Evidence map›Paper›PMID 34108642›Full record

ArticleInternational journal of obesity (2005)2021

The longitudinal association between early-life screen viewing and abdominal adiposity-findings from a multiethnic birth cohort study.

Natarajan Padmapriya, Mya-Thway Tint, Suresh Anand Sadananthan, Navin Michael, Bozhi Chen, Shirong Cai, Jia Ying Toh, Carla Lanca, Kok Hian Tan, Seang Mei Saw and 13 more

Open access · greenAbstract read
In one paragraph

Article in International journal of obesity (2005), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Interventions to Reduce Screen Time in Preschool-Aged Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 5 institutions in 7 countries.

Natarajan PadmapriyaDepartment of Obstetrics & Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. obgnp@nus.edu.sg.ORCID http://orcid.org/0000-0002-6077-6316
Mya-Thway TintDepartment of Obstetrics & Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-9548-7186
Suresh Anand SadananthanSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Navin MichaelSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Bozhi ChenSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Shirong CaiDepartment of Obstetrics & Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jia Ying TohSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Carla LancaSingapore Eye Research Institute, Singapore, Singapore.ORCID http://orcid.org/0000-0001-9918-787X
Kok Hian TanKK Women's and Children's Hospital, Singapore, Singapore.ORCID http://orcid.org/0000-0003-1945-0266
Seang Mei SawSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Lynette Pei-Chi ShekSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Yap Seng ChongDepartment of Obstetrics & Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Peter D GluckmanSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Yung Seng LeeSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.ORCID http://orcid.org/0000-0002-1253-0557
Fabian YapKK Women's and Children's Hospital, Singapore, Singapore.ORCID http://orcid.org/0000-0003-1083-7958
Marielle V FortierKK Women's and Children's Hospital, Singapore, Singapore.
Mary Foong-Fong ChongSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Keith M GodfreyMedical Research Council Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-4643-0618
Johan G ErikssonDepartment of Obstetrics & Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
S Sendhil VelanSingapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Michael S KramerDepartment of Obstetrics & Gynaecology and Human Potential Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Jonathan Y Bernard *Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), Singapore, Singapore.
Falk Müller-Riemenschneider *Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Agency for Science, Technology and Research · SGNational University of Singapore · SGKK Women's and Children's Hospital · SGSingapore Eye Research Institute · SGUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

British Heart Foundation RG/15/17/31749Medical Research Council MC_PC_21000Medical Research Council MC_PC_21001Medical Research Council MC_PC_21003Medical Research Council MC_UU_12011/4
6 · The paper itself

Abstract

importanceScreen viewing in adults has been associated with greater abdominal adiposity, with the magnitude of associations varying by sex and ethnicity, but the evidence is lacking at younger ages. We aimed to investigate sex- and ethnic-specific associations of screen-viewing time at ages 2 and 3 years with abdominal adiposity measured by magnetic resonance imaging at age 4.5 years.

methodsThe Growing Up in Singapore Towards healthy Outcomes is an ongoing prospective mother-offspring cohort study. Parents/caregivers reported the time their child spent viewing television, handheld devices, and computer screens at ages 2 and 3 years. Superficial and deep subcutaneous and visceral abdominal adipose tissue volumes were quantified from magnetic resonance images acquired at age 4.5 years. Associations between screen-viewing time and abdominal adipose tissue volumes were examined by multivariable linear regression adjusting for confounding factors.

resultsIn the overall sample (n = 307), greater total screen-viewing time and handheld device times were associated with higher superficial and deep subcutaneous adipose tissue volumes, but not with visceral adipose tissue volumes. Interactions with child sex were found, with significant associations with superficial and deep subcutaneous and visceral adipose tissue volumes in boys, but not in girls. Among boys, the increases in mean (95% CI) superficial and deep subcutaneous and visceral adipose tissue volumes were 24.3 (9.9, 38.7), 17.6 (7.4, 27.8), and 7.8 (2.1, 13.6) mL per hour increase in daily total screen-viewing time, respectively. Ethnicity-specific analyses showed associations of total screen-viewing time with abdominal adiposity only in Malay children. Television viewing time was not associated with abdominal adiposity.

conclusionGreater total screen-viewing time (and in particular, handheld device viewing time) was associated with higher abdominal adiposity in boys and Malay children. Additional studies are necessary to confirm these associations and to examine screen-viewing interventions for preventing excessive abdominal adiposity and its adverse cardiometabolic consequences.

Indexed as

Screen TimeAbdominal FatAdverse Childhood ExperiencesChild, PreschoolCohort StudiesCorrelation of DataFemaleHumansMagnetic Resonance ImagingMalePediatric ObesityRisk FactorsSingapore

Identifiers

PMID34108642
PMCPMC7611569
OpenAlexW3169795448

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.