Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo最新文献

{"title":"ERRATUM: Granulomatous perioral dermatitis with extra-facial involvement in childhood: good therapeutic response with oral azithromycin.","authors":"","doi":"10.1590/1984-0462/2026/44/2017139-ERRATUM","DOIUrl":"https://doi.org/10.1590/1984-0462/2026/44/2017139-ERRATUM","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1984-0462/;2018;36;4;00004] [This corrects the article doi: 10.1590/1984-0462/;2018;36;4;00004].</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2017139ER"},"PeriodicalIF":2.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NutriRisKids-ICU: Development and content validation of a nutritional risk screening tool for critically ill children and adolescents.","authors":"Verônica Ramos Souza, Vanessa Camargo Trida, Beatriz Polisel Mazzoni, Adriana Servilha Gandolfo, Werther Brunow de Carvalho, Artur Figueiredo Delgado, Patrícia Zamberlan","doi":"10.1590/1984-0462/2026/44/2025246","DOIUrl":"10.1590/1984-0462/2026/44/2025246","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to develop and validate the content of a nutritional risk screening tool for critically ill children and adolescents in pediatric intensive care units (PICUs).</p><p><strong>Methods: </strong>Care-convergent study for the development and content validation of an instrument for assessing nutritional risk in children admitted to the PICU. The initial development was based on a literature review and the clinical experience of the authors. Content validation was conducted using the Delphi technique in two successive rounds with intentionally selected experts, each with a minimum of 5 years of experience in pediatric intensive nutritional therapy (NT). Consensus analysis was performed using the content validity index (CVI), with minimum values of 0.70 for individual items and 0.90 for the overall instrument.</p><p><strong>Results: </strong>Validation occurred in two rounds. In the first round, 18 experts suggested adjustments, and the revised version was reassessed by 12 experts in the second round. The final tool achieved an overall CVI of 0.958. The validated version included age subgroups, presence of chronic diseases, length of prior hospitalization, subjective impression of malnutrition risk, type of NT at admission, and C-reactive protein (CRP) levels.</p><p><strong>Conclusions: </strong>The nutritional risk screening tool for critically ill pediatric patients, named NutriRisKids-ICU, was developed, and its content was validated by expert consensus. The tool combines theoretical evidence and clinical expertise, showing potential for application in PICUs. However, further studies are needed to assess its applicability, sensitivity, and specificity.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025246"},"PeriodicalIF":2.0,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric urinary tract infection: antimicrobial susceptibility profile and resistance-associated factors in a pediatric hospital in São Paulo, Brazil.","authors":"Paola Romani Ferreira Suhet, Leticia Correa Marins, Edina Mariko Koga da Silva, Maria Cristina de Andrade","doi":"10.1590/1984-0462/2026/44/2025173","DOIUrl":"10.1590/1984-0462/2026/44/2025173","url":null,"abstract":"<p><strong>Objective: </strong>Urinary tract infections (UTIs) are among the most common bacterial infections in childhood and a frequent cause of morbidity and antibiotic use. The aim of this study was to identify urinary pathogens in children and adolescents, assess antimicrobial resistance patterns, and analyze their correlation with clinical factors.</p><p><strong>Methods: </strong>This observational and retrospective study was conducted in a pediatric hospital from January 1 to December 31, 2022, including patients with positive urine cultures.</p><p><strong>Results: </strong>A total of 894 cases were analyzed, mostly children aged 1 to 5 years (58.6%) and female (67.9%). Escherichia coli was the main pathogen (63.1%), followed by Proteus mirabilis (11.1%) and Pseudomonas aeruginosa (6.4%). E. coli showed high resistance to ampicillin (38.9%) and trimethoprim/sulfamethoxazole (14.5%), maintaining high susceptibility to second- and third-generation cephalosporins and aminoglycosides. Extended-spectrum beta-lactamase was detected in 2.8% of samples. Previous history of UTI was the only factor significantly associated with antimicrobial resistance.</p><p><strong>Conclusions: </strong>The findings underscore the importance of continuous epidemiological surveillance to guide empirical treatment and rational antibiotic use in children.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025173"},"PeriodicalIF":2.0,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of ondansetron on QTc interval prolongation in healthy pediatric patients: a systematic review and meta-analysis.","authors":"Isabela Maurício Costa Carneiro, Paulo Eduardo Souza Castelo Branco, Adriane Helena Silva Franco, Amanda Prates de Oliveira, Agatha Marcela Andrade de Aguiar","doi":"10.1590/1984-0462/2026/44/2025134","DOIUrl":"10.1590/1984-0462/2026/44/2025134","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to describe electrocardiographic changes in healthy pediatric patients receiving low-dose ondansetron and to determine whether these changes are associated with the occurrence of cardiac dysrhythmias.