Physical Activity and Television Watching Duration in Relation to Blood Pressure of School-Aged Children
Abstract
Hypertension in children is a serious threat due to a sedentary modern lifestyle. Low physical activity and high screen time are strongly suspected to be risk factors for increased blood pressure. Objective: To analyze the relationship between physical activity levels and television viewing/lying down duration with blood pressure in school-aged children in Mluweh Village. Methods: This observational study involved 105 students (6-17 years old) selected by total sampling. Blood pressure was classified based on the 2017 AAP Clinical Practice Guideline standards. Physical activity and television viewing/lying down duration were measured using a modified GPAQ questionnaire. Data were analyzed using the Chi-Square test (α = 0.05). Results: The majority of respondents had light physical activity (64.7%) and high television viewing/lying down duration (94.3%). Statistical analysis showed no significant relationship between physical activity levels and blood pressure (p = 0.814). However, a statistically significant relationship was found between television viewing/lying down duration and blood pressure (p = 0.027). Conclusion: High television viewing/lying down time exceeding 2 hours per day is a strong predictor of increased blood pressure in children. Limiting screen time from an early age is necessary to minimize the risk of long-term cardiovascular disorders.
References
Agus Mulyana, D., Lestari, D., Pratiwi, D., Mufidah Rohmah, N., Tri, N., Nisa Audina Agustina, N., & Hefty, S. (2024). Menumbuhkan Gaya Hidup Sehat Sejak Dini Melalui Pendidikan Jasmani, Olahraga, Dan Kesehatan. Jurnal Bintang Pendidikan Indonesia, 2(2), 321–333. https://ejurnal.stie-trianandra.ac.id/index.php/JUBPI/article/view/2998
Ahmed, K. R., Kolbe-Alexander, T., & Khan, A. (2022). Effectiveness of a school-based intervention on physical activity and screen time among adolescents. Journal of science and medicine in sport, 25(3), 242-248. https://doi.org/10.1016/j.jsams.2021.10.007
Alawiyah, D., Mulkiyan, M., & Muh.erwin. (2022). Problematika Dan Pendampingan Anak Yang Mengalami Gangguan Gadget. Jurnal Mimbar: Media Intelektual Muslim Dan Bimbingan Rohani, 8(1), 36–53. https://doi.org/10.47435/mimbar.v8i1.890
Andriani, N., Nurdin, A., Fitria, U., Dinen, K. A., & Kurnia, R. (2024). Perilaku konsumsi makanan cepat saji pada remaja dan dampaknya Bagi kesehatan. Public Health Journal, 443–451.
Aravindakshan, S. S., David, A., Saradakutty, G., & Agarwal, P. (2024). Prevalence of Metabolic Syndrome and Its Associated Risk Factors Among Schoolchildren Aged 11-13 Years Living in Thiruvananthapuram District, Kerala, India: A Nested Case-Control Study. Cureus, 16(11). https://doi.org/10.7759/CUREUS.72994
Butte, N. F., Watson, K. B., Ridley, K., Zakeri, I. F., McMurray, R. G., Pfeiffer, K. A., Crouter, S. E., Herrmann, S. D., Bassett, D. R., Long, A., Berhane, Z., Trost, S. G., Ainsworth, B. E., Berrigan, D., & Fulton, J. E. (2018). A youth compendium of physical activities: Activity codes and metabolic intensities. Medicine and Science in Sports and Exercise, 50(2), 246–256. https://doi.org/10.1249/MSS.0000000000001430
Calcaterra, V., Vandoni, M., Rossi, V., Berardo, C., Grazi, R., Cordaro, E., ... & Zuccotti, G. (2022). Use of physical activity and exercise to reduce inflammation in children and adolescents with obesity. International journal of environmental research and public health, 19(11), 6908. https://doi.org/10.3390/ijerph19116908
Department of Health, M. (n.d.). Physical Activities Defined by Level of Intensity.
El Assar, M., Álvarez-Bustos, A., Sosa, P., Angulo, J., & Rodríguez-Mañas, L. (2022). Effect of physical activity/exercise on oxidative stress and inflammation in muscle and vascular aging. International journal of molecular sciences, 23(15), 8713. https://doi.org/10.3390/ijms23158713
Fadilah, N., & Sefrina, L. R. (2022). Hubungan Pola Makan, Asupan Kebisaan Makan, Dan Aktifitas Fisik Terhadap Kejadian Obesitas Pada Anak Sekolah Dasar : Literature Review. JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan), 7(3), 200. https://doi.org/10.30829/jumantik.v7i3.11500
Flynn, J. T., Kaelber, D. C., Baker-Smith, C. M., Blowey, D., Carroll, A. E., Daniels, S. R., De Ferranti, S. D., Dionne, J. M., Falkner, B., Flinn, S. K., Gidding, S. S., Goodwin, C., Leu, M. G., Powers, M. E., Rea, C., Samuels, J., Simase, M., Thaker, V. V., Urbina, E. M., … Okechukwu, K. (2017). Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics, 140(3). https://doi.org/10.1542/PEDS.2017-1904
Global Physical Activity Questionnaire Analysis Guide GPAQ Analysis Guide Global Physical Activity Questionnaire (GPAQ) Analysis Guide. (n.d.). Retrieved December 19, 2025, from http://www.who.int/chp/steps/GPAQ/en/index.html
Gupta, P., Shah, D., Bedi, N., Galagali, P., Dalwai, S., Agrawal, S., ... & IAP Guideline Committee on Digital Wellness and Screen Time in Infants, Children and Adolescents. (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
Hasanudin, Adriyani, V. M., & Perwiraningtyas, P. (2022). Hubungan Aktivitas Fisik Dengan Tekanan Darah Pada Masyarakat Penderita Hipertensi Di Wilayah Tlogosuryo Kelurahan Tlogomas Kecamatan Lowokwaru Kota Malang. Journal Nursing News, 3(1), 787–799.
