Adiposity and different types of screen time
Open accessAbstract
OBJECTIVE: Few prospective studies have examined separate forms of screen time in relation to adiposity. Our objective was to assess independent relations of television, electronic games (video/computer), and digital versatile disc (DVD)/videos and total screen time with change in adolescent BMI. METHODS: Using data from the 2004, 2006, and 2008 waves of the ongoing Growing up Today Study II, we assessed baseline and 2-year change in reported screen time in relation to concurrent change in BMI among 4287 girls and 3505 boys aged 9 to 16 years in 2004. Gender-specific models adjusted for previous BMI, age, race/ethnicity, growth/development, months between questionnaires, and physical activity. RESULTS: Among girls and boys, each hour per day increase in reported television viewing was associated with a 0.09 increase in BMI (Ps < .001), and each hour per day increase in total screen time was associated with a 0.07 increase among girls and 0.05 increase among boys (Ps < .001). Among girls only, greater baseline television, games, and total screen time and change in DVDs/videos were associated with gains in BMI (Ps < .05). BMI gains associated with change in television and total screen time were stronger among overweight girls than lean girls (Ps-heterogeneity < .001). CONCLUSIONS: Television, which remains the steadiest source of food advertising, was most consistently associated with BMI gains. Among girls, electronic games and DVDs/videos were also related to increased BMI, possibly due to influences of product placements and advergames on diet and/or distracted eating. Adolescents, especially overweight adolescents, may benefit from reduced time with multiple types of media.
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Of screen media types, TV viewing shows the most consistent link to higher BMI.
“Interestingly, TV viewing is most consistently associated with increased BMI (Bickham, Blood, Walls, Shrier, & Rich, 2013; Falbe et al., 2013), possibly because of the influence of TV commercials that advertise energy-dense, micronutrient-poor foods, and excessive snacking while watching TV.”
From Screen Media Overuse and Associated Physical, Cognitive, and Emotional/Behavioral Outcomes in Children and Adolescents: An Integrative Review (2022) · cites this paper as Falbe et al., 2013
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- Authors
- Falbe, J., Rosner, B., Willett, W. C., Sonneville, K. R., Hu, F. B., & Field, A. E.
- Affiliations
- Harvard University (US)
- Brigham and Women's Hospital (US)
- Boston Children's Hospital (US)
- ORCID
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2013-12-01
- Volume
- 132
- Issue
- 6
- Pages
- e1497-e1505
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- PMC
- PMC3838528
- OpenAlex
- W2044364969
- Semantic Scholar
- 9052b23b1a3932451f03f2f06fb0d621d6ad49af
- Cited by
- 119
- References
- 56
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 8 · 2023: 6 · 2022: 10 · 2021: 17 · 2020: 12 · 2019: 10 · 2018: 13 · 2017: 7 · 2016: 12 · 2015: 10 · 2014: 6
- FWCI
- 9.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- PEDIATRICS (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Breast Cancer Research Foundation
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (DK007703., R01DK084001, DK084001, T32DK007703)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Education › Child Development and Digital Technology
- Keywords
- screen time, adiposity, body mass index, television viewing, video games, adolescents, overweight, food advertising, advergaming, product placement, sex differences
- MeSH terms
- Adolescent, Child, Female, Follow-Up Studies, Humans, Male, Surveys and Questionnaires, Television, Videodisc Recording, Videotape Recording, Weight Gain, Body Mass Index, Multivariate Analysis, Linear Models, Video Games, Adiposity, Overweight, Young Adult, Self Report
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