title: Direction of the association between body fatness and self-reported screen time in Dutch adolescents.
abstract: BACKGROUND
  Screen time has been associated with pediatric overweight. However, it is unclear whether overweight predicts or is predicted by excessive amounts of screen time. The aim of this study was to examine the direction of the association between screen time and body fatness in Dutch adolescents.
  
  
  METHODS
  Longitudinal data of 465 Dutch adolescents (mean age at baseline 13 years, 53% boys) was used. Body fatness (objectively measured BMI, four skin folds and waist- and hip circumference), self-reported time spent watching TV and computer use, and aerobic fitness (shuttle run test) were assessed in all participants at three time points during 12 months. Multi-level linear autoregressive analyses was used to examine whether screen time predicted body fatness in the following time period and whether body fatness predicted screen time. Analyses were performed for boys and girls separately and adjusted for ethnicity and aerobic fitness.
  
  
  RESULTS
  Time spent TV viewing did predict changes in BMI and hip circumference in boys, but not in girls, in the subsequent period. Computer time significantly predicted increases in skinfolds in boys and girls and increases in BMI in girls. Body fatness did not predict any changes in screen time.
  
  
  CONCLUSIONS
  The present study only partly supports the widely posited hypothesis that higher levels of screen time cause increases in body fatness. In addition, this study demonstrates that high levels of body fatness do not predict increases in screen time.
authors.affiliation: VU University Medical Center, EMGO Institute for Health and Care Research, Department of Public and Occupational Health, Amsterdam, The Netherlands. t.altenburg@vumc.nl
authors.forename: Teatske M
authors.initials: TM
authors.lastname: Altenburg
authors.forename: Amika S
authors.initials: AS
authors.lastname: Singh
authors.forename: Willem
authors.initials: W
authors.lastname: van Mechelen
authors.forename: Johannes
authors.initials: J
authors.lastname: Brug
authors.forename: Mai J M
authors.initials: MJ
authors.lastname: Chinapaw
mesh_terms: D050154:Adiposity; D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D003201:Computers; D015444:Exercise; D005080:Exercise Test; D005260:Female; D006615:Hip; D006801:Humans; D016014:Linear Models; D008137:Longitudinal Studies; D008297:Male; D009426:Netherlands; D009765:Obesity / Q000209:etiology*; D010809:Physical Fitness; D057185:Sedentary Behavior; D057566:Self Report; D012737:Sex Factors; D012885:Skinfold Thickness; D013690:Television