Early Childhood Electronic Media Use as a Predictor of Poorer Well-being: A Prospective Cohort Study

Trina Hinkley, Vera Verbestel, Wolfgang Ahrens, Lauren Lissner, Denes Molnar, Luis A. Moreno, Iris Pigeot, Hermann Pohlabeln, Lucia Reisch, Paola Russo, Toomas Veidebaum, Michael Tornaritis, Garrath Williams, Stefaan De Henauw, Ilse De Bourdeaudhuij

    Research output: Contribution to journalJournal articleResearchpeer-review

    Abstract

    Importance Identifying associations between preschool-aged children’s electronic media use and their later well-being is essential to supporting positive long-term outcomes.
    Objective To investigate possible dose-response associations of young children’s electronic media use with their later well-being.
    Design, Setting, and Participants The IDEFICS (Identification and Prevention of Dietary- and Lifestyle-Induced Health Effects in Children and Infants) study is a prospective cohort study with an intervention component. Data were collected at baseline from September 1, 2007, through June 30, 2008, and at follow-up from September 1, 2009, through May 31, 2010, in 8 European countries participating in the IDEFICS study. This investigation is based on 3604 children aged 2 to 6 years who participated in the longitudinal component of the IDEFICS study only and not in the intervention.
    Exposure Early childhood electronic media use.
    Main Outcomes and Measures The following 6 indicators of well-being from 2 validated instruments were used as outcomes at follow-up: Peer problems and Emotional problems subscales from the Strengths and Difficulties Questionnaire and Emotional well-being, Self-esteem, Family functioning, and Social networks subscales from the KINDLR (Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents–Revised Version). Each scale was dichotomized to identify those children at risk for poorer outcomes. Indicators of electronic media use (weekday and weekend television and electronic game [e-game]/computer use) from baseline were used as predictors.
    Results Associations varied between boys and girls; however, associations suggested that increased levels of electronic media use predicted poorer well-being outcomes. Television viewing on weekdays or weekends was more consistently associated with poorer outcomes than e-game/computer use. Across associations, the likelihood of adverse outcomes in children ranged from a 1.2- to 2.0-fold increase for emotional problems and poorer family functioning for each additional hour of television viewing or e-game/computer use depending on the outcome examined.
    Conclusions and Relevance Higher levels of early childhood electronic media use are associated with children being at risk for poorer outcomes with some indicators of well-being. Further research is required to identify potential mechanisms.
    Importance Identifying associations between preschool-aged children’s electronic media use and their later well-being is essential to supporting positive long-term outcomes.
    Objective To investigate possible dose-response associations of young children’s electronic media use with their later well-being.
    Design, Setting, and Participants The IDEFICS (Identification and Prevention of Dietary- and Lifestyle-Induced Health Effects in Children and Infants) study is a prospective cohort study with an intervention component. Data were collected at baseline from September 1, 2007, through June 30, 2008, and at follow-up from September 1, 2009, through May 31, 2010, in 8 European countries participating in the IDEFICS study. This investigation is based on 3604 children aged 2 to 6 years who participated in the longitudinal component of the IDEFICS study only and not in the intervention.
    Exposure Early childhood electronic media use.
    Main Outcomes and Measures The following 6 indicators of well-being from 2 validated instruments were used as outcomes at follow-up: Peer problems and Emotional problems subscales from the Strengths and Difficulties Questionnaire and Emotional well-being, Self-esteem, Family functioning, and Social networks subscales from the KINDLR (Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents–Revised Version). Each scale was dichotomized to identify those children at risk for poorer outcomes. Indicators of electronic media use (weekday and weekend television and electronic game [e-game]/computer use) from baseline were used as predictors.
    Results Associations varied between boys and girls; however, associations suggested that increased levels of electronic media use predicted poorer well-being outcomes. Television viewing on weekdays or weekends was more consistently associated with poorer outcomes than e-game/computer use. Across associations, the likelihood of adverse outcomes in children ranged from a 1.2- to 2.0-fold increase for emotional problems and poorer family functioning for each additional hour of television viewing or e-game/computer use depending on the outcome examined.
    Conclusions and Relevance Higher levels of early childhood electronic media use are associated with children being at risk for poorer outcomes with some indicators of well-being. Further research is required to identify potential mechanisms.
    LanguageEnglish
    JournalJ A M A: The Journal of the American Medical Association
    Volume168
    Issue number5
    Pages485-492
    ISSN0098-7484
    DOIs
    StatePublished - 2014

