{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:30:28Z","timestamp":1788395428597,"version":"build-2803163510"},"reference-count":35,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2022,2,17]],"date-time":"2022-02-17T00:00:00Z","timestamp":1645056000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["5P50MH115842"],"award-info":[{"award-number":["5P50MH115842"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["5R01MH110968"],"award-info":[{"award-number":["5R01MH110968"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Youth with mental illness have higher levels of obesity than children in the general population. Both regular physical activity and limited screen time have been recommended to reduce and prevent childhood obesity. This study examines accelerometer-based moderate\u2013vigorous physical activity (MVPA) and screen time among youth with overweight\/obesity issues who are receiving mental health care. This study looked at a 12-month weight management randomized clinical trial for overweight\/obese youth aged 8\u201318 years who are receiving mental health services. At baseline, MVPA was assessed using accelerometers, and screen time was self-reported. Among 100 youth, 43% were female, 44% were Black, and 48% were &lt;13 years old. In an adjusted general linear model, higher levels of MVPA were associated with the younger age group (p = 0.012), male participants (p = 0.013), and lower BMI z-scores (p = 0.014). In a separate model, higher screen time was associated with participants who were Black (p = 0.007). Achieving optimal cardiovascular health at the population level requires an understanding of the groups that are most in need of additional assistance. These data reinforce that targeted lifestyle approaches to promote increased physical activity and decreased screen time among overweight\/obese youth using mental health services may need additional tailoring for sex, age, and race subgroups.<\/jats:p>","DOI":"10.3390\/ijerph19042261","type":"journal-article","created":{"date-parts":[[2022,2,17]],"date-time":"2022-02-17T20:25:45Z","timestamp":1645129545000},"page":"2261","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Physical Activity Levels and Screen Time among Youth with Overweight\/Obesity Using Mental Health Services"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0612-2626","authenticated-orcid":false,"given":"Gerald J.","family":"Jerome","sequence":"first","affiliation":[{"name":"Department of Kinesiology, Towson University, Towson, MD 21252, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler","family":"Fink","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tammy","family":"Brady","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah R.","family":"Young","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Southern California, Pasadena, CA 91101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faith B.","family":"Dickerson","sequence":"additional","affiliation":[{"name":"Sheppard Pratt, Baltimore, MD 21204, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy","family":"Goldsholl","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7654-5782","authenticated-orcid":false,"given":"Robert L.","family":"Findling","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Virginia Commonwealth University, Richmond, VA 23284, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekaterina A.","family":"Stepanova","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Virginia Commonwealth University, Richmond, VA 23284, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Scheimann","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arlene T.","family":"Dalcin","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Terry","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Gennusa","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"Cook","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gail L.","family":"Daumit","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nae-Yuh","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA"},{"name":"Department of Biostatistics and Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,17]]},"reference":[{"key":"ref_1","unstructured":"Hales, C.M., Carroll, M.D., Fryar, C.D., and Ogden, C.L. 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