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

Open Access 01-12-2017 | Research article

Sedentary behavior among Spanish children and adolescents: findings from the ANIBES study

Authors: Juan Mielgo-Ayuso, Raquel Aparicio-Ugarriza, Adrian Castillo, Emma Ruiz, Jose M. Avila, Javier Aranceta-Bartrina, Angel Gil, Rosa M. Ortega, Lluis Serra-Majem, Gregorio Varela-Moreiras, Marcela González-Gross

Published in: BMC Public Health | Issue 1/2017

Login to get access

Abstract

Background

An increase of sedentary behaviors far from the Mediterranean lifestyle is happening in spite of the impact on health. The aims of this study were to describe sedentary behaviors in children and adolescents.

Methods

A representative sample of 424 Spanish children and adolescents (38% females) involved in the ANIBES study was analyzed regarding their sedentary behaviors, together with the availability of televisions, computers, and consoles by means of the HELENA sedentary behavior questionnaire.

Results

For the total sample of children, 49.3% during weekdays and 84% during weekends did not meet the recommendation of less than 2 hours of screen viewing per day. The use of TV was higher during weekdays (p < 0.05) and there were significant differences between adolescents and children (16.9 vs. 25.1%, p < 0.05). The use of computer, console games and of internet for non-study reasons was higher during weekends (p < 0.001). Adolescents played more computer games and used more internet for non-study reasons than children during both weekdays and weekends (p < 0.05 and p < 0.001, respectively). The use of internet for academic reasons was lower in children (p < 0.001) than adolescents during weekends; however, no significant differences were found between sexes. In addition, more than 30% of the children and adolescents had at least one electronic device in their bedrooms.

