Physical Activity Levels and Screen Time among Youth with Overweight/Obesity Using Mental Health Services

Gerald J. Jerome, Tyler Fink, Tammy Brady, Deborah R. Young, Faith B. Dickerson, Stacy Goldsholl, Robert L. Findling, Ekaterina A. Stepanova, Ann Scheimann, Arlene T. Dalcin, Alison Terry, Joseph Gennusa, Courtney Cook, Gail L. Daumit and Nae-Yuh Wang
Additional contact information
Gerald J. Jerome: Department of Kinesiology, Towson University, Towson, MD 21252, USA
Tyler Fink: Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
Tammy Brady: Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA
Deborah R. Young: Kaiser Permanente Southern California, Pasadena, CA 91101, USA
Faith B. Dickerson: Sheppard Pratt, Baltimore, MD 21204, USA
Stacy Goldsholl: Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
Robert L. Findling: Department of Psychiatry, Virginia Commonwealth University, Richmond, VA 23284, USA
Ekaterina A. Stepanova: Department of Psychiatry, Virginia Commonwealth University, Richmond, VA 23284, USA
Ann Scheimann: Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD 21287, USA
Arlene T. Dalcin: Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
Alison Terry: Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
Joseph Gennusa: Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
Courtney Cook: Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
Gail L. Daumit: Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA
Nae-Yuh Wang: Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD 21205, USA

IJERPH, 2022, vol. 19, issue 4, 1-9

Abstract: 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–vigorous 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 8–18 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 <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.

Keywords: physical activity; children; adolescent; obesity; mental health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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