Hubungan status gizi, aktivitas fisik, dan screen time dengan daytime sleepiness pada remaja di SMPN 47 Bandung

Author(s): Natasha Althafa Fairuz, Hurry Mega Insani, Muchamad Rizki Sentani, Delita Septia Rosdiana
DOI: 10.30867/gikes.v7i3.3329

Abstract

Background: Daytime sleepiness may impair adolescents’ concentration and alertness during learning. Nutritional status, physical activity, and screen time may be associated with this condition.

Objectives: To examine associations of nutritional status, physical activity, and screen time with daytime sleepiness among adolescents.

Methods: This cross-sectional study involved 94 adolescents aged 13–15 years at SMPN 47 Bandung on January 26, 2026, selected using stratified random sampling. Data were collected using the Cleveland Adolescent Sleepiness Questionnaire, Physical Activity Level assessment, a modified Adolescent Sedentary Activity Questionnaire, and anthropometric measurements. Analyses used chi-square, Fisher’s exact test, and multiple logistic regression.

Results: Bivariate associations were significant for BMI-for-age (p = 0.002) and body fat percentage (p = 0.013), but not physical activity (p = 0.361) or screen time (p = 0.636). In the model adjusted for sex, no significant associations were found for BMI-for-age (OR = 3.597; 95% CI: 0.976–13.259; p = 0.054), body fat percentage (OR = 2.435; 95% CI: 0.459–12.914; p = 0.296), physical activity (OR = 2.243; 95% CI: 0.424–11.874; p = 0.342), or screen time (OR = 4.697; 95% CI: 0.427–51.604; p = 0.206).

Conclusion: Nutritional indicators were associated with daytime sleepiness in bivariate analyses, but these associations were not statistically significant in the adjusted model. Physical activity and screen time showed no significant associations.

Keywords

Adolescents, daytime sleepiness, nutritional status, physical activity, screen time

Full Text:

PDF

References

Althubaiti, A. (2023). Sample size determination: A practical guide for health researchers. Journal of General and Family Medicine, 24(2), 72–78. https://doi.org/10.1002/jgf2.600

Anacleto, T. S., Borgio, J. G. F., & Louzada, F. M. (2022). Daytime sleepiness in elementary school students: The role of sleep quality and chronotype. Revista de Saúde Pública, 56, Article 63. https://doi.org/10.11606/s1518-8787.2021055004124

Auliya, N. (2022). Hubungan perilaku sedenter dan tingkat screen time terhadap indeks massa tubuh siswa sekolah dasar di daerah perkotaan [Skripsi sarjana, Universitas Pendidikan Indonesia].

Badan Penelitian dan Pengembangan Kesehatan. (2018). Laporan nasional Riskesdas 2018. Kementerian Kesehatan Republik Indonesia.

Badan Pusat Statistik Kota Bandung. (2024). Jumlah penduduk menurut jenis kelamin di Cicendo, 2022. https://bandungkota.bps.go.id/id/statistics-table/1/MjMxNyMx/jumlah-penduduk-menurut-jenis-kelamin-di-cicendo--2022.html

Bagot, K., Tomko, R., Marshall, A., Hermann, J., Cummins, K., Ksinan, A., Kakalis, M., Breslin, F., Lisdahl, K., Mason, M., Redhead, J., Squeglia, L., Thompson, W., Wade, T., Tapert, S., Fuemmeler, B., & Baker, F. (2022). Youth screen use in the ABCD® study. Developmental Cognitive Neuroscience, 57, 101150. https://doi.org/10.1016/j.dcn.2022.101150

Bjornsdottir, E., Thorarinsdottir, E. H., Lindberg, E., Benediktsdottir, B., Franklin, K., Jarvis, D., Demoly, P., Perret, J. L., Aymerich, J. G., Dorado-Arenas, S., Heinrich, J., Torén, K., Larsen, V. G., Jögi, R., Gislason, T., & Janson, C. (2024). Association between physical activity over a 10-year period and current insomnia symptoms, sleep duration and daytime sleepiness: a European population-based study. BMJ Open, 14(3), e067197. https://doi.org/10.1136/bmjopen-2022-067197

Boyle, S. C., Baez, S., Trager, B. M., & LaBrie, J. W. (2022). Systematic bias in self-reported social media use in the age of platform swinging: Implications for studying social media use in relation to adolescent health behavior. International Journal of Environmental Research and Public Health, 19(16), 9847. https://doi.org/10.3390/ijerph19169847

Chen, Y., Li, Y., Li, S., He, M., Chen, Q., Ru, T., & Zhou, G. (2024). When and what: A longitudinal study on the role of screen time and activities in adolescent sleep. Sleep Medicine, 117, 33–39. https://doi.org/10.1016/j.sleep.2024.03.008

