Jodkowska Maria, Tabak Izabela, Oblacińska Anna, Stalmach Magdalena
Zakład Zdrowia Dzieci i Młodzieży, Instytut Matki i Dziecka, Warszawa.
Med Wieku Rozwoj. 2013 Apr-Jun;17(2):165-73.
Cross-sectional study was conducted in Poland in 2008 among 13-year olds (n=600). They self-reported their time of TV viewing, computer use and homework. Their dietary behaviours, physical activity (MVPA) and parenting practices were also self-reported. Height and weight were measured by school nurses. Descriptive statistics and correlation were used in this analysis.
The mean time spent watching television in school days was 2.3 hours for girls and 2.2 for boys. Boys spent significantly more time using the computer than girls - respectively 1.8 and 1.5 hours, while girls took longer doing homework - respectively 1.7 and 1.3 hours. Mean screen time was about 4 hours in school days and about 6 hours during weekend, statistically longer for boys in weekdays. Screen time was positively associated with intake of sweets, chips, soft drinks, "fast food" and meals consumption during TV, and negatively with regularity of meals and parental supervision. There was no correlation between screen time with physical activity and body mass.
Sedentary behaviours and physical activity are not competing behaviours in Polish teenagers, but their relationship with unhealthy dietary patterns may lead to development of obesity. Good parental practices, both mother's and father's supervision seems to be crucial for screen time limitation in their children. Parents should become aware that relevant lifestyle monitoring of their children is a crucial element of health education in prevention of civilization diseases. This is a task for both healthcare workers and educational staff.
2008年在波兰对13岁青少年(n = 600)开展了一项横断面研究。他们自行报告看电视、使用电脑和做作业的时间。他们的饮食行为、身体活动(中度至剧烈身体活动)及父母教养方式也通过自我报告获取。身高和体重由学校护士测量。本分析采用描述性统计和相关性分析。
上学日女孩平均看电视时间为2.3小时,男孩为2.2小时。男孩使用电脑的时间显著多于女孩,分别为1.8小时和1.5小时,而女孩做作业时间更长,分别为1.7小时和1.3小时。上学日平均屏幕使用时间约为4小时,周末约为6小时,工作日男孩的屏幕使用时间在统计学上更长。屏幕使用时间与甜食、薯片、软饮料、“快餐”的摄入量以及看电视时的进餐量呈正相关,与进餐规律和父母监督呈负相关。屏幕使用时间与身体活动和体重之间无相关性。
在波兰青少年中,久坐行为和身体活动并非相互竞争的行为,但它们与不健康饮食模式的关系可能导致肥胖的发生。良好的父母教养方式,即母亲和父亲的监督,对于限制孩子的屏幕使用时间似乎至关重要。父母应意识到对孩子相关生活方式的监测是预防文明病健康教育的关键要素。这是医护人员和教育工作者共同的任务。