Longitudinal relations of television, electronic games, and digital versatile discs with changes in diet in adolescents

Falbe, Jennifer; Willett, Walter C.; Rosner, Bernard; Gortmaker, S. L.; Sonneville, Kendrin R.; Field, Alison E.

doi:10.3945/ajcn.114.088500

Cited by 101 publications

(92 citation statements)

References 64 publications

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“…Time-varying MVPA was positively associated with more favorable timevarying HEI and WPF scores, consistent with previous studies showing positive associations of self-reported physical activity with several aspects of better dietary intake in adolescents and older adults (46,47). Similarly, the inverse relations of television viewing with all diet quality indicators and of gaming with HEI and EC in this study are consistent with 2 prospective studies that reported inverse associations of these behaviors with aspects of diet quality (e.g., intake of fruits and vegetables, fast food, sugarsweetened beverages, and energy-dense snacks) (44,48). To our knowledge, the association of diet quality with social networking and other Internet use has not been examined previously.…”

Section: Discussionsupporting

confidence: 80%

“…This study extends the literature on behavioral correlates of diet quality by examining a broad range of time-varying lifestyle behaviors and diet-quality indicators during an understudied developmental stage. Findings largely confirm those from previous studies showing associations of aspects of better diet quality with more frequent breakfast (8,18) and family meals (40) and with less frequent television viewing during meals (41,42), eating at fast-food restaurants (17,43), and overall television viewing (11,42,44,45). The consistency of these associations across a variety of age groups supports the plausibility of causality between the variables, although controlled intervention trials are necessary to confirm these observational findings.…”

Section: Discussionsupporting

confidence: 79%

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Diet quality of US adolescents during the transition to adulthood: changes and predictors ,

Lipsky

Nansel

Haynie

et al. 2017

The American Journal of Clinical Nutrition

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Background: Influences on diet quality during the transition from adolescence to adulthood are understudied. Objective: This study examined association of 3 diet-quality indicators-Healthy Eating Index-2010 (HEI), Whole Plant Foods Density (WPF), and Empty Calories (EC; the percentage of calories from discretionary solid fat, added sugar and alcohol)-with lifestyle behaviors, baseline weight status, and sociodemographic characteristics in US emerging adults. Design: Data come from the first 4 waves (annual assessments) of the NEXT Plus Study, a population-based cohort of 10th graders enrolled in 2010 (n = 566). At each assessment, participants completed 3 nonconsecutive 24-h diet recalls, wore accelerometers for 7 d, and self-reported meal practices and sedentary behaviors. Self-reported sociodemographic characteristics were ascertained at baseline. Generalized estimating equations examined associations of time-varying diet quality with baseline weight status and sociodemographic characteristics and time-varying lifestyle behaviors.Results: Diet quality improved modestly from baseline (mean 6 SE: HEI, 44.07 6 0.53; WPF, 1.24 6 0.04; and EC, 35.66 6 0.55) to wave 4 for WPF (1.44 6 0.05, P , 0.001) and EC (33.47 6 0.52, P , 0.001), but not HEI (45.22 6 0.60). In longitudinal analyses, higher HEI and lower EC scores were observed in Hispanic compared with white participants. Better diet quality was associated with greater moderate-to-vigorous physical activity, more frequent breakfast and family meals, less frequent fast food and meals during television viewing, and shorter durations of television viewing, gaming, and online social networking. Diet-quality indicators were not consistently associated with time-varying physical inactivity, baseline weight status, or sociodemographic characteristics. Conclusions: Diet quality of emerging adults in the US remained suboptimal, but some aspects improved marginally over the 4-y study period. Meal contexts and sedentary behaviors may represent important intervention targets. There is substantial room for improvement in diet quality in all sociodemographic subgroups. This trial was registered at clinicaltrials.gov as NCT01031160.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 79%

Diet quality of US adolescents during the transition to adulthood: changes and predictors ,

