Analysis of association between childhood overweight/obesity with screen time, sedentary life style and low levels of physical activity


  • Dr. Hemanthi Darshana Kumari Ekanayake Charisma University, Kursk State Medical University
  • Dr.Ghassan Salibi Charisma University
  • Professor Nikolaos Tzenios Charisma University



childhood overweight obesity, screen time


The escalating prevalence of childhood obesity, affecting nearly 40 million children under five globally, has become a pressing public health concern. The high incidence of obesity in this population can be attributed to numerous factors, such as unhealthy eating habits, lack of physical activity, sedentary lifestyle, and increased screen time, which were exacerbated by worldwide lockdowns during the Covid-19 pandemic. These factors, together with obesity, can potentially predispose these children to non-communicable diseases such as coronary artery disease, type 2 diabetes, and cancer, thereby increasing morbidity and mortality rates. This capstone project aims to globally assess the prevalence of obesity or overweight status in children, establish a relationship between screen usage, physical activity levels, and sedentary behavior, and examine the impact of Covid-19 lockdowns on these parameters. The study methodology includes a comprehensive literature review and data collection from global studies on childhood obesity. Findings from this study could be instrumental in identifying risk factors and developing interventions to mitigate the rising rates of childhood obesity, ultimately supporting the WHO's goal of "no rise in childhood overweight by 2025". Additionally, the study would provide valuable recommendations to decrease sedentary behavior in children and increase physical activity levels, promoting healthier lifestyle choices in children.


Childhood Obesity Foundation. (2019, October 24). What is Childhood Obesity? Who is at Risk? - Childhood Obesity Foundation.

National Center for Health Statistics. (2021, July 27). National health and nutrition examination survey. Centers for Disease Control and Prevention.

World Health Organization: WHO. (2021). Obesity and overweight.

Sahoo, K., Sahoo, B., Choudhury, A. K., Sofi, N. Y., Kumar, R., & Bhadoria, A. S. (2015). Childhood obesity: causes and consequences. Journal of family medicine and primary care, 4(2), 187–192. 32

Kumar, S., & Kelly, A. S. (2017). Review of Childhood Obesity: From Epidemiology, Etiology, and Comorbidities to Clinical Assessment and Treatment. Mayo Clinic proceedings, 92(2), 251–265.

Powell, Lauren A., "The Associations between Overweight/Obesity among Children and Select Social and Economic Predictors.” Georgia State University, 2022.

Childhood Obesity Facts | Overweight & Obesity | CDC. (n.d.).,to%2019%2Dyear%2Dolds.

Fryar CD, Carroll MD, Afful J. Prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2–19 years: United States, 1963–1965 through 2017–2018. NCHS Health E-Stats. 2020

Frcp, M. J. M. (2022). Childhood obesity, a ticking time bomb for cardiometabolic diseases. Observatories De La Prevention.

Oliver, Christal S., "A Review of the Relationship between Screen Time and Low Levels of Physical Activity with Obesity and Sedentary Behaviors in Children and Adolescents.” Georgia State University, 2017. doe:

Smith, B. J., Grunseit, A., Hardy, L. L., King, L., Wolfenden, L., & Milat, A. (2010). Parental influences on child physical activity and screen viewing time: A population based study. BMC Public Health, 10, 593. doi:

Warschburger, P., & Kühne, D. (2014). Psychosocial determinants of quality of life in parents of obese children seeking inpatient treatment. Quality Of Life Research, 23(7), 1985-1995. doi:10.1007/s11136-014-0659-y

Ogunleye, A. A., Voss, C., & Sandercock, G. R. (2015). Delayed bedtime due to screen time in schoolchildren: Importance of area deprivation. Pediatrics International, 57(1), 137-142. doi:10.1111/ped.12447

Eagle, T. F., Sheetz, A., Gurm, R., Woodward, A. C., Kline-Rogers, E., Leibowitz, R., . . . Eagle, K. A. (2012). Understanding childhood obesity in america: Linkages between household income, community resources, and children's behaviors. The American Heart Journal, 163(5), 836-843. doi:

Early Care and Education (ECE). (2016). Retrieved April 12, 2017, from

Augner C, Hacker GW (2012) Associations between problematic mobile phone usage and psychological parameters in young adults. International Journal of Public Health, 57:437–441. doi:

Smahel, D., Wright, M. F., & Cernikova, M. (2015). The impact of digital media on health: Children's perspectives. International Journal of Public Health, 60(2), 131-137. doi:

Coleman, T. (2014). Amy B. jordan and daniel romer (eds.): Media and the well-being of children and adolescents. Journal of Youth and Adolescence, 43(12), 2083-2087.

Mathers, M.,B.App Sci, Canterford, L., M.Biostats, Olds, T., PhD., Hesketh, K., PhD., Ridley, K., PhD., & Wake, M., M.D. (2009). Electronic media use and adolescent health and well-being: Cross-sectional community study. Academic Pediatrics,9(5), 307-14. Retrieved from

Allsop, S., Dodd-Reynolds, C., Green, B. P., Debuse, D., & Rumbold, P. L. S. (2015). Acute effects of active gaming on ad libitum energy intake and appetite sensations of 8-11-year-old boys. The British Journal of Nutrition, 114(12), 2148-2155. doi:

Appelhans, B. M., Fitzpatrick, S. L., Li, H., Cail, V., Waring, M. E., Schneider, K. L., . . . Pagoto, S. L. (2014). The home environment and childhood obesity in low-income households: Indirect effects via sleep duration and screen time. BMC Public Health, 14, 1160. doi:

Frieden, T. R., Dietz, W., & Collins, J. (2010). Reducing Childhood Obesity Through Policy Change: Acting Now To Prevent Obesity. Health Affairs, 29(3), 357-363. doi:10.1377/hlthaff.2010.0039

Smith, B. J., Grunseit, A., Hardy, L. L., King, L., Wolfenden, L., & Milat, A. (2010). Parental influences on child physical activity and screen viewing time: A population based study. BMC Public Health, 10, 593. doi:

Graf, C., Beneke, R., Bloch, W., Bucksch, J., Dordel, S., Eiser, S., . . . Woll, A. (2014, May 10). Recommendations for Promoting Physical Activity for Children and Adolescents in Germany. A Consensus Statement. Retrieved April 12, 2017, from

Early Care and Education (ECE). (2016). Retrieved April 12, 2017, from

CDC (2011) Centers for Disease Control and Prevention. Strategies to Prevent Obesity and Other Chronic Diseases: The CDC Guide to Strategies to Increase Physical Activity in the Community. Atlanta: U.S. Department of Health and Human Services; 2011.

Han, J. C., Lawlor, D. A., & Kimm, S. Y. (2010, May 15). Childhood Obesity – 2010: Progress and Challenges. Retrieved February 10, 2017, from

Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2012). Prevalence of Obesity and Trends in Body Mass Index Among US Children and Adolescents, 1999-2010. JAMA: Journal Of The American Medical Association, 307(5), 483-490. doi:10.1001/jama.2012.40

The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action - BMC Medicine Di Cesare et al.

Prevention of Overweight and Obesity in Children and Adolescents




How to Cite

Kumari Ekanayake, H. D., Salibi, D., & Tzenios, N. (2023). Analysis of association between childhood overweight/obesity with screen time, sedentary life style and low levels of physical activity. Special Journal of the Medical Academy and Other Life Sciences., 1(6).

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