    Bibliographical note

    CBS Library does not have access to the material

    Cite this

    Hinkley, T., Verbestel, V., Ahrens, W., Lissner, L., Molnar, D., Moreno, L. A., ... De Bourdeaudhuij, I. (2014). Early Childhood Electronic Media Use as a Predictor of Poorer Well-being: A Prospective Cohort Study. J A M A: The Journal of the American Medical Association, 168(5), 485-492. DOI: 10.1001/jamapediatrics.2014.94
    Hinkley, Trina ; Verbestel, Vera ; Ahrens, Wolfgang ; Lissner, Lauren ; Molnar, Denes ; Moreno, Luis A. ; Pigeot, Iris ; Pohlabeln, Hermann ; Reisch, Lucia ; Russo, Paola ; Veidebaum, Toomas ; Tornaritis, Michael ; Williams, Garrath ; De Henauw, Stefaan ; De Bourdeaudhuij, Ilse. / Early Childhood Electronic Media Use as a Predictor of Poorer Well-being : A Prospective Cohort Study. In: J A M A: The Journal of the American Medical Association. 2014 ; Vol. 168, No. 5. pp. 485-492
    @article{bfb1814319784b17931020dbb3baa30e,
    title = "Early Childhood Electronic Media Use as a Predictor of Poorer Well-being: A Prospective Cohort Study",
    abstract = "Importance Identifying associations between preschool-aged children’s electronic media use and their later well-being is essential to supporting positive long-term outcomes.Objective To investigate possible dose-response associations of young children’s electronic media use with their later well-being.Design, Setting, and Participants The IDEFICS (Identification and Prevention of Dietary- and Lifestyle-Induced Health Effects in Children and Infants) study is a prospective cohort study with an intervention component. Data were collected at baseline from September 1, 2007, through June 30, 2008, and at follow-up from September 1, 2009, through May 31, 2010, in 8 European countries participating in the IDEFICS study. This investigation is based on 3604 children aged 2 to 6 years who participated in the longitudinal component of the IDEFICS study only and not in the intervention.Exposure Early childhood electronic media use.Main Outcomes and Measures The following 6 indicators of well-being from 2 validated instruments were used as outcomes at follow-up: Peer problems and Emotional problems subscales from the Strengths and Difficulties Questionnaire and Emotional well-being, Self-esteem, Family functioning, and Social networks subscales from the KINDLR (Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents–Revised Version). Each scale was dichotomized to identify those children at risk for poorer outcomes. Indicators of electronic media use (weekday and weekend television and electronic game [e-game]/computer use) from baseline were used as predictors.Results Associations varied between boys and girls; however, associations suggested that increased levels of electronic media use predicted poorer well-being outcomes. Television viewing on weekdays or weekends was more consistently associated with poorer outcomes than e-game/computer use. Across associations, the likelihood of adverse outcomes in children ranged from a 1.2- to 2.0-fold increase for emotional problems and poorer family functioning for each additional hour of television viewing or e-game/computer use depending on the outcome examined.Conclusions and Relevance Higher levels of early childhood electronic media use are associated with children being at risk for poorer outcomes with some indicators of well-being. Further research is required to identify potential mechanisms.",
    author = "Trina Hinkley and Vera Verbestel and Wolfgang Ahrens and Lauren Lissner and Denes Molnar and Moreno, {Luis A.} and Iris Pigeot and Hermann Pohlabeln and Lucia Reisch and Paola Russo and Toomas Veidebaum and Michael Tornaritis and Garrath Williams and {De Henauw}, Stefaan and {De Bourdeaudhuij}, Ilse",
    note = "CBS Library does not have access to the material",
    year = "2014",
    doi = "10.1001/jamapediatrics.2014.94",
    language = "English",
    volume = "168",
    pages = "485--492",
    journal = "J A M A: The Journal of the American Medical Association",
    issn = "0098-7484",
    publisher = "American Medical Association",
    number = "5",

    }

    Hinkley, T, Verbestel, V, Ahrens, W, Lissner, L, Molnar, D, Moreno, LA, Pigeot, I, Pohlabeln, H, Reisch, L, Russo, P, Veidebaum, T, Tornaritis, M, Williams, G, De Henauw, S & De Bourdeaudhuij, I 2014, 'Early Childhood Electronic Media Use as a Predictor of Poorer Well-being: A Prospective Cohort Study' J A M A: The Journal of the American Medical Association, vol. 168, no. 5, pp. 485-492. DOI: 10.1001/jamapediatrics.2014.94

    Early Childhood Electronic Media Use as a Predictor of Poorer Well-being : A Prospective Cohort Study. / Hinkley, Trina; Verbestel, Vera; Ahrens, Wolfgang; Lissner, Lauren; Molnar, Denes; Moreno, Luis A.; Pigeot, Iris; Pohlabeln, Hermann; Reisch, Lucia; Russo, Paola; Veidebaum, Toomas; Tornaritis, Michael; Williams, Garrath; De Henauw, Stefaan; De Bourdeaudhuij, Ilse.

    In: J A M A: The Journal of the American Medical Association, Vol. 168, No. 5, 2014, p. 485-492.