Islam, B., Ibrahim, T. I., Tingting, W., Wu, M., & Jiabi, Q. (2025). Current status of elevated blood pressure and hypertension among adolescents in Asia: a systematic review. Journal of Global Health, 15, 04115. https://doi.org/10.7189/jogh.15.04115
Jippm, M. (2024). Jurnal Inovasi Pemberdayaan Dan Pengabdian. 4(1), 35–44.
Kang, K. T., Weng, W. C., Chiu, S. N., Lee, P. L., & Hsu, W. C. (2022). Office Blood Pressure Monitoring in Children with Obesity and Obstructive Sleep Apnea. Journal of Pediatrics, 246, 138-144.e2. https://doi.org/10.1016/j.jpeds.2022.03.024
Kim, H. C., Cho, S. M. J., Lee, H., Lee, H. H., Baek, J., & Heo, J. E. (2024). Correction to: Korea hypertension fact sheet 2020: analysis of nationwide population-based data (Clinical Hypertension, (2021), 27, 1, (8), 10.1186/s40885-021-00166-2). Clinical Hypertension, 30(1), 2–5. https://doi.org/10.1186/s40885-024-00283-8
Kolanowski, W., Ługowska, K., & Trafialek, J. (2022). Increased physical activity at school benefits arterial blood pressure in children—a prospective follow-up cohort study. International journal of environmental research and public health, 19(8), 4662. https://doi.org/10.3390/ijerph19084662
Kunimatsu, N., Tsukamoto, H., & Ogoh, S. (2024). Exaggerated Blood Pressure Response to Exercise Is a Risk of Future Hypertension Even in Healthy, Normotensive Young Individuals-Potential Preventive Strategies for This Phenomenon? Journal of Clinical Medicine, 13(19). https://doi.org/10.3390/JCM13195975
M., Dr. Sahib Saleh, M. P. (2016). Pendidikan Kesehatan Sekolah (Vol. 19, Issue 5).
Marcus, C., Danielsson, P., & Hagman, E. (2022). Pediatric obesity—Long‐term consequences and effect of weight loss. Journal of internal medicine, 292(6), 870-891. https://doi.org/10.1111/joim.13547
Marissangan, H. (2024). Epidemiological Analysis of Hypertension in Indonesia: Trends, Risk Factors, and Public Health Impacts: Literature Review Study. Innovative: Journal Of Social Science Research, 4(2), 1783-1796. https://doi.org/10.31004/innovative.v4i2.9277
Ngantung, S. E., Umboh, A., Studi, P., Dokter, P., Kedokteran, F., Sam, U., Ilmu, B., Anak, K., Kedokteran, F., & Sam, U. (2022). Risk Factors Related to Hypertension in Children. 10(28), 320–329.
Pedoman Gizi Seimbang: PMK No 41 Tahun 2014 (Download PDF). (n.d.). Retrieved December 19, 2025, from https://www.mitrakesmas.com/2023/09/pedoman-gizi-seimbang-pmk-no-41-tahun.html
Popowczak, M., Rokita, A., Koźlenia, D., & Domaradzki, J. (2022). The high-intensity interval training introduced in physical education lessons decrease systole in high blood pressure adolescents. Scientific reports, 12(1), 1974. https://doi.org/10.1038/s41598-022-06017-w
Robinson, C. H., Hussain, J., Jeyakumar, N., Smith, G., Birken, C. S., Dart, A., ... & Chanchlani, R. (2024). Long-term cardiovascular outcomes in children and adolescents with hypertension. JAMA pediatrics, 178(7), 688-698. https://doi.org/10.1001/jamapediatrics.2024.1543
Roztoczyńska, D., Konturek, A., Wędrychowicz, A., Ossowska, M., Kapusta, A., Taczanowska-Niemczuk, A., & Starzyk, J. B. (2025). Long‐Term Consequences of Misdiagnosis of Parathyroid Adenomas in Pediatric Patients. Case Reports in Pediatrics, 2025(1), 2390925. https://doi.org/10.1155/crpe/2390925
Sania, G. K. (2023). Hubungan Perilaku Sedenter Dengan Kejadian Depresi Pada Siswa Madrasah Aliyah Pembangunan Uin Syarif Hidayatullah JakartaAlawiyah, D., Mulkiyan, M., & Muh.erwin. (2022). Problematika Dan Pendampingan Anak Yang Mengalami Gangguan Gadget. Jurnal Mimbar: Med.
