Early childhood television viewing predicts explosive leg strength and waist circumference by middle childhood

BackgroundThe relationship between early childhood television viewing and physical fitness in school age children has not been extensively studied using objective outcome measures.MethodsUsing a sample of 1314 children from the Québec Longitudinal Study of Child Development, we examine the association between parental reports of weekly hours of television viewing, assessed at 29 and 53 months of age, and direct measures of second grade muscular fitness using performances on the standing long jump test (SLJ) and fourth grade waist circumference.ResultsControlling for many potentially confounding child and family variables, each hour per week of television watched at 29 months corresponded to a .361 cm decrease in SLJ, 95% CI between -.576 and -.145. A one hour increase in average weekly television exposure from 29 to 53 months was associated with a further .285 cm reduction in SLJ test performance, 95% CI between -.436 and -.134 cm and corresponded to a .047 cm increase in waistline circumference, 95% CI between .001 and .094 cm.InterpretationWatching television excessively in early childhood, may eventually compromise muscular fitness and waist circumference in children as they approach pubertal age.

[1]  V. Hirschler,et al.  Can waist circumference identify children with the metabolic syndrome? , 2005, Archives of pediatrics & adolescent medicine.

[2]  Richard Larouche,et al.  Systematic review of sedentary behaviour and health indicators in school-aged children and youth , 2011, The international journal of behavioral nutrition and physical activity.

[3]  T. Robinson,et al.  The 30-second effect: an experiment revealing the impact of television commercials on food preferences of preschoolers. , 2001, Journal of the American Dietetic Association.

[4]  R. Troiano,et al.  Television watching, energy intake, and obesity in US children: results from the third National Health and Nutrition Examination Survey, 1988-1994. , 2001, Archives of pediatrics & adolescent medicine.

[5]  T. Robinson Does television cause childhood obesity? , 1998, JAMA.

[6]  J. Owens,et al.  Television-viewing Habits and Sleep Disturbance in School Children , 1999, Pediatrics.

[7]  P S Freedson,et al.  Physical activity, fitness, and health in children: a close look. , 1994, Pediatrics.

[8]  SoJung Lee,et al.  Waist circumference is an independent predictor of insulin resistance in black and white youths. , 2006, The Journal of pediatrics.

[9]  E. Dubow,et al.  Prospective associations between early childhood television exposure and academic, psychosocial, and physical well-being by middle childhood. , 2010, Archives of pediatrics & adolescent medicine.

[10]  B. Dennison,et al.  Television viewing and television in bedroom associated with overweight risk among low-income preschool children. , 2002, Pediatrics.

[11]  Yasuo Ohashi,et al.  Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis. , 2009, JAMA.

[12]  A. Eliakim Growth and exercise in health and disease- what every paediatrician needs to know. , 2004, Paediatric respiratory reviews.

[13]  B. Gutin,et al.  Visceral adipose tissue and cardiovascular risk factors in obese children. , 1998, The Journal of pediatrics.

[14]  E. Boyland,et al.  Beyond-brand effect of television (TV) food advertisements/commercials on caloric intake and food choice of 5–7-year-old children , 2007, Appetite.

[15]  R S Paffenbarger,et al.  Changes in physical fitness and all-cause mortality. A prospective study of healthy and unhealthy men. , 1995, JAMA.

[16]  F. Treiber,et al.  Patterns of body fat deposition in youth and their relation to left ventricular markers of adverse cardiovascular prognosis. , 1999, The American journal of cardiology.

[17]  Steven L Gortmaker,et al.  Impact of television viewing patterns on fruit and vegetable consumption among adolescents. , 2003, Pediatrics.

[18]  J. Graham,et al.  Missing data analysis: making it work in the real world. , 2009, Annual review of psychology.

[19]  L. Dubois,et al.  Early determinants of overweight at 4.5 years in a population-based longitudinal study , 2006, International Journal of Obesity.

[20]  T N Robinson,et al.  Reducing children's television viewing to prevent obesity: a randomized controlled trial. , 1999, JAMA.

[21]  R W Platt,et al.  A new and improved population-based Canadian reference for birth weight for gestational age. , 2001, Pediatrics.

[22]  M. Sjöström,et al.  Neuromuscular training and the risk of leg injuries in female floorball players: cluster randomised controlled study , 2008, BMJ : British Medical Journal.

[23]  W. Dietz,et al.  Overweight in childhood and adolescence. , 2004, The New England journal of medicine.

[24]  Frederick P Rivara,et al.  Television, video, and computer game usage in children under 11 years of age. , 2004, The Journal of pediatrics.

[25]  James W Hardin,et al.  Cardiorespiratory fitness and adiposity as mortality predictors in older adults. , 2007, JAMA.

[26]  R. Kahn,et al.  Prevalence, correlates, and trajectory of television viewing among infants and toddlers. , 2002, Pediatrics.

[27]  Michael Sjöström,et al.  Assessing Muscular Strength in Youth: Usefulness of Standing Long Jump as a General Index of Muscular Fitness , 2010, Journal of strength and conditioning research.

[28]  J. Schafer Multiple imputation: a primer , 1999, Statistical methods in medical research.

[29]  M. Gillman,et al.  Association between television viewing and poor diet quality in young children. , 2008, International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity.

[30]  A. Eliakim,et al.  Fitness, training, and the growth hormone-->insulin-like growth factor I axis in prepubertal girls. , 2001, The Journal of clinical endocrinology and metabolism.