If you are a teenage boy and spend more than four hours in front of the screen on weekends, chances are your bone health would be poor, says a new study.
"The same findings do not apply to girls probably due to their different body fat distribution," say the researchers.
"Our study suggests persisting associations of screen based sedentary activities on bone health in adolescence. This detrimental association should therefore be regarded as of public health importance," the researchers added.
They base their findings on participants in the Troms, Fit Futures Study in Norway, which involved 961 of the region's 15-17 year old school pupils in 2010-11 and 688 of this original group two years later in 2012-13.
The teenagers were quizzed in detail about their lifestyles, including how much time they spend on their computers or watching TV/DVDs at the weekend and outside of school hours during the week; how much they smoked and drank; and what they ate, collected by food frequency questionnaires to gauge calcium and soft drink intake -factors known to affect bone mineral density.
They were also asked about their average weekly levels of physical activity in the preceding year. The bone mineral density was assessed at the hip, top of the thigh bone (femoral neck), and the whole skeleton, and their vitamin D level was measured from blood samples. Height and weight measurements (BMI) were also taken.
The analyses, published in the online journal BMJ Open, showed that boys spent more time in front of any screen than girls, averaging around five hours a day at the weekend and just under four hours during the week. The equivalent figures for girls were four hours at weekends and just over three hours during the week.
While more time spent in front of a screen at the weekend was linked to lower levels of physical activity, one in five girls and one in four boys, who whiled away more than four hours on Saturdays and Sundays on screen time, also said they clocked up more than four hours a week on hard training or competitive sports.
Lower bone mineral density was linked to weekend screen time, but was only significant among boys, among whom bone mineral density was lower at all the sites tested.
After taking account of potentially influential factors, such as age, the degree of sexual maturity, and weekday screen time, the association strengthened for boys.
But boys who spent four to six hours in front of a screen tended to have higher than expected bone mineral density levels. The opposite was true of girls among whom 4-6 hours of weekend screen time daily was associated with higher bone mineral density, even though they took less exercise than those who said they spent less time in front of a screen.
All these trends persisted when the assessments were repeated after two years.
"These conflicting results may be related to different factors, as the relationship between fat and bone varies with age and hormones," the researchers said.
