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Social factors and television use during meals and snacks is associated with higher BMI among pre-school children

  • Lise Dubois (a1), Anna Farmer (a1), Manon Girard (a1) and Kelly Peterson (a1)
Abstract
AbstractAim

The present paper examines the relationship between social factors, food consumption during television viewing, and overall television viewing and how these are associated with BMI when the role of familial and social factors are considered in a population-based birth cohort of pre-school children from Québec (Canada).

Methods

The analyses were performed using data from the Longitudinal Study of Child Development in Québec (1998–2002) (LSCDQ). The study follows a representative sample (n 2103) of children born in 1998 in the Canadian province of Québec. A nutrition assessment was conducted on 1549 children aged 4·5 years and included a 24 h dietary recall, an eating behaviour and television viewing questionnaire, and a measurement of children’s heights and weights. Statistical analyses were performed.

Results

Nearly one-quarter of children ate at least twice daily in front of the television. Children who consumed snacks while watching television on a daily basis had higher BMI than children who did so less frequently. Children who ate snacks in front of the television every day, or some times during the week, ate more carbohydrates (total), more fat and less protein, fewer fruits and vegetables, and drank soft drinks more often than children who never ate snacks in front of the television.

Conclusions

Health professionals should target parents of children at risk of overweight/obesity with focused strategies to help children change the types of foods consumed during television viewing and to reduce the time spent watching television, particularly during meal times, which may change children’s dietary intake and eating patterns.