    Research output: Contribution to journalJournal articleResearchpeer-review

    TY - JOUR

    T1 - Early Childhood Electronic Media Use as a Predictor of Poorer Well-being

    T2 - J A M A: The Journal of the American Medical Association

    AU - Hinkley,Trina

    AU - Verbestel,Vera

    AU - Ahrens,Wolfgang

    AU - Lissner,Lauren

    AU - Molnar,Denes

    AU - Moreno,Luis A.

    AU - Pigeot,Iris

    AU - Pohlabeln,Hermann

    AU - Reisch,Lucia

    AU - Russo,Paola

    AU - Veidebaum,Toomas

    AU - Tornaritis,Michael

    AU - Williams,Garrath

    AU - De Henauw,Stefaan

    AU - De Bourdeaudhuij,Ilse

    N1 - CBS Library does not have access to the material

    PY - 2014

    Y1 - 2014

    N2 - Importance Identifying associations between preschool-aged children’s electronic media use and their later well-being is essential to supporting positive long-term outcomes.Objective To investigate possible dose-response associations of young children’s electronic media use with their later well-being.Design, Setting, and Participants The IDEFICS (Identification and Prevention of Dietary- and Lifestyle-Induced Health Effects in Children and Infants) study is a prospective cohort study with an intervention component. Data were collected at baseline from September 1, 2007, through June 30, 2008, and at follow-up from September 1, 2009, through May 31, 2010, in 8 European countries participating in the IDEFICS study. This investigation is based on 3604 children aged 2 to 6 years who participated in the longitudinal component of the IDEFICS study only and not in the intervention.Exposure Early childhood electronic media use.Main Outcomes and Measures The following 6 indicators of well-being from 2 validated instruments were used as outcomes at follow-up: Peer problems and Emotional problems subscales from the Strengths and Difficulties Questionnaire and Emotional well-being, Self-esteem, Family functioning, and Social networks subscales from the KINDLR (Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents–Revised Version). Each scale was dichotomized to identify those children at risk for poorer outcomes. Indicators of electronic media use (weekday and weekend television and electronic game [e-game]/computer use) from baseline were used as predictors.Results Associations varied between boys and girls; however, associations suggested that increased levels of electronic media use predicted poorer well-being outcomes. Television viewing on weekdays or weekends was more consistently associated with poorer outcomes than e-game/computer use. Across associations, the likelihood of adverse outcomes in children ranged from a 1.2- to 2.0-fold increase for emotional problems and poorer family functioning for each additional hour of television viewing or e-game/computer use depending on the outcome examined.Conclusions and Relevance Higher levels of early childhood electronic media use are associated with children being at risk for poorer outcomes with some indicators of well-being. Further research is required to identify potential mechanisms.

    AB - Importance Identifying associations between preschool-aged children’s electronic media use and their later well-being is essential to supporting positive long-term outcomes.Objective To investigate possible dose-response associations of young children’s electronic media use with their later well-being.Design, Setting, and Participants The IDEFICS (Identification and Prevention of Dietary- and Lifestyle-Induced Health Effects in Children and Infants) study is a prospective cohort study with an intervention component. Data were collected at baseline from September 1, 2007, through June 30, 2008, and at follow-up from September 1, 2009, through May 31, 2010, in 8 European countries participating in the IDEFICS study. This investigation is based on 3604 children aged 2 to 6 years who participated in the longitudinal component of the IDEFICS study only and not in the intervention.Exposure Early childhood electronic media use.Main Outcomes and Measures The following 6 indicators of well-being from 2 validated instruments were used as outcomes at follow-up: Peer problems and Emotional problems subscales from the Strengths and Difficulties Questionnaire and Emotional well-being, Self-esteem, Family functioning, and Social networks subscales from the KINDLR (Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents–Revised Version). Each scale was dichotomized to identify those children at risk for poorer outcomes. Indicators of electronic media use (weekday and weekend television and electronic game [e-game]/computer use) from baseline were used as predictors.Results Associations varied between boys and girls; however, associations suggested that increased levels of electronic media use predicted poorer well-being outcomes. Television viewing on weekdays or weekends was more consistently associated with poorer outcomes than e-game/computer use. Across associations, the likelihood of adverse outcomes in children ranged from a 1.2- to 2.0-fold increase for emotional problems and poorer family functioning for each additional hour of television viewing or e-game/computer use depending on the outcome examined.Conclusions and Relevance Higher levels of early childhood electronic media use are associated with children being at risk for poorer outcomes with some indicators of well-being. Further research is required to identify potential mechanisms.

    U2 - 10.1001/jamapediatrics.2014.94

    DO - 10.1001/jamapediatrics.2014.94

    M3 - Journal article

    VL - 168

    SP - 485

    EP - 492

    JO - J A M A: The Journal of the American Medical Association

    JF - J A M A: The Journal of the American Medical Association

    SN - 0098-7484

    IS - 5

    ER -