{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T12:30:42Z","timestamp":1784896242912,"version":"3.55.0"},"reference-count":52,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T00:00:00Z","timestamp":1556582400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Despite the health benefits associated with physical activity (PA), screen time reduction, and sleep quantity and quality, the relationships between PA, screen time, and sleep quantity and quality remain unclear in adolescents. The present study is a cross-sectional analysis of data from adolescents aged 16\u201319 years who participated in the 2005\u20132006 National Health and Nutrition Examination Survey (n = 542). Multivariable logistic regression models, adjusted for confounders, examined the relationship between objectively measured PA, self-reported screen time, and sleep quantity and quality. Respondents who met the current PA recommendation had 50% lower odds of having sufficient sleep (\u22658 h) than those not meeting the recommendation (OR = 0.50, 95% CI: 0.26, 0.94). Respondents who met the screen time recommendation (\u22642 h\/day) had 55% lower odds of reporting poor sleep quality than those whose screen time exceeded the recommendation (OR = 0.45, 95% CI: 0.22, 0.91), with similar patterns observed for females and males. However, males who met both PA and screen time recommendations had 73% lower odds of reporting poor sleep quality than males who met neither recommendation (OR = 0.27, 95% CI: 0.07, 0.99). In conclusion, PA and screen time are associated with sleep quantity or sleep quality in adolescents, and there are differences in these associations by sex.<\/jats:p>","DOI":"10.3390\/ijerph16091524","type":"journal-article","created":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T02:07:19Z","timestamp":1556590039000},"page":"1524","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":58,"title":["Relationship between Physical Activity, Screen Time, and Sleep Quantity and Quality in US Adolescents Aged 16\u201319"],"prefix":"10.3390","volume":"16","author":[{"given":"Furong","family":"Xu","sequence":"first","affiliation":[{"name":"Department of Kinesiology, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue K.","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Human Development and Family Studies, Transition Center, Kingston, RI 02881, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven A.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Health Studies Program, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob E.","family":"Earp","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5963-920X","authenticated-orcid":false,"given":"Mary L.","family":"Greaney","sequence":"additional","affiliation":[{"name":"Health Studies Program, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,4,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.2147\/NSS.S54036","article-title":"Sleep, recovery, and metaregulation: Explaining the benefits of sleep","volume":"7","author":"Vyazovskiy","year":"2015","journal-title":"Nat. Sci. Sleep"},{"key":"ref_2","first-page":"1199","article-title":"Sleep duration and subjective psychological well-being in adolescence: A longitudinal study in Switzerland and Norway","volume":"10","author":"Kalak","year":"2014","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1503\/jpn.150268","article-title":"Adolescence as a unique developmental period","volume":"40","author":"Jaworska","year":"2015","journal-title":"J. Psychiatry Neurosci."},{"key":"ref_4","unstructured":"National Sleep Foundation (2019, January 27). 2006 Teens and Sleep. Sleep in America Polls. Available online: www.sleepfoundation.org\/article\/sleep-america-polls\/2006-teens-and-sleep."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jad.2012.11.049","article-title":"Depression and insomnia among adolescents: A prospective perspective","volume":"148","author":"Roberts","year":"2012","journal-title":"J. Affect. Disord."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"3331","DOI":"10.1007\/s10826-015-0135-5","article-title":"Demographic and Parenting Correlates of Adolescent Sleep Functioning","volume":"24","author":"Grzywacz","year":"2015","journal-title":"J. Child Fam. Stud."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.smrv.2011.03.005","article-title":"In search of lost sleep: Secular trends in the sleep time of school-aged children and adolescents","volume":"16","author":"Matricciani","year":"2012","journal-title":"Sleep Med. Rev."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1111\/j.1467-8624.2007.00999.x","article-title":"Sleep and the body mass index and overweight status of children and adolescents","volume":"78","author":"Snell","year":"2007","journal-title":"Child Dev."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1111\/jcpp.12125","article-title":"Sleep restriction worsens mood and emotion regulation in adolescents","volume":"55","author":"Baum","year":"2014","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/jsr.12258","article-title":"Trends in self-reported sleep problems, tiredness, and related school performance among Finnish adolescents from 1984 to 2011","volume":"24","author":"Kronholm","year":"2015","journal-title":"J. Sleep Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/s10865-015-9617-6","article-title":"The effects of physical activity on sleep: A meta-analytic review","volume":"38","author":"Kredlow","year":"2015","journal-title":"J. Behav. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1111\/ijpo.12015","article-title":"Sleep quality, sleep duration and physical activity in obese adolescents: Effects of exercise training","volume":"11","author":"Mendelson","year":"2016","journal-title":"Pediatr. Obes."