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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Television watching and risk of childhood obesity: a meta-analysis
Gang Zhang1, Lei Wu2, Lingling Zhou3
1Department of Newborn Infants, Nanjing Children's Hospital of Nanjing Medical University, Nanjing, China.
Insights
Increased television (TV) watching is linked to a higher risk of childhood obesity. Limiting children's TV time may be a key public health strategy for obesity prevention.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Childhood obesity is a global epidemic.
- Identifying modifiable risk factors is crucial for prevention.
- Previous studies on TV watching and childhood obesity have shown inconsistent results.
Purpose of the Study:
- To clarify the association between television (TV) watching and childhood obesity.
- To conduct a meta-analysis of existing studies.
Main Methods:
- Searched PubMed and Embase databases for relevant studies.
- Included 14 cross-sectional studies with 106,169 participants.
- Utilized random-effects models and dose-response meta-analyses.
Main Results:
- A significant association was found between higher TV watching time and increased childhood obesity risk (OR 1.47).
- A linear dose-response relationship was observed, with a 13% increased risk for every additional hour of TV watching daily.
- The association was consistent across subgroups and observed in both boys and girls.
Conclusions:
- Increased television viewing is associated with a higher risk of childhood obesity.
- Restricting children's TV time and sedentary behaviors is a vital public health strategy for obesity prevention.
Background:
Over the last few decades, there has been a worldwide epidemic of childhood obesity. An important step in successful prevention in paediatrics is the identification of modifiable risk factors of childhood obesity. Many studies have evaluated the associations between television (TV) watching and childhood obesity but yielded inconsistent results.
Methods:
To help elucidate the role of TV watching, PubMed and Embase databases were searched for published studies on associations between TV watching and childhood obesity. Random-effects models and dose-response meta-analyses were used to pool study results.
Results:
Fourteen cross-sectional studies with 24 reports containing 106 169 subjects were included in the meta-analysis. Subgroup analyses were conducted by the available characteristics of studies and participants. The multivariable-adjusted overall OR of the childhood obesity for the highest vs. the lowest time of TV watching was 1.47 [95% confidence interval (95% CI): 1.33-1.62]. A linear dose-response relationship was also found for TV watching and childhood obesity (P < 0.001), and the risk increased by 13% for each 1 h/day increment in TV watching. Subgroup analysis showed a basically consistent result with the overall analysis. The association is observed in both boys and girls (for boys, OR 1.30, 95% CI 1.16-1.45; for girls, OR 1.26, 95% CI 1.11-1.41).
Conclusions:
our meta-analysis suggested that increased TV watching is associated with increased risk of childhood obesity. And restricting TV time and other sedentary behaviour of children may be an important public health strategy to prevent childhood obesity.
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