Ka. Coon et al., Relationships between use of television during meals and children's food consumption patterns, PEDIATRICS, 107(1), 2001, pp. NIL_49-NIL_57
Objective. We examined relationships between the presence of television dur
ing meals and children's food consumption patterns to test whether children
's overall food consumption patterns, including foods not normally advertis
ed, vary systematically with the extent to which television is part of norm
al mealtime routines.
Methods. Ninety-one parent-child pairs from suburbs adjacent to Washington,
DC, recruited via advertisements and word of mouth, participated. Children
were in the fourth, fifth, or sixth grades. Socioeconomic data and informa
tion on television use were collected during survey interviews. Three nonco
nsecutive 24-hour dietary recalls, conducted with each child, were used to
construct nutrient and food intake outcome variables. Independent sample t
tests were used to compare mean food and nutrient intakes of children from
families in which the television was usually on during 2 or more meals (n =
41) to those of children from families in which the television was either
never on or only on during one meal (n = 50). Multiple linear regression mo
dels, controlling for socioeconomic factors and other covariates, were used
to test strength of associations between television and children's consump
tion of food groups and nutrients.
Results. Children from families with high television use derived, on averag
e, 6% more of their total daily energy intake from meats; 5% more from pizz
a, salty snacks, and soda; and nearly 5% less of their energy intake from f
ruits, vegetables, and juices than did children from families with low tele
vision use. Associations between television and children's consumption of f
ood groups remained statistically significant in multiple linear regression
models that controlled for socioeconomic factors and other covariates.
Children from high television families derived less of their total energy f
rom carbohydrate and consumed twice as much caffeine as children from low t
elevision families. There continued to be a significant association between
television and children's consumption of caffeine when these relationships
were tested in multiple linear regression models.
Conclusion. The dietary patterns of children from families in which televis
ion viewing is a normal part of meal routines may include fewer fruits and
vegetables and more pizzas, snack foods, and sodas than the dietary pattern
s of children from families in which television viewing and eating are sepa
rate activities.