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1299","DOI":"10.5665\/SLEEP.1266","article-title":"Sleep duration or bedtime? Exploring the relationship between sleep habits and weight status and activity patterns","volume":"34","author":"Olds","year":"2011","journal-title":"Sleep"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.smrv.2015.07.004","article-title":"The relationship between physical activity and sleep from mid adolescence to early adulthood. A systematic review of methodological approaches and meta-analysis","volume":"28","author":"Lang","year":"2016","journal-title":"Sleep Med. Rev."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1016\/j.amepre.2011.08.009","article-title":"Sufficient sleep, physical activity, and sedentary behaviors","volume":"41","author":"Foti","year":"2011","journal-title":"Am. J. Prev. Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.ypmed.2012.11.015","article-title":"Maintaining recommended sleep throughout the week is associated with increased physical activity in children","volume":"56","author":"Stone","year":"2013","journal-title":"Prev. Med."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.jadohealth.2009.06.018","article-title":"High exercise levels are related to favorable sleep patterns and psychological functioning in adolescents: A comparison of athletes and controls","volume":"46","author":"Brand","year":"2010","journal-title":"J. Adolesc. Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1515\/IJAMH.2008.20.3.353","article-title":"Behavioral and other characteristics of relevance for health in adolescents with self-perceived sleeping problems","volume":"20","author":"Holmberg","year":"2008","journal-title":"Int. J. Adolesc. Med. Health"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"2615","DOI":"10.1007\/s00421-011-1883-6","article-title":"Sleep duration and activity levels in Estonian and Swedish children and adolescents","volume":"111","author":"Ortega","year":"2011","journal-title":"Eur. J. Appl. Physiol."},{"key":"ref_20","unstructured":"Oja, P., and Borms, J. (2004). Assessment of health-enhancing physical activity. Methodological issues. Health Enhancing Physical Activity, Meyer & Meyer Sport."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1001\/jamapediatrics.2016.2341","article-title":"Association Between Portable Screen-Based Media Device Access or Use and Sleep Outcomes: A Systematic Review and Meta-analysis","volume":"170","author":"Carter","year":"2016","journal-title":"JAMA Pediatr."},{"key":"ref_22","unstructured":"Anderson, M., and Jiang, J. (2019, April 22). Teens, Social Media & Technology 2018. Pew Research Center. Available online: https:\/\/www.pewinternet.org\/2018\/05\/31\/teens-social-media-technology-2018\/."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1016\/j.pedn.2016.04.004","article-title":"Adolescent sleep and the impact of technology use before sleep on daytime function","volume":"31","author":"Johansson","year":"2016","journal-title":"J. Pediatr. Nurs."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Chen, M.-Y., Wang, E.K., and Jeng, Y.-J. (2006). Adequate sleep among adolescents is positively associated with health status and health-related behaviors. BMC Public Health, 6.","DOI":"10.1186\/1471-2458-6-59"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e006748","DOI":"10.1136\/bmjopen-2014-006748","article-title":"Sleep and use of electronic devices in adolescence: Results from a large population-based study","volume":"5","author":"Hysing","year":"2015","journal-title":"BMJ Open"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.adolescence.2006.07.004","article-title":"Use of information and communication technology (ICT) and perceived health in adolescence: The role of sleeping habits and waking-time tiredness","volume":"30","author":"Punamaki","year":"2007","journal-title":"J. Adolesc."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1093\/sleep\/31.11.1515","article-title":"The multidimensional correlates associated with short nocturnal sleep duration and subjective insomnia among Taiwanese adolescents","volume":"31","author":"Yen","year":"2008","journal-title":"Sleep"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1037\/0893-3200.21.1.4","article-title":"Sleep timing and quantity in ecological and family context: A nationally representative time-diary study","volume":"21","author":"Adam","year":"2007","journal-title":"J. Fam. Psychol."},{"key":"ref_29","unstructured":"Centers for Disease Control and Prevention (2017, July 12). National Health and Nutrition Examination Survey, Available online: https:\/\/wwwn.cdc.gov\/nchs\/nhanes."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1016\/S0895-4356(96)00236-3","article-title":"A simulation study of the number of events per variable in logistic regression analysis","volume":"49","author":"Peduzzi","year":"1996","journal-title":"J. Clin. Epidemiol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.1097\/00005768-200209000-00022","article-title":"Technical reliability of the CSA activity monitor: The Early Bird study","volume":"34","author":"Metcalf","year":"2002","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/00005768-200102000-00017","article-title":"Physical activity assessed by activity monitor and doubly labeled water in children","volume":"33","author":"Ekelund","year":"2001","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1249\/mss.0b013e31815a51b3","article-title":"Physical activity in the United States measured by accelerometer","volume":"40","author":"Troiano","year":"2008","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"3393","DOI":"10.1589\/jpts.28.3393","article-title":"Preliminary reliability of the five-item physical activity questionnaire","volume":"28","author":"Cho","year":"2016","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_35","unstructured":"Physical Activity Guidelines Advisory Committee (2018, February 09). Physical Activity Guidelines Advisory Committee Report, Available online: http:\/\/www.health.gov\/paguidelines."