Associations of Contemporary Screen Time Modalities With Early Adolescent Nutrition
Open accessAbstract
OBJECTIVE: To determine the associations between screen time across several contemporary screen modalities (eg, television, video games, text, video chat, social media) and adherence to the Mediterranean-DASH (dietary approaches to stop hypertension) intervention for neurodegenerative delay (MIND) diet in early adolescents. METHODS: We analyzed data from the Adolescent Brain Cognitive Development study of 9 to 12-year-old adolescents in the United States. Multiple linear regression analyses examined the relationship between self-reported screen time measures at baseline (year 0) and the 1-year follow-up (year 1) and caregiver-reported nutrition assessments at year 1, providing a prospective and cross-sectional analysis. Cross-sectional marginal predicted probabilities were calculated. RESULTS: In a sample of 8267 adolescents (49.0% female, 56.9% white), mean age 10 years, total screen time increased from 3.80 h/d at year 0 to 4.61 h/d at year 1. Change in total screen time from year 0 and year 1 was associated with lower nutrition scores at year 1. PROSPECTIVE: Screen time spent on television, video games, and videos at year 0 was associated with lower nutrition scores at year 1. Cross-sectional: Screen time spent on television, video games, videos, texting, and social media at year 1 was associated with lower MIND diet scores at year 1. CONCLUSIONS: Both traditional (television) and several contemporary modalities of screen time are associated, prospectively and cross-sectionally, with lower overall diet quality, measured by the MIND diet nutrition score, in early adolescents. Future studies should further explore the effect of rising digital platforms and media on overall adolescent nutrition.
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The effect sizes per hour of screen time in this study are similar in magnitude to previously reported effect sizes for screen time and nutrition as measured by the MIND diet score.
“These effect sizes per hour of screen time are similar in magnitude to the effect sizes previously reported on screen time and nutrition as measured by the MIND (Mediterranean-DASH [Dietary Approaches to Stop Hypertension] Intervention for Neurodegenerative Delay) diet score [114].”
From Screen time and mental health: a prospective analysis of the Adolescent Brain Cognitive Development (ABCD) Study (2024) · cites this paper as [114]
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Sorted by citations
Nagata, J. M., Al-Shoaibi, A. A. A., Leong, A. W., Zamora, G., Testa, A., Ganson, K. T., & Baker, F. C. (2024) · BMC Public Health · doi:10.1186/s12889-024-20102-x · Cited by 103 · see citing works
“These effect sizes per hour of screen time are similar in magnitude to the effect sizes previously reported on screen time and nutrition as measured by the MIND (Mediterranean-DASH [Dietary Approaches to Stop Hypertension] Intervention for Neu-rodegenerative Delay) diet score [114].”
ResultSelf-citation
- Authors
- Nagata, J. M., Weinstein, S., Bashir, A., Lee, S., Al-shoaibi, A. A. A., Shao, I. Y., Ganson, K. T., Testa, A., He, J., & Garber, A. K.
- Affiliations
- University of California, San Francisco (US)
- University of Toronto (CA)
- The University of Texas Health Science Center at Houston (US)
- Chinese University of Hong Kong (HK)
- Corresponding author
- Nagata, Jason M.
- ORCID
- Venue
- Academic Pediatrics
- Publisher
- Elsevier BV
- Published
- 2024-07
- Volume
- 24
- Issue
- 5
- Pages
- 748-754
- ISSN
- 1876-2859 (ISSN-L)
- PMC
- PMC11193610
- OpenAlex
- W4391474551
- Cited by
- 12
- References
- 41
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 1
- FWCI
- 15.00
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Academic Pediatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (U01DA041048, U01DA041025, U24DA041147, U01DA041156, U01DA041106, U01DA041120, U01DA041117, U01DA041093, U01DA041089, U01DA041134, U24DA041123, U01DA041022, U01DA041028, U01DA041174, U01DA041148)
- Doris Duke Charitable Foundation
- National Heart Lung and Blood Institute (K08HL159350)
- National Institute of Mental Health (R01MH135492)
- American Heart Association Inc
- Topics
- Social Sciences › Education › Child Development and Digital Technology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- screen time, adolescent nutrition, MIND diet, diet quality, television, video games, social media, text messaging, video chat, digital media, early adolescents
- MeSH terms
- Screen Time, Adolescent, Child, Cross-Sectional Studies, Female, Humans, Male, Nutritional Status, Prospective Studies, Television, United States, Nutrition Assessment, Linear Models, Video Games, Diet, Mediterranean, Text Messaging, Social Media
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