Reducing “Screen-Time” and Promoting Self Care Activities among Overweight and Obese Pre-Adolescents: A Randomized Controlled Trial

Keywords: Obesity, Adolescents, Body Mass Index (BMI)


INTRODUCTION: Pediatric obesity has been considered as one of the most serious public health challenges in the world. AIM: To reduce “Screen-time” and promoting self care activities among overweight and obese pre-adolescents (aged 10-12 years) in India through proper intervention measures. MATERIALS AND METHOD: Designed as a two-armed randomized controlled trial, 537 pre-adolescents aged 10-12 years were enrolled in this online study. Data was collected through a questionnaire (containing close-ended 26 questions). Pre- adolescents, whose BMI was classified as “overweight” and “obese” were enrolled and randomly assigned (flip of coin) to the intervention group and control group. The intervention group were then given monthly online one-on-one sessions (to maintain confidentiality) by five standardized instructors. The study lasted for four months and a total of four individual sessions were provided to each child in the intervention group. Data was transferred into Excel for descriptive statistics, and analysed using SPSS version 22.0 using the paired t-test and multi variate logistic regression was applied keeping the significance value of p as  0.05. RESULTS: A total of 537 pre- adolescents met the inclusion criteria. Among them, 270(50.3%) belonged to the intervention group and 267 (49.7%) belonged to the control group. Majority of the pre- adolescents were males (59.4%). In the intervention group, there were 61.8% overweight pre-adolescents, which reduced to 42.9%, while in the control group, there were 89.5% overweight pre-adolescents, which reduced 9.8% and the difference between both the groups was observed to be significant (p=0.02). CONCLUSION: Techniques used in the intervention group led to positive outcomes like weight loss and reduced screen time among the pre-adolescents which in turn, helped reduce the global burden of disease.


Download data is not yet available.

Author Biographies

Sahil Bansal

MBBS Graduate, Consultant Medical Practitioner, Bhopal, India

Meera Pradhan

 MD, Orthopaedics, Consultant Specialist, Naveen Nursing Centre, Indore, MP, India

Ishan Nagar

MBBS Graduate, Consultant Medical Practitioner, Bhopal, India

Praveen Kumar N.G.

 MD, Orthopaedics, Consultant Specialist, Naveen Nursing Centre, Indore, MP, India


Romanelli R, Cecchi, N, Carbone MG, Dinardo M, Gaudino G, del Giudice EM, et al. Pediatric obesity: prevention is better than care. Ital J Pediatr. 2020;46:103.

WHO. Obesity and overweight. (Online Article). Available from: [Last Accessed 17th January, 2021].

Friedemann C, Heneghan C, Mahtani K, Thompson M, Perera R, Ward AM. 2012. Cardiovascular disease risk in healthy pre-adolescents and its association with body mass index: systematic review and meta-analysis. BMJ : British Medical Journal 2012;345:e4759.

Hamilton D, Dee A, Perry IJ. 2018. The lifetime costs of overweight and obesity in childhood and adolescence: a systematic review. Obesity Reviews 19: 452–63.

Popkin BM, Gordon-Larsen P. The nutrition transition: worldwide obesity dynamics and their determinants. Int J Obes Relat Metab Disord. 2004;28(Suppl 3):S2–9

Moreno M, Jelenchick L, Christakis D. Problematic internet use among older adolescents: A conceptual framework. Computers and Human Behavior. 2013:1879–87.

Lighter J, Phillips M, Hochman S, Sterling S, Johnson D, Francois F, Stachel A. Obesity in patients younger than 60 years is a risk factor for Covid-19 hospital admission. Clinical Infectious Diseases. 2020 2020:ciaa415.

Ranjani H, Mehreen T S, Pradeepa R, Anjana RM, Garg R, Anand K, Mohan V. Epidemiology of childhood overweight & obesity in India: A systematic review. Indian J Med Res. 2016;143:160-74.

Nguyen PH, Scott S, Headey D, Singh N, Tran LM, Menon P, et al. (2021) The double burden of malnutrition in India: Trends and inequalities (2006–2016). PLoS ONE 16(2): e0247856.

Aguilar-Cordero MJ, Rodríguez-Blanque R, Leon-Ríos X, Expósito Ruiz M, García García I, Sánchez-López AM. Influence of Physical Activity on Blood Pressure in Children With Overweight/Obesity: A Randomized Clinical Trial. Am J Hypertens. 2020;33(2):131-6.

Larsen LM, Hertel NT, Mølgaard C, Christensen RD, Husby S, Jarbøl DE. Early intervention for childhood overweight: A randomized trial in general practice. Scand J Prim Health Care. 2015;33(3):184-90.

Cox CE. Role of Physical Activity for Weight Loss and Weight Maintenance. Diabetes Spectr. 2017;30(3):157-60.

DOI: 10.26440/IHRJ/0504.07436
Published: 2021-07-28
How to Cite
Sahil Bansal, Meera Pradhan, Ishan Nagar, Praveen Kumar N.G. Reducing “Screen-Time” and Promoting Self Care Activities among Overweight and Obese Pre-Adolescents: A Randomized Controlled Trial. IHRJ [Internet]. 2021Jul.28 [cited 2023Mar.29];5(4):OR1-OR4. Available from:
Original Research(s)