Cited by 248Physical Activity and HealthObesity, Physical Activity, DietChild Development and Digital Technology

Physical Activity and Screen-Time Viewing Among Elementary School–Aged Children in the United States From 2009 to 2010

Fakhouri, Tala H. I., Hughes, Jeffery P., Brody, Debra J., Kit, Brian K., Ogden, Cynthia L.·2013·JAMA Pediatrics

Abstract

OBJECTIVES To describe the percentage of children who met physical activity and screen-time recommendations and to examine demographic differences. Recommendations for school-aged children include 60 minutes of daily moderate-to-vigorous physical activity and no more than 2 hours per day of screen-time viewing. DESIGN Cross-sectional study. SETTING Data from the 2009-2010 National Health and Nutrition Examination Survey, a representative sample of the US population. PARTICIPANTS Analysis included 1218 children 6 to 11 years of age. MAIN EXPOSURES Age, race/ethnicity, sex, income, family structure, and obesity status. MAIN OUTCOME MEASURES Proxy-reported adherence to physical activity and screen-time recommendations, separately and concurrently. RESULTS Based on proxy reports, overall, 70% of children met physical activity recommendations, and 54% met screen-time viewing recommendations. Although Hispanics were less likely to meet physical activity recommendations (adjusted odds ratio [aOR], 0.60 [95% CI, 0.38-0.95]), they were more likely to meet screen-time recommendations compared with non-Hispanic whites (aOR, 1.69 [95% CI, 1.18-2.43]). Only 38% met both recommendations concurrently. Age (9-11 years vs 6-8 years: aOR, 0.57 [95% CI, 0.38-0.85]) and obesity (aOR, 0.53 [95% CI, 0.38-0.73]) were inversely associated with concurrent adherence to both recommendations. CONCLUSIONS Fewer than 4 in 10 children met both physical activity and screen-time recommendations concurrently. The prevalence of sedentary behavior was higher in older children. Low levels of screen-time viewing may not necessarily predict higher levels of physical activity.

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Crossref · 10.1001/2013.jamapediatrics.122

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  • Nearly half of U.S. children and youth between the ages of 6 and 11 years engage in two or more hours of screen time per day, a level greater than recommended by the American Academy of Pediatrics.

    “Additionally, nearly half of U.S. children and youth between the ages of 6 and 11 years engage in two or more hours of screen time per day–a level of behavior greater than recommended levels put forth by the American Academy of Pediatrics [5].”

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Authors
Fakhouri, T. H. I., Hughes, J. P., Brody, D. J., Kit, B. K., & Ogden, C. L.
Affiliations
  • National Center for Health Statistics (US)
  • Centers for Disease Control and Prevention (US)
Venue
JAMA Pediatrics
Published
2013-03-01
Volume
167
Issue
3
Pages
223
ISSN
  • 1072-4710 (ISSN-L)
  • 2168-6203
OpenAlex
W2117729889
Cited by
248
References
57
Citations by year
2026: 3 · 2025: 10 · 2024: 11 · 2023: 12 · 2022: 16 · 2021: 18 · 2020: 29 · 2019: 23 · 2018: 30 · 2017: 27 · 2016: 19 · 2015: 25 · 2014: 16 · 2013: 7 · 2012: 1
FWCI
15.52
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Pediatrics and Adolescent Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Social Sciences › Education › Child Development and Digital Technology
Keywords
physical activity, screen time, elementary school students, moderate-to-vigorous physical activity, sedentary behavior, Hispanic children, childhood obesity, age differences, family structure, income
MeSH terms
Age Factors, Child, Computers, Cross-Sectional Studies, Ethnicity, Female, Humans, Income, Male, Nutrition Surveys, Obesity, Television, United States, Exercise, Guidelines as Topic, Video Games, Racial Groups, Sedentary Behavior

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