A systematic review and meta‐analysis of screen time behaviour among North American indigenous populations

Foulds, H. J. A.; Rodgers, C. D.; Duncan, V.; Ferguson, L. J.

doi:10.1111/obr.12389

Cited by 14Physical Activity and HealthObesity, Physical Activity, DietIndigenous Health, Education, and Rights

A systematic review and meta‐analysis of screen time behaviour among North American indigenous populations

Foulds, H. J. A., Rodgers, C. D., Duncan, V., Ferguson, L. J.·2016·Obesity Reviews

DOI 10.1111/obr.12389

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Abstract

Summary: Screen time (computer, television, video game and smartphone/tablet activity) is associated with increased obesity and other health risks. This systematic review evaluates screen time among North American Indigenous populations and compares it with that of North American Europeans. Electronic databases (e.g. MEDLINE and EMBASE) were searched, and citations cross‐referenced. Included articles reported screen time among First Nations/American Indians, Métis, Inuit/Alaskan Natives or Native Hawaiians. From 788 citations evaluated, 40 identified articles report television, video game, computer and/or overall screen time. Overall screen time was 3.65 ± 1.26 h day −1 ( n = 2,242, 8 articles) among Indigenous children/youth and 3.61 ± 2.95 h day −1 ( n = 155, 1 article) among adults. Among children/youth, 66.0% ( n = 11 256, 9 articles) reported less than 2 h day −1 of television screen time, while only 52.8% ( n = 2,458, 1 article) of adults reported this volume. Screen time was generally greater among male population, youth, First Nations/American Indians and overweight/obese individuals. Indigenous children/youth reported greater overall screen time than North American Europeans (4.81 ± 2.84 h day −1 , n = 1,182 vs. 3.40 ± 2.81 h day −1 , n = 2,785; 3 articles; p < 0.0001). Screen time is common among North American Indigenous populations. Further research evaluating interventions to reduce screen time and chronic disease risks is required. © 2016 World Obesity

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The extant literature on the impact of screen exposure on the psychosocial outcomes of racial and ethnic minority adolescents in the United States is sparse.
“The extant literature on the impact of screen exposure on the psychosocial outcomes of racial and ethnic minority adolescents in the United States is sparse [122–124].”
From Screen time and mental health: a prospective analysis of the Adolescent Brain Cognitive Development (ABCD) Study (2024) · cites this paper as [123]