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Copyright
Corresponding author
Corresponding author: Email lise.dubois@uottawa.ca
References
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1. International Obesity Task Force (2004) Obesity in children and young people, a crisis in public health. http://www.iotf.org (accessed November 2005).
2.Willms JD, Tremblay MS & Katzmarzyk PT (2003) Geographic and demographic variation in the prevalence of overweight Canadian children. Obes Res 11, 668673.
3. World Health Organization (2005) WHO Global Strategy on Diet, Physical Activity and Health 2004. http://www.who.int/dietphysicalactivity/en/ (accessed November 2005).
4. British Medical Association, Board of Science (2005) Preventing childhood obesity. http://www.bma.org.uk/ap.nsf/content/ChildhoodObesity (accessed November 2005).
5.Krahnstoever Davison K, Francis LA & Birch LL (2005) Re-examining obesogenic families: parents’ obesity-related behaviors predict girls’ change in BMI. Obes Res 13, 19801990.
6.Egger G & Swinburn B (1997) An ‘ecological’ approach to the obesity pandemic. BMJ 315, 477480.
7.Davison KK, Francis LA & Birch LL (2005) Links between parents’ and girls’ television viewing behaviors: a longitudinal examination. J Pediatr 147, 436442.
8.Jago R, Baranowski T, Baranowski JC, Thompson D & Greaves K (2005) BMI from 3–6 y of age is predicted by TV viewing and physical activity, not diet. Int J Obes (Lond) 29, 557564.
9.Statistics Canada (2005) Nutrition: Résultats de l’Enquête sur la Santé dans les collectivités canadiennes. Numéro 1. Obésité mesurée. L’embonpoint chez les enfants et les adolescents au Canada. Report no. 82-620-MWF2005001. Ottawa: Statistics Canada.
10.Tremblay MS & Willms JD (2003) Is the Canadian childhood obesity epidemic related to physical inactivity? Int J Obes Relat Metab Disord 27, 11001105.
11.American Academy of Pediatrics, Committee on Public Education (2001) Children, adolescents and television. Pediatrics 107, 423426.
12.Parsons TJ, Power C & Manor O (2005) Physical activity, television viewing and body mass index: a cross-sectional analysis from childhood to adulthood in the 1958 British cohort. Int J Obes (Lond) 29, 12121221.
13.Proctor MH, Moore LL, Gao D, Cupples LA, Bradlee ML, Hood MY & Ellison RC (2003) Television viewing and change in body fat from preschool to early adolescence: The Framingham Children’s Study. Int J Obes Relat Metab Disord 27, 827833.
14.Viner RM & Cole TJ (2005) Television viewing in early childhood predicts adult body mass index. J Pediatr 147, 429435.
15.Straker LM, Pollock CM, Zubrick SR & Kurinczuk JJ (2006) The association between information and communication technology exposure and physical activity, musculoskeletal and visual symptoms and socioeconomic status. Child Care Health Dev 32, 343351.
16.Vandewater E, Bickham D & Lee J (2006) Time well spent? Relating television use to children’s free-time activities. Pediatrics 117, e181e191.
17.Hancox RJ, Milne BJ & Poulton R (2004) Association between child and adolescent television viewing and adult health: a longitudinal birth cohort study. Lancet 364, 257262.
18.Reilly JJ, Armstrong J, Dorosty AR, Emmett PA, Ness A, Rogers I, Steer C & Sherriff A, for the Avon Longitudinal Study of Parents and Children Study Team (2005) Early life risk factors for obesity in childhood: cohort study. BMJ 330, 13571363.
19.Andersen RE, Crespo C J, Bartlett SJ, Cheskin LJ & Pratt M (1998) Relationship of physical activity and television watching with body weight and level of fatness among children: results from the third National Health and Nutrition Examination Study. JAMA 279, 938942.
20.Crespo CJ, Smit E, Troiano RP, Bartlett SJ, Macera CA & Anderson RE (2001) Television watching, energy intake, and obesity in US children. Arch Pediatr Adolesc Med 155, 360365.
21.Gortmaker SL, Must A, Sobol AM, Peterson K, Colditz GA & Dietz WH (1996) Televison viewing as a cause of increasing obesity among children in the United States 1986–1990. Arch Pediatr Adolesc Med 150, 356362.
22.Robinson TN (1999) Reducing children’s television viewing to prevent obesity: a randomized controlled trial. JAMA 282, 15611567.
23.Dennison BA, Russo TJ, Burdick P & Jenkins PL (2004) An intervention to reduce television viewing by preschool children. Arch Pediatr Adolesc Med 158, 170176.
