Prevalence, trajectories, and determinants of television viewing time in an ethnically diverse sample of young children from the UK

Article English OPEN
Barber, Sally E. ; Kelly, Brian ; Collings, Paul J. ; Nagy, Liana ; Bywater, Tracey ; Wright, John (2017)
  • Publisher: BioMed Central
  • Journal: The International Journal of Behavioral Nutrition and Physical Activity, volume 14 (issn: 1479-5868, eissn: 1479-5868)
  • Related identifiers: doi: 10.1186/s12966-017-0541-8, pmc: PMC5501260
  • Subject: Screen-time | Nutritional diseases. Deficiency diseases | Early childhood | RA1-1270 | Public aspects of medicine | Television | Deprivation | Sedentary behaviour | Prospective longitudinal | RC620-627 | Ethnic minority | Research

Abstract Background Excessive screen viewing in early childhood is associated with poor physical and psycho-social health and poor cognitive development. This study aimed to understand the prevalence, trajectory and determinants of television viewing time in early childhood to inform intervention development. Methods In this prospective longitudinal study, mothers of 1558 children (589 white British, 757 Pakistani heritage, 212 other ethnicities) completed questionnaires when their children were approximately 6, 12, 18, 24 and 36 months old. Mothers answered questions about their own and their child’s TV-time. TV-time trajectories were estimated by linear longitudinal multilevel modeling, potential determinants were considered in models. Results The modelled trajectory estimated that 75% of children aged 12 months exceeded guidelines of zero screen-time. At 12 months of age an accelerated increase in TV-time was observed (<1 h/day at 14 months, >2 h/day by 30 months old). For every hour of mothers’ TV-time and every hour the TV was on in the home, children’s TV-time was 8 min and 1 min higher respectively at 6 months old (P < 0.05), and 15 min and 3 min higher respectively at 36 months old (P < 0.05). Children whose mothers did not agree that it was important their child did not watch too much TV, had 17 min more TV-time than their counterparts (P < 0.05). Children of first time mothers had 6 min more TV-time (P < 0.05). At 12 months of age, children of mothers experiencing stress watched 8 min more TV (P < 0.05). By 36 months, children of Pakistani heritage mothers had 22 min more TV-time than those of white British mothers (P < 0.05), and an additional 35 min of TV-time if their mother was not born in the UK (P < 0.05). Conclusions High levels of TV-time were prevalent. Intervention developers should consider targeting interventions before 12 months of age. Modifiable determinants included mothers’ own TV-time, the time the television is on in the home and mothers’ attitude towards child TV-time. These behaviours may be key components to address in interventions for parents. Mothers experiencing stress, first time mothers, and Pakistani heritage mothers (particularly those born outside of the UK), may be priority groups for intervention.
  • References (39)
    39 references, page 1 of 4

    1. Caroli M, Argentieri L, Cardone M, Masi A. Role of television in childhood obesity prevention. Int J Obes Relat Metab Disord. 2004;28(Suppl 3):104-8.

    2. Marshall SJ, Biddle SJ, Gorley T, Cameron N, Murdy I. Relationship between media use, body fatness and physical activity in children and youth: a metaanalysis. Int J Obes Relat Metab Disord. 2004;28:1238-46.

    3. Rey-Lopez JP, Vicente-Rodriguez G, Biosca M, Moreno LA. Sedentary behaviour and obesity development in children adolescents. Nurt Metab Cardiovas Dis. 2008;18:242-51.

    4. Jackson DM, Djafarian K, Stewart J, Speakman JR. Increased television viewing is associated with elevated body fatness but not with lower total energy expenditure in children. Am J Clin Nutr. 2009;89:1031-6.

    5. Ekelund U, Brarge S, Froberg K, Harro M, Aderssen SA, Sardinha LB, Riddoch C, Andersen LB. TV viewing and physical activity are independently associated with metabolic risk in children: the European Youth Heart Study. PLoS Med. 2006;3:e488.

    6. Hancox RJ, Milne BJ, Poulton R. Associations between child and adolescent television viewing and adult health: a longitudinal birth cohort study. Lancet. 2004;364:257-62.

    7. Le Blanc AG, Spence JC, Carson V, Connor Gorber S, Dillman C, Janssen I, Kho ME, Stearns JA, Timmons BW, Tremblay MS. Systematic review of sedentary behaviour and health indicators in the early years (aged 0-4 years). Appl Physiol Nutr Metab. 2012;37(4):753-72.

    8. Hinkley T, Verbestel V, Aherns W, Lissner L, Molnár D, Moreno LA, et al. Early childhood electronic media use as a predictor of poorer well-being: a prospective cohort study. JAMA Pediatr. 2014;168(5):485-92.

    9. Canadian Society for Exercise Physiology. Canadian sedentary behavior guidelines. OHowa: CSEP; 2011.

    10. Australian Government Department of Health. Move and play every day: national physical activity recommendations for children 0-5 years. Canberra: Commonwealth of Australia; 2014.

  • Related Research Results (2)
  • Metrics
    0
    views in OpenAIRE
    0
    views in local repository
    5
    downloads in local repository

    The information is available from the following content providers:

    From Number Of Views Number Of Downloads
    White Rose Research Online - IRUS-UK 0 5
Share - Bookmark