Association of digital screen use during recess with physical activity behaviours in 10-year-old to 17-year-old Danish adolescents: a population-based cross-sectional study

Background The widespread ownership of digital devices among adolescents presents challenges and opportunities in schools, particularly during recess. This study aimed to examine the association of screen use during recess with physical activity behaviours.Methods The study was based on a population...

Full description

Saved in:
Bibliographic Details
Main Authors: Soren Brage, Jens Troelsen, Anders Grøntved, Peter Lund Kristensen, Jan C Brønd, Anne Kær Gejl, Niels C Møller, Kristian T Larsen, Sofie Koch, Natascha H Pedersen
Format: Article
Language:English
Published: BMJ Publishing Group 2025-03-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/3/1/e001150.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1839645313553399808
author Soren Brage
Jens Troelsen
Anders Grøntved
Peter Lund Kristensen
Jan C Brønd
Anne Kær Gejl
Niels C Møller
Kristian T Larsen
Sofie Koch
Natascha H Pedersen
author_facet Soren Brage
Jens Troelsen
Anders Grøntved
Peter Lund Kristensen
Jan C Brønd
Anne Kær Gejl
Niels C Møller
Kristian T Larsen
Sofie Koch
Natascha H Pedersen
author_sort Soren Brage
collection DOAJ
description Background The widespread ownership of digital devices among adolescents presents challenges and opportunities in schools, particularly during recess. This study aimed to examine the association of screen use during recess with physical activity behaviours.Methods The study was based on a population-based cross-sectional study including 1347 adolescents from 28 schools (2017–2018). Physical activity behaviours were assessed using thigh-attached accelerometers, worn 24/7 for up to 6 weekdays and 2 weekend days. We examined accelerometer data for all recess periods, aligned with each adolescent’s school schedule, along with leisure-time activity from the same days. Physical behaviours were classified during recess and leisure-time behaviour (negative control). Frequency of screen use during recess was based on self-report using a 5-point ordinal scale.Results Greater frequency of screen use during recess was associated with less time engaged in physically active behaviours and more time spent sitting, consistent with dose-dependent associations. In multivariable-adjusted analysis, adolescents with no screen use during recess spent an absolute 11.1% (95% CI 5.4 to 6.8) more of their recess time being physically active compared to those with frequent use. Based on the mean recess duration observed in the sample, adolescents not using screens during recess engaged in physical activities for an average of 44.9 min per day (95% CI 42.3 to 47.6), compared with 35.1 min (95% CI 26.0 to 44.3) for frequent screen users. Leisure time activities, used as a negative control, showed no link to screen use during recess.Conclusion Increased screen use during recess was associated with lower physical activity levels. These findings suggest that regulating digital device use during recess could enhance physical activity among adolescents.
format Article
id doaj-art-60700b65fe6d4b6bb2f5fc44a73831d0
institution Matheson Library
issn 2753-4294
language English
publishDate 2025-03-01
publisher BMJ Publishing Group
record_format Article
series BMJ Public Health
spelling doaj-art-60700b65fe6d4b6bb2f5fc44a73831d02025-07-01T20:20:09ZengBMJ Publishing GroupBMJ Public Health2753-42942025-03-013110.1136/bmjph-2024-001150Association of digital screen use during recess with physical activity behaviours in 10-year-old to 17-year-old Danish adolescents: a population-based cross-sectional studySoren Brage0Jens Troelsen1Anders Grøntved2Peter Lund Kristensen3Jan C Brønd4Anne Kær Gejl5Niels C Møller6Kristian T Larsen7Sofie Koch8Natascha H Pedersen91 MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UKDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkBackground The widespread ownership of digital devices among adolescents presents challenges and opportunities in schools, particularly during recess. This study aimed to examine the association of screen use during recess with physical activity behaviours.Methods The study was based on a population-based cross-sectional study including 1347 adolescents from 28 schools (2017–2018). Physical activity behaviours were assessed using thigh-attached accelerometers, worn 24/7 for up to 6 weekdays and 2 weekend days. We examined accelerometer data for all recess