Skip to main content
Top
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

The relationship between hours of sleep, screen time and frequency of food and drink consumption in Spain in the 2011 and 2013 ALADINO: a cross-sectional study

Authors: Napoleón Pérez-Farinós, Carmen Villar-Villalba, Ana María López Sobaler, María Ángeles Dal Re Saavedra, Aránzazu Aparicio, Sara Santos Sanz, Teresa Robledo de Dios, José Javier Castrodeza-Sanz, Rosa María Ortega Anta

Published in: BMC Public Health | Issue 1/2017

Login to get access

Abstract

Background

The frequency of intake of food and beverages depends on a number of ill-defined behaviour patterns. The objectives of this study were to evaluate the effects of screen time and sleep duration on food consumption frequency, and to describe frequencies and types of food consumption according to BMI category and parents’ level of education.

Methods

We studied 6287 and 2806 children drawn from the 2011 and 2013 cross-sectional ALADINO studies respectively. Data were collected on number of hours of sleep, screen time, and weekly frequency of consumption of 17 food groups. Weight status was measured, and information was also collected on parents’ educational level. Average food consumption frequencies were calculated by reference to hours of sleep and hours of screen time, and were defined as ≥4 times or <4 times per week (once per week for soft drinks and diet soft drinks). Differences in frequency were evaluated for screen times of more and less than 2 h per day, and for sleep durations longer or shorter than the daily average. We fitted logistic regression models to evaluate the independent association between screen exposure and hours of sleep on the one hand, and food consumption frequency on the other.

Results

Consumption of fruit and vegetables was lower among children who had parents with no formal or only primary school education. High levels of screen time were associated with a greater frequency of consumption of energy-dense, micronutrient-poor products and a lower frequency of consumption of fruit and vegetables. Sleeping a sufficient number of hours was associated with a higher consumption of fruit and vegetables. The results for 2011 were concordant with those for 2013.