Conclusions

Spanish children and adolescents are not meeting the recommendations regarding the maximum of screen viewing (<2 h/day), especially during the weekend, for all of sedentary behaviors. Urgent strategies and intervention studies are needed to reduce sedentary behavior in young people.
Literature
2.
go back to reference González-Gross M, Meléndez A. Sedentarism, active lifestyle and sport: impact on health and obesity prevention. Nutr Hosp. 2013;28 Suppl 5:89–98.PubMed González-Gross M, Meléndez A. Sedentarism, active lifestyle and sport: impact on health and obesity prevention. Nutr Hosp. 2013;28 Suppl 5:89–98.PubMed
3.
go back to reference Ekelund U, Brage S, Froberg K, Harro M, Anderssen SA, Sardinha LB, Riddoch C, Andersen LB. TV viewing and physical activity are independently associated with metabolic risk in children: the European Youth Heart Study. PLoS Med. 2006;3(12):e488.CrossRefPubMedPubMedCentral Ekelund U, Brage S, Froberg K, Harro M, Anderssen SA, Sardinha LB, Riddoch C, Andersen LB. TV viewing and physical activity are independently associated with metabolic risk in children: the European Youth Heart Study. PLoS Med. 2006;3(12):e488.CrossRefPubMedPubMedCentral
4.
go back to reference Mark AE, Janssen I. Relationship between screen time and metabolic syndrome in adolescents. J Public Health (Oxf). 2008;30(2):153–60.CrossRef Mark AE, Janssen I. Relationship between screen time and metabolic syndrome in adolescents. J Public Health (Oxf). 2008;30(2):153–60.CrossRef
5.
go back to reference Sardinha LB, Andersen LB, Anderssen SA, Quiterio AL, Ornelas R, Froberg K, Riddoch CJ, Ekelund U. Objectively measured time spent sedentary is associated with insulin resistance independent of overall and central body fat in 9- to 10-year-old Portuguese children. Diabetes Care. 2008;31(3):569–75.CrossRefPubMed Sardinha LB, Andersen LB, Anderssen SA, Quiterio AL, Ornelas R, Froberg K, Riddoch CJ, Ekelund U. Objectively measured time spent sedentary is associated with insulin resistance independent of overall and central body fat in 9- to 10-year-old Portuguese children. Diabetes Care. 2008;31(3):569–75.CrossRefPubMed
6.
go back to reference Rennie KL, Johnson L, Jebb SA. Behavioural determinants of obesity. Best Pract Res Clin Endocrinol Metab. 2005;19(3):343–58.CrossRefPubMed Rennie KL, Johnson L, Jebb SA. Behavioural determinants of obesity. Best Pract Res Clin Endocrinol Metab. 2005;19(3):343–58.CrossRefPubMed
7.
go back to reference Zimmermann MB, Hess SY, Hurrell RF. A national study of the prevalence of overweight and obesity in 6–12 y-old Swiss children: body mass index, body-weight perceptions and goals. Eur J Clin Nutr. 2000;54(7):568–72.CrossRefPubMed Zimmermann MB, Hess SY, Hurrell RF. A national study of the prevalence of overweight and obesity in 6–12 y-old Swiss children: body mass index, body-weight perceptions and goals. Eur J Clin Nutr. 2000;54(7):568–72.CrossRefPubMed
8.
go back to reference Bundred P, Kitchiner D, Buchan I. Prevalence of overweight and obese children between 1989 and 1998: population based series of cross sectional studies. BMJ. 2001;322(7282):326–8.CrossRefPubMedPubMedCentral Bundred P, Kitchiner D, Buchan I. Prevalence of overweight and obese children between 1989 and 1998: population based series of cross sectional studies. BMJ. 2001;322(7282):326–8.CrossRefPubMedPubMedCentral
9.
go back to reference Moreno LA, Mesana MI, Fleta J, Ruiz JR, Gonzalez-Gross M, Sarria A, Marcos A, Bueno M, AVENA Study Group. Overweight, obesity and body fat composition in spanish adolescents. The AVENA Study. Ann Nutr Metab. 2005;49(2):71–6.CrossRefPubMed Moreno LA, Mesana MI, Fleta J, Ruiz JR, Gonzalez-Gross M, Sarria A, Marcos A, Bueno M, AVENA Study Group. Overweight, obesity and body fat composition in spanish adolescents. The AVENA Study. Ann Nutr Metab. 2005;49(2):71–6.CrossRefPubMed
10.
