THE GADGET GENERATION: BODY MASS INDEX AND DURATION OF PHYSICAL ACTIVITY AND SCREEN-VIEWING AMONG PRESCHOOLERS IN KUANTAN, PAHANG
DOI:
https://doi.org/10.37268/mjphm/vol.20/no.2/art.189Keywords:
Screen-viewing, electronic gadget, childhood obesity, physical activity, BMIAbstract
Sedentary lifestyle due to physical inactivity and increased screen-viewing (SV) duration is one of the risk factors for childhood obesity. Thus, this study aimed to assess body mass index (BMI), SV and physical activity (PA) durations among children aged four-to-six years (N=284) attending kindergartens in urban and rural areas of Kuantan, Pahang. The SV and PA durations were estimated via a questionnaire completed by their parents. The preschoolers’ height and weight were measured using a stadiometer and a digital weighing scale, respectively. The BMI-for-age status was interpreted using the CDC growth charts and cut-off points. A total of 37.8% of respondents were underweight, 16.7% overweight/obese, while the rest had normal BMI. Almost 90% of the children were using electronic gadgets. In addition, 89.8% of them recorded >two hours/day of total SV duration, exceeding the international recommendation of <two hours/day of screen time and the Malaysian Dietary Guideline’s recommendation of <two hours/day of sedentary activity. Only 49.8% (on weekdays) and 75.4% (on weekends) of the children met the recommended one hour/day of moderate PA by the WHO. There were no significant differences of BMI, SV and PA durations between urban and rural respondents. The preschoolers in Kuantan were largely found to exceed the recommended SV duration and only half of them met the recommended PA duration on most days. This suggests that intervention is needed to curb these obesity-inducing sedentary behaviours due to long SV duration and physical inactivity among preschoolers across urban and rural areas of the Pahang capital district.
References
World World Health Organization (2018). Taking Action on Childhood Obesity Report (WHO Ref No: WHO/NMH/PND/ECHO/18.1).
MN Ismail, AN Ruzita, AK Norimah, et al. (2009). Prevalence and trends of overweight and obesity in two cross-sectional studies of Malaysian children, 2002-2008. In MASO 2009 Scientific Conference on Obesity: Obesity and our environment.
Reily JJ & Kelly J (2011). Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: Systematic review. Int J Obes (Lond). 35, 891-898.
Griffiths LJ, Parsons TJ & Hill AJ (2010). Self-esteem and quality of life in obese children and adolescents: a systematic review. Int J Pediatr Obes. 5(4), 282-304.
National Association for Sport and Physical Education (NASPE) (2007). Physical activity guidelines for infants & toddlers. Retrieved January 23, 2016, from http://www.aahperd.org/naspe/template.cfm?template=toddlers.html
Müller AM, Khoo S & Lambert R (2013). Review of physical activity prevalence of Asia school-age children and adolescents. Asia Pac J Public Health. 25(3), 227–238.
Institute for Public Health (2017). National Health and Morbidity Survey (NHMS) 2017: Adolescent Nutrition Survey 2017, Malaysia.
World Health Organization (2010). Global Recommendations on Physical Activity for Health. https://www.who.int/dietphysicalactivity/publications/9789241599979/en/ (assessed in July 2019).
Ministry of Health Malaysia (2013). Malaysian Dietary Guidelines for Children and Adolescent. Nutrition Division. Putrajaya, Malaysia.
Tremblay MS, Gray CE, Akinroye K, et al. (2014). Physical activity of children: A global matrix of grades comparing 15 countries. J Phys Act Health. 11(S1), S113–S125.
Lee ST, Wong JE, S Nik Shanita, et al. (2015). Daily Physical Activity and Screen Time, but Not Other Sedentary Activities, Are Associated with Measures of Obesity. Int J Environ Res Public Health. 12:146-161.