Conclusions

If efforts to ensure healthier eating habits among children are to be at all successful, they should focus on promoting a sufficient amount of sleep for children, limiting the time they spend watching television and/or playing with computers or video games, and educating parents accordingly.
Literature
1.
go back to reference Olds T, Maher C, Zumin S, Péneau S, Lioret S, Castetbon K, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes. 2011;6:342–60.CrossRefPubMed Olds T, Maher C, Zumin S, Péneau S, Lioret S, Castetbon K, et al. Evidence that the prevalence of childhood overweight is plateauing: data from nine countries. Int J Pediatr Obes. 2011;6:342–60.CrossRefPubMed
2.
go back to reference Dennison BA, Erb TA, Jenkins PL. Television viewing and television in bedroom associated with overweight risk among low-income preschool children. Pediatrics. 2002;109(6):1028–35.CrossRefPubMed Dennison BA, Erb TA, Jenkins PL. Television viewing and television in bedroom associated with overweight risk among low-income preschool children. Pediatrics. 2002;109(6):1028–35.CrossRefPubMed
3.
go back to reference Erola J, Jalonen S, Lehti H. Parental education, class and income over early life course and children’s achievement. Res Soc Stratif Mobil. 2016;44:33–43.CrossRef Erola J, Jalonen S, Lehti H. Parental education, class and income over early life course and children’s achievement. Res Soc Stratif Mobil. 2016;44:33–43.CrossRef
4.
go back to reference Coma A, Martí M, Fernández E, Erola J, Jalonen S, Lehti H. Educación y clase social basada en la ocupación: su interrelación como indicadores de posición socioeconómica en el estudio de las desigualdades sociales mediante encuestas de salud. Aten Primaria. 2003;44:208–15.CrossRef Coma A, Martí M, Fernández E, Erola J, Jalonen S, Lehti H. Educación y clase social basada en la ocupación: su interrelación como indicadores de posición socioeconómica en el estudio de las desigualdades sociales mediante encuestas de salud. Aten Primaria. 2003;44:208–15.CrossRef
5.
go back to reference Halford JC, Boyland EJ, Hughes GM, Stacey L, McKean S, Dovey TM. Beyond-brand effect of television food advertisements on food choice in children: the effects of weight status. Public Health Nutr. 2008;11(9):897–904.CrossRefPubMed Halford JC, Boyland EJ, Hughes GM, Stacey L, McKean S, Dovey TM. Beyond-brand effect of television food advertisements on food choice in children: the effects of weight status. Public Health Nutr. 2008;11(9):897–904.CrossRefPubMed
6.
go back to reference Matheson DM, Killen JD, Wang Y, Varady A, Robinson TN. Children’s food consumption during television viewing. Am J Clin Nutr. 2004;79:1088–94.PubMed Matheson DM, Killen JD, Wang Y, Varady A, Robinson TN. Children’s food consumption during television viewing. Am J Clin Nutr. 2004;79:1088–94.PubMed
7.
go back to reference Bellissimo N, Pencharz PB, Thomas SG, Anderson GH. Effect of television viewing at mealtime on food intake after a glucose preload in boys. Pediatr Res. 2007;61(6):745–9.CrossRefPubMed Bellissimo N, Pencharz PB, Thomas SG, Anderson GH. Effect of television viewing at mealtime on food intake after a glucose preload in boys. Pediatr Res. 2007;61(6):745–9.CrossRefPubMed
8.
go back to reference Coon KA, Goldberg J, Rogers BL, Tucker KL. Food Consumption Patterns. Pediatrics. 2001;107(1):1–9.CrossRef Coon KA, Goldberg J, Rogers BL, Tucker KL. Food Consumption Patterns. Pediatrics. 2001;107(1):1–9.CrossRef
9.
go back to reference de Jong E, Visscher TLS, HiraSing RA, Heymans MW, Seidell JC, Renders CM. Association between TV viewing, computer use and overweight, determinants and competing activities of screen time in 4- to 13-year-old children. Int J Obes (Lond). 2013;37(1):47–53.CrossRef de Jong E, Visscher TLS, HiraSing RA, Heymans MW, Seidell JC, Renders CM. Association between TV viewing, computer use and overweight, determinants and competing activities of screen time in 4- to 13-year-old children. Int J Obes (Lond). 2013;37(1):47–53.CrossRef
10.
go back to reference Börnhorst C, Wijnhoven TM, Kunešová M, Yngve A, Rito AI, Lissner L, et al. WHO European Childhood Obesity Surveillance Initiative: associations between sleep duration, screen time and food consumption frequencies. BMC Public Health. 2015;15:442.CrossRefPubMedPubMedCentral Börnhorst C, Wijnhoven TM, Kunešová M, Yngve A, Rito AI, Lissner L, et al. WHO European Childhood Obesity Surveillance Initiative: associations between sleep duration, screen time and food consumption frequencies. BMC Public Health. 2015;15:442.CrossRefPubMedPubMedCentral
11.