go back to reference Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, Goldfield G, Gorber SC. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act. 2011;8(1):98.CrossRefPubMedPubMedCentral Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, Goldfield G, Gorber SC. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act. 2011;8(1):98.CrossRefPubMedPubMedCentral
11.
go back to reference van Ekris E, Altenburg TM, Singh AS, Proper KI, Heymans MW, Chinapaw MJ. An evidence-update on the prospective relationship between childhood sedentary behaviour and biomedical health indicators: a systematic review and meta-analysis. Obes Rev. 2016;17(9):833–49.CrossRefPubMed van Ekris E, Altenburg TM, Singh AS, Proper KI, Heymans MW, Chinapaw MJ. An evidence-update on the prospective relationship between childhood sedentary behaviour and biomedical health indicators: a systematic review and meta-analysis. Obes Rev. 2016;17(9):833–49.CrossRefPubMed
12.
go back to reference Kautiainen S, Koivusilta L, Lintonen T, Virtanen SM, Rimpelä A. Use of information and communication technology and prevalence of overweight and obesity among adolescents. Int J Obes. 2005;29(8):925–33.CrossRef Kautiainen S, Koivusilta L, Lintonen T, Virtanen SM, Rimpelä A. Use of information and communication technology and prevalence of overweight and obesity among adolescents. Int J Obes. 2005;29(8):925–33.CrossRef
13.
go back to reference Costigan SA, Barnett L, Plotnikoff RC, Lubans DR. The health indicators associated with screen-based sedentary behavior among adolescent girls: a systematic review. J Adolesc Health. 2013;52(4):382–92.CrossRefPubMed Costigan SA, Barnett L, Plotnikoff RC, Lubans DR. The health indicators associated with screen-based sedentary behavior among adolescent girls: a systematic review. J Adolesc Health. 2013;52(4):382–92.CrossRefPubMed
14.
go back to reference Committee on Physical Activity and Physical Education in the School Environment,Food and Nutrition Board,Institute of Medicine. Educating the Student Body:Taking Physical Activity and Physical Education to School. Washington (DC): National Academies Press (US); 2013. Committee on Physical Activity and Physical Education in the School Environment,Food and Nutrition Board,Institute of Medicine. Educating the Student Body:Taking Physical Activity and Physical Education to School. Washington (DC): National Academies Press (US); 2013.
15.
go back to reference Saunders TJ, Vallance JK. Screen Time and Health Indicators Among Children and Youth: Current Evidence, Limitations and Future Directions. Appl Health Econ Health Policy. 2016;31:1–9. Saunders TJ, Vallance JK. Screen Time and Health Indicators Among Children and Youth: Current Evidence, Limitations and Future Directions. Appl Health Econ Health Policy. 2016;31:1–9.
16.
go back to reference Cliff DP, Hesketh KD, Vella SA, Hinkley T, Tsiros MD, Ridgers ND, Carver A, Veitch J, Parrish AM, Hardy LL, Plotnikoff RC, Okely AD, Salmon J, Lubans DR. Objectively measured sedentary behaviour and health and development in children and adolescents: systematic review and meta-analysis. Obes Rev. 2016;17(4):330–44.CrossRefPubMed Cliff DP, Hesketh KD, Vella SA, Hinkley T, Tsiros MD, Ridgers ND, Carver A, Veitch J, Parrish AM, Hardy LL, Plotnikoff RC, Okely AD, Salmon J, Lubans DR. Objectively measured sedentary behaviour and health and development in children and adolescents: systematic review and meta-analysis. Obes Rev. 2016;17(4):330–44.CrossRefPubMed
17.
go back to reference Whitt-Glover MC, Taylor WC, Floyd MF, Yore MM, Yancey AK, Matthews CE. Disparities in physical activity and sedentary behaviors among US children and adolescents: prevalence, correlates, and intervention implications. J Public Health Policy. 2009;30:S309–34.CrossRefPubMed Whitt-Glover MC, Taylor WC, Floyd MF, Yore MM, Yancey AK, Matthews CE. Disparities in physical activity and sedentary behaviors among US children and adolescents: prevalence, correlates, and intervention implications. J Public Health Policy. 2009;30:S309–34.CrossRefPubMed
18.
