Abstract
Sedentary time and screen-viewing (SV) are associated with chronic disease risk in adults. Parent and child sedentary time and SV are associated. Parents influence children's SV through parenting styles and role modelling. Understanding whether parents' attitudes toward child SV are associated with their own SV and sedentary time will aid development of family interventions to reduce sedentary behaviours. Cross-sectional data with 809 parents from Bristol, UK were collected in 2012–2013 and analysed in 2016. Parental total sedentary time was derived from accelerometer data. Parents self-reported daily television viewing, use of computers, games consoles, and smartphone/tablets (none, 1–59 min, 1–2 h, > 2 h) and attitudes toward child SV. Adjusted linear and logistic regression models were used to examine associations, separately for weekdays and weekend days. Having negative attitudes toward child SV was associated with lower weekend sedentary time (Coeff: − 6.41 [95% CI: − 12.37 to − 0.45] min/day). Limiting behaviours and having negative attitudes toward child SV were associated with lower weekday television viewing (OR: 0.72 [0.57–0.90] and 0.57 [0.47–0.70] respectively), weekend television viewing (0.75 [0.59–0.95] and 0.61 [0.50–0.75]), and weekend computer use (0.73 [0.58–0.92] and 0.80 [0.66–0.97]). Negative attitudes were also associated with lower smartphone use on weekdays (0.70 [0.57–0.85]) and weekends (0.70 [0.58–0.86]). Parent self-efficacy for limiting child SV and setting SV rules were not associated with sedentary time or SV. Reporting negative attitudes toward child SV was associated with lower accelerometer-assessed weekend total sedentary time and self-reported SV behaviours, while limiting child SV was also associated with lower self-reported SV.
Highlights
IntroductionSedentary time and SV (TV, computers, tablets, smartphones, video games) have been found to be associated with increased risk of obesity,[6,7,8,9] cardiovascular disease,[10,11,12,13,14,15] diabetes,[8] cancer,[16,17] all-cause mortality,[10,12,13,14] mental disorders,[4] and poor self-rated health[4] in adults
Having negative attitudes toward child SV was associated with lower weekend sedentary time (Coeff: -6.41 [95% CI: -12.37 to -0.45] mins/day)
Reporting negative attitudes toward child SV was associated with lower accelerometer-assessed weekend total sedentary time and self-reported SV behaviours, while limiting child SV was associated with lower self-reported SV
Summary
Sedentary time and SV (TV, computers, tablets, smartphones, video games) have been found to be associated with increased risk of obesity,[6,7,8,9] cardiovascular disease,[10,11,12,13,14,15] diabetes,[8] cancer,[16,17] all-cause mortality,[10,12,13,14] mental disorders,[4] and poor self-rated health[4] in adults. Parent TV-viewing time has been found to be strongly associated with child TV-viewing across the week.[24,25] Parents who report low restriction of sedentary activities, low self-efficacy, and permissive parenting styles have children with greater levels of SV on average.[26,27] Findings from a previous study using the B-Proact1v dataset, found parental self-efficacy to limit child SV was associated with child weekday TV-viewing and mediated associations between parental control and child SV.[28] Beyond these observational studies, a RCT of a school-based intervention aimed at improving 9-10 year olds’ physical activity and diet, reduced child-reported SV (though not their accelerometer-assessed sedentary behaviour or any of the primary outcomes) and this effect appeared to be mediated by an effect on child-reported maternal limitation of SV.[29,30] These studies demonstrate that associations exist between parent and child SV time, and that parenting styles and preference for limiting child SV are associated with child SV. It is important to understand which aspects of parents’ attitudes toward child SV (e.g., self-efficacy for limiting SV, preference for limiting SV, negative attitudes toward SV, setting rules about SV) are associated to parents’ own SV and sedentary behaviour
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