title: Associations of television viewing with eating behaviors in the 2009 Health Behaviour in School-aged Children Study.
abstract: OBJECTIVE
  To examine associations of television viewing with eating behaviors in a representative sample of US adolescents.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  Public and private schools in the United States during the 2009-2010 school year.
  
  
  METHODS
  A total of 12,642 students in grades 5 to 10 (mean [SD] age, 13.4 [0.09] years; 86.5% participation).
  
  
  METHODS
  Television viewing (hours per day) and snacking while watching television (days per week).
  
  
  METHODS
  Eating (≥1 instance per day) fruit, vegetables, sweets, and sugary soft drinks; eating at a fast food restaurant (≥1 d/wk); and skipping breakfast (≥1 d/wk).
  
  
  RESULTS
  Television viewing was inversely related to intake of fruit (adjusted odds ratio, 0.92; 95% CI, 0.88-0.96) and vegetables (0.95; 0.91-1.00) and positively related to intake of candy (1.18; 1.14-1.23) and fast food (1.14; 1.09-1.19) and skipping breakfast (1.06; 1.02-1.10) after adjustment for socioeconomic factors, computer use, and physical activity. Television snacking was related to increased intake of fruit (adjusted odds ratio, 1.06; 95% CI, 1.02-1.10), candy (1.20; 1.16-1.24), soda (1.15; 1.11-1.18), and fast food (1.09; 1.06-1.13), independent of television viewing. The relationships of television viewing with fruit and vegetable intake and with skipping breakfast were essentially unchanged after adjustment for television snacking; the relationships with intake of candy, soda, and fast food were moderately attenuated. Age and race/ethnicity modified relationships of television viewing with soda and fast food intake and with skipping breakfast.
  
  
  CONCLUSIONS
  Television viewing was associated with a cluster of unhealthy eating behaviors in US adolescents after adjustment for socioeconomic and behavioral covariates.
authors.affiliation: Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD 20852, USA. lipskylm@mail.nih.gov
authors.forename: Leah M
authors.initials: LM
authors.lastname: Lipsky
authors.forename: Ronald J
authors.initials: RJ
authors.lastname: Iannotti
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D003430:Cross-Sectional Studies; D004032:Diet; D005247:Feeding Behavior / Q000208:ethnology; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D012959:Socioeconomic Factors; D013690:Television / Q000706:statistics & numerical data*; D014481:United States