go back to reference Ministerio de Sanidad, Servicios Sociales e Igualdad. Actividad Física para la Salud y Reducción del Sedentarismo. Recomendaciones para la población. Estrategia de Promoción de la Salud y Prevención en el SNS. In Edited by Anonymous Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad. 2015 [Anonymous]. Ministerio de Sanidad, Servicios Sociales e Igualdad. Actividad Física para la Salud y Reducción del Sedentarismo. Recomendaciones para la población. Estrategia de Promoción de la Salud y Prevención en el SNS. In Edited by Anonymous Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad. 2015 [Anonymous].
19.
go back to reference Kohl HW, Cook HD. Physical Activity and Physical Education: Relationship to Growth, Development, and Health. 2013. Kohl HW, Cook HD. Physical Activity and Physical Education: Relationship to Growth, Development, and Health. 2013.
20.
go back to reference World Health Organization. Global recommendations on physical activity for health. 2010. World Health Organization. Global recommendations on physical activity for health. 2010.
21.
go back to reference Mielgo-Ayuso J, Aparicio-Ugarriza R, Castillo A, Ruiz E, Ávila JM, Aranceta-Batrina J, Gil Á, Ortega RM, Serra-Majem L, Varela-Moreiras G. Physical Activity Patterns of the Spanish Population Are Mostly Determined by Sex and Age: Findings in the ANIBES Study. PLoS One. 2016;11(2):e0149969.CrossRefPubMedPubMedCentral Mielgo-Ayuso J, Aparicio-Ugarriza R, Castillo A, Ruiz E, Ávila JM, Aranceta-Batrina J, Gil Á, Ortega RM, Serra-Majem L, Varela-Moreiras G. Physical Activity Patterns of the Spanish Population Are Mostly Determined by Sex and Age: Findings in the ANIBES Study. PLoS One. 2016;11(2):e0149969.CrossRefPubMedPubMedCentral
22.
go back to reference American Academy of Pediatrics. Committee on Public Education: American Academy of Pediatrics: Children, adolescents, and television. Pediatrics. 2001;107(2):423–6.CrossRef American Academy of Pediatrics. Committee on Public Education: American Academy of Pediatrics: Children, adolescents, and television. Pediatrics. 2001;107(2):423–6.CrossRef
23.
go back to reference Linebarger DL, Vaala SE. Screen media and language development in infants and toddlers: An ecological perspective. Dev Rev. 2010;30(2):176–202.CrossRef Linebarger DL, Vaala SE. Screen media and language development in infants and toddlers: An ecological perspective. Dev Rev. 2010;30(2):176–202.CrossRef
24.
go back to reference Ferguson CJ, Donnellan MB. Is the association between children’s baby video viewing and poor language development robust? A reanalysis of Zimmerman, Christakis, and Meltzoff (2007). Dev Psychol. 2014;50(1):129.CrossRefPubMed Ferguson CJ, Donnellan MB. Is the association between children’s baby video viewing and poor language development robust? A reanalysis of Zimmerman, Christakis, and Meltzoff (2007). Dev Psychol. 2014;50(1):129.CrossRefPubMed
25.
go back to reference Tremblay MS, LeBlanc AG, Janssen I, Kho ME, Hicks A, Murumets K, Colley RC, Duggan M. Canadian sedentary behaviour guidelines for children and youth. Appl Physiol Nutr Metab. 2011;36(1):59–64.CrossRefPubMed Tremblay MS, LeBlanc AG, Janssen I, Kho ME, Hicks A, Murumets K, Colley RC, Duggan M. Canadian sedentary behaviour guidelines for children and youth. Appl Physiol Nutr Metab. 2011;36(1):59–64.CrossRefPubMed
26.
go back to reference Rey-López JP, Vicente-Rodriguez G, Ortega FB, Ruiz JR, Martinez-Gómez D, De Henauw S, Manios Y, Molnar D, Polito A, Verloigne M. Sedentary patterns and media availability in European adolescents: The HELENA study. Prev Med. 2010;51(1):50–5.CrossRefPubMed Rey-López JP, Vicente-Rodriguez G, Ortega FB, Ruiz JR, Martinez-Gómez D, De Henauw S, Manios Y, Molnar D, Polito A, Verloigne M. Sedentary patterns and media availability in European adolescents: The HELENA study. Prev Med. 2010;51(1):50–5.CrossRefPubMed
27.
go back to reference Biddle SJ, Pearson N, Ross GM, Braithwaite R. Tracking of sedentary behaviours of young people: a systematic review. Prev Med. 2010;51(5):345–51.CrossRefPubMed Biddle SJ, Pearson N, Ross GM, Braithwaite R. Tracking of sedentary behaviours of young people: a systematic review. Prev Med. 2010;51(5):345–51.CrossRefPubMed
