{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T04:23:54Z","timestamp":1772252634445,"version":"3.50.1"},"reference-count":37,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T00:00:00Z","timestamp":1634083200000},"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>Previous studies on internet use frequency were focused on mental health impact, with little known about the impact on physical health during the COVID-19 lockdown. This study examined the impact of internet use frequency on self-reported physical health during the COVID-19 lockdown in Bangladesh. A web-based cross-sectional study on 3242 individuals was conducted from 2 August\u20131 October 2020. The survey covered demographics, internet use frequency and self-reported physical health questions. Linear regression analyses were used to examine the impact of internet use frequency on physical health. 72.5%, 69.9%, 65.1% and 55.3% respondents reported headache, back pain, numbness of the fingers and neck pain, respectively. The analyses showed increased physical health impact among regular (coefficient \u03b2 = 0.52, 95% confidence interval [CI]: 0.18\u20130.85, p = 0.003), frequent (\u03b2 = 1.21, 95% CI: 0.88\u20131.54, p &lt; 0.001) and intense (\u03b2 = 2.24, 95% CI: 1.91\u20132.57, p &lt; 0.001) internet users. Other important predictors were gender, income, occupation, regions, and working status. Frequent and extensive uses of the internet were strong predictors of physical health problems, and our findings suggest the need for increased awareness about the physical health problems that can be triggered by excessive internet usage.<\/jats:p>","DOI":"10.3390\/ijerph182010728","type":"journal-article","created":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T21:36:15Z","timestamp":1634160975000},"page":"10728","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Internet Use Impact on Physical Health during COVID-19 Lockdown in Bangladesh: A Web-Based Cross-Sectional Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9029-8282","authenticated-orcid":false,"given":"Tanvir","family":"Abir","sequence":"first","affiliation":[{"name":"School of Business, Ahsanullah University of Science and Technology, Dhaka 1208, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1727-6914","authenticated-orcid":false,"given":"Uchechukwu Levi","family":"Osuagwu","sequence":"additional","affiliation":[{"name":"Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Campbelltown, NSW 2560, Australia"},{"name":"African Vision Research Institute (AVRI), Westville Campus, University of KwaZulu-Natal, Durban 3629, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dewan Muhammad","family":"Nur-A Yazdani","sequence":"additional","affiliation":[{"name":"Research Associate, Creative Research & Consultancy, Dhaka 1205, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9713-742X","authenticated-orcid":false,"given":"Abdullah Al","family":"Mamun","sequence":"additional","affiliation":[{"name":"Faculty of Business and Management, UCSI University, Kuala Lumpur 56000, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7147-9424","authenticated-orcid":false,"given":"Kaniz","family":"Kakon","sequence":"additional","affiliation":[{"name":"Department of Philosophy, College of Arts and Sciences\u2014CAAS, International University of Business Agriculture and Technology\u2014IUBAT University, Dhaka 1230, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anas A.","family":"Salamah","sequence":"additional","affiliation":[{"name":"Department of Management Information Systems, College of Business Administration, Prince Sattam Bin Abdulaziz University, 165, Al-Kharj 11942, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6091-2509","authenticated-orcid":false,"given":"Noor Raihani","family":"Zainol","sequence":"additional","affiliation":[{"name":"Faculty of Entrepreneurship and Business, Universiti Malaysia Kelantan, Kota Bharu 16100, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7813-4242","authenticated-orcid":false,"given":"Mansura","family":"Khanam","sequence":"additional","affiliation":[{"name":"International Centre for Diarrhoeal Disease Research, Bangladesh (Icddrb), GPO BOX 128, 68, Shaheed Tajuddin Ahmed Sarani, Dhaka 1000, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4111-3207","authenticated-orcid":false,"given":"Kingsley Emwinyore","family":"Agho","sequence":"additional","affiliation":[{"name":"Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Campbelltown, NSW 2560, Australia"},{"name":"African Vision Research Institute (AVRI), Westville Campus, University of KwaZulu-Natal, Durban 3629, South Africa"},{"name":"School of Health Sciences, Western Sydney University, Campbelltown, NSW 2560, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,10,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"102171","DOI":"10.1016\/j.ijinfomgt.2020.102171","article-title":"Impact of digital surge during Covid-19 lockdown: A viewpoint on research and practice","volume":"55","author":"Pandey","year":"2020","journal-title":"Int. J. Inf. Manag."