Mobile phone use, sleep disorders and obesity in a social exclusion zone

• Published in: Anales de Pediatría 2023-05, Vol.98 (5), p.344-352
• Main Authors: Ochoa-Brezmes, Javier, Ruiz-Hernández, Alberto, Blanco-Ocampo, Daniela, García-Lara, Gracia María, Garach-Gómez, Ana
• Format: Article
• Language: English
• Subjects: Adicción a las tecnologías; Cell Phone Use; Child; Humans; Marginación social; Obesidad; Obesity; Obesity - epidemiology; Sleep disorders; Sleep Wake Disorders - epidemiology; Sleep Wake Disorders - etiology; Smartphone; Social Isolation; Social marginalization; Surveys and Questionnaires; Technology addiction; Teléfono inteligente; Trastornos del sueño
• ISSN: 2341-2879; 2341-2879
• DOI: 10.1016/j.anpede.2022.12.004

[Display omitted] There is little information on the impact of mobile phone overuse (MPO) in areas in need of social transformation (ANST). Our objective was to estimate the prevalence of MPO in an ANST and its association with sleep disorders, academic performance and obesity. Consecutive sampling of patients aged 10–17 years who visited a primary care centre in an ARST between October 2019 and March 2020. The study involved performance of a clinical interview with collection of anthropometric, sociodemographic, mobile phone use and sleep data. The analysis included 214 participants. The prevalence of MPO during weekdays (more than 2 h a day) was 37.5% in children aged 10–12 years and 65.2% in 13- to 17-year-olds; in the weekend, the prevalence increased to 66.6% and 81.3%, respectively. In weekdays, MPO was associated with an increased prevalence of obesity, lower maternal educational attainment, greater difficulty waking up, daytime sleepiness and higher frequency of school failure. The adjusted risk was double for excess weight (odds ratio [OR] 1.90, 95% confidence interval [95% CI] 1.04–3.47), obesity (OR 2.45, 95% CI 1.23–4.89) and sleep disorders or sleep duration of less than 7 h (OR 2.26; 95% CI 1.31–3.92). Weekend MPO was associated with sleep disorders or sleep duration of less than 7 h (OR 2.68; 95% CI 1.40–5.11). The prevalence of mobile phone overuse is high in areas of social exclusion and is associated with sleep disorders, school failure and obesity. Existe poca información del impacto del abuso del teléfono móvil (AM) en zonas con necesidad de transformación social (ZNTS). Nuestro objetivo es estimar la prevalencia de AM en ZNTS, y su asociación con problemas de sueño, rendimiento escolar y obesidad. Muestreo consecutivo de sujetos entre 10 y 17 años que acuden a consulta de atención primaria en ZNTS entre octubre 2019 y marzo de 2020. Realización de entrevista clínica, antropometría, datos sociodemográficos, de uso de móvil y sueño. Se estudiaron 214 sujetos. El AM durante la semana (más de 2 horas diarias), fue 37,5% en el grupo de 10−12 años y 65,2% en el grupo de 13 a 17 años; durante el fin de semana las prevalencias fueron 66,6% y 81,3%, respectivamente. El AM durante la semana se asoció a más obesidad; menor nivel de estudios maternos, mayor dificultad para despertarse, somnolencia diurna y mayor frecuencia de suspensos. El riesgo ajustado se duplica para sobrepeso u obesidad (odds ratio [OR] 1,90; intervalo de confianza del 95% [I