28.
go back to reference Ruiz E, Avila JM, Castillo A, Valero T, Del Pozo S, Rodriguez P, Bartrina JA, Gil A, Gonzalez-Gross M, Ortega RM, Serra-Majem L, Varela-Moreiras G. The ANIBES Study on Energy Balance in Spain: Design, Protocol and Methodology. Nutrients. 2015;7(2):970–98.CrossRefPubMedPubMedCentral Ruiz E, Avila JM, Castillo A, Valero T, Del Pozo S, Rodriguez P, Bartrina JA, Gil A, Gonzalez-Gross M, Ortega RM, Serra-Majem L, Varela-Moreiras G. The ANIBES Study on Energy Balance in Spain: Design, Protocol and Methodology. Nutrients. 2015;7(2):970–98.CrossRefPubMedPubMedCentral
29.
go back to reference Varela Moreiras G, Avila JM, Ruiz E. Energy balance, a new paradigm and methodological issues: the ANIBES study in Spain. Nutr Hosp. 2015;31 Suppl 3:101–12.PubMed Varela Moreiras G, Avila JM, Ruiz E. Energy balance, a new paradigm and methodological issues: the ANIBES study in Spain. Nutr Hosp. 2015;31 Suppl 3:101–12.PubMed
30.
go back to reference Owen N. Ambulatory monitoring and sedentary behaviour: a population-health perspective. Physiol Meas. 2012;33(11):1801–10.CrossRefPubMed Owen N. Ambulatory monitoring and sedentary behaviour: a population-health perspective. Physiol Meas. 2012;33(11):1801–10.CrossRefPubMed
31.
go back to reference Chillon P, Martinez-Gomez D, Ortega FB, Perez-Lopez IJ, Diaz LE, Veses AM, Veiga OL, Marcos A, Delgado-Fernandez M. Six-year trend in active commuting to school in Spanish adolescents. The AVENA and AFINOS Studies. Int J Behav Med. 2013;20(4):529–37.CrossRefPubMed Chillon P, Martinez-Gomez D, Ortega FB, Perez-Lopez IJ, Diaz LE, Veses AM, Veiga OL, Marcos A, Delgado-Fernandez M. Six-year trend in active commuting to school in Spanish adolescents. The AVENA and AFINOS Studies. Int J Behav Med. 2013;20(4):529–37.CrossRefPubMed
32.
go back to reference Gutin B, Yin Z, Johnson M, Barbeau P. Preliminary findings of the effect of a 3-year after-school physical activity intervention on fitness and body fat: The Medical College of Georgia Fitkid Project. Int J Pediatr Obes. 2008;3(S1):3–9.CrossRefPubMed Gutin B, Yin Z, Johnson M, Barbeau P. Preliminary findings of the effect of a 3-year after-school physical activity intervention on fitness and body fat: The Medical College of Georgia Fitkid Project. Int J Pediatr Obes. 2008;3(S1):3–9.CrossRefPubMed
33.
go back to reference McKenzie TL, Sallis JF, Prochaska JJ, Conway TL, Marshall SJ, Rosengard P. Evaluation of a two-year middle-school physical education intervention: M-SPAN. Med Sci Sports Exerc. 2004;36(8):1382–8.CrossRefPubMed McKenzie TL, Sallis JF, Prochaska JJ, Conway TL, Marshall SJ, Rosengard P. Evaluation of a two-year middle-school physical education intervention: M-SPAN. Med Sci Sports Exerc. 2004;36(8):1382–8.CrossRefPubMed
34.
go back to reference Bucksch J, Sigmundova D, Hamrik Z, Troped PJ, Melkevik O, Ahluwalia N, Borraccino A, Tynjälä J, Kalman M, Inchley J. International trends in adolescent screen-time behaviors from 2002 to 2010. J Adolesc Health. 2016;58(4):417–25.CrossRefPubMed Bucksch J, Sigmundova D, Hamrik Z, Troped PJ, Melkevik O, Ahluwalia N, Borraccino A, Tynjälä J, Kalman M, Inchley J. International trends in adolescent screen-time behaviors from 2002 to 2010. J Adolesc Health. 2016;58(4):417–25.CrossRefPubMed
35.
go back to reference Health and Social Care Information Centre. Physical activity in children. In Health Survey for England 2012. Edited by Craig R, Mindell J. Leeds: Health and Social Care Information Centre. 2013. Health and Social Care Information Centre. Physical activity in children. In Health Survey for England 2012. Edited by Craig R, Mindell J. Leeds: Health and Social Care Information Centre. 2013.
37.
