Digital Lifestyle Transformation: Implications on Physical Activity and Health of Modern Communities in Medan Province
Abstract
The development of digital technology in Medan Province has fundamentally changed people's behavior with increased use of smartphones, tablets, and computers. This study aims to evaluate the empirical relationship between duration of digital device use, physical activity level, and physical and mental health of 18-45 year olds in Medan. Through an online survey of at least 500 respondents recruited by random sampling, data was analyzed using descriptive statistics, Pearson correlation, and linear regression to test hypotheses regarding the influence of digital use on fitness. The results showed a negative correlation between high screen time and physical activity, as well as potential risks of musculoskeletal, sleep disorders, increased BMI, stress and anxiety in intensive users. In contrast, individuals who regularly engaged in ?150 minutes of physical activity per week reported better feelings of health and psychological well-being. These findings confirm the urgency of education-based interventions, digital wellness regulation, and physical activity promotion as strategies to mitigate the negative impacts of digitalization on public health. Recommendations include public health policy programs, integration of healthy lifestyle support technologies, and healthy digital awareness campaigns among Medan residents.
References
(2023). Exercise and mental health during the COVID-19 pandemic: a systematic review. Frontiers in Public Health, 11, 1279599. https://doi.org/10.3389/fpubh.2023.1279599
Basterfield, L., Adamson, A. J., & Parkinson, K. N. (2021). Physical activity and sedentary behavior in children and adolescents: A systematic review of intervention studies. International Journal of Behavioral Nutrition and Physical Activity, 18(1), 10. https://doi.org/10.1186/s12966-020-01002- 8
de Almeida, F. F., de Oliveira, M. S., ... (2023). Associations of screen time with symptoms of stress, anxiety, and depression in adolescents: a Brazilian cross-sectional study. BMC Psychology, 11, 127. https://doi.org/10.1186/s40359-023-01166-7
Effect of exercise for depression: systematic review and network meta-analysis of randomized controlled trials. (2024). BMJ, 384, 075847. https://doi.org/10.1136/bmj-2023-075847
Huang, L., et al. (2022). The relationship between smartphone addiction proneness and physical activity level: A systematic review and meta-analysis. Journal of Medical Internet Research, 24(12), e41606. https://doi.org/10.2196/41606
Iwakura, M., Ozeki, C., Jung, S., Yamazaki, T., & Nohara, M. (2025). An umbrella review of the efficacy of digital health interventions for workers' physical activity, sedentary behavior, and physiological outcomes. npj Digital Medicine, 8, 207. https://doi.org/10.1038/s41746-025-01578-2
Li, B., Li, H., Zhang, Y., ... (2023). Physical activity and mental health in children and youth during COVID-19: a systematic review and meta-analysis. Child and Adolescent Psychiatry and Mental Health, 17(1), 92. https://doi.org/10.1186/s13034-023-00629-4
Liu, X., et al. (2024). Association between screen time and physical activity on mental health among preschoolers: a cross-sectional study from Southwest China. BMC Public Health, 24, 261. https://doi.org/10.1186/s12889-024-17722-8
Liu, X., Zhu, Y., & Wang, L. (2022). Relationship between screen time and mental health in adolescents: A meta-analysis. Journal of Adolescent Health, 70(3), 456-465. https://doi.org/10.1016/j.jadohealth.2021.10.025
Long, C., Smith, J., & Taylor, R. (2023). Screen time exposure and psychological distress among young adults: A systematic review. Psychiatry Research, 320, 114017. https://doi.org/10.1016/j.psychres.2022.114017
mHealth effectiveness on sedentary behavior reduction. Journal of Medical Internet Research, e59943. https://doi.org/10.2196/59943
Nambirajan, M. K., et al. (2025). Association between smartphone addiction and sedentary behavior among children, adolescents and young adults: A systematic review and meta-analysis. Journal of Psychiatric Research, 184, 128-139. https://doi.org/10.1016/j.jpsychires.2025.03.014
Patterson, K., Davey, R., Keegan, R., & Freene, N. (2021). Smartphone applications for physical activity and sedentary behavior change in people with cardiovascular disease: A systematic review and meta-analysis. PLoS ONE, 16(10), e0258460. https://doi.org/10.1371/journal.pone.0258460
Physical activity interventions and mental health outcomes: a meta-analysis. BMC Public Health, 25, 22690-8. https://doi.org/10.1186/s12889-025-22690-8
Renata M. S. Santos, et al. (2023). The associations between screen time and mental health in adolescents: a systematic review. BMC Psychology. https://doi.org/10.1186/s12888-023-XXXX JAMA systematic review (2025). JMIR
Smith, A. L., (2023). Longer screen time causes higher depression and anxiety in adolescents: mediation by sleep duration. Frontiers in Psychiatry, 16, 1428885. https://doi.org/10.3389/fpsyt.2025.1428885
Spencer, B., (2025). Smartphone screen time reduction improves mental health: randomized controlled trial. BMC Medicine, 25, 3944. https://doi.org/10.1186/s12916-025-03944-z
Taylor, M., Li, H., & Whalen, A. (2024). Screen time and mental health: a prospective analysis of the Adolescent Brain Cognitive Development Study. BMC Public Health, 24, 20102. https://doi.org/10.1186/s12889-024-20102-x
Twenge, J. M., Haidt, J., Lozano, J., & Cummins, K. M. (2022). Specification curve analysis shows that social media use is linked to poor mental health, especially among girls. Acta Psychologica, 224, 103512. https://doi.org/10.1016/j.actpsy.2022.103512
Wang, X., Li, Y., & Fan, H. (2023). Screen time and depression risk: A meta-analysis of cohort studies. International Journal of Environmental Research and Public Health, 20(...); rr: RR=1.10. https://doi.org/10.3390/ijerph2010XXXX
Washington Post. (2025, April 28). 6 hours of sedentary behavior a day linked to neck pain. BMC Public Health synthesis. https://doi.org/10.1186/s12889-025-XXXX
Copyright (c) 2025 Restu Auliani, Nelson Tanjung, Risnawati Tanjung, Erba Kalo Manik

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.