Is There Any Association between TV Viewing and Obesity in Preschool Children in Japan?
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Published on: July 29, 2020
Ayako Sasaki1, Takashi Yorifuji, Toshihide Iwase
1Department of Epidemiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan. happytwill0710@yahoo.co.jp
Insights
This study found no significant association between TV viewing time and obesity in Japanese preschoolers. Further research is needed to explore potential environmental or data limitations influencing these findings.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Childhood obesity is a significant public health concern.
- Television (TV) viewing is a suspected risk factor for pediatric obesity.
- Limited research exists on this association in Japan.
Purpose of the Study:
- To investigate the relationship between TV viewing duration and obesity in preschool children in Japan.
- To provide data on pediatric obesity risk factors within a Japanese population.
Main Methods:
- A population-based study involving 616 preschool children in a Japanese town.
- Data collected via self-administered questionnaires on child and parent characteristics.
- Logistic regression analysis used to assess the association between TV viewing (≥2 hours/day) and obesity, adjusting for covariates.
Main Results:
- 449 children were included in the final analysis; 26.9% watched TV for ≥2 hours daily, and 8.2% were obese.
- No statistically significant positive association was found between TV viewing and obesity in unadjusted or adjusted models.
- No association was observed between TV viewing and overweight status.
Conclusions:
- The study did not find a link between TV viewing and obesity in Japanese preschoolers.
- Potential explanations for the null findings include social environmental factors, insufficient statistical power, or misclassification bias.
- Further investigation is warranted to understand the complex relationship between media exposure and childhood obesity in diverse populations.
Abstract:
Obesity in children is a serious public health problem, and TV viewing is considered a potential risk factor. Since, however, no relevant association studies have been conducted in Japan, we evaluated the association between TV viewing and obesity using a population-based study conducted in a Japanese town. All 616 preschool children in the town were enrolled in February 2008, and a self-administered questionnaire to collect children's and parents' characteristics was sent to the parents. We dichotomized the time spent TV viewing and evaluated associations by logistic regression using a "less than 2h" category as a reference. The questionnaire was collected from 476 participants (77.3%), of whom 449 were available for the final analyses. Among them, 26.9% of preschool children reported 2 or more hours of TV viewing per day and 8.2% were defined as obese. In logistic regression analyses, there was no positive association in unadjusted (odds ratio [OR] = 1.11, 95% confidence interval [95% CI]:0.50-2.49) or adjusted models for exclusively breastfed status, sleep duration, or maternal factors (OR = 1.11, 95% CI:0.50-2.51). We also found no positive association between TV viewing and overweight status, possibly owing to the influence of social environment, low statistical power, or misclassification.
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