Associations between children's diet quality and watching television during meal or snack consumption: A systematic review.
Studies have identified an association between watching television (TV) and childhood obesity. This review adds context to existing research by examining the associations between TV viewing, whilst eating, and children's diet quality. Web of Science and PubMed databases were searched from January 2000 to June 2014. Cross-sectional trials of case control or cohort studies, which included baseline data, measuring the associations between eating whilst watching TV and children's food and drink intake. Quality of selected papers was assessed. Thirteen studies, representing 61,674 children aged 1-18 yrs, met inclusion criteria. Of six studies reporting overall food habits, all found a positive association between TV viewing and consumption of pizza, fried foods, sweets, and snacks. Of eight studies looking at fruit and vegetable consumption, seven identified a negative association with eating whilst watching TV (p < .0001). Four out of five studies identified a positive association between watching TV whilst eating and servings of sugar-sweetened beverages (p < .0001). Four studies identified an association between low socioeconomic status and increased likelihood of eating whilst watching TV (p ≤ .01). Family meals did not overcome the adverse impact on diet quality of having the TV on at mealtimes. Eating whilst watching television is associated with poorer diet quality among children, including more frequent consumption of sugar-sweetened beverages and high-fat, high-sugar foods and fewer fruits and vegetables. Although these differences in consumption are small, the cumulative effect may contribute to the positive association between eating whilst watching TV and childhood obesity.
['Avery|Amanda|A|0000-0002-3845-6420', 'Anderson|Catherine|C|', 'McCullough|Fiona|F|']
D001628:Beverages D015992:Body Mass Index D002110:Caffeine D002648:Child D002652:Child Behavior D003430:Cross-Sectional Studies D004032:Diet D004040:Dietary Carbohydrates D004044:Dietary Proteins D015444:Exercise D005247:Feeding Behavior D005638:Fruit D015438:Health Behavior D006801:Humans D062407:Meals D018977:Micronutrients D064427:Nutritive Sweeteners D063766:Pediatric Obesity D015995:Prevalence D012307:Risk Factors D057185:Sedentary Behavior D062410:Snacks D012959:Socioeconomic Factors D013690:Television D014675:Vegetables D000067348:Whole Grains
systematic review childhood obesity child public health childhood diet family influences food consumption