Screen exposure and health behaviors in Saudi adults: cross-sectional associations with physical activity and BMI
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20260282Keywords:
Adults, Obesity, Physical activity, Saudi Arabia, Screen time, Vision 2030Abstract
Background: Prolonged screen time in the modern digital society, including television viewing, smartphone use, computer use, and video gaming, has emerged as a significant public health concern. Excessive screen exposure may reduce physical activity levels and contribute to obesity. This study aimed to evaluate the association between screen time, physical activity, and obesity among adults living in Saudi Arabia.
Methods: A cross-sectional online survey was conducted using a 26-item questionnaire assessing screen time behaviors, physical activity (Godin–Shephard Leisure-Time Physical Activity Questionnaire), and sociodemographic characteristics. Data were analyzed using SPSS version 29.
Results: A total of 1,282 participants completed the survey; 58% were female, and 57% were aged between 20 and 49 years. Overall, 36% of respondents were overweight, 27% were obese, and 64% were physically active. Screen time exceeding four hours per weekday was reported by 26% for television, 39% for computers, 7% for video games, and 77% for smartphones. Several demographic and socioeconomic factors were associated with increased computer and smartphone use. Smartphone use was significantly associated with insufficient physical activity or sedentary behavior, but not with overweight or obesity.
Conclusions: High levels of screen time were observed among adults in Saudi Arabia. While prolonged screen exposure was not associated with obesity, excessive screen time, particularly smartphone use, was significantly associated with lower physical activity levels. These findings highlight the need for public health strategies that promote physical activity and address excessive screen use among adults.
Metrics
References
Devi KA, Singh SK. The hazards of excessive screen time: Impacts on physical health, mental health, and overall well-being. J Educ Health Promot. 2023;12(1):413. DOI: https://doi.org/10.4103/jehp.jehp_447_23
Dong X, Ding L, Zhang R, Ding M, Wang B, Yi X. Physical activity, screen-based sedentary behavior and physical fitness in Chinese adolescents: a cross-sectional study. Front Pediatr. 2021;9:722079. DOI: https://doi.org/10.3389/fped.2021.722079
World Health Organization Regional Office for the Eastern Mediterranean. Physical inactivity. Available at: https://www.emro.who.int/noncommunicable-diseases/causes/physical-inactivity.html. Accessed August 16, 2025.
World Health Organization. Obesity and overweight, 2025. Available at: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed August 16, 2025.
Park JH, Moon JH, Kim HJ, Kong MH, Oh YH. Sedentary lifestyle: overview of updated evidence of potential health risks. Korean J Fam Med. 2020;41(6):365-373. DOI: https://doi.org/10.4082/kjfm.20.0165
Communications, Space and Technology Commission (CST). CST issued the Saudi Internet Report 2024. Communications, Space and Technology Commission, 2025. Available at: https://www.cst.gov.sa/en/media-center/news/N2025051200. Accessed September 20, 2025.
Al-Hazzaa HM, Albawardi NM. Obesity, lifestyle behaviors, and dietary habits of Saudi adolescents living in Riyadh (ATLS-2 Project): revisited after a ten-year period. Life (Basel). 2021;11(10):1078. DOI: https://doi.org/10.3390/life11101078
Saudi Press Agency. GASTAT releases Health Determinants Statistics Publication 2024, 2024. Available at: https://www.spa.gov.sa/en/N2209224. Accessed September 20, 2025.
Al-Hazzaa HM. Physical inactivity in Saudi Arabia revisited: A systematic review of inactivity prevalence and perceived barriers to active living. Int J Health Sci (Qassim). 2018;12(6):50-64. DOI: https://doi.org/10.2196/preprints.9883
Alqahtani BA, Alenazi AM, Alhowimel AS, Elnaggar RK. The descriptive pattern of physical activity in Saudi Arabia: analysis of national survey data. Int Health. 2021;13(3):232-9. DOI: https://doi.org/10.1093/inthealth/ihaa027
AlFaris NA, Alshwaiyat NM, AlTamimi JZ, Alagal RI, Al-Jamal HA, AlKehayez NM. Physical activity levels of a multi-ethnic population of middle-aged men living in Saudi Arabia and factors associated with physical inactivity. Int J Public Health. 2022;66:1604328. DOI: https://doi.org/10.3389/ijph.2021.1604328
Ministry of Sports. General Authority for Statistics announces physical activity: 58.5% of individuals aged 18+ engage in ≥150 minutes/week in Saudi Arabia, 2024. Available at: https://www.mos.gov.sa/en/media/news/2024/12/02/activity. Accessed September 20, 2025.