Sembiring, B. A., Rosdewi, N. N., & Yuningrum, H. (2022). Hubungan Aktivitas Fisik dengan Kejadian Obesitas pada Remaja di SMA Swasta Cerdas Bangsa, Kecamatan Deli Tua, Kabupaten Deli Serdang, Medan. Jurnal Formil (Forum Ilmiah) Kesmas Respati, 7(1), 87. https://doi.org/10.35842/formil.v7i1.421
Singh, R. B., Nabavizadeh, F., Fedacko, J., Pella, D., Vanova, N., Jakabcin, P., Fatima, G., Horuichi, R., Takahashi, T., Mojto, V., Juneja, L., Watanabe, S., & Jakabcinova, A. (2022). Dietary Approaches to Stop Hypertension via Indo-Mediterranean Foods, May Be Superior to DASH Diet Intervention. Nutrients, 15(1). https://doi.org/10.3390/NU15010046
Soegiarto, G., Purnomosari, D., Wulandari, L., Mahdi, B. A., Fahmita, K. D., Hadmoko, S. T., ... & Oceandy, D. (2023). Incidence of SARS-CoV-2 infection in hospital workers before and after vaccination programme in East Java, Indonesia–A retrospective cohort study. The Lancet Regional Health-Southeast Asia, 10. https://doi.org/10.1016/j.lansea.2022.100130
Sriwijayanti. (2013). Hubungan Antara Aktivitas Fisik, Pola Makan dan Kejadian Kelebihan Berat Badan Pada Anak Sekolah Dasar di Kecamatan Getasan. Sriwijayanti, 30, 562. https://www.pess.gr/images/praktika/synedrio1/Praktika-PESS-T 3 - Korinthos - 2013.pdf
Sudikno, S., Mubasyiroh, R., Rachmalina, R., Arfines, P. P., & Puspita, T. (2023). Prevalence and associated factors for prehypertension and hypertension among Indonesian adolescents: a cross-sectional community survey. BMJ open, 13(3), e065056. https://doi.org/10.1136/bmjopen-2022-065056
Thijssen, D. H., Green, D. J., & Hopman, M. T. (2011). Blood vessel remodeling and physical inactivity in humans. Journal of Applied Physiology, 111(6), 1836-1845. https://doi.org/10.1152/japplphysiol.00394.2011
Uddin, I., Gulzar, S., Shah, S., & Hasnani, F. B. (2025). Comparison of physical activity levels among school-age adolescents in rural and urban areas of district Swat, KPK, Pakistan. Journal of the Egyptian Public Health Association, 100(1), 1-11. https://doi.org/10.1186/s42506-025-00193-z
Ulfa, N., Purbowo Sintoro, H., Wibowo, P., & Pratama A., R. (2024). Gambaran gaya hidup penderita hipertensi di puskesmas Pamolokan Kecamatan Kota Sumenep Kabupaten Sumenep tahun 2023. Journal of Pharmaceutical and Sciences, 43–50. https://doi.org/10.36490/journal-jps.com.v7i1.426
Van Why, S. K., & Pan, C. G. (2022). Primary Causes of Hypertensive Crisis. Critical Care Clinics, 38(2), 375–391. https://doi.org/10.1016/J.CCC.2021.11.016
Warburton, D., Jamnik, V., Bredin, S. S. D., Shephard, R. J., & Gledhill, N. (2023). The 2023 Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) and electronic Physical Activity Readiness Medical Examination (ePARmed-X+). The Health & Fitness Journal of Canada, 16(1), 46–49. https://hfjc.library.ubc.ca/index.php/HFJC/article/view/839
WHO Guidelines on Physical Activity and Sedentary Behaviour - PubMed. (n.d.). Retrieved September 10, 2025, from https://pubmed.ncbi.nlm.nih.gov/33369898/
Widya H., 2025. (2025). FAKTOR-FAKTOR RISIKO PENYAKIT KARDIOVASKULAR : ARTIKEL REVIEW. Sustainability (Switzerland), 11(1), 1–14. https://pubmed.ncbi.nlm.nih.gov/28459981/%0Ahttps://doi.org/10.1016/j.resenv.2025.100208%0Ahttp://scioteca.caf.com/bitstream/handle/123456789/1091/RED2017-Eng-8ene.pdf?sequence=12&isAllowed=y%0Ahttp://dx.doi.org/10.1016/j.regsciurbeco.2008.06.005%0Ahttps:
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