Lipsky

Nansel

Haynie

et al. 2017

The American Journal of Clinical Nutrition

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“…However, our results showed an adverse impact of game-playing, but not TV viewing on toothbrushing frequency. One of the strongest risk factors for dental caries is sugar consumption (Kalsbeek and Verrips 1994), and snacking is reportedly more distinct during TV viewing than game playing (Falbe et al 2014). Moreover, larger amounts of snacking are not necessarily associated with a higher frequency of toothbrushing (Peltzer and Pengpid 2014).…”

Section: Discussionmentioning

confidence: 99%

Excessive Game Playing Is Associated with Poor Toothbrushing Behavior among Athletic Children: A Cross-Sectional Study in Miyagi, Japan

Tsuchiya

Momma

Sekiguchi

et al. 2017

Tohoku J. Exp. Med.

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Dental problems among athletes have been cautioned due to negative impacts not only on their oral health but also on athletic performance. Acquirement of appropriate oral health behavior mainly composed of toothbrushing in childhood can be one of the most important strategies for advancing children's athletic possibilities. Although habits of screen viewing, including game playing, and TV viewing have direct impacts on children's health and behavioral development, little is known about the association between these habits and toothbrushing frequency. A cross-sectional survey examining sports activities was conducted using a self-report questionnaire among school-aged athletic children belonging to the Miyagi Amateur Sports Association (n = 6,658). All statistical analyses were performed with SPSS, and P-values less than 0.05 were considered statistically significant. The association between a lower brushing frequency (< 2 times a day) and screen-viewing behavior was examined using multivariate logistic models after adjusting for sex, age, body mass index (BMI), studying time, and sleep duration. After adjustment for all covariates, longer game playing (> 2 hrs a day), but not TV viewing, significantly correlated with lower brushing frequency (P for trend < 0.001). Importantly, longer game-playing behavior was also associated with unhealthy dental behavior defined as a lower brushing frequency regardless of the awareness of dental caries (P for trend < 0.001). In conclusion, this is the first study indicating a type-specific unfavorable impact of screen viewing on oral health behavior among athletic children. Excessive game playing may adversely affect oral health literacy more strongly than TV viewing.

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“…14 TV viewing is a risk factor for weight gain, 15,16 decreased academic achievement, and behavioral problems. 15 Although there is ample evidence that food marketing mediates the TV-obesity relationship, [17][18][19][20] sleep may also mediate this relationship and others. Possible mechanisms include direct displacement of screen time for sleep, increased cognitive and emotional arousal, and delays in circadian rhythm from screen light.…”

Section: What This Study Addsmentioning

confidence: 99%

Sleep Duration, Restfulness, and Screens in the Sleep Environment

Falbe

Davison²,

Franckle³

et al. 2015

Pediatrics

Self Cite

200

152

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BACKGROUND AND OBJECTIVE: Associations of inadequate sleep with numerous health outcomes among youth necessitate identifying its modifiable determinants. Television (TV) has been associated with sleep curtailment, but little is known about small screens (eg, smartphones), which can be used in bed and emit notifications. Therefore, we examined associations of different screens in sleep environments with sleep duration and perceived insufficient rest or sleep.

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Longitudinal relations of television, electronic games, and digital versatile discs with changes in diet in adolescents

Abstract: Increases in screen time were associated with increased consumption of foods and beverages of low nutritional quality and decreased consumption of fruit and vegetables. Our results caution against excessive use of screen media, especially television, in youth.

Cited by 101 publications

References 64 publications

Diet quality of US adolescents during the transition to adulthood: changes and predictors ,

Diet quality of US adolescents during the transition to adulthood: changes and predictors ,

Excessive Game Playing Is Associated with Poor Toothbrushing Behavior among Athletic Children: A Cross-Sectional Study in Miyagi, Japan

Sleep Duration, Restfulness, and Screens in the Sleep Environment

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