Department of Epidemiology and Public Health, University College London, London, UK.
Eastman Dental Institute, University College London, London, UK.
Int J Obes (Lond). 2017 Oct;41(10):1503-1509. doi: 10.1038/ijo.2017.129. Epub 2017 Jun 2.
To assess longitudinal associations between screen-based media use (television (TV) and computer hours, having a TV in the bedroom) and body fatness among UK children.
Participants were 12 556 children from the UK Millennium Cohort Study who were followed from age 7 to age 11 years. Associations were assessed between screen-based media use and the following outcomes: body mass index (BMI), fat mass index (FMI), and overweight.
In fully adjusted models, having a bedroom TV at age 7 years was associated with significantly higher BMI and FMI (excess BMI for boys=0.29, 95% confidence interval (CI) 0.06-0.52; excess BMI for girls=0.57, 95% CI 0.31-0.84; excess FMI for boys=0.20, 95% CI 0.04-0.37; excess FMI for girls=0.39, 95% CI 0.21-0.57) and increased risk of being overweight (relative risk (RR) for boys=1.21, 95% CI 1.07-1.36; RR for girls=1.31, 95% CI 1.15-1.48) at age 11 years, compared with having no bedroom TV. Hours spent watching TV or digital versatile disks were associated with increased risk of overweight among girls only. Computer use at age 7 years was not related to later body fatness for either gender.
Having a TV in the child's bedroom was an independent risk factor for overweight and increased body fatness in this nationally representative sample of UK children. Childhood obesity prevention strategies should consider TVs in children's bedrooms as a risk factor for obesity.
评估英国儿童中屏幕媒体使用(电视和电脑时间、卧室中是否有电视)与体脂之间的纵向关联。
参与者为英国千禧年队列研究中的 12556 名儿童,他们从 7 岁到 11 岁期间接受了随访。评估了屏幕媒体使用与以下结果之间的关联:体重指数(BMI)、脂肪质量指数(FMI)和超重。
在完全调整的模型中,7 岁时卧室中有电视与 BMI 和 FMI 显著升高相关(男孩的 BMI 过剩=0.29,95%置信区间(CI)0.06-0.52;女孩的 BMI 过剩=0.57,95% CI 0.31-0.84;男孩的 FMI 过剩=0.20,95% CI 0.04-0.37;女孩的 FMI 过剩=0.39,95% CI 0.21-0.57),11 岁时超重的风险增加(男孩的相对风险(RR)=1.21,95% CI 1.07-1.36;女孩的 RR=1.31,95% CI 1.15-1.48),与卧室中没有电视相比。仅女孩看电视或数字多功能光盘的时间与超重风险增加有关。7 岁时使用电脑与两性的后期体脂无关。
在这个具有全国代表性的英国儿童样本中,卧室里有电视是超重和体脂增加的独立危险因素。儿童肥胖预防策略应将儿童卧室中的电视视为肥胖的危险因素。