Screen Time, Physical Activity and Self-Esteem in Children: The Ulm Birth Cohort Study

Screen time is a central activity of children’s daily life and jeopardizes mental health. However, results appear inconclusive and are often based on small cross-sectional studies. We aimed to investigate the temporal sequence of the association between screen time and self-esteem taking into account further indirect effects through family or friendship relationship. In our population-based birth cohort study (baseline November 2000–November 2001, Ulm, Germany), these relationships were explored in n = 519 11- and 13-year-old children and their parents who both provided information on children’s screen time: time spent watching television or videos (TV), time spent on computers, video game consoles, mobile devices, or cell phones; so called “other screen time”, and children’s self-esteem (KINDL-R). Time watching TV (self-reported) at age 11 was negatively associated with girls’ self-esteem at the same age but positively with an increase of self-esteem between age 11 and 13. However, the latter association was restricted to low to moderate TV viewers. In boys, a higher increase of other screen time between age 11 and age 13 was associated with lower self-reported self-esteem at age 13. Additionally, friendship relationship mediated the association between watching TV and self-esteem in girls. For parental reports similar associations were observed. These findings indicate that time sequence and potential mediators need further investigation in cohort studies with multiple assessments of screen time and self-esteem.

[1]  A. Körner,et al.  Reciprocal Associations between Electronic Media Use and Behavioral Difficulties in Preschoolers , 2018, International journal of environmental research and public health.

[2]  D. Rothenbacher,et al.  Media consumption and sleep quality in early childhood: results from the Ulm SPATZ Health Study. , 2017, Sleep medicine.

[3]  R. Plotnikoff,et al.  Longitudinal associations between changes in screen-time and mental health outcomes in adolescents , 2017 .

[4]  Stephen Hunter,et al.  Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. , 2016, Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme.

[5]  Mavis Asare.  Sedentary Behaviour and Mental Health in Children and Adolescents: AMeta-analysis , 2015 .

[6]  A. Schaffrath Rosario,et al.  Updated prevalence rates of overweight and obesity in 11- to 17-year-old adolescents in Germany. Results from the telephone-based KiGGS Wave 1 after correction for bias in self-reports , 2015, BMC Public Health.

[7]  Reiner Hanewinkel,et al.  Sedentary behavior, depressed affect, and indicators of mental well-being in adolescence: Does the screen only matter for girls? , 2015, Journal of adolescence.

[8]  R. Hanewinkel,et al.  Sedentary behavior and indicators of mental health in school-aged children and adolescents: A systematic review. , 2015, Preventive medicine.

[9]  T. Luck,et al.  Weight stigma “gets under the skin”—evidence for an adapted psychological mediation framework—a systematic review , 2015, Obesity.

[10]  J. Rey-Lopez,et al.  Sedentary Behavior and Health Outcomes: An Overview of Systematic Reviews , 2014, PloS one.

[11]  Gert B. M. Mensink,et al.  [Physical activity and electronic media use in children and adolescents: results of the KiGGS study: first follow-up (KiGGS wave 1)]. , 2014, Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz.

[12]  Gert B. M. Mensink,et al.  Körperlich-sportliche Aktivität und Nutzung elektronischer Medien im Kindes- und Jugendalter , 2014, Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz.

[13]  Z. Hamrik,et al.  Trends in television time, non-gaming PC use and moderate-to-vigorous physical activity among German adolescents 2002–2010 , 2014, BMC Public Health.

[14]  Dong-Hee Shin,et al.  Is the social use of media for seeking connectedness or for avoiding social isolation? Mechanisms underlying media use and subjective well-being , 2013, Comput. Hum. Behav..

[15]  Anna Gorrese,et al.  Peer attachment and self-esteem: A meta-analytic review , 2013 .

[16]  R. Plotnikoff,et al.  The health indicators associated with screen-based sedentary behavior among adolescent girls: a systematic review. , 2013, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[17]  S. Biddle,et al.  Physical activity, sedentary behaviour and physical self-perceptions in adolescent girls: A mediation analysis , 2013 .