periods, aligned with each adolescent’s school schedule, along with leisure-time activity from the same days. Physical behaviours were classified during recess and leisure-time behaviour (negative control). Frequency of screen use during recess was based on self-report using a 5-point ordinal scale.Results Greater frequency of screen use during recess was associated with less time engaged in physically active behaviours and more time spent sitting, consistent with dose-dependent associations. In multivariable-adjusted analysis, adolescents with no screen use during recess spent an absolute 11.1% (95% CI 5.4 to 6.8) more of their recess time being physically active compared to those with frequent use. Based on the mean recess duration observed in the sample, adolescents not using screens during recess engaged in physical activities for an average of 44.9 min per day (95% CI 42.3 to 47.6), compared with 35.1 min (95% CI 26.0 to 44.3) for frequent screen users. Leisure time activities, used as a negative control, showed no link to screen use during recess.Conclusion Increased screen use during recess was associated with lower physical activity levels. These findings suggest that regulating digital device use during recess could enhance physical activity among adolescents.https://bmjpublichealth.bmj.com/content/3/1/e001150.full
spellingShingle Soren Brage
Jens Troelsen
Anders Grøntved
Peter Lund Kristensen
Jan C Brønd
Anne Kær Gejl
Niels C Møller
Kristian T Larsen
Sofie Koch
Natascha H Pedersen
Association of digital screen use during recess with physical activity behaviours in 10-year-old to 17-year-old Danish adolescents: a population-based cross-sectional study
BMJ Public Health
title Association of digital screen use during recess with physical activity behaviours in 10-year-old to 17-year-old Danish adolescents: a population-based cross-sectional study
title_full Association of digital screen use during recess with physical activity behaviours in 10-year-old to 17-year-old Danish adolescents: a population-based cross-sectional study
title_fullStr Association of digital screen use during recess with physical activity behaviours in 10-year-old to 17-year-old Danish adolescents: a population-based cross-sectional study
title_full_unstemmed Association of digital screen use during recess with physical activity behaviours in 10-year-old to 17-year-old Danish adolescents: a population-based cross-sectional study
title_short Association of digital screen use during recess with physical activity behaviours in 10-year-old to 17-year-old Danish adolescents: a population-based cross-sectional study
title_sort association of digital screen use during recess with physical activity behaviours in 10 year old to 17 year old danish adolescents a population based cross sectional study
url https://bmjpublichealth.bmj.com/content/3/1/e001150.full
work_keys_str_mv AT sorenbrage associationofdigitalscreenuseduringrecesswithphysicalactivitybehavioursin10yearoldto17yearolddanishadolescentsapopulationbasedcrosssectionalstudy
AT jenstroelsen associationofdigitalscreenuseduringrecesswithphysicalactivitybehavioursin10yearoldto17yearolddanishadolescentsapopulationbasedcrosssectionalstudy
AT andersgrøntved associationofdigitalscreenuseduringrecesswithphysicalactivitybehavioursin10yearoldto17yearolddanishadolescentsapopulationbasedcrosssectionalstudy
AT peterlundkristensen associationofdigitalscreenuseduringrecesswithphysicalactivitybehavioursin10yearoldto17yearolddanishadolescentsapopulationbasedcrosssectionalstudy
AT jancbrønd associationofdigitalscreenuseduringrecesswithphysicalactivitybehavioursin10yearoldto17yearolddanishadolescentsapopulationbasedcrosssectionalstudy
AT annekærgejl associationofdigitalscreenuseduringrecesswithphysicalactivitybehavioursin10yearoldto17yearolddanishadolescentsapopulationbasedcrosssectionalstudy
AT nielscmøller associationofdigitalscreenuseduringrecesswithphysicalactivitybehavioursin10yearoldto17yearolddanishadolescentsapopulationbasedcrosssectionalstudy
AT kristiantlarsen associationofdigitalscreenuseduringrecesswithphysicalactivitybehavioursin10yearoldto17yearolddanishadolescentsapopulationbasedcrosssectionalstudy
AT sofiekoch associationofdigitalscreenuseduringrecesswithphysicalactivitybehavioursin10yearoldto17yearolddanishadolescentsapopulationbasedcrosssectionalstudy
AT nataschahpedersen associationofdigitalscreenuseduringrecesswithphysicalactivitybehavioursin10yearoldto17yearolddanishadolescentsapopulationbasedcrosssectionalstudy