Screen time, dietary patterns and intake of potentially cariogenic food in children: A systematic review

Shqair, Ayah Qassem; Pauli, Laís Anschau; Costa, Vanessa Polina Pereira; Cenci, Maximiliano Sérgio; Goettems, Marília Leão

doi:10.1016/j.jdent.2019.06.004

Cited by 51 publications

(55 citation statements)

References 48 publications

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“…Other than energy expenditure, the replacing effect of AVG play on the sedentary behavior may also influence the energy intake side. Studies found that sedentary screen time were associated with higher intake of energy-dense snakes and sugar-sweetened beverages [46]. The treatment effect of school-based AVG play on children's BMI should be further studied with extended duration and a more robust study design, especially in boys.…”

Section: Discussionmentioning

confidence: 99%

Getting Active with Active Video Games: A Quasi-Experimental Study

Lau

Jiang

Maddison

2020

IJERPH

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Given the cultural emphasis on academic achievement and environmental constraints to physical activity (PA), active video games (AVGs) may be used to decrease sedentary behavior and increase PA of Hong Kong children. This study explored the potential of a school-based AVG intervention on sedentary time, PA, body composition, and psychosocial factors among children. Eighty-seven children (intervention n = 30) were recruited from one primary school. Classes in Grades 4–6 were allocated to either the intervention group or the control group in a 2:1 ratio. The eight-week intervention involved children playing AVGs in an after-school class twice a week. Participants in the control group continued with their usual activities. Outcome included the change of participants in sedentary time, PA, percentage body fat, body mass index (BMI), and psychosocial variables (enjoyment, self-efficacy and social support), from baseline to eight weeks. No significant group differences were observed in sedentary time (−33.9 min/day, 95% CI −70.8 to 4.8; p = 0.07). The intervention group significantly increased total PA (53.7 counts/min, 95% CI 8.6 to 104.2; p = 0.04) compared with those in the control condition. No differences were found in body composition and psychosocial variables. However, significant treatment effects were found on BMI z score among boys (−0.1, 95% CI −0.2 to 0; p = 0.04). An eight-week school-based AVG intervention delivered during after-school hours was effective in increasing activity levels among Hong Kong children. The treatment effects of AVGs on sedentary behavior and body composition need to be further demonstrated in a more robust study, especially in boys.

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Section: Discussionmentioning

confidence: 99%

Getting Active with Active Video Games: A Quasi-Experimental Study

Lau

Jiang

Maddison

2020

IJERPH

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“…Television may influence what children eat through advertisement of energy-dense foods and promotion of mindless eating during viewing, which, in turn, may lead to overeating and overweight/obesity [ 39 ]. Indeed, a recent systematic review, which included 19 observational studies, reported that all studies found a significant positive correlation between television viewing and/or total screen time and unhealthy dietary behaviors such as lower fruit and vegetable intakes and greater consumption of foods higher in fat and sugar [ 81 ]. Such findings are in line with the present study in which children who eat snacks while watching television were over 70% less likely to eat vegetables daily.…”

Section: Discussionmentioning

confidence: 99%

“…Such findings are in line with the present study in which children who eat snacks while watching television were over 70% less likely to eat vegetables daily. Based on these findings, and taking into consideration that in pre-school aged children, the family environment remains a major contributor to the development of children’s eating behavior, it is advised that parents offer healthier snacks, such as fruit bowls or vegetable platters in an attractive way to children while watching television and to restrict television viewing during meal and snack times [ 81 ].…”

Section: Discussionmentioning

confidence: 99%

Associations between the Home Environment, Feeding Practices and Children’s Intakes of Fruit, Vegetables and Confectionary/Sugar-Sweetened Beverages

Bassul

Corish

Kearney

2020

IJERPH

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Within the home environment, parents influence their children’s dietary intakes through their parenting and dietary practices, and the foods they make available/accessible. The aim of this cross-sectional study was to examine the associations between home environmental characteristics and children’s dietary intakes. Three hundred and thirty-two children aged three–five years and their parents participated in the study. Home environmental characteristics, including parental control feeding practices, were explored using validated and standardized questionnaires such as the Child Feeding Questionnaire (CFQ), the Physical and Nutritional Home Environment Inventory (PNHEI) and the Healthy Home Survey (HHS). Parent and child food consumption was also measured. Pressure to eat from parents was associated with lower fruit intake in children (OR 0.67, 95% CI 0.47–0.96, p = 0.032). Greater variety of fruit available in the home increased the likelihood of fruit consumption in children (OR 1.35 95% CI 1.09–1.68, p = 0.005). Watching television for ≥1 h per day was associated with a decreased probability of children eating vegetables daily (OR 0.38, 95% CI 0.20–0.72, p = 0.003) and doubled their likelihood of consuming confectionary/sugar-sweetened beverages more than once weekly (OR 2.15, 95% CI 1.06–4.38, p = 0.034). Children whose parents had lower vegetable consumption were 59% less likely to eat vegetables daily. This study demonstrates that modifiable home environmental characteristics are significantly associated with children’s dietary intakes.

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“…7 Devices are used to distract children, resulting in increased screen time and sugar intake. 8,9 Collectively, these factors will increase caries risk across the income spectrum. The greatest and disproportionate consequences will be on the poorest children -those who suffered from oral health inequities well before the pandemic hit.…”

Section: Issues That Mattermentioning

confidence: 99%

“…Many low‐income caregivers are essential workers or are at home with no childcare, leading to unprecedented levels of caregiver stress 7 . Devices are used to distract children, resulting in increased screen time and sugar intake 8,9 . Collectively, these factors will increase caries risk across the income spectrum.…”

Section: Issues That Mattermentioning

confidence: 99%

IJPD inaugural editorial: On priorities and privilege

Donald

2020

Int J Paed Dentistry

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Screen time, dietary patterns and intake of potentially cariogenic food in children: A systematic review

Cited by 51 publications

References 48 publications

Getting Active with Active Video Games: A Quasi-Experimental Study

Getting Active with Active Video Games: A Quasi-Experimental Study

Associations between the Home Environment, Feeding Practices and Children’s Intakes of Fruit, Vegetables and Confectionary/Sugar-Sweetened Beverages

IJPD inaugural editorial: On priorities and privilege

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