Journal
INTERNATIONAL JOURNAL OF PEDIATRIC OBESITY
Volume 3, Issue 3, Pages 168-176Publisher
INFORMA HEALTHCARE
DOI: 10.1080/17477160801915935
Keywords
cross-sectional; diet quality; fast food; preschool children; television
Categories
Funding
- NHLBI NIH HHS [R01 HL069425, HL 068041, HL 069425, K24 HL068041, R01 HL064925] Funding Source: Medline
- NICHD NIH HHS [R37 HD034568, HD 034568, R01 HD034568] Funding Source: Medline
- NIDDK NIH HHS [P30 DK040561-12, P30 DK040561] Funding Source: Medline
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT [R01HD034568, R37HD034568] Funding Source: NIH RePORTER
- NATIONAL HEART, LUNG, AND BLOOD INSTITUTE [R01HL064925, K24HL068041, R01HL069425] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES [P30DK040561] Funding Source: NIH RePORTER
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Objective. To examine the association between television/video (TV) viewing and markers of diet quality among 3-year-old children. Methods. We studied 613 boys and 590 girls, age 3 years old, who were participants in Project Viva. Each mother reported the number of hours her child watched TV on an average weekday and weekend day in the past month, from which we calculated a weighted mean. The main outcomes were intakes of selected foods and nutrients from a validated food frequency questionnaire. In linear regression models we adjusted for mother's sociodemographic information, parental body mass index (BMI), and child's age, sex, race/ethnicity, BMI z-score, sleep duration, and breast feeding duration. Results. Mean (standard deviation, SD) age of subjects was 3.2 (0.2) years; 372 children (31%) were non-white and 151 (13%) had a household income <$40000, and 330 mothers (28%) had completed less than a college degree. Mean (SD) TV viewing was 1.7 (1.0) hours per day. For each 1-hour increment of TV viewing per day, we found higher intakes of sugar-sweetened beverages (0.06 servings/day [95% CI 0.03, 0.10]), fast food (0.32 servings/month [95% CI 0.16, 0.49]), red and processed meat (0.06 servings/day [95% CI 0.02, 0.09]), total energy intake (48.7kcal/day [95% CI 18.7, 78.6]), and percent energy intake from trans fat (0.05 [95% CI 0.03, 0.07]). We found lower intakes of fruit and vegetables (-0.18 servings/day [95% CI -0.32, -0.05]), calcium (-24.6 mg/day [95% CI -41.0, -8.1]), and dietary fiber (-0.44 g/day [95% CI -0.65, -0.22]). Conclusions. Among 3-year-olds, more TV viewing is associated with adverse dietary practices. Interventions to reduce TV viewing in this age group may lead to improved diet quality.
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