Sabei A, Dahhas M. Assessment of physical inactivity and barriers to physical activity among the general population in the Jazan region of Saudi Arabia: a cross-sectional study. Cureus. 2024;16(10):e72295. DOI: https://doi.org/10.7759/cureus.72295
Chaudhary N, Jones M, Rice SPM, Zeigen L, Thosar SS. Transitioning to working from home due to the COVID-19 pandemic significantly increased sedentary behavior and decreased physical activity: a meta-analysis. Int J Environ Res Public Health. 2024;21(7):851. DOI: https://doi.org/10.3390/ijerph21070851
Mohamed M, Elshora AA, Shahin MA, Abd NK. Assessment of lifestyle changes related to quarantine among the Saudi population during the early COVID-19 pandemic: pre- and post-analysis. J Egypt Public Health Assoc. 2024;99(1):1-14. DOI: https://doi.org/10.1186/s42506-023-00149-1
Alturki HA, Brookes DS, Davies PS. Does spending more time on electronic screen devices determine the weight outcomes in obese and normal weight Saudi Arabian children?. Saudi Med J. 2020;41(1):79-87. DOI: https://doi.org/10.15537/smj.2020.1.24786
Almaqhawi A, Albarqi M. The effects of technology use on children's physical activity: a cross-sectional study in the Eastern province of Saudi Arabia. J Med Life. 2022;15(10):1240-5.
Almaqhawi A, Albarqi M. The effects of technology use on children's physical activity: a cross-sectional study in the Eastern province of Saudi Arabia. J Med Life. 2022;15(10):1240-5. DOI: https://doi.org/10.25122/jml-2022-0148
Al-Agha AE, Nizar FS, Nahhas AM. The association between body mass index and duration spent on electronic devices in children and adolescents in Western Saudi Arabia. Saudi Med J. 2016;37(4):436-9. DOI: https://doi.org/10.15537/smj.2016.4.15018
Vizcaino M, Buman M, DesRoches CT, Wharton C. Reliability of a new measure to assess modern screen time in adults. BMC Publ Heal. 2019;19(1):1386. DOI: https://doi.org/10.1186/s12889-019-7745-6
Amireault S, Godin G. The Godin-Shephard leisure-time physical activity questionnaire: validity evidence supporting its use for classifying healthy adults into active and insufficiently active categories. Perceptual Motor Skills. 2015;120(2):604-22. DOI: https://doi.org/10.2466/03.27.PMS.120v19x7
Moody R. Screen time statistics: Average screen time in US vs. the rest of the world. Comparitech [Internet]. 2022.
Schaan CW, Cureau FV, Sbaraini M, Sparrenberger K, Kohl HW, Schaan BD. Prevalence of excessive screen time and TV viewing among Brazilian adolescents: a systematic review and meta-analysis. Jornal de pediatria. 2019;95(2):155-65. DOI: https://doi.org/10.1016/j.jped.2018.04.011
Lopez-Sintas J, Lamberti G, Sukphan J. The social structuring of the digital gap in a developing country. The impact of computer and internet access opportunities on internet use in Thailand. Technol Soci. 2020;63:101433. DOI: https://doi.org/10.1016/j.techsoc.2020.101433
Stamatakis E, Grunseit AC, Coombs N, Ding D, Chau JY, Phongsavan P, et al. Associations between socio-economic position and sedentary behaviour in a large population sample of Australian middle and older-aged adults: The Social, Economic, and Environmental Factor (SEEF) Study. Prevent Medi. 2014;63:72-80. DOI: https://doi.org/10.1016/j.ypmed.2014.03.009
Burton NW, Haynes M, Van Uffelen JG, Brown WJ, Turrell G. Mid-aged adults' sitting time in three contexts. Am J Prevent Medi. 2012;42(4):363-73. DOI: https://doi.org/10.1016/j.amepre.2011.11.012
Aljomaa SS, Qudah MF, Albursan IS, Bakhiet SF, Abduljabbar AS. Smartphone addiction among university students in the light of some variables. Computers in Human Behavior. 2016;61:155-64. DOI: https://doi.org/10.1016/j.chb.2016.03.041
Valasareddy M, Wang W, Abdul-Al CF, Niles SP. The impact of bedtime smartphone usage on sleep health: a pilot quantitative study. Issues in Information Systems. 2019;20(4).