Council on Communications and Media. (2016). Media and young minds. Pediatrics, 138(5), Article e20162591. https://doi.org/10.1542/peds.2016-2591

Dahlstrand, J., Fridolfsson, J., Arvidsson, D., Börjesson, M., Friberg, P., & Chen, Y. (2023). Move for your heart, break a sweat for your mind: Providing precision in adolescent health and physical activity behaviour pattern. Journal of Adolescent Health, 73(1), 29–36. https://doi.org/10.1016/j.jadohealth.2023.03.006

Food and Agriculture Organization of the United Nations. (2004). Human energy requirements: Report of a joint FAO/WHO/UNU expert consultation, Rome, 17–24 October 2001. https://www.fao.org/4/y5686e/y5686e00.htm

Gupta, P., Shah, D., Bedi, N., Galagali, P., Dalwai, S., Agrawal, S., John, J. J., Mahajan, V., Meena, P., Mittal, H. G., Narmada, S., Smilie, C., Ramanan, P. V., Evans, Y. N., Goel, S., Mehta, R., Mishra, S., Pemde, H., Basavaraja, G. V., … Krishnan, G. (2022). Indian Academy of Pediatrics guidelines on screen time and digital wellness in infants, children and adolescents. Indian Pediatrics, 59(3), 235–244. https://doi.org/10.1007/s13312-022-2477-6

Hamdi, M. M., Arneliwati, & Nauli, F. A. (2022). Hubungan aktivitas fisik dengan kejadian excessive daytime sleepiness pada mahasiswa tingkat akhir. Jurnal Kesehatan Ilmiah Indonesia (Indonesian Health Scientific Journal), 7(1), 156–164. https://doi.org/10.51933/health.v7i1.785

Hardy, L. L., Booth, M. L., & Okely, A. D. (2007). The reliability of the adolescent sedentary activity questionnaire (ASAQ). Preventive Medicine, 45(1), 71–74. https://doi.org/10.1016/j.ypmed.2007.03.014

Hayli, Ç. M., Kosem, D. D., Bor, N. A., Avci, M. Z., & Gökdoğan, M. R. (2023). The effect of daytime sleepiness experienced by adolescents aged 13-18 on quality of life. International Journal of Pediatric Research, 9(2), 119. https://doi.org/10.23937/2469-5769/1510119

Hendrayati, Adam, A., & Zakaria. (2025). Peran edukasi implementasi makan yang optimal pada remaja putri terhadap asupan energi dan pengetahuan gizi. Media Gizi Pangan, 32(1), 44–51. https://doi.org/10.32382/mgp.v32i1.1103

Hosmer, D. W., Jr., Lemeshow, S., & Sturdivant, R. X. (2013). Applied logistic regression. Wiley.

Hotmaida, L., & Zandroto, H. T. (2022). Hubungan durasi penggunaan gadget dengan kecemasan remaja di RW 03 Situsaeur Kecamatan Bojongloa Kidul Bandung. Jurnal Kesehatan Kartika, 17(2), 44–48. https://doi.org/10.26874/jkkes.v17i2.226

Iqlima, A. Y., Karuniawaty, T. P., & Wiguna, P. A. (2024). Relationship between screen time and physical activity among adolescents across the Covid-19 pandemic. Jurnal Biologi Tropis, 24(4), 228–238. https://doi.org/10.29303/jbt.v24i4.7485

Kementerian Kesehatan Republik Indonesia. (2020). Peraturan Menteri Kesehatan Nomor 2 Tahun 2020 tentang Standar Antropometri Anak.

Kementerian Kesehatan Republik Indonesia. (2023). Survei Kesehatan Indonesia (SKI) 2023 dalam angka.

Lakens, D. (2022). Sample size justification. Collabra: Psychology, 8(1), Article 33267. https://doi.org/10.1525/collabra.33267

Lee, J. H., & Cho, J. (2022). Sleep and obesity. Sleep Medicine Clinics, 17(1), 111–116. https://doi.org/10.1016/j.jsmc.2021.10.009

Liu, X., Yang, Y., Liu, Z., & Jia, C. (2022). Associations between insomnia, daytime sleepiness, and depressive symptoms in adolescents: A three-wave longitudinal study. Journal of Clinical Medicine, 11(23), 6912. https://doi.org/10.3390/jcm11236912

Miransya, D. A., Aziz, A. R., & Utomo, W. (2024). Hubungan kualitas tidur dan Indeks Massa Tubuh (IMT) dengan kejadian excessive daytime sleepiness pada mahasiswa. JETISH: Journal of Education Technology Information Social Sciences and Health E-ISSN, 3(1), 415–422. https://doi.org/10.57235/jetish.v3i1.1833

