Physical Activity and Screen-Time Viewing Among Elementary School–Aged Children in the United States From 2009 to 2010
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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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].”
From Early effects of the COVID-19 pandemic on physical activity and sedentary behavior in children living in the U.S. (2020) · cites this paper as [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
- Publisher
- American Medical Association (AMA)
- 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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