[18]  R. Plotnikoff,et al.  Associations between sedentary behavior and self-esteem in adolescent girls from schools in low-income communities , 2013 .

[19]  Russell Jago,et al.  Parent and child screen-viewing time and home media environment. , 2012, American journal of preventive medicine.

[20]  Kristen Harrison,et al.  Racial and Gender Differences in the Relationship Between Children’s Television Use and Self-Esteem , 2012, Commun. Res..

[21]  K. Gabriel,et al.  The relationship between media use and psychological and physical assets among third- to fifth-grade girls. , 2011, The Journal of school health.

[22]  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.

[23]  C. Matthews,et al.  Sedentary behavior: emerging evidence for a new health risk. , 2010, Mayo Clinic proceedings.

[24]  M. Bullinger,et al.  Psychometric properties of the KINDL-R questionnaire: results of the BELLA study , 2008, European Child & Adolescent Psychiatry.

[25]  K. Adamo,et al.  Effects of modifying physical activity and sedentary behavior on psychosocial adjustment in overweight/obese children. , 2007, Journal of pediatric psychology.

[26]  T. Lampert,et al.  [Use of electronic media in adolescence. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)]. , 2007, Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz.

[27]  T. Lampert,et al.  Nutzung elektronischer Medien im Jugendalter , 2007, Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz.

[28]  Trish Gorely,et al.  A descriptive epidemiology of screen-based media use in youth: a review and critique. , 2006, Journal of adolescence.

[29]  Gustavo S. Mesch,et al.  Family Relations and the Internet: Exploring a Family Boundaries Approach , 2006 .

[30]  Kristopher J Preacher,et al.  SPSS and SAS procedures for estimating indirect effects in simple mediation models , 2004, Behavior research methods, instruments, & computers : a journal of the Psychonomic Society, Inc.

[31]  D. Arveiler,et al.  Intervention centred on adolescents' physical activity and sedentary behaviour (ICAPS): concept and 6-month results , 2004, International Journal of Obesity.

[32]  S. Marshall,et al.  Relationships between media use, body fatness and physical activity in children and youth: a meta-analysis , 2004, International Journal of Obesity.

[33]  N. D. de Vries,et al.  Self-esteem in a broad-spectrum approach for mental health promotion. , 2004, Health education research.

[34]  D. M. Stein,et al.  The Impact of Exposure to the Thin-Ideal Media Image on Women , 2004, Eating disorders.

[35]  H. Brenner,et al.  Helicobacter pylori infection and the occurrence and severity of gastrointestinal symptoms during pregnancy. , 2003, American journal of obstetrics and gynecology.

[36]  R. Shephard.  Limits to the measurement of habitual physical activity by questionnaires , 2003, British journal of sports medicine.

[37]  H. Hölling,et al.  Erfassung von psychischer Gesundheit und Lebensqualität im Kinder- und Jugendgesundheitssurvey , 2002 .

[38]  K. Durkin,et al.  Not so doomed: computer game play and positive adolescent development , 2002 .

[39]  Robert L. Leahy,et al.  The Construction of the Self: A Developmental Perspective , 2001, Journal of Cognitive Psychotherapy.

[40]  J. Colwell,et al.  Negative correlates of computer game play in adolescents. , 2000, British journal of psychology.

[41]  J. W. Inman,et al.  The Relationship between Physical Activity, Self-Esteem, and Academic Achievement in 12-Year-Old Children , 2000 .

[42]  Diana C. Mutz,et al.  Reconsidering the Displacement Hypothesis , 1993 .

[43]  Jason P. Rose,et al.  Social comparison, social media, and self-esteem. , 2014 .

[44]  Darrell M. Wilson,et al.  Dance and reducing television viewing to prevent weight gain in African-American girls: the Stanford GEMS pilot study. , 2003, Ethnicity & disease.

[45]  A. Wietzker,et al.  [Assessment of psychological health and quality of life with The Child and Adolescent Health Survey]. , 2002, Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)).

[46]  J. Wiggins.  The Relationship of Self-Esteem to Grades, Achievement Scores, and Other Factors Critical to School Success. , 1994 .

[47]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.