.

Trial registration

The protocol of the current work has been registered in the PROSPERO system (Registration number: CRD42021233899).
Appendix
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Metadata
Title
Screen time increases overweight and obesity risk among adolescents: a systematic review and dose-response meta-analysis
Authors
Purya Haghjoo
Goli Siri
Ensiye Soleimani
Mahdieh Abbasalizad Farhangi
Samira Alesaeidi
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2022
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-022-01761-4

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