The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions.
Downs, S. H., & Black, N. (1998) · Journal of Epidemiology and Community Health · doi:10.1136/jech.52.6.377 · Cited by 8,252 · see citing works
Television Watching and Other Sedentary Behaviors in Relation to Risk of Obesity and Type 2 Diabetes Mellitus in Women
Hu, F. B., Li, T. Y., Colditz, G. A., Willett, W. C., & Manson, J. E. (2003) · JAMA · doi:10.1001/jama.289.14.1785 · Cited by 1,892 · see citing works
Children, adolescents, and television.
Strasburger, V. (1990) · Pediatrics in review · doi:10.1542/peds.107.2.423 · Cited by 1,432 · see citing works
Meta-analyses and Forest plots using a microsoft excel spreadsheet: step-by-step guide focusing on descriptive data analysis
Neyeloff, J. L., Fuchs, S. C. P. C., & Moreira, L. B. (2012) · BMC Research Notes · doi:10.1186/1756-0500-5-52 · Cited by 731 · see citing works
The genome of a Late Pleistocene human from a Clovis burial site in western Montana
Rasmussen, M., Anzick, S. L., Waters, M. R., Skoglund, P., DeGiorgio, M., Stafford, T. W., Rasmussen, S., Moltke, I., Albrechtsen, A., Doyle, S. M., et al. (2014) · Nature · doi:10.1038/nature13025 · Cited by 562 · see citing works
Association of Sedentary Behaviour with Metabolic Syndrome: A Meta-Analysis
Edwardson, C. L., Gorely, T., Davies, M. J., Gray, L. J., Khunti, K., Wilmot, E. G., Yates, T. E., & Biddle, S. (2012) · PLoS ONE · doi:10.1371/journal.pone.0034916 · Cited by 539 · see citing works
Sedentary behaviour and cardiovascular disease: a review of prospective studies
Ford, E. S., & Caspersen, C. J. (2012) · International Journal of Epidemiology · doi:10.1093/ije/dys078 · Cited by 530 · see citing works
Rising Tide of Cardiovascular Disease in American Indians
Howard, B. V., Lee, E. T., Cowan, L. D., Devereux, R. B., Galloway, J. M., Go, O. T., Howard, W. J., Rhoades, E. R., Robbins, D. C., Sievers, M. L., et al. (1999) · Circulation · doi:10.1161/01.cir.99.18.2389 · Cited by 461 · see citing works
Home environment relationships with children’s physical activity, sedentary time, and screen time by socioeconomic status
Tandon, P. S., Zhou, C., Sallis, J. F., Cain, K. L., Frank, L. D., & Saelens, B. E. (2012) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-9-88 · Cited by 461 · see citing works
Active play and screen time in US children aged 4 to 11 years in relation to sociodemographic and weight status characteristics: a nationally representative cross-sectional analysis
Anderson, S. E., Economos, C. D., & Must, A. (2008) · BMC Public Health · doi:10.1186/1471-2458-8-366 · Cited by 296 · see citing works
Y-Chromosome Evidence for Differing Ancient Demographic Histories in the Americas
Bortolini, M. C., Salzano, F. M., Thomas, M., Stuart, S., Nasanen, S. P. K., Bau, C. H. D., Hutz, M. H., Layrisse, Z. E., Petzl‐Erler, M. L., Tsuneto, L. T., et al. (2003) · The American Journal of Human Genetics · doi:10.1086/377588 · Cited by 263 · see citing works
Physical Activity and Screen-Time Viewing Among Elementary School–Aged Children in the United States From 2009 to 2010
Fakhouri, T. H. I., Hughes, J. P., Brody, D. J., Kit, B. K., & Ogden, C. L. (2013) · JAMA Pediatrics · doi:10.1001/2013.jamapediatrics.122 · Cited by 248 · see citing works
Forward: CDC Health Disparities and Inequalities Report - United States, 2011.
Frieden, T. R. (2011) · PubMed · Cited by 237 · see citing works
The epidemic of obesity in American Indian communities and the need for childhood obesity-prevention programs
Story, M. T., Evans, M., Fabsitz, R. R., Clay, T. E., Rock, B. H., & Broussard, B. B. (1999) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/69.4.747s · Cited by 212 · see citing works
The Peopling of the New World: Perspectives from Molecular Anthropology
Schurr, T. G. (2004) · Annual Review of Anthropology · doi:10.1146/annurev.anthro.33.070203.143932 · Cited by 208 · see citing works
Effectiveness of Interventions Aimed at Reducing Screen Time in Children
Wahi, G. (2011) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpediatrics.2011.122 · Cited by 185 · see citing works
A Meta-analysis of Interventions That Target Children's Screen Time for Reduction
Maniccia, D. M., Davison, K. K., Marshall, S. J., Manganello, J. A., & Dennison, B. A. (2011) · PEDIATRICS · doi:10.1542/peds.2010-2353 · Cited by 148 · see citing works
Youth screen-time behaviour is associated with cardiovascular risk in young adulthood: the European Youth Heart Study
Grøntved, A., Ried‐Larsen, M., Møller, N. C., Kristensen, P. L., Wedderkopp, N., Froberg, K., Hu, F. B., Ekelund, U., & Andersen, L. B. (2012) · European Journal of Preventive Cardiology · doi:10.1177/2047487312454760 · Cited by 117 · see citing works
Screen time is more strongly associated than physical activity with overweight and obesity in 9‐ to 16‐year‐old Australians
Maher, C. A., Olds, T., Eisenmann, J. C., & Dollman, J. (2012) · Acta Paediatrica · doi:10.1111/j.1651-2227.2012.02804.x · Cited by 114 · see citing works
Ethnic Differences in Arterial Wave Reflections and Normative Equations for Augmentation Index