go back to reference Padez C, Mourao I, Moreira P, Rosado V. Long sleep duration and childhood overweight/obesity and body fat. Am J Hum Biol. 2009;21(3):371–6.CrossRefPubMed Padez C, Mourao I, Moreira P, Rosado V. Long sleep duration and childhood overweight/obesity and body fat. Am J Hum Biol. 2009;21(3):371–6.CrossRefPubMed
12.
go back to reference Bayer O, Rosario AS, Wabitsch M, von Kries R. Sleep duration and obesity in children: is the association dependent on age and choice of the outcome parameter? Sleep. 2009;32(9):1183–9.PubMedPubMedCentral Bayer O, Rosario AS, Wabitsch M, von Kries R. Sleep duration and obesity in children: is the association dependent on age and choice of the outcome parameter? Sleep. 2009;32(9):1183–9.PubMedPubMedCentral
13.
go back to reference Frey DJ, Fleshner M, Wright KP. The effects of 40 h of total sleep deprivation on inflammatory markers in healthy young adults. Brain Behav Immun. 2007;21(8):1050–7.CrossRefPubMed Frey DJ, Fleshner M, Wright KP. The effects of 40 h of total sleep deprivation on inflammatory markers in healthy young adults. Brain Behav Immun. 2007;21(8):1050–7.CrossRefPubMed
15.
go back to reference Burt J, Dube L, Thibault L, Gruber R. Sleep and eating in childhood: A potential behavioral mechanism underlying the relationship between poor sleep and obesity. Sleep Med. 2014;15:71–5.CrossRefPubMed Burt J, Dube L, Thibault L, Gruber R. Sleep and eating in childhood: A potential behavioral mechanism underlying the relationship between poor sleep and obesity. Sleep Med. 2014;15:71–5.CrossRefPubMed
16.
go back to reference Pérez-Farinós N, López-Sobaler AM, Dal Re MA, Villar C, Labrado E, Robledo T, et al. The ALADINO study: a national study of prevalence of overweight and obesity in Spanish children in 2011. Biomed Res Int. 2013;2013:1–7.CrossRef Pérez-Farinós N, López-Sobaler AM, Dal Re MA, Villar C, Labrado E, Robledo T, et al. The ALADINO study: a national study of prevalence of overweight and obesity in Spanish children in 2011. Biomed Res Int. 2013;2013:1–7.CrossRef
21.
go back to reference Education. AA of PC on P. Children, adolescents, and television. Pediatrics. 2001;107(2):423–6. Education. AA of PC on P. Children, adolescents, and television. Pediatrics. 2001;107(2):423–6.
22.
go back to reference Roberts C, Freeman J, Samdal O, Schnohr CW, Looze ME, Nic Gabhainn S, et al. The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensions. Int J Public Health. 2009;54 Suppl 2:140–50. Roberts C, Freeman J, Samdal O, Schnohr CW, Looze ME, Nic Gabhainn S, et al. The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensions. Int J Public Health. 2009;54 Suppl 2:140–50.
23.
go back to reference World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organization technical report series. Geneva: World Health Organization; 1995. http://apps.who.int/iris/bitstream/10665/37003/1/WHO_TRS_854.pdf. Accessed 19 Nov 2016. World Health Organization. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. World Health Organization technical report series. Geneva: World Health Organization; 1995. http://​apps.​who.​int/​iris/​bitstream/​10665/​37003/​1/​WHO_​TRS_​854.​pdf.​ Accessed 19 Nov 2016.
24.
go back to reference de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85:660–7.CrossRefPubMedPubMedCentral de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85:660–7.CrossRefPubMedPubMedCentral
25.
go back to reference Shang L, Wang J, O’Loughlin J, Tremblay A, Mathieu M-È, Henderson M, et al. Screen time is associated with dietary intake in overweight Canadian children. Prev Med reports. 2015;2:265–9.CrossRef Shang L, Wang J, O’Loughlin J, Tremblay A, Mathieu M-È, Henderson M, et al. Screen time is associated with dietary intake in overweight Canadian children. Prev Med reports. 2015;2:265–9.CrossRef
27.
go back to reference Zhang G, Wu L, Zhou L, Lu W, Mao C. Television watching and risk of childhood obesity: a meta-analysis. Eur J Public Health. 2016;26(1):13–8.CrossRefPubMed Zhang G, Wu L, Zhou L, Lu W, Mao C. Television watching and risk of childhood obesity: a meta-analysis. Eur J Public Health. 2016;26(1):13–8.CrossRefPubMed
28.
go back to reference Twarog JP, Politis MD, Woods EL, Boles MK, Daniel LM. Daily television viewing time and associated risk of obesity among U.S. preschool aged children: An analysis of NHANES 2009–2012. Obes Res Clin Pract. 2015;9(6):636–8.CrossRefPubMed Twarog JP, Politis MD, Woods EL, Boles MK, Daniel LM. Daily television viewing time and associated risk of obesity among U.S. preschool aged children: An analysis of NHANES 2009–2012. Obes Res Clin Pract. 2015;9(6):636–8.CrossRefPubMed
