Natarajan Padmapriya1, Izzuddin M Aris2,3, Mya Thway Tint2, See Ling Loy4,5, Shirong Cai2,3, Kok Hian Tan4,5, Lynette P Shek3,6,7, Yap Seng Chong2,3, Keith M Godfrey8,9, Peter D Gluckman3,10, Yung Seng Lee3,6,7, Seang Mei Saw11, Fabian Yap4,5,12, Michael S Kramer2,13, Jonathan Y Bernard3, Falk Müller-Riemenschneider11,14. 1. Department of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, 12 Science Drive 2, MD1 Tahir Foundation Building, Level 12, Singapore, 117549, Singapore. obgnp@nus.edu.sg. 2. Department of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, 12 Science Drive 2, MD1 Tahir Foundation Building, Level 12, Singapore, 117549, Singapore. 3. Singapore Institute for Clinical Sciences, Agency for Science Technology and Research (A*STAR), Singapore, Singapore. 4. KK Women's and Children's Hospital, Singapore, Singapore. 5. Duke-NUS Medical School, Singapore, Singapore. 6. Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. 7. Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore, Singapore. 8. Medical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK. 9. NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK. 10. Liggins Institute, University of Auckland, Auckland, New Zealand. 11. Saw Swee Hock School of Public Health, National University of, Singapore, Singapore. 12. Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore. 13. Departments of Pediatrics and of Epidemiology and Biostatistics, McGill University Faculty of Medicine, Montreal, Quebec, Canada. 14. Institute for Social Medicine, Epidemiology and Health Economics, Charite University Medical Centre, Berlin, Germany.
Abstract
OBJECTIVES: Screen-viewing in late childhood has been associated with adiposity and blood pressure (BP), but evidence is lacking at younger ages. To investigate the prospective associations of total and device-specific screen-viewing at age 2-3 years with BMI, sum of skinfold thicknesses and BP among Singaporean children at age 3-5 years. METHODS: As part of the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort, mothers/caregivers reported the time per day their 2 and 3-year-old children watched/used television, handheld devices and computers. Average screen-viewing time (total, television and handheld-devices) at ages 2 and 3 years was used in the analyses. Height; weight; triceps, biceps and subscapular skinfold thicknesses; and systolic and diastolic BP were measured at ages 3, 4 and 5. Associations of screen-viewing with BMI, sum of skinfold thicknesses and BP in 956 children were investigated using repeated-measures linear regression models. Analyses were further stratified by sex as we found significant interaction. RESULTS: Among boys and girls combined, screen-viewing was positively associated with sum of skinfold thicknesses, but not with BMI or BP. Sex-specific analyses showed significant associations with both BMI and sum of skinfold thicknesses in boys, but not in girls. Screen-viewing was not associated with BP in boys or girls. The increases in mean (95% CI) BMI per hour increase in daily total, television and handheld-devices screen-viewing among boys were 0.12 (0.03, 0.21), 0.18 (0.06, 0.30) and 0.11 (-0.07, 0.29) kg/m2, respectively. The corresponding increases in mean sum of skinfold thicknesses were 0.68 (0.29, 1.07), 0.79 (0.26, 1.32) and 1.18 (0.38, 1.99) mm. CONCLUSIONS: Greater screen-viewing at age 2-3 years was associated with later adiposity at 3-5 years in boys, but not in girls. In light of the increasing use of screen devices and cardiometabolic risk in young children, these findings may have important public health implications.
OBJECTIVES: Screen-viewing in late childhood has been associated with adiposity and blood pressure (BP), but evidence is lacking at younger ages. To investigate the prospective associations of total and device-specific screen-viewing at age 2-3 years with BMI, sum of skinfold thicknesses and BP among Singaporean children at age 3-5 years. METHODS: As part of the Growing Up in Singapore Towards healthy Outcomes (GUSTO) cohort, mothers/caregivers reported the time per day their 2 and 3-year-old children watched/used television, handheld devices and computers. Average screen-viewing time (total, television and handheld-devices) at ages 2 and 3 years was used in the analyses. Height; weight; triceps, biceps and subscapular skinfold thicknesses; and systolic and diastolic BP were measured at ages 3, 4 and 5. Associations of screen-viewing with BMI, sum of skinfold thicknesses and BP in 956 children were investigated using repeated-measures linear regression models. Analyses were further stratified by sex as we found significant interaction. RESULTS: Among boys and girls combined, screen-viewing was positively associated with sum of skinfold thicknesses, but not with BMI or BP. Sex-specific analyses showed significant associations with both BMI and sum of skinfold thicknesses in boys, but not in girls. Screen-viewing was not associated with BP in boys or girls. The increases in mean (95% CI) BMI per hour increase in daily total, television and handheld-devices screen-viewing among boys were 0.12 (0.03, 0.21), 0.18 (0.06, 0.30) and 0.11 (-0.07, 0.29) kg/m2, respectively. The corresponding increases in mean sum of skinfold thicknesses were 0.68 (0.29, 1.07), 0.79 (0.26, 1.32) and 1.18 (0.38, 1.99) mm. CONCLUSIONS: Greater screen-viewing at age 2-3 years was associated with later adiposity at 3-5 years in boys, but not in girls. In light of the increasing use of screen devices and cardiometabolic risk in young children, these findings may have important public health implications.
Authors: Myrtha E Reyna-Vargas; Arpita Parmar; Diana L Lefebvre; Meghan B Azad; Allan B Becker; Stuart E Turvey; Theo J Moraes; Wendy Lou; Padmaja Subbarao; Malcolm R Sears; Piushkumar J Mandhane; Indra Narang Journal: Nat Sci Sleep Date: 2022-07-05
Authors: Harunya Sivanesan; Leigh M Vanderloo; Charles D G Keown-Stoneman; Patricia C Parkin; Jonathon L Maguire; Catherine S Birken Journal: Int J Behav Nutr Phys Act Date: 2020-04-29 Impact factor: 6.457