Cox R, Skouteris H, Rutherford L, et al. (2012). Television viewing, television content, food intake, physical activity and body mass index: a cross-sectional study of preschool children aged 2-6 years. Health Promot J Austr. 23(1):58-62
Prentice-Dunn H & Prentice-Dunn S (2012). Physical activity, sedentary behavior, and childhood obesity: A review of cross-sectional studies. Psychology, Health & Medicine. 17(3):255-273.
de Jong E, Visscher TL, Hira Sing RA, et al. (2013). 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. 37:47-53.
Ipsky LM & Iannotti RJ. (2012). Associations of television viewing with eating behaviors in the 2009 health behaviour in school-aged children study. Arch Pediatr. 166(5):465-472.
Pearson N & Biddle SJ. (2011). Sedentary Behavior and Dietary Intake in Children, Adolescents, and Adults: A Systematic Review. Am J Prev Med. 41(2):178-188.
Olafsdottir S, Berg C, Eiben G, et al. (2014). Young children’s screen activities, sweet drink consumption and anthropometry: Results from a prospective European study. Eur J Clin Nutr. 68:223-228.
Kremers JS, van-der-Horst K, & Brug J. (2007). Adolescent screen-viewing behaviour is associated with consumption of sugar-sweetened beverages: The role of habit strength and perceived parental norms. Appetite. 48(3):345–350.
Halford JC, Gillespie J, Brown V, et al. (2004). Effect of television advertisements for foods on food consumption in children. Appetite. 42(2):221-225.
Halford JC, Boyland EJ, Hughes G, et al. (2007). Beyond-brand effect of television (TV) food advertisements/commercials on caloric intake and food choice of 5–7-year-old children. Appetite. 49(1):263-267.
Sisson SB, Shay CM, Broyles ST, et al. (2012). Television-Viewing Time and Dietary Quality Among U.S. Children and Adults. Am J Prev Med. 43(2):196-200.
Poh BK, Ng B, Haslinda MD, et al. (2013). Nutritional status and dietary intakes of children aged 6 months to 12 years:findings of the Nutrition Survey of Malaysian Children (SEANUTS Malaysia). Br J Nutr. 110: S21–S35.
Centers for Disease Control and Prevention Recommended BMI-for-age Cutoffs 2004. https://www.cdc.gov/nccdphp/dnpao/growthcharts/training/bmiage/page4.html (Accessed on July 20th, 2020).
Brasholt M, Chawes B, Kreiner-Moller E, et al. (2013). Objective assessment of levels and patterns of physical activity in preschool children. International Pediatric Research Foundation. 15:969.
Reilly JJ. (2010). Low levels of objectively measured physical activity in preschoolers in childcare. Med Sci Sports Exerc. 42(3):502-507.
Global Mobile Market Report (2017-2022). https://resources.newzoo.com/hubfs/Factsheets/Newzoo_The_Global_Mobile_Market_Report_Fact_Sheet.pdf (Accessed on July 20th, 2020).
Mak YW, Wu CST, Hui DWS, et al. (2014). Association between screen viewing duration and sleep duration, sleep quality, and excessive daytime sleepiness among adolescents in Hong Kong. Int J Environ Res Public Health. 11(11):11201-11219.
Fakhouri TH, Hughes JP, Brody DJ, et al. (2013). Physical activity and screen-time viewing among elementary school–aged children in the United States from 2009 to 2010. JAMA Pediatrics. 167(3):223-229.
Jago R, Stamatakis E, Gama A, et al. (2012). Parent and Child Screen-Viewing Time and Home Media Environment. Am J Prev Med. 43(2):150-158.
Bickham DS, Blood EA, Walls CE, et al. (2013). Characteristics of screen media use associated with higher BMI in young adolescents. Pediatrics. 131(5):935-941.
Stamatakis E, Coombs N, Jago R, et al. (2013). Associations between indicators of screen time and adiposity indices in Portuguese children. Preventive Medicine. 56:299–303.