Chirinos, J. A., Kips, J. G., Roman, M. J., Medina‐Lezama, J., Li, Y., Woodiwiss, A. J., Norton, G. R., Yasmin, Y., Bortel, L. M. V., Wang, J., et al. (2011) · Hypertension · doi:10.1161/hypertensionaha.110.166348 · Cited by 114 · see citing works
Associations of physical activity and screen-time on health related quality of life in adults
Davies, C., Vandelanotte, C., Duncan, M. J., & van Uffelen, J. G. Z. (2012) · Preventive Medicine · doi:10.1016/j.ypmed.2012.05.003 · Cited by 105 · see citing works
Children, Television Viewing, and Weight Status: Summary and Recommendations from an Expert Panel Meeting
Jordan, A. B., & Robinson, T. N. (2008) · The Annals of the American Academy of Political and Social Science · doi:10.1177/0002716207308681 · Cited by 103 · see citing works
Screen-time, obesity, ageing and disability: Findings from 91,266 participants in the 45 and up study
Banks, E., Jorm, L., Rogers, K., Clements, M., & Bauman, A. (2011) · Public Health Nutrition · doi:10.1017/s1368980010000674 · Cited by 98 · see citing works
Results from the United States’ 2014 Report Card on Physical Activity for Children and Youth
Dentro, K. N., Beals, K., Crouter, S. E., Eisenmann, J. C., McKenzie, T. L., Pate, R. R., Saelens, B. E., Sisson, S. B., Spruijt‐Metz, D., SOTHERN, M. S., et al. (2014) · Journal of Physical Activity and Health · doi:10.1123/jpah.2014-0184 · Cited by 93 · see citing works
Mortality of Métis and registered Indian adults in Canada: an 11-year follow-up study.
Tjepkema, M., Wilkins, R., Senécal, S., Guimond, É., & Penney, C. (2009) · PubMed · Cited by 78 · see citing works
Y-chromosome analysis reveals genetic divergence and new founding native lineages in Athapaskan- and Eskimoan-speaking populations
Dulik, M. C., Owings, A. C., Gaieski, J. B., Vilar, M. G., Andre, A., Lennie, C., Mackenzie, M. A., Kritsch, I., Snowshoe, S., Wright, R., et al. (2012) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1118760109 · Cited by 56 · see citing works
A systematic review of physical activity levels in N ative A merican populations in C anada and the U nited S tates in the last 50 years
Foulds, H. J. A., Warburton, D. E. R., & Bredin, S. S. D. (2013) · Obesity Reviews · doi:10.1111/obr.12032 · Cited by 44 · see citing works
Self-citation
Diagnosed diabetes among American Indians and Alaska Natives aged <35 years--United States, 1994-2004.
(2006) · PubMed · Cited by 40 · see citing works
Greater prevalence of select chronic conditions among Aboriginal and South Asian participants from an ethnically diverse convenience sample of British Columbians
Foulds, H. J. A., Bredin, S. S. D., & Warburton, D. E. R. (2012) · Applied Physiology Nutrition and Metabolism · doi:10.1139/h2012-110 · Cited by 35 · see citing works
Self-citation
Results from the Active Healthy Kids Canada 2011 Report Card on Physical Activity for Children and Youth
Barnes, J. D., Colley, R. C., & Tremblay, M. S. (2012) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/h2012-033 · Cited by 32 · see citing works
The blood pressure and hypertension experience among North American Indigenous populations
Foulds, H. J. A., & Warburton, D. E. R. (2014) · Journal of Hypertension · doi:10.1097/hjh.0000000000000084 · Cited by 32 · see citing works
Self-citation
Lack of associations of ten candidate coronary heart disease risk genetic variants and subclinical atherosclerosis in four U.S. populations: The Population Architecture using Genomics and Epidemiology (PAGE) study
Zhang, L., Bůžková, P., Wassel, C. L., Roman, M. J., North, K. E., Crawford, D. C., Boston, J., Brown-Gentry, K. D., Cole, S. A., Deelman, E., et al. (2013) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2013.02.038 · Cited by 27 · see citing works
Directives canadiennes en matière de comportement sédentaire à l’intention des enfants et des jeunes
Tremblay, M. S., LeBlanc, A. G., Janssen, I., Kho, M. E., Hicks, A., Murumets, K., Colley, R. C., & Duggan, M. (2011) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/h11-013 · Cited by 26 · see citing works
A Review of the Cardiometabolic Risk Experience Among Canadian Métis Populations
Foulds, H. J. A., Shubair, M. M., & Warburton, D. E. R. (2013) · Canadian Journal of Cardiology · doi:10.1016/j.cjca.2012.11.029 · Cited by 25 · see citing works
Self-citation
The prevalence of overweight and obesity in British Columbian Aboriginal adults
Foulds, H. J. A., Bredin, S. S. D., & Warburton, D. E. R. (2011) · Obesity Reviews · doi:10.1111/j.1467-789x.2010.00844.x · Cited by 22 · see citing works
Self-citation
Socio-demographic characteristics of children experiencing socioeconomic disadvantage who meet physical activity and screen-time recommendations: The READI study
Hume, C., Salmon, J., Veitch, J., O'Connell, E., Crawford, D. A., & Ball, K. (2011) · Preventive Medicine · doi:10.1016/j.ypmed.2011.10.019 · Cited by 16 · see citing works
American-Indian diabetes mortality in the Great Plains Region 2002–2010
Kelley, A., Giroux, J., Schulz, M. R., Aronson, B., Wallace, D. C., Bell, R. A., & Morrison, S. D. (2015) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2014-000070 · Cited by 8 · see citing works

