Volume 54, Issue 5 p. 887-892
BRIEF REPORT

Contemporary screen time modalities among children 9–10 years old and binge-eating disorder at one-year follow-up: A prospective cohort study

Jason M. Nagata MD, MSc,

Corresponding Author

Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California, USA

Correspondence

Jason M. Nagata, 550 16th Street, Box 0110, San Francisco, CA 94158.

Email: jasonmnagata@gmail.com

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Puja Iyer BA,

Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California, USA

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Jonathan Chu BA,

Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California, USA

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Fiona C. Baker PhD,

Center for Health Sciences, SRI International, Menlo Park, California, USA

Department of Physiology, School of Physiology, University of the Witwatersrand, Johannesburg, South Africa

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Kelley Pettee Gabriel MS, PhD,

Department of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA

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Andrea K. Garber PhD, RD,

Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California, USA

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Stuart B. Murray DClinPsych, PhD,

Department of Psychiatry and Behavioral Sciences, University of Southern California, Los Angeles, California, USA

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Kirsten Bibbins-Domingo PhD, MD, MAS,

Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA

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Kyle T. Ganson PhD, MSW,

Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada

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First published: 01 March 2021

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.

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.

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