go back to reference Martinez Gomez D, Veiga OL, Zapatera B, Cabanas-Sanchez V, Gomez-Martinez S, Martinez-Hernandez D, Marcos A. Patterns of sedentary behavior and compliance with public health recommendations in Spanish adolescents: the AFINOS study. Cad Saude Publica. 2012;28(12):2237–44.CrossRefPubMed Martinez Gomez D, Veiga OL, Zapatera B, Cabanas-Sanchez V, Gomez-Martinez S, Martinez-Hernandez D, Marcos A. Patterns of sedentary behavior and compliance with public health recommendations in Spanish adolescents: the AFINOS study. Cad Saude Publica. 2012;28(12):2237–44.CrossRefPubMed
38.
go back to reference Scully M, Dixon H, White V, Beckmann K. Dietary, physical activity and sedentary behaviour among Australian secondary students in 2005. Health Promot Int. 2007;22(3):236–45.CrossRefPubMed Scully M, Dixon H, White V, Beckmann K. Dietary, physical activity and sedentary behaviour among Australian secondary students in 2005. Health Promot Int. 2007;22(3):236–45.CrossRefPubMed
39.
go back to reference Walton K, Simpson JR, Darlington G, Haines J. Parenting stress: a cross-sectional analysis of associations with childhood obesity, physical activity, and TV viewing. BMC Pediatr. 2014;14(1):1.CrossRef Walton K, Simpson JR, Darlington G, Haines J. Parenting stress: a cross-sectional analysis of associations with childhood obesity, physical activity, and TV viewing. BMC Pediatr. 2014;14(1):1.CrossRef
40.
go back to reference Bucksch J, Inchley J, Hamrik Z, Finne E, Kolip P. Trends in television time, non-gaming PC use and moderate-to-vigorous physical activity among German adolescents 2002–2010. BMC Public Health. 2014;14(1):1.CrossRef Bucksch J, Inchley J, Hamrik Z, Finne E, Kolip P. Trends in television time, non-gaming PC use and moderate-to-vigorous physical activity among German adolescents 2002–2010. BMC Public Health. 2014;14(1):1.CrossRef
41.
go back to reference Vereecken CA, Todd J, Roberts C, Mulvihill C, Maes L. Television viewing behaviour and associations with food habits in different countries. Public Health Nutr. 2006;9(2):244–50.CrossRefPubMed Vereecken CA, Todd J, Roberts C, Mulvihill C, Maes L. Television viewing behaviour and associations with food habits in different countries. Public Health Nutr. 2006;9(2):244–50.CrossRefPubMed
42.
go back to reference Eisenmann JC, Bartee RT, Smith D, Welk G, Fu Q. Combined influence of physical activity and television viewing on the risk of overweight in US youth. Int J Obes. 2008;32(4):613–8.CrossRef Eisenmann JC, Bartee RT, Smith D, Welk G, Fu Q. Combined influence of physical activity and television viewing on the risk of overweight in US youth. Int J Obes. 2008;32(4):613–8.CrossRef
43.
go back to reference Edelson LR, Mathias KC, Fulgoni VL, Karagounis LG. Screen-based sedentary behavior and associations with functional strength in 6–15 year-old children in the United States. BMC Public Health. 2016;16(1):1. Edelson LR, Mathias KC, Fulgoni VL, Karagounis LG. Screen-based sedentary behavior and associations with functional strength in 6–15 year-old children in the United States. BMC Public Health. 2016;16(1):1.
44.
go back to reference Olson CK, Kutner LA, Warner DE, Almerigi JB, Baer L, Nicholi AM, Beresin EV. Factors correlated with violent video game use by adolescent boys and girls. J Adolesc Health. 2007;41(1):77–83.CrossRefPubMed Olson CK, Kutner LA, Warner DE, Almerigi JB, Baer L, Nicholi AM, Beresin EV. Factors correlated with violent video game use by adolescent boys and girls. J Adolesc Health. 2007;41(1):77–83.CrossRefPubMed
45.
go back to reference Brooks FM, Chester KL, Smeeton NC, Spencer NH. Video gaming in adolescence: factors associated with leisure time use. J Youth Stud. 2016;19(1):36–54.CrossRef Brooks FM, Chester KL, Smeeton NC, Spencer NH. Video gaming in adolescence: factors associated with leisure time use. J Youth Stud. 2016;19(1):36–54.CrossRef
46.
go back to reference Landry M, Vyas A, Turner M, Glick S, Wood S. Evaluation of Social Media Utilization by Latino Adolescents: Implications for Mobile Health Interventions. JMIR Mhealth Uhealth. 2015;3(3):e89.CrossRefPubMedPubMedCentral Landry M, Vyas A, Turner M, Glick S, Wood S. Evaluation of Social Media Utilization by Latino Adolescents: Implications for Mobile Health Interventions. JMIR Mhealth Uhealth. 2015;3(3):e89.CrossRefPubMedPubMedCentral
