title: Screen time is more strongly associated than physical activity with overweight and obesity in 9- to 16-year-old Australians.
abstract: BACKGROUND
  Both reduced moderate-to-vigorous physical activity (MVPA) and increased screen time have been implicated in the aetiology of childhood overweight/obesity. This study aimed to determine which behaviour had the stronger association with overweight/obesity.
  
  
  METHODS
  2200 randomly selected 9- to 16-year-old Australians provided four 24-h use-of-time recalls. Participants were classified into weight status categories and as high or low physical active, and high or low screen time according to Australian guidelines (≥60 min MVPA; ≤120 min recreational screen time daily). Multivariate logistic regression was used to calculate the odds ratios (OR) for overweight/obesity for each screen time and MVPA category.
  
  
  RESULTS
  Increased likelihood of overweight or obese was often associated with high screen time (ORs, 2.13-2.55 for boys and 1.47-1.72 for girls), but only sometimes and less strongly associated with low MVPA (ORs, 0.49-2.55 for boys and 1.06-1.47 for girls). Analyses conducted for combined screen time and MVPA categories showed screen time to be a stronger indicator of weight status than physical activity, especially in boys.
  
  
  CONCLUSIONS
  Overweight and obesity were more strongly associated with screen time than physical activity. Screen time may be an important target for interventions aimed at reducing childhood overweight and obesity.
authors: Health and Use of Time Group, Sansom Institute for Health Research, University of South Australia, Adelaide, South Australia. carol.maher@unisa.edu.au
authors: Carol
authors: C
authors: Maher
authors: Tim S
authors: TS
authors: Olds
authors: Joey C
authors: JC
authors: Eisenmann
authors: James
authors: J
authors: Dollman
mesh_terms: D000293:Adolescent; D001315:Australia; D002648:Child; D003201:Computers / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D009043:Motor Activity; D015999:Multivariate Analysis; D009765:Obesity / Q000209:etiology* / Q000523:psychology; D016017:Odds Ratio; D057185:Sedentary Behavior; D013690:Television / Q000706:statistics & numerical data*; D013997:Time Factors; D018910:Video Games / Q000706:statistics & numerical data*