Contemporary screen time modalities among children 9–10 years old and binge-eating disorder at one-year follow-up: A prospective cohort study
Action Editor:: Ruth Weissman
Funding information: American Heart Association, Grant/Award Number: CDA34760281; National Institutes of Health, Grant/Award Numbers: K23MH115184, K24DK103992, U01DA041022, U01DA041025, U01DA041028, U01DA041048, U01DA041089, U01DA041093, U01DA041106, U01DA041117, U01DA041120, U01DA041134, U01DA041148, U01DA041156, U01DA041174, U24DA041123, U24DA041147
Abstract
Objective
To determine the prospective associations between contemporary screen time modalities in a nationally representative cohort of 9–10-year-old children and binge-eating disorder at one-year follow-up.
Method
We analyzed prospective cohort data from the Adolescent Brain Cognitive Development (ABCD) Study (N = 11,025). Logistic regression analyses were conducted to estimate associations between baseline child-reported screen time (exposure) and parent-reported binge-eating disorder based on the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5, outcome) at one-year follow-up, adjusting for race/ethnicity, sex, household income, parent education, BMI percentile, site, and baseline binge-eating disorder.
Results
Each additional hour of total screen time per day was prospectively associated with 1.11 higher odds of binge-eating disorder at 1-year follow-up (95% CI 1.05–1.18) after adjusting for covariates. In particular, each additional hour of social networking (aOR 1.62, 95% CI 1.18–2.22), texting (aOR 1.40, 95% CI 1.08–1.82), and watching/streaming television shows/movies (aOR 1.39, 95% CI 1.14–1.69) was significantly associated with binge-eating disorder.
Discussion
Clinicians should assess screen time usage and binge eating in children and adolescents and advise parents about the potential risks associated with excessive screen time.
Open Research
DATA AVAILABILITY STATEMENT
Data used in the preparation of this article were obtained from the ABCD Study (https://abcdstudy.org), held in the NIMH Data Archive (NDA). This is a multisite, longitudinal study designed to recruit more than 10,000 children aged 9–10 years and follow them over 10 years into early adulthood.




