Background: Increased TV viewing is associated with overweight and obesity in children and adolescents. Excess weight gain might be a result of increased dietary intake during television viewing, eating foods that are highly advertised at other times, or lack of physical activity. The objectives of this cross-sectional study were (1) to determine the extent of screen time and eating during screen time, and the correlation between these two different exposures, (2) to compare food and nutrient consumption of on- versus off-screen eating occasions, and (3) to determine whether screen time and eating during screen time is associated with overall dietary intake.
Methods: Participants were part of the Food Environment Chilean Cohort (FEChiC, n=938, 4-6 y) and the Growth and Obesity Cohort Study (GOCS, n=752, 12-14 y), recruited in the southeast region of Santiago, Chile in 2016. Dietary data was collected via 24-h food recalls. For each eating occasion, participants or their primary caregiver reported activity performed during consumption. Analyses included Spearman correlations, multivariable linear regression models and logistic regression. For daily consumption analyses, post-hoc pairwise comparisons examined differences in our main outcomes by tertiles.
Results: In our sample, 87.5% reported consuming at least one meal or snack per day while on a screen. The median kilocalories contributed by eating during screen time was 387 kcal/d in children and 848 kcal/day in adolescents, which represents 34.7% and 42.3% of daily energy intake, respectively. There were no consistent differences in the nutrient profile or food groups consumed for either age group when comparing eating occasions consumed on-screen versus off-screen. Daily consumption analyses revealed that higher weekly hours of TV viewing was associated with elements of a less healthy diet including more sweets and desserts in children, and more sugar sweetened beverages in adolescents.
Conclusions: A large percentage of children and adolescents’ daily energy intake is consumed while watching television or on their phone. In depth, longitudinal work is needed to understand how screen time eating affects diet quality and nutritional status.