24.Katzmarzyk PT, Malina RM, Song TMK & Bouchard C (1998) Television viewing, physical activity, and health-related fitness of youth in the Quebec Family Study. J Adolesc Health 23, 318325.
25.Marshall SJ, Biddle SJH, Gorely T, Cameron N & Murdey I (2004) Relationships between media use, body fatness and physical activity in children and youth: a meta-analysis. Int J Obes Relat Metab Disord 28, 12381246.
26.Hancox RJ & Poulton R (2006) Watching television is associated with childhood obesity: but is it clinically important? Int J Obes (Lond) 30, 171175.
27.Dubois L, Bédard B, Girard M & Beauchesne É (2000) L’alimentation. Étude longitudinale du développement des enfants du Québec (ÉLDEQ 1998–2002). Les nourrissons de 5 mois. Québec: Institut de la Statistique du Québec.
28.Dubois L & Girard M (2002) L’alimentation des enfants d’âge préscolaire, Étude longitudinale du développement des enfants du Québec (ÉLDEQ 1998–2002). Québec: Institut de la Statistique du Québec.
29.Desrosiers H, Dubois L, Bédard B, Plante N, Tremblay ME & Courtemanche R (2005) Enquête de nutrition auprès des enfants québécois de 4 ans. Québec: Institut de la Statistique du Québec.
30. National Center for Health Statistics & the National Center for Chronic Disease Prevention and Health Promotion (2000) 2000 CDC Growth Charts: United States. http://www.cdc.gov/growthcharts (accessed May 2008).
31.Liu K, Stamler J, Dyer A, McKeever J & McKeever P (1978) Statistical methods to assess and minimize the role of intra-individual variability in obscuring the relationship between dietary lipids and serum cholesterol. J Chronic Dis 31, 399418.
32. Health Canada (2001) The Canadian Nutrient File, 2001 version. http://www.hc-sc.gc.ca
33.US Department of Agriculture (1997–1998) NFCS Food Codes (Release 1) linked to 1985 Nutrient Data (Release 2). Accession no. B87-142451. Washington DC: USDA.
34. Health Canada (2005) Canada’s Food Guide to Healthy Eating. http://www.hc-sc.gc.ca/fn-an/food-guide-aliment/index_e.html
35.Cox BG & Cohen SB (1985) Methodological Issues for Health Care Surveys. New York: Marcel Dekker.
36.Willms JD & Shields M (1996) A measure of socioeconomic status for the National Longitudinal Study of Children. Report prepared for Statistics Canada. Ottawa: Statistics Canada.
37.Matheson DM, Killen JD, Wang Y, Varady A & Robinson T (2004) Children’s consumption during television viewing. Am J Clin Nutr 79, 10881094.
38.Francis LA & Birch LL (2006) Does eating during television viewing affect preschool children’s intake? J Am Diet Assoc 106, 598600.
39.Coon KA, Goldberg J, Rogers BL & Tucker KL (2001) Relationships between use of television during meals and children’s food consumption patterns. Pediatrics 107, E7.
40.Saelens BE, Sallis JF, Nader PR, Broyles SL, Berry CC & Taras H (2002) Home environmental influences on children’s television watching from early to middle childhood. J Dev Behav Pediatr 23, 127132.
41.Campbell KJ, Crawford DA & Ball K (2006) Family food environment and dietary behaviors likely to promote fatness in 5–6 year-old children. Int J Obes (Lond) 30, 12721280.
42.Christakis D, Ebel B, Rivara F & Zimmerman F (2004) Television, video and computer game usage in children 11 years of age. J Pediatr 145, 652656.
43.Grund A, Krause H, Siewers M, Rieckert H & Müller MJ (2001) Is TV viewing an index of physical activity and fitness in overweight and normal weight children? Public Health Nutr 4, 12451251.
44.Müller MJ, Koertzinger I, Mast M, Langnäse & Grund A (1999) Physical activity and diet in 5 to 7 year-old children. Public Health Nutr 2, 443444.
45.Medrich E (1979) Constant television: a background to daily life. J Comm 29, 171176.
46.Dennison BA, Erb TA & Jenkins PL (2002) Television viewing and television in bedroom associated with overweight risk among low-income preschool children. Pediatrics 109, 10281035.
47.Burdette HL & Whitaker RC (2005) A national study of neighbourhood safety, outdoor play, television viewing and obesity in preschool children. Pediatrics 116, 657662.
48.Dietz WH & Gortmaker SL (1985) Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. Pediatrics 75, 807812.
49.Halford JC, Gillespie J, Brown V, Pontin EE & Dovey TM (2004) Effect of television advertisements for foods on food consumption. Appetite 42, 221225.
50.Jeffery RW & French SA (1998) Epidemic obesity in the United States: are fast foods and television viewing contributing? Am J Public Health 88, 277280.
