{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:13:28Z","timestamp":1793376808871,"version":"4.5.0"},"reference-count":42,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study examines the association between time spent watching TV, playing video games, using a computer or handheld device (screen time), and BMI among U.S. adolescents, and potential effect modification of these associations by sex, sleep duration, and physical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A secondary analysis of 10\u201317-year-old participants in the 2016\u20132017 National Survey of Children\u2019s Health was conducted. Multivariable logistic regression was used to examine the association between parent-reported screen time and BMI categories and effect modification by sex, sleep duration and physical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis included 29,480 adolescents (49.4% female). Those with \u22651 hour (vs &lt;1 hour) of TV\/video games per day were more likely to be overweight\/obese (adjusted Odds Ratio (aOR) 1\u20133 hours = 1.4; 95% Confidence Interval (CI)1.19, 1.65; aOR \u22654 hours = 2.19; 95% CI 1.73, 2.77). This association was stronger in adolescents who did not meet the guidelines for physical activity (aOR \u2265 4 hours = 3.04; 95% CI: 2.1, 4.4) compared with those who did (aOR \u2265 4 hours = 1.64; 95% CI: 0.72, 3.72). Using computers\/handheld devices was associated with a smaller increase in odds of overweight\/obesity (aOR \u22654 hours = 1.53; 95% CI:1.19, 1.97).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Watching TV or playing video games for \u22651 hour per day is associated with obesity in adolescents who did not meet the guidelines for physical activity. Using computers or handheld devices seems to have a weaker association with BMI compared with TV\/video games.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0278490","type":"journal-article","created":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T14:34:45Z","timestamp":1669905285000},"page":"e0278490","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":43,"title":["Association between screen time and obesity in US adolescents: A cross-sectional analysis using National Survey of Children\u2019s Health 2016\u20132017"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0096-2870","authenticated-orcid":true,"given":"Chighaf","family":"Bakour","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5904-1331","authenticated-orcid":true,"given":"Fahad","family":"Mansuri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"Johns-Rejano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Crozier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronee","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Sappenfield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,12,1]]},"reference":[{"key":"pone.0278490.ref001","volume-title":"Commission on Ending Childhood Obesity [Internet].","author":"World Health Organization","year":"2020"},{"key":"pone.0278490.ref002","author":"Centers for Disease Control and Prevention","year":"2022","journal-title":"Childhood Obesity Facts [Internet]. 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