Lipids & metabolic liver disease

Association between excessive screen time and steatotic liver disease in adolescents: Findings from the 2017–2018 National Health and Nutrition Examination Survey

Pediatr ObesPublished Cross-sectional study

Main finding · Liver steatosisResult — go to the resultOdds ratio 2.10 95% CI 1.34–3.29

Authors' conclusion

Excessive screen time was associated with increased odds of liver steatosis in adolescents. Strategies to reduce screen time for youth may bring benefits for the management of MASLD.

Study context

Population
US adolescents aged 12–17 years, National Health and Nutrition Examination Surveys (NHANES) 2017–2018; self-reported screen time outside school; liver steatosis by controlled attenuation parameter (CAP) on transient elastography
Participants
731 adolescents
Exposure
Excessive screen time vs modest screen time
  • Excessive screen time (EST)n = 476
Outcome
Liver steatosis (median CAP by transient elastography)
Methodological detailsnationally representative sample (NHANES 2017–2018)
  • Nationally representative sample (NHANES 2017–2018)

Main finding

Liver steatosis

Odds ratio

2.10

95% CI 1.34–3.29

P = 0.032

By group

ESTvs Modest ST
OR 2.10 (95% CI 1.34–3.29); P = 0.032

As reported in the abstract

Observational data: associations, not effects.

Further findings

Prevalence of EST
65.0% · 476

Mediation of EST effect on liver steatosis by BMI

BMI partially mediated the effect (proportion mediated), p = 0.036
52.9%

Original publication

Association between excessive screen time and steatotic liver disease in adolescents: Findings from the 2017–2018 National Health and Nutrition Examination Survey. Pediatr Obes. Published 11 March 2025. doi:10.1111/ijpo.70010

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