Aktivitas fisik dan screen based activity dengan pola tidur remaja di Wates


Siti Nurfadilah H(1*), Madarina Julia(2), Riris Andono Ahmad(3)

(1) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(2) Departement Ilmu Kesehatan Anak, Fakultas Kedokteran, Universitas Gadjah Mada
(3) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(*) Corresponding Author


Physical activity and screen based activity with adolescent sleep patterns in Wates


The purpose of this study was to explore the relationship between physical activity and screen based activity with sleep patterns in adolescents.


A cross-sectional study was conducted among junior high school students in August 2016. Samples were 536 respondents selected using stratified random sampling. Data were collected through interviews with a structured questionnaire, and measurements of height and waist circumference. Data analyses used chi-square, mann-whitney and logistic regression tests to explore factors associated with sleep pattern.


Out off 536 respondents, poor sleep quality (34.5%) and short sleep duration (45.3%) happened among female adolescents. There was a significant correlation between screen based activity with sleep quality in adolescents. Physical activity had a significant relationship with sleep duration.


Physical activity and SBA was associated with adolescent sleep patterns. Appropriate educational promotions by the Kulon Progo education authorities should be conducted to provide information about the importance of adequate sleep.


sleep; physical activity; screen based activity; adolescent


  1. Beccuti G, Pannain S. Sleep and obesity. Current opinion in clinical nutrition and metabolic care. 2011 Jul;14(4):402.
  2. Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. Lippincott Williams & Wilkins; 2008.
  3. Matricciani L, Olds T, Petkov J. In search of lost sleep: secular trends in the sleep time of school-aged children and adolescents. Sleep medicine reviews. 2012 Jun 1;16(3):203-11.
  4. Garaulet M, Ortega FB, Ruiz JR, Rey-Lopez JP, Beghin L, Manios Y, Cuenca-Garcia M, Plada M, Diethelm K, Kafatos A, Molnár D. Short sleep duration is associated with increased obesity markers in European adolescents: effect of physical activity and dietary habits. The HELENA study. International journal of obesity. 2011 Oct;35(10):1308.
  5. Jiang X, Hardy LL, Baur LA, Ding D, Wang L, Shi H. Sleep duration, schedule and quality among urban Chinese children and adolescents: associations with routine after-school activities. PloS one. 2015 Jan 22;10(1):e0115326.
  6. Lai PP, Say YH. Associated factors of sleep quality and behavior among students of two tertiary institutions in Northern Malaysia. Med J Malaysia. 2013 Jun;68(3):195-203.
  7. Ortega FB, Chillón P, Ruiz JR, Delgado M, Albers U, Álvarez-Granda JL, Marcos A, Moreno LA, Castillo MJ. Sleep patterns in Spanish adolescents: associations with TV watching and leisure-time physical activity. European journal of applied physiology. 2010 Oct 1;110(3):563-73.
  8. Stone MR, Stevens D, Faulkner GE. Maintaining recommended sleep throughout the week is associated with increased physical activity in children. Preventive medicine. 2013 Feb 1;56(2):112-7.
  9. Grandner MA, Patel NP, Gehrman PR, Perlis ML, Pack AI. Problems associated with short sleep: bridging the gap between laboratory and epidemiological studies. Sleep medicine reviews. 2010 Aug 1;14(4):239-47.
  10. Moore M, Meltzer LJ. The sleepy adolescent: causes and consequences of sleepiness in teens. Paediatric respiratory reviews. 2008 Jun 1;9(2):114-21.
  11. World Health Organization. Global recommendations on physical activity for health. 2012.
  12. Medina C, Barquera S, Katzmarzyk PT, Janssen I. Physical activity during recess among 13–14 year old Mexican girls. BMC pediatrics. 2015 Dec;15(1):17.
  13. Brand S, Gerber M, Beck J, Hatzinger M, Pühse U, Holsboer-Trachsler E. High exercise levels are related to favorable sleep patterns and psychological functioning in adolescents: a comparison of athletes and controls. Journal of Adolescent Health. 2010 Feb 1;46(2):133-41.
  14. Soegih R, Wiramihardja K. Obesitas permasalahan dan terapi praktis. Jakarta: Sagung Seto. 2009.
  15. Pate RR, O'neill JR, Lobelo F. The evolving definition of" sedentary". Exercise and sport sciences reviews. 2008 Oct 1;36(4):173-8.
  16. Al-Haifi AA, AlMajed HT, Al-Hazzaa HM, Musaiger AO, Arab MA, Hasan RA. Relative contribution of obesity, sedentary behaviors and dietary habits to sleep duration among Kuwaiti adolescents. Global journal of health science. 2016 Jan;8(1):107.
  17. Badan Pusat Statistik. Peraturan Kepala Badan Pusta Statistik Nomor 37 Tahun 2010 tentang Klasifikasi Perkotaan dan Perdesaan di Indonesia: Jawa. Jakarta; 2010.
  18. Mindell JA, Owens JA. A clinical guide to pediatric sleep: diagnosis and management of sleep problems. Lippincott Williams & Wilkins; 2015 May 4.
  19. Arundhana IA. Pola Perilaku Sedentari Merupakan Faktor Resiko Kejadian Obesitas Pada Anak Sekolah Dasar di Kota Yogyakarta dan Kabupaten Bantul. Tesis. Universitas Gadjah Mada; 2013.