Mousavi, Z., & Troxel, W. M. (2023). Later school start times as a public health intervention to promote sleep health in adolescents. Current Sleep Medicine Reports, 9(3), 152–160. https://doi.org/10.1007/s40675-023-00263-8

Nakshine, V. S., Thute, P., Khatib, M. N., & Sarkar, B. (2022). Increased screen time as a cause of declining physical, psychological health, and sleep patterns: A literary review. Cureus, 14(10), e30051. https://doi.org/10.7759/cureus.30051

Norris, S. A., Frongillo, E. A., Black, M. M., Dong, Y., Fall, C., Lampl, M., Liese, A. D., Naguib, M., Prentice, A., Rochat, T., Stephensen, C. B., Tinago, C. B., Ward, K. A., Wrottesley, S. V., & Patton, G. C. (2022). Nutrition in adolescent growth and development. The Lancet, 399(10320), 172–184. https://doi.org/10.1016/S0140-6736(21)01590-7

Özduran, G., & Yücecan, S. (2024). Daytime sleepiness, body mass index, and physical activity levels among university undergraduate students: Do they affect sleep quality? Cyprus Journal of Medical Sciences, 9(4), 255–263. https://doi.org/10.4274/cjms.2024.2023-102

Parajuli, J., & Prangthip, P. (2025). Adolescent nutrition and health: A critical period for nutritional intervention to prevent long term health consequences. Current Nutrition Reports, 14(1), Article 116. https://doi.org/10.1007/s13668-025-00706-4

Peng, B., Ng, J. Y. Y., & Ha, A. S. (2023). Barriers and facilitators to physical activity for young adult women: a systematic review and thematic synthesis of qualitative literature. International Journal of Behavioral Nutrition and Physical Activity, 20, Article 23. https://doi.org/10.1186/s12966-023-01411-7

Pérez-Chada, D., Bioch, S. A., Schönfeld, D., Gozal, D., & Perez-Lloret, S. (2023). Screen use, sleep duration, daytime somnolence, and academic failure in school-aged adolescents. PLoS ONE, 18(2), e0281379. https://doi.org/10.1371/journal.pone.0281379

Pugliese, G., Liccardi, A., Graziadio, C., Barrea, L., Muscogiuri, G., & Colao, A. (2022). Obesity and infectious diseases: Pathophysiology and epidemiology of a double pandemic condition. International Journal of Obesity, 46(3), 449–465. https://doi.org/10.1038/s41366-021-01035-6

Ramírez-Espejo, P., Solas-Martínez, J. L., de la Torre-Cruz, M. J., & Ruiz-Ariza, A. (2025). Association of physical activity intensity and light/deep sleep in young people from Southern Spain. Children, 12(5), Article 534. https://doi.org/10.3390/children12050534

Riskawati, Y. K., Alfarabyn, S. U., Soeroso, D. A., & Rakhmatiar, R. (2022). The physical activity level of medical students does not correlate with their sleep quality and excessive daytime sleepiness (Eds). BIO Web of Conferences, 49, 03003. https://doi.org/10.1051/bioconf/20224903003

Rosyidah, S. (2022). Hubungan kualitas tidur dengan excessive daytime sleepiness pada remaja di wilayah Jabodetabek [Skripsi sarjana, UIN Jakarta].

Spilsbury, J. C., Drotar, D., Rosen, C. L., & Redline, S. (2007). The Cleveland adolescent sleepiness questionnaire: A new measure to assess excessive daytime sleepiness in adolescents. Journal of Clinical Sleep Medicine, 3(6), 603–612. https://doi.org/10.5664/jcsm.26971

Tkaczyk, M., Ksinan, A. J., & Smahel, D. (2026). Longitudinal between- and within-person associations among screen time, bedtime, and daytime sleepiness among adolescents: Three-wave prospective panel study. Journal of Medical Internet Research, 28, e78972. https://doi.org/10.2196/78972

Vicente, C. D., Resende, C. M. M., Henrique, R. dos S., Correia Junior, M. A. V., Barros, M. V. G. de, Silva, L. M. P. da, Muniz, M. T. C., Veríssimo, A. V. R., & Santos, M. A. M. dos. (2022). Association between sleep indicators and eating habits in adolescents. Research, Society and Development, 11(5), e42911528403. https://doi.org/10.33448/rsd-v11i5.28403

William, B., & Don, W. F. (2002). Buku Ajar Histologi. Terjemahan Jan Tambayong (12th ed.). Jakarta: EGC.

World Health Organization. (2024). Physical activity. https://www.who.int/news-room/fact-sheets/detail/physical-activity

World Health Organization. (2025). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Refbacks

  • There are currently no refbacks.