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Council on Communications and Media (2013). Children, adolescents, and the media. Pediatrics, 132, 958\u2013961.","DOI":"10.1542\/peds.2013-2656"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1111\/j.1751-7176.2011.00500.x","article-title":"Associations between sleep disorders, sleep duration, quality of sleep, and hypertension: Results from the National Health and Nutrition Examination Survey, 2005 to 2008","volume":"13","author":"Bansil","year":"2011","journal-title":"J. Clin. Hypertens."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Foerster, M., Henneke, A., Chetty-Mhlanga, S., and R\u00f6\u00f6sli, M. (2019). Impact of Adolescents\u2019 Screen Time and Nocturnal Mobile Phone-Related Awakenings on Sleep and General Health Symptoms: A Prospective Cohort Study. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16030518"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1186\/1479-5868-11-43","article-title":"Physical activity, aerobic fitness and parental socio-economic position among adolescents: The German Health Interview and Examination Survey for Children and Adolescents 2003-2006 (KiGGS)","volume":"11","author":"Finger","year":"2014","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_40","unstructured":"U.S. Census Bureau, Population Division, Fertility & Family Statistics Branch (2017, December 15). Current Population Survey: Definitions and Explanations, Available online: http:\/\/www.census.gov\/population\/www\/cps\/cpsdef.html."},{"key":"ref_41","unstructured":"CDC National Center for Health Statistics (2017, August 11). Specifying Weighting Parameters, Available online: https:\/\/www.cdc.gov\/nchs\/tutorials\/nhanes\/surveydesign\/weighting\/intro.htm."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1093\/heapro\/14.2.155","article-title":"Perceived sleep quality and its precursors in adolescents","volume":"14","author":"Kannas","year":"1999","journal-title":"Health Promot. Int."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1080\/02673843.2016.1181557","article-title":"The young and the restless: Socializing trumps sleep, fear of missing out, and technological distractions in first-year college students","volume":"22","author":"Adams","year":"2017","journal-title":"Int. J. Adolesc. Youth"},{"key":"ref_44","first-page":"99","article-title":"Article Commentary: Adolescent Sleep and Cellular Phone Use: Recent Trends and Implications for Research","volume":"6","author":"Adams","year":"2013","journal-title":"Health Serv. Insights"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.jadohealth.2014.08.002","article-title":"Blue blocker glasses as a countermeasure for alerting effects of evening light-emitting diode screen exposure in male teenagers","volume":"56","author":"Frey","year":"2015","journal-title":"J. Adolesc. Health"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1542\/peds.2014-2306","article-title":"Sleep duration, restfulness, and screens in the sleep environment","volume":"135","author":"Falbe","year":"2015","journal-title":"Pediatrics"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1111\/j.1365-2869.2012.01060.x","article-title":"The impact of prolonged violent video-gaming on adolescent sleep: An experimental study","volume":"22","author":"King","year":"2013","journal-title":"J. Sleep Res."},{"key":"ref_48","first-page":"1364387","article-title":"Interrelationship between Sleep and Exercise: A Systematic Review","volume":"2017","author":"Dolezal","year":"2017","journal-title":"Adv. Prev. Med."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1123\/pes.2015-0205","article-title":"Effects of sport specific training intensity on sleep patterns and psychomotor performance in adolescent athletes","volume":"28","author":"Suppiah","year":"2016","journal-title":"Pediatr. Exerc. Sci."},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Pesonen, A.K., Sj\u00f6st\u00e9n, N.M., Matthews, K.A., Heinonen, K., Martikainen, S., Kajantie, E., Tammelin, T., Eriksson, J.G., Strandberg, T., and R\u00e4ikk\u00f6nen, K. (2011). Temporal associations between daytime physical activity and sleep in children. PLoS ONE, 6.","DOI":"10.1371\/journal.pone.0022958"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1097\/DBP.0000000000000459","article-title":"Associations Between Maternal Mental Health and Well-being and Physical Activity and Sedentary Behavior in Children","volume":"38","author":"Maher","year":"2017","journal-title":"J. Dev. Behav. Pediatr."},{"key":"ref_52","first-page":"488","article-title":"Methodological issues of confounding in analytical epidemiologic studies","volume":"3","year":"2012","journal-title":"Caspian J. Intern. Med."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/9\/1524\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T12:48:06Z","timestamp":1760186886000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/9\/1524"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,30]]},"references-count":52,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2019,5]]}},"alternative-id":["ijerph16091524"],"URL":"https:\/\/doi.org\/10.3390\/ijerph16091524","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,30]]}}}