29.
go back to reference Börnhorst C, Hense S, Ahrens W, Hebestreit A, Reisch L, Barba G, et al. From sleep duration to childhood obesity—what are the pathways? Eur J Pediatr. 2012;171(7):1029–38.CrossRefPubMed Börnhorst C, Hense S, Ahrens W, Hebestreit A, Reisch L, Barba G, et al. From sleep duration to childhood obesity—what are the pathways? Eur J Pediatr. 2012;171(7):1029–38.CrossRefPubMed
30.
go back to reference Cappuccio FP, Taggart FM, Kandala N-B, Currie A, Peile E, Stranges S, et al. Meta-analysis of short sleep duration and obesity in children and adults. Sleep. 2008;31:619–26.PubMedPubMedCentral Cappuccio FP, Taggart FM, Kandala N-B, Currie A, Peile E, Stranges S, et al. Meta-analysis of short sleep duration and obesity in children and adults. Sleep. 2008;31:619–26.PubMedPubMedCentral
31.
go back to reference Lissner L, Lanfer A, Gwozdz W, Olafsdottir S, Eiben G, Moreno LA, et al. Television habits in relation to overweight, diet and taste preferences in European children: the IDEFICS study. Eur J Epidemiol. 2012;27(9):705–15.CrossRefPubMedPubMedCentral Lissner L, Lanfer A, Gwozdz W, Olafsdottir S, Eiben G, Moreno LA, et al. Television habits in relation to overweight, diet and taste preferences in European children: the IDEFICS study. Eur J Epidemiol. 2012;27(9):705–15.CrossRefPubMedPubMedCentral
32.
go back to reference Rosiek A, Maciejewska NF, Leksowski K, Rosiek-Kryszewska A, Leksowski Ł. Effect of Television on Obesity and Excess of Weight and Consequences of Health. Int J Environ Res Public Health. 2015;12:9408–26.CrossRefPubMedPubMedCentral Rosiek A, Maciejewska NF, Leksowski K, Rosiek-Kryszewska A, Leksowski Ł. Effect of Television on Obesity and Excess of Weight and Consequences of Health. Int J Environ Res Public Health. 2015;12:9408–26.CrossRefPubMedPubMedCentral
33.
go back to reference Vandewater E. a, Park SE, Hébert ET, Cummings HM. Time with friends and physical activity as mechanisms linking obesity and television viewing among youth. Int J Behav Nutr Phys Act. 2015;12 Suppl 1:S6.CrossRefPubMedPubMedCentral Vandewater E. a, Park SE, Hébert ET, Cummings HM. Time with friends and physical activity as mechanisms linking obesity and television viewing among youth. Int J Behav Nutr Phys Act. 2015;12 Suppl 1:S6.CrossRefPubMedPubMedCentral
34.
go back to reference Smith L, Fisher A, Hamer M. Television viewing time and risk of incident obesity and central obesity: the English longitudinal study of ageing. BMC Obes. 2015;2:12.CrossRefPubMedPubMedCentral Smith L, Fisher A, Hamer M. Television viewing time and risk of incident obesity and central obesity: the English longitudinal study of ageing. BMC Obes. 2015;2:12.CrossRefPubMedPubMedCentral
35.
go back to reference Katzmarzyk PT, Barreira TV, Broyles ST, Champagne CM, Chaput J-P, Fogelholm M, et al. Relationship between lifestyle behaviors and obesity in children ages 9–11: Results from a 12-country study. Obesity (Silver Spring). 2015;23:1696–702.CrossRef Katzmarzyk PT, Barreira TV, Broyles ST, Champagne CM, Chaput J-P, Fogelholm M, et al. Relationship between lifestyle behaviors and obesity in children ages 9–11: Results from a 12-country study. Obesity (Silver Spring). 2015;23:1696–702.CrossRef
36.
go back to reference Blaine RE, Fisher JO, Blake CE, Orloski A, Younginer N, Bruton Y, et al. Conditioned to eat while watching television? Low-income caregivers’ perspectives on the role of snacking and television viewing among pre-schoolers. Public Health Nutr. 2016;19:1598–605.CrossRefPubMed Blaine RE, Fisher JO, Blake CE, Orloski A, Younginer N, Bruton Y, et al. Conditioned to eat while watching television? Low-income caregivers’ perspectives on the role of snacking and television viewing among pre-schoolers. Public Health Nutr. 2016;19:1598–605.CrossRefPubMed
37.
go back to reference Borghese MM, Tremblay MS, Leduc G, Boyer C, Belanger P, LeBlanc AG, et al. Television viewing and food intake during television viewing in normal-weight, overweight and obese 9- to 11-year-old Canadian children: a cross-sectional analysis. J Nutr Sci. 2015;4:e8.CrossRefPubMedPubMedCentral Borghese MM, Tremblay MS, Leduc G, Boyer C, Belanger P, LeBlanc AG, et al. Television viewing and food intake during television viewing in normal-weight, overweight and obese 9- to 11-year-old Canadian children: a cross-sectional analysis. J Nutr Sci. 2015;4:e8.CrossRefPubMedPubMedCentral
38.