  20. Marfiah D. Durasi dan Kualitas Tidur Hubungannya dengan Obesitas pada Anak Sekolah Dasar di Yogyakarta dan Kabupaten Bantul. Tesis. Universitas Gadjah Mada; 2013.
  21. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, Hazen N, Herman J, Katz ES, Kheirandish-Gozal L, Neubauer DN. National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health: Journal of the National Sleep Foundation. 2015 Mar 1;1(1):40-3.
  22. Paruthi, S., Brooks, L.J., D'Ambrosio, C., Hall, W.A., Kotagal, S., Lloyd, R.M., Malow, B.A., Maski, K., Nichols, C., Quan, S.F. and Rosen, C.L., 2016. Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 12(6), p.785.
  23. Strasburger VC. Children, adolescents, and television. Pediatr Rev. 1992 Apr;13(4):144-51.
  24. De Cocker K, Ottevaere C, Sjöström M, Moreno LA, Wärnberg J, Valtuena J, Manios Y, Dietrich S, Mauro B, Artero EG, Molnár D. Self-reported physical activity in European adolescents: results from the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Public health nutrition. 2011 Feb;14(2):246-54.
  25. Aguilar MM, Vergara FA, Velásquez EJ, Garcia-Hermoso A. Physical activity, screen time and sleep patterns in Chilean girls. Anales de Pediatría (English Edition). 2015 Nov 1;83(5):304-10.
  26. Wu X, Tao S, Zhang Y, Zhang S, Tao F. Low physical activity and high screen time can increase the risks of mental health problems and poor sleep quality among Chinese college students. PloS one. 2015 Mar 18;10(3):e0119607.
  27. Khan MK, Chu YL, Kirk SF, Veugelers PJ. Are sleep duration and sleep quality associated with diet quality, physical activity, and body weight status? A population-based study of Canadian children. Can J Public Health. 2015 Apr 30;106(5):277-82.
  28. ZubiaVeqar ME. Sleep quality improvement and exercise: A Review. International Journal of Sciencific and Research Publications. 2012;2(8):1-8.
  29. Ploughman M. Exercise is brain food: the effects of physical activity on cognitive function. Developmental neurorehabilitation. 2008 Jan 1;11(3):236-40.
  30. Potter PA., Perry AG. Basic Nursing Essentials For Practice. Philadelphia: Elsevier; 2007.
  31. Aguilar MM, Vergara FA, Velásquez EJ, Garcia-Hermoso A. Physical activity, screen time and sleep patterns in Chilean girls. Anales de Pediatría (English Edition). 2015 Nov 1;83(5):304-10.
  32. Page AS, Cooper AR, Griew P, Jago R. Children9s Screen Viewing is Related to Psychological Difficulties Irrespective of Physical Activity. Pediatrics. 2010 Nov 1;126(5):e1011-7.
  33. Saleh D, Janssen I. Interrelationships among sedentary time, sleep duration, and the metabolic syndrome in adults. BMC Public Health. 2014 Dec;14(1):666.
  34. Drescher AA, Goodwin JL, Silva GE, Quan SF. Caffeine and screen time in adolescence: associations with short sleep and obesity. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine. 2011 Aug 15;7(4):337.
  35. Kim Y, Umeda M, Lochbaum M, Stegemeier S. Peer Reviewed: Physical Activity, Screen-Based Sedentary Behavior, and Sleep Duration in Adolescents: Youth Risk Behavior Survey, 2011–2013. Preventing chronic disease. 2016;13.
  36. Parent J, Sanders W, Forehand R. Youth screen time and behavioral health problems: The role of sleep duration and disturbances. Journal of developmental and behavioral pediatrics: JDBP. 2016 May;37(4):277.
  37. Cain N, Gradisar M. Electronic media use and sleep in school-aged children and adolescents: A review. Sleep medicine. 2010 Sep 1;11(8):735-42.
  38. Haryono A, Rindiarti A, Arianti A, Pawitri A, Ushuluddin A, Setiawati A, Reza A, Wawolumaja CW, Sekartini R. Prevalensi gangguan tidur pada remaja usia 12-15 tahun di sekolah lanjutan tingkat pertama. Sari Pediatri. 2016 Nov 24;11(3):149-54.
  39. Baker FC, Wolfson AR, Lee KA. Association of sociodemographic, lifestyle, and health factors with sleep quality and daytime sleepiness in women: findings from the 2007 National Sleep Foundation “Sleep in America Poll”. Journal of women's health. 2009 Jun 1;18(6):841-9.
  40. Suppiah HT, Chia M. The Somnolent Youth-Sleep and the Influence of Exercise: A Narrative Review. Sports. 2015 Jun 23;3(2):116-35.
  41. Lang C, Brand S, Feldmeth AK, Holsboer-Trachsler E, Pühse U, Gerber M. Increased self-reported and objectively assessed physical activity predict sleep quality among adolescents. Physiology & behavior. 2013 Aug 15;120:46-53.
  42. Mak, Y.W., Wu, C.S.T., Hui, D.W.S., Lam, S.P., Tse, H.Y., Yu, W.Y. and Wong, H.T., 2014. Association between screen viewing duration and sleep duration, sleep quality, and excessive daytime sleepiness among adolescents in Hong Kong. International journal of environmental research and public health, 11(11), pp.11201-11219.

DOI: https://doi.org/10.22146/bkm.17879

Article Metrics

Abstract views : 1308 | views : 554


  • There are currently no refbacks.

Copyright (c) 2017 Berita Kedokteran Masyarakat

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Berita Kedokteran Masyarakat ISSN 0215-1936 (PRINT), ISSN: 2614-8412 (ONLINE).

Indexed by:

Analytics Visitor Counter