Evidence map›Paper›PMID 37802249›Full record

ArticleAcademic pediatrics2024

Television Time, Especially During Meals, Is Associated With Less Healthy Dietary Practices in Toddlers.

Melissa R Lutz, Colin J Orr, Hsiang Shonna Yin, William J Heerman, Kori B Flower, Lee M Sanders, Russell L Rothman, Jonathan S Schildcrout, Aihua Bian, Melissa C Kay and 3 more

Open access · greenAbstract read
In one paragraph

Article in Academic pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. A narrative review of screen time as a behavioural determinant of paediatric oral health.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026
    Review
  2. Article
  3. Article
  4. From preschool to policy: A scoping review of recommended interventions for a systems approach to improve dietary intake in early childhood.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Article
  5. 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

13 authors at 9 institutions in 1 country.

Melissa R LutzDepartment of Pediatrics (MR Lutz and EM Perrin), Johns Hopkins University School of Medicine, Baltimore, Md. Electronic address: mlutz13@jhmi.ed.
Colin J OrrDepartment of Pediatrics (CJ Orr and KB Flower), University of North Carolina, Chapel Hill. Electronic address: cjo1@email.unc.edu.
Hsiang Shonna YinDepartments of Pediatrics and Population Health (HS Yin), New York University Grossman School of Medicine. Electronic address: yinh02@med.nyu.edu.
William J HeermanDepartment of Pediatrics (WJ Heerman and RL Rothman), Vanderbilt University Medical Center, Nashville, Tenn. Electronic address: bill.heerman@vumc.org.
Kori B FlowerDepartment of Pediatrics (CJ Orr and KB Flower), University of North Carolina, Chapel Hill. Electronic address: kflower@unc.edu.
Lee M SandersDepartments of Pediatrics and Health Policy (LM Sanders), Stanford University, Calif. Electronic address: lsanders@stanford.edu.
Russell L RothmanVanderbilt Institute for Medicine and Public Health (RL Rothman). Electronic address: russell.rothman@vumc.org.
Jonathan S SchildcroutDepartment of Biostatistics (JS Schildcrout and A Bian), Vanderbilt University Medical Center, Nashville, Tenn. Electronic address: jonny.schild@vumc.org.
Aihua BianDepartment of Biostatistics (JS Schildcrout and A Bian), Vanderbilt University Medical Center, Nashville, Tenn. Electronic address: anna.bian@vumc.org.
Melissa C KayDepartment of Pediatrics (CT Wood), Duke University School of Medicine, Durham, NC. Electronic address: melissa.kay@duke.edu.
Charles T WoodDepartment of Pediatrics (CT Wood), Duke University School of Medicine, Durham, NC. Electronic address: charles.wood@duke.edu.
Alan M DelamaterMailman Center for Child Development (AM Delamater), University of Miami Miller School of Medicine, Fla. Electronic address: adelamater@med.miami.edu.
Eliana M PerrinDepartment of Pediatrics (MR Lutz and EM Perrin), Johns Hopkins University School of Medicine, Baltimore, Md; Division of General Pediatrics (EM Perrin), Department of Pediatrics, Schools of Medicine and Nursing. Electronic address: eperrin@jhmi.edu.
Vanderbilt University Medical Center · USDuke University · USUniversity of North Carolina at Chapel Hill · USJohns Hopkins University · USNew York University · USRothman Orthopaedics · USSprint (United States) · USStanford University · USUniversity of Miami · US

Funding

UNC CLINICAL AND TRANSLATIONAL SCIENCE AWARD: BPCAUL1RR025747 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$44.6M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Venkata Saroja Voruganti · 1999 to 2026
$31.6M
INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR029893 · NCRR · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CRONSTEIN, BRUCE NEIL · 2009 to 2011
$17.7M
Institutional Clinical and Translational Science AwardUL1TR000038 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CRONSTEIN, BRUCE NEIL · 2012 to 2014
$16.8M
Institutional Career Development CoreKL2TR002554 · NCATS · DUKE UNIVERSITY · PI SVETKEY, LAURA P · 2018 to 2022
$8.2M
Role of Parent Health Literacy in Early Child Obesity and Other Health OutcomesR01HD059794 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DELAMATER, ALAN M, PERRIN, ELIANA M. · 2009 to 2018
$6.7M
NCATS NIH HHS KL2 TR002554NCATS NIH HHS UL1 TR000038NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR001111NCRR NIH HHS UL1 RR025747NCRR NIH HHS UL1 RR029893NICHD NIH HHS R01 HD059794NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

backgroundWhile several studies examine the relationship between screen time and dietary practices in children and teenagers, there is limited research in toddlers. This study evaluates the association between television (TV) exposure and dietary practices in 2-year-old children.

methodsWe conducted a cross-sectional, secondary data analysis from the Greenlight Intervention Study. Toddlers' daily TV watching time, mealtime TV, and dietary practices were assessed by caregiver report at the 24-month well-child visit. Separate regression models were used and adjusted for sociodemographic/household characteristics and clinic site.

resultsFive hundred and thirty-two toddlers were included (51% Latino; 30% non-Latino Black; 59% ≤$20,000 annual household income). Median daily TV watching time was 42 minutes (interquartile range: 25, 60); 25% reported the TV was "usually on" during mealtimes. After adjustment, toddlers who watched more TV daily had higher odds of consuming sugar-sweetened beverages, fast food, and more junk food; those watching less TV had higher odds of consuming more fruits/vegetables. Those with the TV "usually on" during mealtimes were more likely to consume sugar-sweetened beverages (aOR 3.72 [95% confidence interval {CI} 2.16-6.43]), fast food (aOR 2.83 [95%CI 1.54-5.20]), and more junk food (aOR 4.25 [95%CI 2.71-6.65]).

conclusionsAmong toddlers from primarily minoritized populations and of lower socioeconomic status, those who watched more TV daily and usually had the TV on during meals had significantly less healthy dietary practices, even after adjusting for known covariates. This study supports the current American Academy of Pediatrics screen time guidelines and underscores the importance of early counseling on general and mealtime TV.

Indexed as

MealsTelevisionChild, PreschoolCross-Sectional StudiesDietFast FoodsFeeding BehaviorFemaleFruitHumansMaleScreen TimeSugar-Sweetened BeveragesVegetablesdietscreen timetelevisiontoddlers

Identifiers

PMID37802249
PMCPMC12097510
OpenAlexW4387345848

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.