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Garfin, D.R. (2020). Technology as a coping tool during the COVID-19 lockdown: Implications and recommendations. Stress Health.","DOI":"10.1002\/smi.2975"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/S2215-0366(20)30141-3","article-title":"COVID-19, unemployment, and suicide","volume":"7","author":"Kawohl","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"152180","DOI":"10.1016\/j.comppsych.2020.152180","article-title":"Preventing problematic internet use during COVID-19 lockdown: Consensus guidance","volume":"100","author":"Potenza","year":"2020","journal-title":"Compr. Psychiatry"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Ito, M., Horst, H.A., Bittanti, M., Herr Stephenson, B., Lange, P.G., Pascoe, C.J., and Robinson, L. (2009). Living and Learning with New Media, The MIT Press.","DOI":"10.7551\/mitpress\/8519.001.0001"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1542\/peds.2011-0054","article-title":"Council on Communications and Media The impact of social media on children, adolescents, and families","volume":"127","year":"2011","journal-title":"Pediatrics"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1300\/J202v06n03_06","article-title":"Offline consequences of online victimization: School violence and delinquency","volume":"6","author":"Hinduja","year":"2007","journal-title":"J. Sch. Violence"},{"key":"ref_8","unstructured":"(2021, August 22). Internet, Available online: http:\/\/www.btrc.gov.bd\/telco\/internet."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"831","DOI":"10.2307\/41409963","article-title":"Technostress: Technological Antecedents and Implications","volume":"35","author":"Ayyagari","year":"2011","journal-title":"MIS Q."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"301","DOI":"10.2753\/MIS0742-1222240109","article-title":"The impact of technostress on role stress and productivity","volume":"24","author":"Tarafdar","year":"2007","journal-title":"J. Manag. Inf. Syst."},{"key":"ref_11","unstructured":"Kalia, A. (2020). The Zoom Boom: How video calling became a blessing\u2014And a curse. Guardian, Available online: https:\/\/www.theguardian.com\/technology\/2020\/may\/21\/the-zoom-boom-how-video-calling-became-a-blessing-and-a-curse."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1089\/HS.2020.0202","article-title":"Misinformation about COVID-19 in sub-Saharan Africa: Evidence from a cross-sectional survey","volume":"19","author":"Osuagwu","year":"2021","journal-title":"Health Secur."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e22205","DOI":"10.2196\/22205","article-title":"Associations between COVID-19 misinformation exposure and belief with COVID-19 knowledge and preventive behaviors: Cross-sectional online study","volume":"22","author":"Lee","year":"2020","journal-title":"J. Med. Internet Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"5135","DOI":"10.1109\/ACCESS.2016.2602301","article-title":"Internet use and its impact on individual physical health","volume":"4","author":"Zheng","year":"2016","journal-title":"IEEE Access"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1901","DOI":"10.4103\/ijo.IJO_3500_20","article-title":"Impact of the use of digital devices on eyes during the lockdown period of COVID-19 lockdown","volume":"69","author":"Usgaonkar","year":"2021","journal-title":"Indian J. Ophthalmol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1089\/cpb.2009.0036","article-title":"Faktorerforbundet med internettavhengighetblantungdom","volume":"12","author":"Lam","year":"2009","journal-title":"Cyberpsychol. Behav."},{"key":"ref_17","first-page":"524","article-title":"Age as a variable: Continuous or categorical?","volume":"59","author":"Andrade","year":"2017","journal-title":"Indian J. Psychiatry"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1111\/tri.12895","article-title":"Five myths about variable selection","volume":"30","author":"Heinze","year":"2017","journal-title":"Transpl. Int."},{"key":"ref_19","first-page":"227","article-title":"Multicollinearity in regression analyses conducted in epidemiologic studies","volume":"6","author":"Vatcheva","year":"2016","journal-title":"Epidemiology"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1159\/000277001","article-title":"The relationship between excessive Internet use and depression: A questionnaire-based study of 1319 young people and adults","volume":"43","author":"Morrison","year":"2010","journal-title":"Psychopathology"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Cao, H., Sun, Y., Wan, Y., Hao, J., and Tao, F. (2011). Problematic Internet use in Chinese adolescents and its relation to psychosomatic symptoms and life satisfaction. BMC Public Health, 11.","DOI":"10.1186\/1471-2458-11-802"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.psychres.2008.01.015","article-title":"The risk factors of Internet addiction\u2014A survey of university freshmen","volume":"167","author":"Tsai","year":"2009","journal-title":"Psychiatry Res."