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Association of maternal obesity and depressive symptoms with television-viewing time in low-income preschool children.
Arch Pediatr Adolesc Med. 2003 Sep; 157(9):894-9.AP

Abstract

BACKGROUND

Decreasing television (TV)-viewing time may improve child health and well-being. These viewing patterns are shaped during the preschool years. Because mothers play an important role in determining how much TV their preschool children watch, a better understanding is needed of the maternal factors that influence children's TV viewing.

OBJECTIVE

To examine the relationship of depressive symptoms and obesity in low-income mothers with TV-viewing time in their preschool children.

METHODS

Cross-sectional, self-administered survey of 295 low-income mothers of 3- and 4-year-old children (92% white) enrolled in the Vermont Special Supplemental Nutrition Program for Women, Infants, and Children. Mothers reported children's usual weekday and weekend-day TV-viewing time. Maternal depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D). Maternal body mass index was calculated from self-reported height and weight measurements (weight in kilograms divided by height in meters squared).

RESULTS

Children watched a mean of 2.2 +/-1.2 hours of TV per day. Those in the upper quartile of TV-viewing time (high TV viewers) watched 3 or more hours of TV per day. Of the mothers, 12% had both obesity (BMI > or =30) and depressive symptoms (CES-D score > or =16), 19% were obese only, and 18% had depressive symptoms only. Children were more likely to be high TV viewers if their mothers had clinically significant depressive symptoms (35% vs 23%; P =.03) or if their mothers were obese (35% vs 22%; P =.03). Forty-two percent of children were high TV viewers if the mother had both depressive symptoms and obesity, 30% if the mother had only depressive symptoms, 29% if the mother had only obesity, and 20% if the mother had neither depressive symptoms nor obesity (P =.06 overall; P for trend =.009 using the chi2 test).

CONCLUSIONS

Among low-income preschool children, those whose mothers had either depressive symptoms or obesity were more likely to watch 3 or more hours of TV a day. Strategies to reduce TV viewing in young children should consider the role that maternal obesity and depressive symptoms may play in how preschool children spend their time.

Authors+Show Affiliations

Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, OH 45229-3039, USA. hillary.burdette@chmcc.orgNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

12963595

Citation

Burdette, Hillary L., et al. "Association of Maternal Obesity and Depressive Symptoms With Television-viewing Time in Low-income Preschool Children." Archives of Pediatrics & Adolescent Medicine, vol. 157, no. 9, 2003, pp. 894-9.
Burdette HL, Whitaker RC, Kahn RS, et al. Association of maternal obesity and depressive symptoms with television-viewing time in low-income preschool children. Arch Pediatr Adolesc Med. 2003;157(9):894-9.
Burdette, H. L., Whitaker, R. C., Kahn, R. S., & Harvey-Berino, J. (2003). Association of maternal obesity and depressive symptoms with television-viewing time in low-income preschool children. Archives of Pediatrics & Adolescent Medicine, 157(9), 894-9.
Burdette HL, et al. Association of Maternal Obesity and Depressive Symptoms With Television-viewing Time in Low-income Preschool Children. Arch Pediatr Adolesc Med. 2003;157(9):894-9. PubMed PMID: 12963595.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Association of maternal obesity and depressive symptoms with television-viewing time in low-income preschool children. AU - Burdette,Hillary L, AU - Whitaker,Robert C, AU - Kahn,Robert S, AU - Harvey-Berino,Jean, PY - 2003/9/10/pubmed PY - 2003/10/3/medline PY - 2003/9/10/entrez SP - 894 EP - 9 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 157 IS - 9 N2 - BACKGROUND: Decreasing television (TV)-viewing time may improve child health and well-being. These viewing patterns are shaped during the preschool years. Because mothers play an important role in determining how much TV their preschool children watch, a better understanding is needed of the maternal factors that influence children's TV viewing. OBJECTIVE: To examine the relationship of depressive symptoms and obesity in low-income mothers with TV-viewing time in their preschool children. METHODS: Cross-sectional, self-administered survey of 295 low-income mothers of 3- and 4-year-old children (92% white) enrolled in the Vermont Special Supplemental Nutrition Program for Women, Infants, and Children. Mothers reported children's usual weekday and weekend-day TV-viewing time. Maternal depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D). Maternal body mass index was calculated from self-reported height and weight measurements (weight in kilograms divided by height in meters squared). RESULTS: Children watched a mean of 2.2 +/-1.2 hours of TV per day. Those in the upper quartile of TV-viewing time (high TV viewers) watched 3 or more hours of TV per day. Of the mothers, 12% had both obesity (BMI > or =30) and depressive symptoms (CES-D score > or =16), 19% were obese only, and 18% had depressive symptoms only. Children were more likely to be high TV viewers if their mothers had clinically significant depressive symptoms (35% vs 23%; P =.03) or if their mothers were obese (35% vs 22%; P =.03). Forty-two percent of children were high TV viewers if the mother had both depressive symptoms and obesity, 30% if the mother had only depressive symptoms, 29% if the mother had only obesity, and 20% if the mother had neither depressive symptoms nor obesity (P =.06 overall; P for trend =.009 using the chi2 test). CONCLUSIONS: Among low-income preschool children, those whose mothers had either depressive symptoms or obesity were more likely to watch 3 or more hours of TV a day. Strategies to reduce TV viewing in young children should consider the role that maternal obesity and depressive symptoms may play in how preschool children spend their time. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/12963595/Association_of_maternal_obesity_and_depressive_symptoms_with_television_viewing_time_in_low_income_preschool_children_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/vol/157/pg/894 DB - PRIME DP - Unbound Medicine ER -