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Radó SI, Molnár M, Széll R, Szőllősi GJ, Törő V, Shehab B, Manios Y, Anastasiou C, Iotova V, Tsochev K, Chakarova N, Giménez-Legarre N, Miguel Berges ML, Schwarz PEH, Rurik I, Sárváry A. Association between Screen Time and Sociodemographic Factors, Physical Activity, and BMI among Children in Six European Countries (Feel4Diabetes): A Cross-Sectional Study. Children (Basel) 2024; 11:458. [PMID: 38671675 PMCID: PMC11049295 DOI: 10.3390/children11040458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Revised: 03/19/2024] [Accepted: 03/27/2024] [Indexed: 04/28/2024]
Abstract
Screen time among children in most European countries is notably high and is influenced by various sociodemographic and other factors. Our study aimed to explore the associations between parents' sociodemographic characteristics, socioeconomic status, body mass index (BMI), physical activity, risk status for type 2 diabetes, and their children's BMI, physical activity, and screen time. The data were sourced from the 2016 Feel4Diabetes study, involving 12,280 parents and 12,211 children aged 6-9 years (average age 8.21 years) in a cross-sectional study design. We used a logistic regression model to identify potential factors associated with children's screen time. The results showed that mothers with tertiary education (OR = 0.64; 95%CI = 0.49-0.82; p < 0.001), the middle age group (45-54 years) (OR = 0.81 95%CI = 0.66-0.98; p = 0.033), and families with higher incomes (middle-OR = 0.85; 95%CI = 0.75-0.97; p = 0.014; high-OR = 0.8; 95%CI = 0.69-0.93; p = 0.003) were associated with a decreased chance of children spending more than 2 h/day in front of the screen. In contrast, maternal overweight/obesity (OR = 1.15; 95%CI = 1.03-1.29; p = 0.013) and lower physical activity in children were linked to an increased likelihood of more than 2 h of screen time per day. Our findings suggest that targeted interventions should be developed to mitigate excessive screen time, particularly focusing on low-income families and mothers with low educational levels.
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Affiliation(s)
- Sándor Istvánné Radó
- Department of Nursing and Midwifery, Faculty of Health Sciences, University of Debrecen, 4400 Nyíregyháza, Hungary; (S.I.R.); (V.T.)
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary;
| | - Mónika Molnár
- Department of Integrative Health Sciences, Faculty of Health Sciences, University of Debrecen, 4400 Nyíregyháza, Hungary; (M.M.); (R.S.)
| | - Róbert Széll
- Department of Integrative Health Sciences, Faculty of Health Sciences, University of Debrecen, 4400 Nyíregyháza, Hungary; (M.M.); (R.S.)
| | - Gergő József Szőllősi
- Coordination Center of Social Sciences, Faculty of Economy, University of Debrecen, 4032 Debrecen, Hungary;
| | - Viktória Törő
- Department of Nursing and Midwifery, Faculty of Health Sciences, University of Debrecen, 4400 Nyíregyháza, Hungary; (S.I.R.); (V.T.)
| | - Bashar Shehab
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary;
| | - Yannis Manios
- Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, 176 76 Athens, Greece; (Y.M.); (C.A.)
| | - Costas Anastasiou
- Department of Nutrition and Dietetics, School of Health Science & Education, Harokopio University, 176 76 Athens, Greece; (Y.M.); (C.A.)
| | - Violeta Iotova
- Department of Pediatrics and Medical Genetics, Medical University of Varna, 9002 Varna, Bulgaria; (V.I.); (K.T.)
| | - Kaloyan Tsochev
- Department of Pediatrics and Medical Genetics, Medical University of Varna, 9002 Varna, Bulgaria; (V.I.); (K.T.)
| | - Nevena Chakarova
- Department of Endocrinology, Medical University of Sofia, 1431 Sofia, Bulgaria;
| | - Natalia Giménez-Legarre
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, 50009 Zaragoza, Spain; (N.G.-L.); (M.L.M.B.)
- Instituto Agroalimentario de Aragón (IA2), 50013 Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud, Carlos III, 28029 Madrid, Spain
| | - Maria Luisa Miguel Berges
- GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, 50009 Zaragoza, Spain; (N.G.-L.); (M.L.M.B.)
- Instituto Agroalimentario de Aragón (IA2), 50013 Zaragoza, Spain
- Instituto de Investigación Sanitaria Aragón (IIS Aragón), 50009 Zaragoza, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud, Carlos III, 28029 Madrid, Spain
| | - Peter E. H. Schwarz
- International Diabetes Federation, Medical Faculty Carl Gustav Carus, Technical University of Dresden, 01069 Dresden, Germany;
| | - Imre Rurik
- Department of Family Medicine, Semmelweis University, 1085 Budapest, Hungary
| | - Attila Sárváry
- Department of Integrative Health Sciences, Faculty of Health Sciences, University of Debrecen, 4400 Nyíregyháza, Hungary; (M.M.); (R.S.)
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