},{"key":"ref_23","first-page":"372","article-title":"Impact of the COVID-19 lockdown on headache management in Spain: An analysis of the current situation and future perspectives","volume":"35","author":"Latorre","year":"2020","journal-title":"Neurolog\u00eda"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Chen, C.-Y., Chen, I.-H., Pakpour, A.H., Lin, C.-Y., and Griffiths, M.D. (2021). Internet-related behaviors and psychological distress among schoolchildren during COVID-19 school hiatus. Cyberpsychol. Behav. Soc. Netw.","DOI":"10.1089\/cyber.2020.0497"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"100097","DOI":"10.1016\/j.jadr.2021.100097","article-title":"Fear of COVID-19, depression, anxiety, and their association with Internet addiction disorder in a sample of Italian students","volume":"4","author":"Servidio","year":"2021","journal-title":"J. Affect. Disord. Rep."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1159\/000491997","article-title":"Impact of internet addiction on mental health: An integrative therapy is needed","volume":"4","author":"Tripathi","year":"2018","journal-title":"Integr. Med. Int."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"10964","DOI":"10.1038\/s41598-021-90566-z","article-title":"Identification of risk groups for mental disorders, headache and oral behaviors in adults during COVID-19 lockdown","volume":"11","author":"Wieckiewicz","year":"2021","journal-title":"Sci. Rep."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1838","DOI":"10.1016\/j.chb.2010.07.018","article-title":"Psychometric properties of the Problematic Internet Use Questionnaire. Comput","volume":"26","author":"Kelley","year":"2010","journal-title":"Human Behav."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1111\/j.1440-1819.2009.01969.x","article-title":"Multi-dimensional discriminative factors for Internet addiction among adolescents regarding gender and age: Internet addiction in adolescence","volume":"63","author":"Yen","year":"2009","journal-title":"Psychiatry Clin. Neurosci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1089\/cpb.2009.0036","article-title":"Factors associated with Internet addiction among adolescents","volume":"12","author":"Lam","year":"2009","journal-title":"Cyberpsychol. Behav."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1111\/gwao.12562","article-title":"The politics of gendered space: Social norms and purdah affecting female informal work in Dhaka, Bangladesh","volume":"28","author":"Lata","year":"2021","journal-title":"Gend. Work Organ."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"43","DOI":"10.5334\/aogh.3269","article-title":"Prevalence and factors associated with mental health impact of COVID-19 pandemic in Bangladesh: A survey-based cross-sectional study","volume":"87","author":"Abir","year":"2021","journal-title":"Ann. Glob. Health"},{"key":"ref_33","first-page":"100311","article-title":"Problematic internet use among young and adult population in Bangladesh: Correlates with lifestyle and online activities during COVID-19 lockdown","volume":"12","author":"Islam","year":"2020","journal-title":"Addict. Behav. Rep."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.bbi.2020.05.019","article-title":"COVID-19-related information sources and psychological well-being: An online survey study in Taiwan","volume":"87","author":"Ko","year":"2020","journal-title":"Brain Behav. Immun."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"353","DOI":"10.2165\/00023210-200822050-00001","article-title":"Internet addiction: Definition, assessment, epidemiology and clinical management","volume":"22","author":"Shaw","year":"2008","journal-title":"CNS Drugs"},{"key":"ref_36","unstructured":"(2021, September 18). ICD-11 for Mortality and Morbidity Statistics. Available online: https:\/\/icd.who.int\/browse11\/l-m\/en#\/http%3a%2f%2fid.who.int%2ficd%2fentity%2f334423054."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Knief, U., and Forstmeier, W. (2021). Violating the normality assumption may be the lesser of two evils. Behav. Res. Methods.","DOI":"10.3758\/s13428-021-01587-5"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/20\/10728\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T07:12:50Z","timestamp":1760166770000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/20\/10728"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,13]]},"references-count":37,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2021,10]]}},"alternative-id":["ijerph182010728"],"URL":"https:\/\/doi.org\/10.3390\/ijerph182010728","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2021.08.06.21261689","asserted-by":"object"}]},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,13]]}}}