</p><p><strong>Data source: </strong>The search was conducted in PubMed, EMBASE, LILACS, SciELO, and the Cochrane databases, selecting articles published until September 2024. The primary outcome was the mean change in the corrected QT interval (QTc) interval. The mean variation of the Tp-e interval and the incidence of significant QTc prolongation were assessed as secondary outcomes.</p><p><strong>Data synthesis: </strong>Four studies were included in this review, including 231 healthy pediatric patients who received ondansetron (IV or oral). Most were male, aged 0.6-18 years. The mean IV ondansetron dose ranged from 0.1 to 0.2 mg/kg, while the mean oral dose was 0.18 mg/kg, with a maximum dose of 8 mg. The mean change in the QTc interval was 4.7 ms (95% confidence interval [CI] 1.48.1), and in the Tp-e interval was 7.7 ms (95%CI 2.0-13.5). The risk of a significant QTc prolongation was 2.5% (95%CI -0.009-0.059). No dysrhythmia was observed in the studies.</p><p><strong>Conclusions: </strong>There was a statistically significant increase in QTc and Tp-e intervals following ondansetron administration in healthy pediatric patients. However, it is highly unlikely that these changes result in cardiac dysrhythmia, suggesting no relationship between low-dose ondansetron use and an increased risk of dysrhythmia in healthy pediatric patients.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025134"},"PeriodicalIF":2.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13008241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of congenital anomalies on infant mortality in the 14th Health Region of Paraná, from 2010 to 2019.","authors":"Nitza Ferreira Muniz, Ayoade Desmond Babalola, Maria Antonia Ramos Costa, Lavinia Schuler-Faccini","doi":"10.1590/1984-0462/2026/44/2025182","DOIUrl":"10.1590/1984-0462/2026/44/2025182","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to describe congenital anomaly (CA) notifications at birth, evaluating their impact on infant mortality in northwest Paraná.</p><p><strong>Methods: </strong>This is a cross-sectional study using linked data on births with CA and deaths due to these conditions in the 14th Health Region of Paraná, Brazil (2010-2019), obtained through the linkage of data from the Live Birth Information System (Sinasc) and the Mortality Information System (SIM).</p><p><strong>Results: </strong>A total of 216 live births (LBs) with CAs were identified in Sinasc (57.7/10,000 LBs), of which 71.8% were isolated anomalies and 28.2% were multiple anomalies, totaling 331 reported anomalies. Limb and musculoskeletal defects were the most frequent (25.7%). After linking Sinasc and SIM, congenital heart defects (CHDs), initially ranked seventh, became the second most prevalent CA. A total of 115 infant deaths due to CA were identified, resulting in an infant mortality rate (IMR) of 30.7/10,000 LBs, with CHDs and neural tube defects (NTDs) as the leading causes. The data linkage revealed 55 deaths with CAs not recorded in Sinasc, increasing prevalence to 72.4/10,000 LBs (+25.5%).</p><p><strong>Conclusions: </strong>IMR for CAs in the region exceeded the national average (28.0/10,000 LBs), highlighting the importance of linking data to strengthen epidemiological surveillance of these conditions. CHDs and NTDs were the most frequent causes of infant deaths associated with CAs, reinforcing the need to improve early detection and the recording of these cases to reduce infant mortality due to CAs across different regions of Brazil.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025182"},"PeriodicalIF":2.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13008039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with meeting the recommendations for physical activity, sedentary behavior, and sleep in adolescents: a cross-sectional study.","authors":"Karoline Barreto da Silva Rocha, Samanta Barbosa Feitosa, Rildo de Souza Wanderley Junior, André Dos Santos Costa, Valter Cordeiro Barbosa Filho, Mauro Virgílio Gomes de Barros, Carla Menêses Hardman, Daniel da Rocha Queiroz","doi":"10.1590/1984-0462/2026/44/2025027","DOIUrl":"10.1590/1984-0462/2026/44/2025027","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the association between the Social Ecological Model and meeting the physical activity, sedentary behavior, and sleep recommendations in a combined and integrated manner among adolescents.</p><p><strong>Methods: </strong>This is a cross-sectional study conducted in public schools in the Metropolitan Region of Recife, state of Pernambuco, Brazil, with adolescents aged 14 to 17 years. An adapted version of the Global School-based Student Health Survey was used as the instrument. Robust Poisson regressions were performed.