The association of screen time, television in the bedroom, and obesity among school-aged youth: 2007 National Survey of Children's Health.

BACKGROUND Among school-aged youth, we sought to identify characteristics associated with (1) exceeding screen time recommendations (ie, television/videos/video games more than 2 hours/weekday), and (2) exceeding screen time recommendations, the presence of a television in the bedroom, and obesity. METHODS Using 2007 National Survey of Children's Health data, we used multivariable logistic regression to identify sociodemographic and behavioral characteristics associated with excessive screen time among 6 to 11- and 12 to 17-year-olds on a typical weekday. For 12 to 17-year-olds only, we used logistic regression to examine the odds of obesity using the same variables as above, with the addition of screen time. RESULTS Overall, 20.8% of 6 to 11-year-olds and 26.1% of 12 to 17-year-olds had excessive screen time. For both age groups, having a bedroom TV was significantly associated with excessive screen time. For the older age group, the dual scenario of excessive screen time with a bedroom TV had the strongest association with obesity (OR = 2.5, 95% CI 1.9, 3.2). CONCLUSIONS Given the similar risk factors for excess screen time and having a TV in the bedroom, a public health challenge exists to design interventions to reduce screen time among school-aged youth.

[1]  F. Jiang,et al.  The impact of media use on sleep patterns and sleep disorders among school-aged children in China. , 2007, Sleep.

[2]  K. Flegal,et al.  Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. , 2012, JAMA.

[3]  R. Strauss Comparison of measured and self-reported weight and height in a cross-sectional sample of young adolescents , 1999, International Journal of Obesity.

[4]  R. Poulton,et al.  Association between child and adolescent television viewing and adult health: a longitudinal birth cohort study , 2004, The Lancet.

[5]  Carrie D. Heitzler,et al.  Influence of Limit-Setting and Participation in Physical Activity on Youth Screen Time , 2010, Pediatrics.

[6]  The weights and heights of Mexican-American adolescents: the accuracy of self-reports. , 1994, American journal of public health.

[7]  J. Sallis,et al.  Home Environmental Influences on Children’s Television Watching from Early to Middle Childhood , 2002, Journal of developmental and behavioral pediatrics : JDBP.

[8]  P. Katzmarzyk,et al.  Television, Reading, and Computer Time: Correlates of School-Day Leisure-Time Sedentary Behavior and Relationship With Overweight in Children in the U.S. , 2011, Journal of physical activity & health.

[9]  L. Akinbami,et al.  Childhood Overweight Prevalence in the United States: The Impact of Parent‐reported Height and Weight , 2009, Obesity.

[10]  V. Strasburger,et al.  Children, adolescents, and television. , 1990, Pediatrics in review.

[11]  T. Robinson Television viewing and childhood obesity. , 2001, Pediatric clinics of North America.

[12]  E. Goodman,et al.  Accuracy of Teen and Parental Reports of Obesity and Body Mass Index , 2000, Pediatrics.

[13]  S. Marshall,et al.  Measurement of television viewing in children and adolescents: a systematic review , 2007, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[14]  S. Gortmaker,et al.  Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. , 1985, Pediatrics.

[15]  A. Adachi-Mejia,et al.  Children with a TV in their bedroom at higher risk for being overweight , 2007, International Journal of Obesity.

[16]  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.

[17]  S. Broyles,et al.  Social-ecological correlates of excessive TV viewing: difference by race and sex. , 2012, Journal of physical activity & health.

[18]  K. Tucker,et al.  Relationships between use of television during meals and children's food consumption patterns. , 2001, Pediatrics.

[19]  A. Wagner,et al.  Association Between Television in Bedroom and Adiposity Throughout Adolescence , 2007, Obesity.

[20]  M. Pepe,et al.  Predicting obesity in young adulthood from childhood and parental obesity. , 1997, The New England journal of medicine.

[21]  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.

[22]  L. Cupples,et al.  Television viewing and change in body fat from preschool to early adolescence: The Framingham Children's Study , 2003, International Journal of Obesity.

[23]  D. Neumark-Sztainer,et al.  Characteristics Associated With Older Adolescents Who Have a Television in Their Bedrooms , 2008, Pediatrics.

[24]  T. Robinson,et al.  Ethnic and Gender Differences in the Relationships between Television Viewing and Obesity, Physical Activity, and Dietary Fat Intake , 1995 .

[25]  M. Pratt,et al.  Relationship of physical activity and television watching with body weight and level of fatness among children: results from the Third National Health and Nutrition Examination Survey. , 1998, JAMA.

[26]  S. Broyles,et al.  TVs in the bedrooms of children: does it impact health and behavior? , 2011, Preventive medicine.

[27]  K. Flegal,et al.  Prevalence of high body mass index in US children and adolescents, 2007-2008. , 2010, JAMA.

[28]  L. Bandini,et al.  Effect of sedentary activities on resting metabolic rate. , 1994, The American journal of clinical nutrition.

[29]  G. Colditz,et al.  One-year changes in activity and in inactivity among 10- to 15-year-old boys and girls: relationship to change in body mass index. , 2003, Pediatrics.

[30]  C. Bouchard,et al.  Utility of childhood BMI in the prediction of adulthood disease: comparison of national and international references. , 2005, Obesity research.

[31]  W. Dietz,et al.  The Relation of Overweight to Cardiovascular Risk Factors Among Children and Adolescents: The Bogalusa Heart Study , 1999, Pediatrics.

[32]  L. Epstein,et al.  Relationship between parental estimate and an objective measure of child television watching , 2006, The international journal of behavioral nutrition and physical activity.

[33]  Shumei S. Guo,et al.  Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. , 2002, The American journal of clinical nutrition.

[34]  D. Galuska,et al.  Reliability and validity of self-reported height and weight among high school students. , 2003, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[35]  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.

[36]  C. Caspersen,et al.  Television viewing, computer use, and BMI among U.S. children and adolescents. , 2009, Journal of physical activity & health.