go back to reference Falbe J, Willett WC, Rosner B, Gortmaker SL, Sonneville KR, Field AE. Longitudinal relations of television, electronic games, and digital versatile discs with changes in diet in adolescents. Am J Clin Nutr. 2014;100(4):1173–81.CrossRefPubMedPubMedCentral Falbe J, Willett WC, Rosner B, Gortmaker SL, Sonneville KR, Field AE. Longitudinal relations of television, electronic games, and digital versatile discs with changes in diet in adolescents. Am J Clin Nutr. 2014;100(4):1173–81.CrossRefPubMedPubMedCentral
39.
go back to reference Pearson N, Biddle SJH. Sedentary behavior and dietary intake in children, adolescents, and adults: A systematic review. Am J Prev Med. 2011;41:178–88.CrossRefPubMed Pearson N, Biddle SJH. Sedentary behavior and dietary intake in children, adolescents, and adults: A systematic review. Am J Prev Med. 2011;41:178–88.CrossRefPubMed
40.
go back to reference Sayin FK, Buyukinan M. Sleep Duration and Media Time Have a Major Impact on Insulin Resistance and Metabolic Risk Factors in Obese Children and Adolescents. Child Obes. 2016;12(4):272–8.CrossRefPubMed Sayin FK, Buyukinan M. Sleep Duration and Media Time Have a Major Impact on Insulin Resistance and Metabolic Risk Factors in Obese Children and Adolescents. Child Obes. 2016;12(4):272–8.CrossRefPubMed
41.
go back to reference Guran T, Bereket A. International epidemic of childhood obesity and television viewing. Minerva Pediatr. 2011;63(6):483–90.PubMed Guran T, Bereket A. International epidemic of childhood obesity and television viewing. Minerva Pediatr. 2011;63(6):483–90.PubMed
42.
go back to reference Kelly B, Halford JCG, Boyland EJ, Chapman K, Bautista-Castaño I, Berg C, et al. Television food advertising to children: a global perspective. Am J Public Health. 2010;100(9):1730–6.CrossRefPubMedPubMedCentral Kelly B, Halford JCG, Boyland EJ, Chapman K, Bautista-Castaño I, Berg C, et al. Television food advertising to children: a global perspective. Am J Public Health. 2010;100(9):1730–6.CrossRefPubMedPubMedCentral
43.
go back to reference Ustjanauskas AE, Harris JL, Schwartz MB. Food and beverage advertising on children’s web sites. Pediatr Obes. 2014;9(5):362–72.CrossRefPubMed Ustjanauskas AE, Harris JL, Schwartz MB. Food and beverage advertising on children’s web sites. Pediatr Obes. 2014;9(5):362–72.CrossRefPubMed
44.
go back to reference Kelly B, Freeman B, King L, Chapman K, Baur L, Gill T. Television advertising, not viewing, is associated with negative dietary patterns in children. Pediatr Obes. 2016;11(2):158–60.CrossRefPubMed Kelly B, Freeman B, King L, Chapman K, Baur L, Gill T. Television advertising, not viewing, is associated with negative dietary patterns in children. Pediatr Obes. 2016;11(2):158–60.CrossRefPubMed
45.
go back to reference Rasmussen M, Krølner R, Klepp K-I, Lytle L, Brug J, Bere E, et al. Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part I: Quantitative studies. Int J Behav Nutr Phys Act. 2006;3(1):22.CrossRefPubMedPubMedCentral Rasmussen M, Krølner R, Klepp K-I, Lytle L, Brug J, Bere E, et al. Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part I: Quantitative studies. Int J Behav Nutr Phys Act. 2006;3(1):22.CrossRefPubMedPubMedCentral
46.
go back to reference Giese H, König LM, Tăut D, Ollila H, Băban A, Absetz P, et al. Exploring the association between television advertising of healthy and unhealthy foods, self-control, and food intake in three European countries. Appl Psychol Heal Well-Being. 2015;7(1):41–62.CrossRef Giese H, König LM, Tăut D, Ollila H, Băban A, Absetz P, et al. Exploring the association between television advertising of healthy and unhealthy foods, self-control, and food intake in three European countries. Appl Psychol Heal Well-Being. 2015;7(1):41–62.CrossRef
47.
go back to reference Chaput JP. Is sleep deprivation a contributor to obesity in children? Eat Weight Disord. 2015;21:9–11. Chaput JP. Is sleep deprivation a contributor to obesity in children? Eat Weight Disord. 2015;21:9–11.
48.
go back to reference Patel SRSR, Hu FBFB. Short sleep duration and weight gain: a systematic review. Obesity (Silver Spring). 2008;16:643–53.CrossRef Patel SRSR, Hu FBFB. Short sleep duration and weight gain: a systematic review. Obesity (Silver Spring). 2008;16:643–53.CrossRef
Metadata
Title
The relationship between hours of sleep, screen time and frequency of food and drink consumption in Spain in the 2011 and 2013 ALADINO: a cross-sectional study
Authors
Napoleón Pérez-Farinós
Carmen Villar-Villalba
Ana María López Sobaler
María Ángeles Dal Re Saavedra
Aránzazu Aparicio
Sara Santos Sanz
Teresa Robledo de Dios
José Javier Castrodeza-Sanz
Rosa María Ortega Anta
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3962-4

Other articles of this Issue 1/2017

BMC Public Health 1/2017 Go to the issue