Screen Time Parenting Practices and Associations with Preschool Children's TV Viewing and Weight-Related Outcomes
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Published on: July 29, 2020
Cody D Neshteruk1, Gina L Tripicchio2, Stephanie Lobaugh3
1Department of Population Health Sciences, School of Medicine, Duke University, 200 Morris Street, Durham, NC 27701, USA.
Insights
Parenting practices significantly influence young children's screen time (ST) and weight. Limiting screen time reduces TV viewing and BMI, while using it as a reward increases obesity risks.
Area of Science:
- Pediatrics
- Public Health
- Behavioral Science
Background:
- Childhood obesity is a growing public health concern.
- Excessive screen time (ST) in early childhood is linked to adverse health outcomes.
- Parenting practices play a crucial role in shaping children's behaviors.
Purpose of the Study:
- To investigate the association between screen time (ST) parenting practices and children's TV viewing and weight status.
- To analyze these associations in children aged 2-5 years.
Main Methods:
- Data from 252 parent-child dyads in a childhood obesity prevention trial (2009-2012).
- Assessed ST parenting practices via survey at baseline.
- Measured child TV viewing and anthropometrics at baseline, 35 weeks, and 59 weeks.
- Utilized marginal effect models to analyze associations.
Main Results:
- Limiting/monitoring ST correlated with reduced weekly TV viewing (β = -1.79).
- Parental use of ST as a reward was linked to increased child BMI z-score (β = 0.15).
- Limiting/monitoring ST was associated with decreased BMI z-score (β = -0.16) and waist circumference (β = -0.55).
Conclusions:
- Parenting strategies for managing screen time (ST) are vital for reducing TV habits.
- Modifying ST parenting practices can be an effective approach to promote healthy weight in young children.
- Interventions targeting parental ST practices may help mitigate childhood obesity risks.
Abstract:
The purpose of this study was to examine associations between screen time (ST) parenting practices and 2-5-year-old children's TV viewing and weight status. Data were collected from 252 parent-child dyads enrolled in a randomized parent-focused childhood obesity prevention trial from 2009-2012. ST parenting practices were assessed at baseline using a validated parent-reported survey. Parent-reported child TV viewing and objectively measured anthropometrics were assessed at baseline, post-intervention (35 weeks), and follow-up (59 weeks). Marginal effect models were developed to test the association between baseline ST parenting practices and children's TV viewing, BMI z-score, and waist circumference across all time points. Limiting/monitoring ST was associated with decreased weekly TV viewing (β = -1.79, 95% CI: -2.61; -0.95), while exposure to TV was associated with more weekly TV viewing over 59 weeks (β = 1.23, 95% CI: 0.71; 1.75). Greater parent use of ST as a reward was associated with increased child BMI z-score (β = 0.15, 95% CI: 0.03; 0.27), while limiting/monitoring ST was associated with decreased BMI z-score (β = -0.16, 95% CI: -0.30; -0.01) and smaller waist circumference (β = -0.55, 95% CI: -1.04; -0.06) over the study period. These findings suggest that modifying parent ST practices may be an important strategy to reduce ST and promote healthy weight in young children.
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