Problematic social media use and overweight/obesity: explanatory pathway analysis of 124 667 in-school adolescents in 39 high-income countries

IF 2.7 3区医学 Q1 PEDIATRICS Pediatric Obesity Pub Date : 2023-09-10 DOI:10.1111/ijpo.13073

Michael Safo Oduro, Daniel Katey, Anthony Kwame Morgan, Prince Peprah

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Abstract

Background

The relationship between adolescent problematic social media use (PSMU) and overweight/obesity and the potential explanatory pathways for this association are unclear. This study (1) examined the relationship between PSMU and overweight/obesity and (2) evaluated potential explanatory pathways for this association.

Methods

The data used in this study came from the 2018 Health Behaviour in School-aged Children (HBSC) survey. A sample of 124 667 in-school adolescents from 39 high-income countries was analysed. Sequential logistic regressions were used to estimate the association between PSMU and overweight/obesity. Pathway analysis using a non-parametric bootstrapping technique tested the hypothesized mediating roles.

Results

The multivariable logistic regressions indicated that higher problematic social media users were 1.11 times more likely to be overweight/obese compared with those who reported low PSMU (AOR = 1.11; 95% CI = 1.05–1.18). Our bootstrapping mediation analyses showed that PSMU indirectly influenced overweight/obesity through breakfast skipping, life satisfaction, family communication, self-rated health, and physical activity, accounting for 19.8% (β = 0.0068, Boots 95% CI = 0.0056–0.0074), 15.1% (β = 0.0050, Boots 95% CI = 0.0046–0.0056), 9.2% (β = 0.0031, Boots 95% CI = 0.0024–0.0038), 7.8% (β = 0.0024, Boots 95% CI = 0.001–0.004), and 5.2% (β = 0.0017, Boots 95% CI = 0.0014–0.0023), respectively, of the total effect.

Conclusion

To the best of our knowledge, this is the first study that used nationally representative data from multiple countries in high-income countries to examine the association between PSMU and overweight/obesity and potential explanatory pathways among school-going adolescents. This finding has important implications for public health interventions to reduce overweight/obesity rates among young people.

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有问题的社交媒体使用与超重/肥胖：124例的解释性通路分析 39个高收入国家667名在校青少年

背景青少年问题社交媒体使用（PSMU）与超重/肥胖之间的关系以及这种关联的潜在解释途径尚不清楚。这项研究（1）研究了PSMU与超重/肥胖之间的关系，（2）评估了这种关联的潜在解释途径。方法本研究使用的数据来自2018年学龄儿童健康行为调查。124个样本对39个高收入国家的667名在校青少年进行了分析。序列逻辑回归用于估计PSMU与超重/肥胖之间的相关性。使用非参数自举技术的路径分析测试了假设的中介作用。结果多变量逻辑回归表明，与那些报告PSMU较低（AOR = 1.11；95%CI = 1.05–1.18）。我们的自举中介分析显示，PSMU通过不吃早餐、生活满意度、家庭沟通、自我评估健康和体育活动间接影响超重/肥胖，占19.8%（β = 0.0068，Boots 95%CI = 0.0056–0.0074），15.1%（β = 0.0050，Boots 95%CI = 0.0046–0.0056），9.2%（β = 0.0031，Boots 95%CI = 0.0024–0.0038），7.8%（β = 0.0024，Boots 95%CI = 0.001–0.004）和5.2%（β = 0.0017，Boots 95%CI = 0.0014–0.0023）。结论据我们所知，这是第一项使用来自高收入国家多个国家的具有全国代表性的数据来检验PSMU与超重/肥胖之间的关系以及在校青少年的潜在解释途径的研究。这一发现对降低年轻人超重/肥胖率的公共卫生干预措施具有重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.