WHO European Childhood Obesity Surveillance Initiative: associations between sleep duration, screen time and food consumption frequencies

BMC Public Health

Research Article

Claudia Börnhorst¹  Vesselka Duleva²  Ausra Petrauskiene³  João Breda⁴  Trudy MA Wijnhoven⁴  Ana I Rito⁵  Marie Kunešová⁶  Agneta Yngve⁷  Lauren Lissner⁸ 

[1] Department of Biometry and Data Management, Leibniz Institute for Prevention Research and Epidemiology – BIPS GmbH, Achterstrasse 30, 28359, Bremen, Germany;Department of Food and Nutrition, National Center of Public Health and Analyses, 15 Akad. Ivan Evstatiev Geshov Blvd, 1431, Sofia, Bulgaria;Department of Preventive Medicine, Lithuanian University of Health Sciences, Eiveniu str. 4, 50009, Kaunas, Lithuania;Division of Noncommunicable Diseases and Promoting Health through the Life-Course, WHO Regional Office for Europe, UN City, Marmorvej 51, DK-2100, Copenhagen Ø, Denmark;National Health Institute Doutor Ricardo Jorge, Av. Padre Cruz, 1649-016, Lisbon, Portugal;Obesity Management Centre, Institute of Endocrinology, Narodni 8, 11694, Prague 1, Czech Republic;School of Hospitality, Culinary Arts and Meal Science, Örebro University, Campus Grythyttan, P.O. Box 1, 712 02, Grythyttan, SE, Sweden;Section for Epidemiology and Social medicine (EPSO), Department of Public Health and Community Medicine, University of Gothenburg, P.O. Box 454, 405 30, Gothenburg, SE, Sweden;

关键词: Sleep;    Screen time;    Food frequency;    TV viewing;    Computer use;    Childhood overweight;    Cross-sectional study;    Snacks;    Europe;   

DOI  :  10.1186/s12889-015-1793-3

 received in 2014-12-13, accepted in 2015-04-22,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundBoth sleep duration and screen time have been suggested to affect children’s diet, although in different directions and presumably through different pathways. The present cross-sectional study aimed to simultaneously investigate the associations between sleep duration, screen time and food consumption frequencies in children.MethodsThe analysis was based on 10 453 children aged 6–9 years from five European countries that participated in the World Health Organization European Childhood Obesity Surveillance Initiative. Logistic multilevel models were used to assess associations of parent-reported screen time as well as sleep duration (exposure variables) with consumption frequencies of 16 food items (outcome variables). All models were adjusted for age, sex, outdoor play time, maximum educational level of parents and sleep duration or screen time, depending on the exposure under investigation.ResultsOne additional hour of screen time was associated with increased consumption frequencies of ‘soft drinks containing sugar’ (1.28 [1.19;1.39]; odds ratio and 99% confidence interval), ‘diet/light soft drinks’ (1.21 [1.14;1.29]), ‘flavoured milk’ (1.18 [1.08;1.28]), ‘candy bars or chocolate’ (1.31 [1.22;1.40]), ‘biscuits, cakes, doughnuts or pies’ (1.22 [1.14;1.30]), ‘potato chips (crisps), corn chips, popcorn or peanuts’ (1.32 [1.20;1.45]), ‘pizza, French fries (chips), hamburgers’(1.30 [1.18;1.43]) and with a reduced consumption frequency of ‘vegetables (excluding potatoes)’ (0.89 [0.83;0.95]) and ‘fresh fruits’ (0.91 [0.86;0.97]). Conversely, one additional hour of sleep duration was found to be associated with increased consumption frequencies of ‘fresh fruits’ (1.11 [1.04;1.18]) and ‘vegetables (excluding potatoes)’ (1.14 [1.07;1.23]).ConclusionThe results suggest a potential relation between high screen time exposure and increased consumption frequencies of foods high in fat, free sugar or salt whereas long sleep duration may favourably be related to children’s food choices. Both screen time and sleep duration are modifiable behaviours that may be tackled in childhood obesity prevention efforts.

【 授权许可】

Unknown   
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