Viveka Guzmán1, Lauren Lissner2, Louise Arvidsson3, Antje Hebestreit4, Antonia Solea5, Fabio Lauria6, Jaakko Kaprio7, Lucia A Reisch8, Luis Moreno9, Regina Felső10, Stefaan de Henauw11, Tomas Veidebaum12, Wolfgang Ahrens4, Monica Hunsberger2. 1. Division of Population Health, Royal College of Surgeons in Ireland, Dublin, Ireland. 2. Institute of Medicine, School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden. 3. School of Health Sciences University of Skövde, Skövde, Sweden. 4. Leibniz Institute for Prevention Research and Epidemiology BIPS, Bremen, Germany. 5. Research and Education Institute of Child Health, Strovolos, Cyprus. 6. Institute of Food Sciences National Research Council, Avellino, Italy. 7. Department of Public Health University of Helsinki, Helsinki, Finland. 8. Department of Management, Society and Communication Copenhagen Business School, Copenhagen, Denmark. 9. Universidad de Zaragoza E.U. Ciencias de la Salud, Zaragoza, Spain. 10. Department of Paediatrics, Clinical Centre University of Pécs, Pécs, Hungary. 11. Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences Ghent University, Ghent, Belgium. 12. National Institute for Health Development Tallinn, Tallinn, Estonia.
Abstract
INTRODUCTION: Over the past decades, children have been increasingly using screen devices, while at the same time their sleep duration has decreased. Both behaviors have been associated with excess weight, and it is possible they act as mutually reinforcing behaviors for weight gain. The aim of the study was to explore independent, prospective associations of screen time and sleep duration with incident overweight in a sample of European children. METHODS: Data from 4,285 children of the IDEFICS/I.Family cohort who were followed up from 2009/2010 to 2013/2014 were analyzed. Hours per day of screen time and of sleep duration were reported by parents at baseline. Logistic regression analyses were carried out in separate and mutually adjusted models controlled for sex, age, European country region, parental level of education, and baseline BMI z-scores. RESULTS: Among normal weight children at baseline (N = 3,734), separate models suggest that every hour increase in screen time and every hour decrease in sleep duration were associated with higher odds of the child becoming overweight or obese at follow-up (OR = 1.16, 95% CI: 1.02-1.32 and OR = 1.23, 95% CI: 1.05-1.43, respectively). In the mutually adjusted model, both associations were attenuated slightly ( screen time OR = 1.13, 95% CI: 0.99-1.28; sleep duration OR = 1.20, 95% CI: 1.03-1.40), being consistently somewhat stronger for sleep duration. DISCUSSION/ CONCLUSION: Both screen time and sleep duration increased the incidence of overweight or obesity by 13-20%. Interventions that include an emphasis on adequate sleep and minimal screen time are needed to establish their causal role in the prevention of overweight and obesity among European children.
INTRODUCTION: Over the past decades, children have been increasingly using screen devices, while at the same time their sleep duration has decreased. Both behaviors have been associated with excess weight, and it is possible they act as mutually reinforcing behaviors for weight gain. The aim of the study was to explore independent, prospective associations of screen time and sleep duration with incident overweight in a sample of European children. METHODS: Data from 4,285 children of the IDEFICS/I.Family cohort who were followed up from 2009/2010 to 2013/2014 were analyzed. Hours per day of screen time and of sleep duration were reported by parents at baseline. Logistic regression analyses were carried out in separate and mutually adjusted models controlled for sex, age, European country region, parental level of education, and baseline BMI z-scores. RESULTS: Among normal weight children at baseline (N = 3,734), separate models suggest that every hour increase in screen time and every hour decrease in sleep duration were associated with higher odds of the child becoming overweight or obese at follow-up (OR = 1.16, 95% CI: 1.02-1.32 and OR = 1.23, 95% CI: 1.05-1.43, respectively). In the mutually adjusted model, both associations were attenuated slightly ( screen time OR = 1.13, 95% CI: 0.99-1.28; sleep duration OR = 1.20, 95% CI: 1.03-1.40), being consistently somewhat stronger for sleep duration. DISCUSSION/ CONCLUSION: Both screen time and sleep duration increased the incidence of overweight or obesity by 13-20%. Interventions that include an emphasis on adequate sleep and minimal screen time are needed to establish their causal role in the prevention of overweight and obesity among European children.
Authors: Sabrina Hense; Hermann Pohlabeln; Stefaan De Henauw; Gabriele Eiben; Dénes Molnar; Luis A Moreno; Gianvincenzo Barba; Charalampos Hadjigeorgiou; Toomas Veidebaum; Wolfgang Ahrens Journal: Sleep Date: 2011-07-01 Impact factor: 5.849
Authors: H S Schipper; R Nuboer; S Prop; H J van den Ham; F K de Boer; Ç Kesmir; I M H Mombers; K A van Bekkum; J Woudstra; J H Kieft; I E Hoefer; W de Jager; B Prakken; M van Summeren; E Kalkhoven Journal: Diabetologia Date: 2012-07-18 Impact factor: 10.122
Authors: Jens Bucksch; Dagmar Sigmundova; Zdenek Hamrik; Philip Jay Troped; Ole Melkevik; Namam Ahluwalia; Alberto Borraccino; Jorma Tynjälä; Michal Kalman; Joanna Inchley Journal: J Adolesc Health Date: 2016-01-27 Impact factor: 5.012
Authors: W Ahrens; A Siani; R Adan; S De Henauw; G Eiben; W Gwozdz; A Hebestreit; M Hunsberger; J Kaprio; V Krogh; L Lissner; D Molnár; L A Moreno; A Page; C Picó; L Reisch; R M Smith; M Tornaritis; T Veidebaum; G Williams; H Pohlabeln; I Pigeot Journal: Int J Epidemiol Date: 2017-10-01 Impact factor: 7.196