51.Boynton-Jarrett R, Thomas TN, Peterson KE, Wiecha J, Sobol AM & Gortmaker SL (2003) Impact of television viewing patterns on fruit and vegetable consumption among adolescents. Pediatrics 112, 13211326.
52.Field AE, Gillman MW, Rosner B, Rockett HR & Colditz GA (2003) Association between fruit and vegetable intake and change in body mass index among a large sample of children and adolescents in the United States. Int J Obes Relat Metab Disord 27, 821826.
53.Lowry R, Wechsler H, Galuska DA, Fulton JE & Kann L (2002) Television viewing and its associations with overweight, sedentary lifestyle, and insufficient consumption of fruits and vegetables among US high school students: differences by race, ethnicity and gender. J Sch Health 72, 413421.
54.Marquis M, Filion YP & Dagenais F (2005) Does eating while watching television influence children’s food related behaviours? Can J Diet Pract Res 66, 1218.
55.Giammattei J, Blix G, Marshak HH, Wollitzer AO & Pettitt DJ (2003) Television watching and soft drink consumption: associations with obesity in 11- to 13-year-old schoolchildren. Arch Pediatr Adolesc Med 157, 882886.
56.Klesges RC, Shelton ML & Klesges LM (1993) Effects of television on metabolic rate: potential implications for childhood obesity. Pediatrics 92, 281286.
57.Rennie KL, Livingstone BE, Wells JCK, McGloin A, Coward WA, Prentice AM & Jebb SA (2005) Association of physical activity with body composition indexes in children aged 6–8 y at varied risk of obesity. Am J Clin Nutr 85, 1320.
58.Arnas Artakaş Y (2006) The effect of television food advertisement on children’s food purchasing requests. Pediatr Int 48, 138145.
59.Borzekowski D & Robinson T (2001) The 30-second effect: an experiment revealing the impact of television commercials on food preferences of preschoolers. J Am Diet Assoc 101, 4246.
60.Hastings GE, Stead M, McDermott L, Forsyth A, MacIntosh AM, Rayner M, Godfrey C, Caraher M & Angus K (2003) Review of Research on the Effects of Food Promotion to Children. Final Report. Glasgow, UK: University of Strathclyde.
61.Kotz K & Story M (1994) Food advertisements during children’s Saturday morning television programming: are they consistent with dietary recommendations? J Am Diet Assoc 94, 12961300.
62.Lobstein T & Dibb S (2005) Evidence of a possible link between obesogenic food advertising and child overweight. Obes Rev 6, 203208.
63. Office of Communications (2004) Childhood obesity – food advertising in context. Children’s food choices, parent’s understanding and influence, and the role of food promotion. http://www.ofcom.org.uk/research/tv/reports/food_ads/ (accessed November 2005).
64.Lewis M & Hill A (1998) Food advertising on British children’s television: a content analysis and experimental study with nine-year olds. Int J Obes Relat Metab Disord 22, 206214.
65.Wadsworth LA & MacQuarrie A (2002) Nutrition messages on Saturday morning children’s television: 1989–1998. Can J Diet Pract Res 63, 106.
66.Harrison K & Marske A (2005) Nutritional content of foods advertised during the television programs children watch most. Am J Public Health 95, 15681574.
67.Neville L, Thomas M & Bauman A (2005) Food advertising on Australian television: the extent of children’s exposure. Health Promot Int 20, 105112.
68.Willett WC (1998) Nutritional Epidemiology, 2nd ed. New York: Oxford University Press.
69.Goran M (1998) Measurement issues related to studies of childhood obesity: assessment of body composition, body fat distribution, physical activity and food intake. Pediatrics 101, 505518.
70.Perez C (2003) Children who Become Active. Supplement to Health Reports. Catalogue 82-003, pp. 17–28. Ottawa: Statistics Canada.
71.Macdiarmid J & Blundell J (1998) Assessing dietary intake: who, what, and why of under-reporting. Nutr Res Rev 11, 231253.
72.Mendez MA, Wynter S, Wilks R & Forrester T (2004) Under- and overreporting of energy is related to obesity, lifestyle, factors and food group intakes in Jamaican adults. Public Health Nutr 7, 919.
73.Warwick PM & Reid J (2004) Trends in energy and macronutrient intakes, body weight and physical activity in female university students (1988–2003) and effects of excluding under-reporters. Br J Nutr 92, 679688.
74.Krebs-Smith SM, Graubard BI, Kahle LL, Subar AF, Cleveland LE & Ballard-Barbash R (2000) Low energy reporters vs. others: a comparison of reported food intakes. Eur J Clin Nutr 54, 281287.
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