Council on Communications and Media. Policy Statement–Children, Adolescents, Obesity, and the Media

PEDIATRICS (Impact Factor: 5.47). 06/2011; 128(1):201-8. DOI: 10.1542/peds.2011-1066
Source: PubMed


Obesity has become a worldwide public health problem. Considerable research has shown that the media contribute to the development of child and adolescent obesity, although the exact mechanism remains unclear. Screen time may displace more active pursuits, advertising of junk food and fast food increases children's requests for those particular foods and products, snacking increases while watching TV or movies, and late-night screen time may interfere with getting adequate amounts of sleep, which is a known risk factor for obesity. Sufficient evidence exists to warrant a ban on junk-food or fast-food advertising in children's TV programming. Pediatricians need to ask 2 questions about media use at every well-child or well-adolescent visit: (1) How much screen time is being spent per day? and (2) Is there a TV set or Internet connection in the child's bedroom?

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Available from: Victor C Strasburger, Apr 07, 2014
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    • "To reflect the AAP guidance (Strasburger, 2011), TV viewing responses were collapsed to produce a dichotomous variable: '2 h or less' (none; less than 1 h and up to 2 h) and 'more than 2 h' (up to 3, 4 h and more than 4 h per day). The distribution of non-TV SV was different to that of TV viewing, with fewer children reportedly engaging in high levels of these behaviours. "
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    ABSTRACT: Background: Child screen viewing (SV) is positively associated with poor health indicators. Interventions addressing rule-based parenting practices may offer an effective means of limiting SV. This study examined associations between rule-based parenting practices (limit and collaborative rule setting) and SV in 6-8-year old children. Methods: An online survey of 735 mothers in 2011 assessed: time that children spent engaged in SV activities; and the use of limit and collaborative rule setting. Logistic regression was used to examine the extent to which limit and collaborative rule setting were associated with SV behaviours. Results: 'Always' setting limits was associated with more TV viewing, computer, smartphone and game-console use and a positive association was found between 'always' setting limits for game-console use and multi-SV (in girls). Associations were stronger in mothers of girls compared to mothers of boys. 'Sometimes' setting limits was associated with more TV viewing. There was no association between 'sometimes' setting limits and computer, game-console or smartphone use. There was a negative association between collaborative rule setting and game-console use in boys. Conclusions: Limit setting is associated with greater SV. Collaborative rule setting may be effective for managing boys' game-console use. More research is needed to understand rule-based parenting practices.
    12/2015; 2:84-89. DOI:10.1016/j.pmedr.2015.01.005
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    • ", 2010 ; Zimmerman & Bell , 2010 ) . Given the strong association between TV viewing and unhealth - ful eating habits among youth ( for an overview , see Strasburger , 2011 ) , as an extension of the fast - food perceptions measured herein , future research could examine other types of unhealthful foods prominently displayed on TV ( Andreyeva , Kelly , & Harris , 2011 ; Coon , Goldberg , Rogers , & Tucker , 2001 ; Signorielli & Lears , 1992 ; Signorielli & Staples , 1997 ) . Extending beyond perceptions of health conse - quences to examine actual health consequences by collecting additional variables , such body mass index , which was not mea - sured in this research , would also shed light on how TV viewing affects obesity among children and youth ( Lipsky & Iannotti , 2012 ) . "
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    ABSTRACT: Fast-food advertising abounds on television (TV), and programs targeting youth often display fast-food consumption but rarely with any negative consequences. Cultivation research maintains that cumulative exposure to TV influences audiences' views of and beliefs about the real world. Thus, the amount of TV adolescents watch is likely to bias their views of the consequences of eating fast food. This research posits that this relationship varies as a function of adolescents' actual experience with fast food. Two cross-sectional surveys conducted in the cultivation research tradition assess the relationship between the amount of adolescents' regular exposure to TV and their beliefs about the risks and benefits of eating fast food. Teenage children of members of online panels reported hours of TV viewing, beliefs about the consequences of eating fast food, and their frequency of fast-food consumption. In both studies, beliefs about health risks of fast-food consumption vary as a function of the amount of TV watched. Heavy TV viewers have less negative and more positive beliefs about the consequences of fast-food consumption than light viewers. As direct experience with fast food increases, the relationship between TV viewing and risk perceptions weakens, but the relationship between TV viewing and positive perceptions strengthens. These moderated relationships remain when we control for physical activity (Study 1) and the density of fast-food restaurants in respondents' geographical area (Study 2). Given the role of TV viewing in biasing perceptions of the consequences of eating fast food, public health researchers and practitioners should carefully monitor and perhaps regulate the amount of fast-food advertising on TV and the content of TV programs. Copyright © 2015. Published by Elsevier Ltd.
    Appetite 05/2015; 92. DOI:10.1016/j.appet.2015.05.023 · 2.69 Impact Factor
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    • "Children in the US and other industrialized countries are exposed to the media for an average of 3–5 h per day, which is greater than any other daily activity, except for sleeping (55–57), far exceeding the television-viewing recommendations of less than 2 h per day (25, 58). Additionally, the prevalence (56, 57) and severity of overweight (55) has been directly related to the amount of time spent watching television (25). "
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    ABSTRACT: A dramatic increase in childhood overweight/obesity has been recognized globally over the past 50 years. This observed increase may reflect genetic, as well as psychological, environmental, and socio-cultural influences. In the first part of this review, we present an updated summary of the psychosocial factors associated with this change and discuss possible ways in which they operate. Among these factors, lower socio economic status (in both industrialized and non-industrialized countries), being female, belonging to a minority group, and being exposed to adverse life events may all be associated with a greater risk of childhood overweight/obesity. These influences may be mediated via a variety of mechanisms, in particular above-average food intake of low nutritional quality and reduction in physical activity. Other important psychosocial mediators include the influence of the family and peer environment, and exposure to the media. In the second part of the review, we discuss the potential of psychosocial prevention programs to intervene in the processes involved in the rise of childhood overweight/obesity. Two points are emphasized. First, prevention programs should be multidisciplinary, combining the knowledge of experts from different professions, and taking into consideration the important role of the family environment and relevant influential social organizations, particularly school. Second, effective change is unlikely to occur without large-scale programs carried out on a public policy level.
    Frontiers in Public Health 07/2014; 2:104. DOI:10.3389/fpubh.2014.00104
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