</p><p><strong>Results: </strong>Approximately 1.8% of the 576 adolescents met all three recommendations simultaneously. Enjoying physical activity (prevalence ratio [PR] 11.62; 95% confidence interval [CI] 1.50-89.75) was associated with the combined adherence to the physical activity and sedentary behavior recommendations. Having two or more friends (PR 0.38; 95%CI 0.18-0.76) and participating in one (PR 0.39; 95%CI 0.20-0.78) or two physical education classes per week (PR 0.43; 95%CI 0.20-0.92) were associated with lower probabilities of non-compliance with these recommendations. Self-rated sleep quality as good (PR 2.49; 95%CI 1.09-5.67) was associated with higher prevalence of meeting the combined recommendations for sedentary behavior and sleep. Being male (PR 0.48; 95%CI 0.23-0.97) and participating in one physical education class per week (PR 0.40; 95%CI 0.16- 0.99) were associated with lower prevalence of not meeting the recommendations for sedentary behavior and sleep. Self-reported sleep quality as good (PR 3.11; 95%CI 1.36-7.10) as well as being male (PR 2.10; 95%CI 1.14-3.87) were associated with a higher likelihood of meeting the combined recommendations for physical activity and sleep. Actively commuting to school (PR 0.48; 95%CI 0.27-0.83) was associated with a lower likelihood of not meeting these recommendations.</p><p><strong>Conclusions: </strong>Intrapersonal, interpersonal, and community factors are associated with adherence to physical activity, sedentary behavior, and sleep recommendations in adolescents.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025027"},"PeriodicalIF":2.0,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12853359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined association between physical activity and sedentary behavior on the cardiometabolic risk score in students.","authors":"Lidyane Ferreira Zambrin, Julio Cesar da Costa, Vinícius Muller Reis Weber, Maria Raquel de Oliveira Bueno, Marcelo Romanzini, Enio Ricardo Vaz Ronque","doi":"10.1590/1984-0462/2026/44/2025033","DOIUrl":"10.1590/1984-0462/2026/44/2025033","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to verify the combined association of moderate-to-vigorous physical activity (MVPA) with sedentary behavior (SB) on the cardiometabolic risk factors (CMR) of adolescents.</p><p><strong>Methods: </strong>A cross-sectional study was performed in Londrina/Paraná/Brazil between October 2015 and May 2017 with a representative sample of adolescents of both sexes from the sixth year of primary public schools. The participants consisted of 367 adolescents, with a mean age of 11.8±0.6 years. For the cardiometabolic risk score, the following measures were used: waist circumference (WC), systolic and diastolic blood pressure, and cardiorespiratory fitness (CRF). MVPA and SB were measured through accelerometry. Multiple linear regression controlled for chronological age was used, adopting p<0.05.</p><p><strong>Results: </strong>For boys, the \"High MVPA/Low SB\" group compared to the \"Low MVPA/High SB\" group had significantly lower WC and CMR z-score. For CRF, the \"High MVPA/Low SB\" group presented better values when compared to \"Low MVPA/Low SB\" and \"Low MVPA/High SB\" groups. Adjusted analyses by chronological age show positive association between \"High MVPA/Low SB\" and \"Low MVPA/High SB\", demonstrating that the \"High MVPA/Low SB\" group has lower WC and lower CMR. Negative association in CRF was also observed between \"High MVPA/Low SB\" and both \"Low MVPA\" groups, regardless of SB.</p><p><strong>Conclusions: </strong>Being physically active is associated with lower cardiometabolic risk score regardless of SB, especially in boys. The current study suggests that adolescents should be encouraged to increase physical activity and reach MVPA recommendations.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025033"},"PeriodicalIF":2.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12815412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sensorial function in children with congenital Zika syndrome: what is the relationship with motor function?","authors":"Ana Stela Salvino de Brito, Chanazy Ayalla de Castro Meira, Karinny Michelle Alves Moreira, Thayla Amorim Santino, Jousilene de Sales Tavares, Gabriela Lopes Gama, Adriana Melo","doi":"10.1590/1984-0462/2026/44/2025112","DOIUrl":"10.1590/1984-0462/2026/44/2025112","url":null,"abstract":"<p><strong>Objective: </strong>To investigate sensory impairments in children with congenital Zika syndrome (CZS) and the relationship with motor function.</p><p><strong>Methods: </strong>This is a cross-sectional, analytical study of medical records of children with CZS who were assisted by a support center for children with microcephaly in northeastern Brazil. General data about the children and their caregivers were recorded. Data from the Gross Motor Function Measure (GMFM-88) score and Gross Motor Function Classification System classification were recorded for motor function assessment, and the Sensory Profile 2 score was recorded for sensory function.</p><p><strong>Results: </strong>A total of 32 children with a mean age of 53.4±10.8 months participated in the study. The GMFM-88 score was positively correlated with the total score of the Sensory Profile 2 (r=0.49, p=0.004) and with the scores for tactile (r=0.44, p=0.011), vestibular (r=0.41, p=0.019), and proprioceptive (r=0.35, p=0.045) systems. When adjusted for age, only children under 50 months old (n=16) presented these correlations (tactile: r=0.69, p=0.003, vestibular: r=0.74, p=0.001, and proprioceptive: r=0.63, p=0.009).