Prevalence of Obesity in Preadolescent Children in Urban Schools and Association of Screen Time With Body Mass Index Post Pandemic

Excessive screen use is linked to obesity, behavioral issues, and academic decline. The COVID-19 pandemic and resulting lockdowns led to school closures, and increasing screen time in children. This study estimates obesity prevalence among pre-adolescent children and examines its association with screen time. Across-sectional study was conducted on 524 children aged 6–12 years, post ethical clearance. Socio-demographics, anthropometric data and screen time were assessed using the Digital Screen Exposure Questionnaire (DSEQ). Data were analyzed using descriptive and inferential statistics. Among the 524 children (271 males, 253 females; mean age 10.7 years), 70.5% had normal BMI, 10.5% were underweight, 12.2% overweight, and 6.9% obese. Most used screens <2 hours/day, with increased use on holidays. Over half accessed entertainment and adult content; 57.6% had screen use rules at home. Mean DSEQ scores: underweight – 263.42, normal – 276.25, overweight – 263.27, obese – 255.71. Overall mean: 270.07 (SD = 123.26). Despite normal BMI in most, unhealthy screen habits and reduced activity indicate emerging health risks. Higher BMI correlates with increased screen exposure and lower activity. Routine pediatric evaluations should address lifestyle habits to support early intervention