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Toombs, E., Mushquash, C. J., Mah, L., Short, K., Young, N. L., Cheng, C., Zhu, L., Strudwick, G., Birken, C. S., Hopkins, J. P., et al. (2022) · doi:10.47326/ocsat.2022.03.59.1.0 · Cited by 41 · see citing works
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Forero, A. Y., Morales, G. E., & Ballesteros, L. C. F. (2023) · Biomédica · doi:10.7705/biomedica.7014 · Cited by 13 · see citing works
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Authors: Foulds, H. J. A., Rodgers, C. D., Duncan, V., & Ferguson, L. J.
Affiliations: University of Saskatchewan (CA)
Corresponding author: Foulds, H. J. A.
ORCID: Foulds, H. J. A.
Duncan, V.
Ferguson, L. J.
Venue: Obesity Reviews
Publisher: Wiley
Published: 2016-03-17
Volume: 17
Issue: 5
Pages: 455-466
ISSN: 1467-7881 (ISSN-L)
1467-789X
DOI: 10.1111/obr.12389
OpenAlex: W2298980788
Cited by: 14
References: 37
Citations by year: 2026: 1 · 2024: 1 · 2023: 3 · 2022: 1 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 1
FWCI: 0.27
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Obesity Reviews (publishedVersion)
PubMed (publishedVersion)
Funders: University of Saskatchewan
Topics: Health Sciences › Medicine › Physiology › Physical Activity and Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Social Sciences › Health › Indigenous Health, Education, and Rights
Keywords: screen time, indigenous peoples, First Nations, Native Americans, Métis, Inuit, Native Hawaiians, television viewing, video game use, computer use, smartphone use, children and young people, obesity, overweight, sex differences, chronic disease risk
MeSH terms: Adolescent, Adult, Aged, Behavior, Child, Child, Preschool, Computers, Female, Humans, Indians, North American, Male, Middle Aged, United States, Young Adult

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A systematic review and meta‐analysis of screen time behaviour among North American indigenous populations

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