</p><p><strong>Conclusions: </strong>The tactile, vestibular, and proprioceptive systems were correlated with the gross motor function in children under 50 months old with CZS. These findings suggest the clinical relevance of considering both sensory and motor domains in the evaluation and care of children with CZS, supporting the need for early and integrated sensory-motor interventions.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025112"},"PeriodicalIF":2.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12815414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between COVID-19 diagnosis and severe mental health symptoms in adolescents in southern Brazil.","authors":"Yohana Pereira Vieira, Eduardo Gauze Alexandrino, Rinelly Pazinato Dutra, Yasmin Marques Castro, Vicente Gabriel Winck Mattos, Andressa Munhoz Sá, Samuel de Carvalho Dumith","doi":"10.1590/1984-0462/2026/44/2025016","DOIUrl":"10.1590/1984-0462/2026/44/2025016","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between self-reported COVID-19 and the occurrence of severe mental health symptoms such as anxiety, stress, and depression among high school students in southern Brazil.</p><p><strong>Methods: </strong>Cross-sectional study with high school adolescents from the Instituto Federal do Rio Grande do Sul, Brazil. The outcomes were anxiety, depression, and severe stress assessed through the \"Adolescent Anxiety, Depression, and Stress Scale\" (DASS-21), and the diagnosis of COVID-19 was obtained through self-report. Descriptive and bivariate analyses were performed. Poisson regression with robust variance adjustment and multinomial logistic regression were used to verify associations.</p><p><strong>Results: </strong>Of the 462 participants, 16.6, 15.6, and 9.9% reported severe symptoms of depression, anxiety, and stress, respectively, and 41% reported a diagnosis of COVID-19. In the adjusted analysis, adolescents diagnosed with COVID-19 were more likely to have severe anxiety symptoms (prevalence ratio - PR 2.12; 95% confidence interval - 95%CI 1.35-3.33) and three times more likely (OR 2.98; 95%CI 1.35-6.56) to develop severe symptoms of two of the three disorders investigated.</p><p><strong>Conclusions: </strong>Adolescents who reported a COVID-19 diagnosis experienced worse mental health outcomes, with associations observed for severe anxiety and for the presence of multiple severe symptoms of depression, anxiety, or stress. These findings highlight the need for further clinical and epidemiological research to better understand and address the impact of COVID-19 on adolescent mental health.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025016"},"PeriodicalIF":2.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12815413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smartphone addiction among adolescents: associations with mental health, physical inactivity, daytime sleepiness, and consumption of ultra-processed foods.","authors":"Lopes Laís Amaral, Bianca Borges Meireles, Luany Caxangá Carneiro, Carolina Amaral Oliveira Rodrigues, Hanna Beatriz Bacelar Tibães, Rosângela Ramos Veloso Silva, Lucineia de Pinho, Maria Fernanda Santos Figueiredo Brito","doi":"10.1590/1984-0462/2025/43/2025019","DOIUrl":"10.1590/1984-0462/2025/43/2025019","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the prevalence of smartphone addiction and identify associated factors among high school adolescents.</p><p><strong>Methods: </strong>A cross-sectional study, part of the first phase of the project \"Longitudinal Study on Adolescent Behavior in Physical Activity and Health,\" was conducted with 1,616 adolescents of both sexes from public schools in Montes Claros, Minas Gerais, Brazil. Sociodemographic data, lifestyle habits, health aspects, and future expectations were collected. Smartphone addiction was assessed using the Smartphone Addiction Inventory (SPAI) with a cutoff score of ≥9. Additionally, levels ofphysical activity, eating habits, daytime sleepiness, depressive and anxious symptoms, presence of pain, weight satisfaction, body mass index, waist-to-height ratio, and future perspectives were evaluated. Prevalence ratios (PR) with 95% confidence intervals (95%CI) were estimated using Poisson regression with robust variance in both crude and adjusted analyses (p<0.05).</p><p><strong>Results: </strong>The prevalence of smartphone addiction was 54.9%. Associated factors included female sex (PR 1.15; 95%CI 1.00-1.20), not practicing of physical activity (PR 1.10; 95%CI 1.00-1.22), consumption of salty industrialized/ultra-processed foods (PR 1.16; 95%CI 1.05-1.28) and fast foods (PR 1.16; 95%CI 1.04-1.28), presence of daytime sleepiness (PR 1.65; 95%CI 1.39-1.95), symptoms of depression (PR 1.42; 95%CI 1.22-1.65), and stress (PR 1.27; 95%CI 1.11-1.45).</p><p><strong>Conclusions: </strong>More than half of the adolescents demonstrated smartphone addiction, which was associated with female sex, unhealthy eating habits, and unfavorable emotional indicators. The findings highlight the importance of interventions that promote healthy behaviors and provide psychological support for this population.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"43 ","pages":"e2025019"},"PeriodicalIF":2.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12707819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}