Relationship between screen time and nutrient intake in Japanese children and adolescents: a cross-sectional observational study.

Hiromasa Tsujiguchi, Daisuke Hori, Yasuhiro Kambayashi, Toshio Hamagishi, Hiroki Asakura, Junko Mitoma, Masami Kitaoka, Enoch Olando Anyenda, Thao Thi Thu Nguyen, Yohei Yamada, Koichiro Hayashi, Tadashi Konoshita, Takiko Sagara, Aki Shibata, Satoshi Sasaki, Hiroyuki Nakamura

Journal: Environmental health and preventive medicine 2019;23(1):34

PMID: 30086711

Plain Language Summary

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Literature indicates that sedentary behaviours are linked to adverse health outcomes. The aim of the study was to investigate the relationship between screen time, including personal computer and mobile phone use, and nutrient intake among children and adolescents. The study used cross-sectional data from the Shika study which recruited Japanese children aged between 6 to 15 years of age. Results indicate a relationship between longer television viewing times and less protein, minerals, vitamins, and total dietary fibre intake. A relationship was also found between personal computer use in boys and less minerals and vitamins intake. Authors conclude that children and adolescents need to reduce the amount of time they spend watching television as well as the frequency of eating in front of the television screen in order to reduce health risk.

Abstract

BACKGROUND

Sedentary behaviors have recently become an important public health issue. We aimed to investigate the relationship between screen time and nutrient intake in children and adolescents.

METHODS

The present study was conducted in 2013. Data were collected from children and adolescents aged between 6 and 15 years old in Shika town. Questionnaires were distributed to 1459 subjects, 1414 of whom participated in the study (96.9%). Sedentary behaviors were assessed based on participants' screen behaviors (television (TV) viewing, personal computer (PC) use, and mobile phone (MP) use). The main outcomes were the intake of nutrients from a validated food frequency questionnaire. Analysis of covariance (ANCOVA) was used to examine the significance of differences in nutrient intake estimates. Multivariate linear regression analyses, adjusting for age, BMI, and physical activity, were used to provide parameter estimates (β) and 95% CI for the relationship between screen time and nutrient intake.

RESULTS

In boys, longer TV viewing times correlated or tended to correlate with a lower intake of protein, potassium, calcium, iron, vitamin K, vitamin B-2, and total dietary fiber. In girls, longer TV viewing times correlated with a lower intake of protein, sodium, calcium, vitamin D, and vitamin B-2. Longer TV viewing times correlated with a higher intake of n-6 fatty acids in girls. PC use was related or tended to be related to a lower intake of potassium, iron, vitamin K, and folic acid in boys, but not in girls. A relationship was observed between MP use and a lower intake of vitamin K in boys, and MP use and a higher intake of vitamin D in girls.

CONCLUSIONS

The present results revealed that longer TV viewing times are associated with less protein, minerals, vitamins, and total dietary fiber intake in children and adolescents. It was also revealed that boys with PC use have less minerals and vitamins. These results support the need to design intervention programs that focus on decreasing TV viewing time in both sexes and PC use in boys while encouraging adherence to dietary guidelines among children and adolescents.

Address: Department of Environmental and Preventive Medicine, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, Japan. [email protected].; Department of Environmental and Preventive Medicine, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takaramachi, Kanazawa, Ishikawa, Japan.; Third Department of Internal Medicine, University of Fukui Faculty of Medical Sciences, 23-3 Matsuokashimoaiduki, Eiheiji, Fukui, Japan.; Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyoku, Tokyo, Japan.
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