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Reducing children's television viewing to prevent obesity: a randomized controlled trial
1Department of Pediatrics, Stanford Center for Research in Disease Prevention, Stanford University School of Medicine, Palo Alto, Calif 94304, USA. tom.robinson@stanford.edu
JAMA
|November 5, 1999
Summary
Reducing screen time in children can help prevent obesity. A school-based program significantly decreased body mass index (BMI) and waist circumference in students by limiting television, videotape, and video game use.
Area of Science:
- Pediatrics
- Public Health
- Obesity Prevention
Background:
- Observational studies suggest a link between screen time and childhood adiposity.
- Childhood obesity is a significant public health concern requiring effective interventions.
Purpose of the Study:
- To evaluate the impact of reducing screen time on adiposity, physical activity, and dietary habits in children.
- To assess the effectiveness of a school-based curriculum designed to decrease television, videotape, and video game consumption.
Main Methods:
- A randomized controlled school-based trial involving 192 third- and fourth-grade students.
- Intervention group received an 18-lesson, 6-month classroom curriculum focused on reducing media use.
- Primary outcome was body mass index (BMI); secondary outcomes included skinfold thickness, waist circumference, and cardiorespiratory fitness.
Main Results:
- The intervention group showed statistically significant reductions in BMI, triceps skinfold thickness, waist circumference, and waist-to-hip ratio compared to controls.
- Children in the intervention group reported decreased television viewing and fewer meals consumed in front of the television.
- No significant differences were observed in high-fat food intake, physical activity levels, or cardiorespiratory fitness between groups.
Conclusions:
- Reducing television, videotape, and video game use is a potentially effective, population-based strategy for preventing childhood obesity.
- School-based interventions targeting media consumption can contribute to healthier weight management in children.
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