Kang S, Jodice LW, Norman WC. How do tourists search for tourism information via smartphone before and during their trip?. Touri Recreat Res. 2020;45(1):57-68. DOI: https://doi.org/10.1080/02508281.2019.1627076
Kalirtahinam D, Hui TX, Jacob S, Sadagobane SK, Chellappan ME. Association between screen time and body mass index among university students. Scient Med. 2019;29(3):2. DOI: https://doi.org/10.15448/1980-6108.2019.3.33149
Rafique N, Alkaltham GK, Almulhim LA, Al-Asoom LI, AlSunni AA, AlSheikh M, et al. Relationship between screen time and body mass index in young adults. Res Sqr. 2022:1-12. DOI: https://doi.org/10.21203/rs.3.rs-1485229/v1
Alhazmi AA, Alzahrani SH, Baig M, Salawati EM. Prevalence and factors associated with smartphone addiction among medical students at King Abdulaziz University, Jeddah. Pak J Med Sci. 2018;34(4):984. DOI: https://doi.org/10.12669/pjms.344.15294
Benaich S, Mehdad S, Andaloussi Z, Boutayeb S, Alamy M, Aguenaou H, et al. Weight status, dietary habits, physical activity, screen time and sleep duration among university students. Nutrit Heal. 2021;27(1):69-78. DOI: https://doi.org/10.1177/0260106020960863
Alotaibi MS, Fox M, Coman R, Ratan ZA, Hosseinzadeh H. Smartphone addiction prevalence and its association on academic performance, physical health, and mental well-being among university students in Umm Al-Qura University (UQU), Saudi Arabia. Int J Environm Res Publ Heal. 2022;19(6):3710. DOI: https://doi.org/10.3390/ijerph19063710
Vandelanotte C, Sugiyama T, Gardiner P, Owen N. Associations of leisure-time internet and computer use with overweight and obesity, physical activity and sedentary behaviors: cross-sectional study. J Med Intern Res. 2009;11(3):e1084. DOI: https://doi.org/10.2196/jmir.1084
Kwok C, Leung PY, Poon KY, Fung XC. The effects of internet gaming and social media use on physical activity, sleep, quality of life, and academic performance among university students in Hong Kong: A preliminary study. Asian J Soc Heal Behav. 2021;4(1):36-44. DOI: https://doi.org/10.4103/shb.shb_81_20
Deyab AA, Abdelrahim SA, Almazyad A, Alsakran A, Almotiri R, Aldossari F. Physical inactivity among university students, Saudi Arabia. Int J Curr Res Med Sci. 2019;5(9):1-7.
AlMarzooqi MA, Albawardi NM, Altamimi AA, Altalhi AS, Al-Hazzaa HM. Patterns and associations of physical activity, screen Time, sleep, and dietary habits among Saudi females participating in fitness centers. InHealthcare 2022;10(6):958. DOI: https://doi.org/10.3390/healthcare10060958
Shin J. Joint association of screen time and physical activity with obesity: Findings from the Korea media panel study. Osong Publ Heal Res Perspect. 2018;9(4):207. DOI: https://doi.org/10.24171/j.phrp.2018.9.4.10
Alkhateeb A, Alboali R, Alharbi W, Saleh O. Smartphone addiction and its complications related to health and daily activities among university students in Saudi Arabia: A multicenter study. J Fam Medi Prim Care. 2020;9(7):3220-4. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1224_19
Saudi Vision. Saudi vision 2030: Kingdom of Saudi Arabia. Available at: https://www.vision2030.gov.sa/media/rc0b5oy1/saudi_vision203.pdf. Accessed August 16, 2025.