Cohort study2013Open access

Greater screen time is associated with adolescent obesity: a longitudinal study of the BMI distribution from Ages 14 to 18

Mitchell JA, Rodriguez D, Schmitz KH, Audrain-McGovern J

Obesity (Silver Spring, Md.) · 92 citations

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
National Institutes of Health
Government
National Cancer Institute
Government
NCI NIH HHS
Grants
National Cancer Institute (R01 CA126958); National Cancer Institute (F32 CA162847); National Cancer Institute (RO1 CA126958)

Based on 3 listed funder(s) and full-text disclosure statement.

Publication

Published
2013-03-01 · Obesity (Silver Spring) · vol. 21 · issue 3 · pp. 572–575
Publisher
Wiley
Cited
158 citations · more than 100% of similar papers · 51.4× the field average
Impact
Top 10% most cited in its field
References
16 works
Access
Free to read
Research areas
Child Development and Digital Technology · Impact of Technology on Adolescents · Obesity, Physical Activity, Diet
Keywords
screen time, adolescent obesity, body mass index, BMI distribution, television viewing, video game use, adolescent overweight
MeSH
humans, obesity, body weight, body mass index, prevalence, longitudinal studies, motor activity, sleep, video games, television, adolescent, child, female, male, self report, sedentary behavior

4 authors

From US

  • Jonathan A. Mitchell · correspondingUniversity of Pennsylvania
  • Daniel RodriguezUniversity of Pennsylvania
  • Kathryn H. SchmitzUniversity of Pennsylvania
  • Janet E. Audrain-McGovernUniversity of Pennsylvania

Abstract

Objective

Previous research has examined the association between screen time and average changes in adolescent body mass index (BMI). Until now, no study has evaluated the longitudinal relationship between screen time and changes in the BMI distribution across mid to late adolescence.

Design and methods

Participants (n = 1,336) were adolescents who were followed from age 14 to age 18 and surveyed every 6 months. Time spent watching television/videos and playing video games was self-reported (<1 h day(-1) , 1 h day(-1) , 2 h day(-1) , 3 h day(-1) , 4 h day(-1) , or 5+ h day(-1) ). BMI (kg m(-2) ) was calculated from self-reported height and weight. Longitudinal quantile regression was used to model the 10th, 25th, 50th, 75th, and 90th BMI percentiles as dependent variables. Study wave and screen time were the main predictors, and adjustment was made for gender, race, maternal education, hours of sleep, and physical activity.

Results

Increases at all the BMI percentiles over time were observed, with the greatest increase observed at the 90th BMI percentile. Screen time was positively associated with changes in BMI at the 50th (0.17, 95% CI: 0.06, 0.27), 75th (0.31, 95% CI: 0.10, 0.52), and 90th BMI percentiles (0.56, 95% CI: 0.27, 0.82). No associations were observed between screen time and changes at the 10th and 25th BMI percentiles.

Conclusions

Positive associations between screen time and changes in the BMI at the upper tail of the BMI distribution were observed. Therefore, lowering screen time, especially among overweight and obese adolescents, could contribute to reducing the prevalence of adolescent obesity.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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