47.
go back to reference Delmas C, Platat C, Schweitzer B, Wagner A, Oujaa M, Simon C. Association between television in bedroom and adiposity throughout adolescence. Obesity. 2007;15(10):2495–503.CrossRefPubMed Delmas C, Platat C, Schweitzer B, Wagner A, Oujaa M, Simon C. Association between television in bedroom and adiposity throughout adolescence. Obesity. 2007;15(10):2495–503.CrossRefPubMed
48.
go back to reference Epstein LH, Roemmich JN, Robinson JL, Paluch RA, Winiewicz DD, Fuerch JH, Robinson TN. A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children. Arch Pediatr Adolesc Med. 2008;162(3):239–45.CrossRefPubMedPubMedCentral Epstein LH, Roemmich JN, Robinson JL, Paluch RA, Winiewicz DD, Fuerch JH, Robinson TN. A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children. Arch Pediatr Adolesc Med. 2008;162(3):239–45.CrossRefPubMedPubMedCentral
49.
go back to reference Wiecha JL, Peterson KE, Ludwig DS, Kim J, Sobol A, Gortmaker SL. When children eat what they watch: impact of television viewing on dietary intake in youth. Arch Pediatr Adolesc Med. 2006;160(4):436–42.CrossRefPubMed Wiecha JL, Peterson KE, Ludwig DS, Kim J, Sobol A, Gortmaker SL. When children eat what they watch: impact of television viewing on dietary intake in youth. Arch Pediatr Adolesc Med. 2006;160(4):436–42.CrossRefPubMed
50.
go back to reference Sonneville KR, Long MW, Ward ZJ, Resch SC, Wang YC, Pomeranz JL, Moodie ML, Carter R, Sacks G, Swinburn BA. BMI and healthcare cost impact of eliminating tax subsidy for advertising unhealthy food to youth. Am J Prev Med. 2015;49(1):124–34.CrossRefPubMed Sonneville KR, Long MW, Ward ZJ, Resch SC, Wang YC, Pomeranz JL, Moodie ML, Carter R, Sacks G, Swinburn BA. BMI and healthcare cost impact of eliminating tax subsidy for advertising unhealthy food to youth. Am J Prev Med. 2015;49(1):124–34.CrossRefPubMed
51.
go back to reference Kelly B, Halford JC, Boyland EJ, Chapman K, Bautista-Castaño I, Berg C, Caroli M, Cook B, Coutinho JG, Effertz T. Television food advertising to children: a global perspective. Am J Public Health. 2010;100(9):1730–6.CrossRefPubMedPubMedCentral Kelly B, Halford JC, Boyland EJ, Chapman K, Bautista-Castaño I, Berg C, Caroli M, Cook B, Coutinho JG, Effertz T. Television food advertising to children: a global perspective. Am J Public Health. 2010;100(9):1730–6.CrossRefPubMedPubMedCentral
52.
go back to reference Friedrich RR, Polet JP, Schuch I, Wagner MB. Effect of intervention programs in schools to reduce screen time: a meta analysis. J Pediatr. 2014;90(3):232–41.CrossRef Friedrich RR, Polet JP, Schuch I, Wagner MB. Effect of intervention programs in schools to reduce screen time: a meta analysis. J Pediatr. 2014;90(3):232–41.CrossRef
53.
go back to reference Bergh IH, van Stralen MM, Bjelland M, Grydeland M, Lien N, Klepp K, Anderssen SA, Ommundsen Y. Post-intervention effects on screen behaviours and mediating effect of parental regulation: the HEalth In Adolescents study-a multi-component school-based randomized controlled trial. BMC Public Health. 2014;14(1):1.CrossRef Bergh IH, van Stralen MM, Bjelland M, Grydeland M, Lien N, Klepp K, Anderssen SA, Ommundsen Y. Post-intervention effects on screen behaviours and mediating effect of parental regulation: the HEalth In Adolescents study-a multi-component school-based randomized controlled trial. BMC Public Health. 2014;14(1):1.CrossRef
Metadata
Title
Sedentary behavior among Spanish children and adolescents: findings from the ANIBES study
Authors
Juan Mielgo-Ayuso
Raquel Aparicio-Ugarriza
Adrian Castillo
Emma Ruiz
Jose M. Avila
Javier Aranceta-Bartrina
Angel Gil
Rosa M. Ortega
Lluis Serra-Majem
Gregorio Varela-Moreiras
Marcela González-Gross
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/s12889-017-4026-0

Other articles of this Issue 1/2017

BMC Public Health 1/2017 Go to the issue