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Screen Time, Physical Activity and Self-Esteem in Children: The Ulm Birth Cohort Study

Author

Listed:
  • Stefanie Braig

    (Institute of Epidemiology and Medical Biometry, Ulm University; Helmholtzstraße 22, 89081 Ulm, Germany)

  • Jon Genuneit

    (Institute of Epidemiology and Medical Biometry, Ulm University; Helmholtzstraße 22, 89081 Ulm, Germany)

  • Viola Walter

    (Division of Clinical Epidemiology and Ageing Research, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120 Heidelberg, Germany)

  • Stephanie Brandt

    (Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics and Adolescent Medicine, Ulm University, Eythstraße 24, 89075 Ulm, Germany)

  • Martin Wabitsch

    (Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics and Adolescent Medicine, Ulm University, Eythstraße 24, 89075 Ulm, Germany)

  • Lutz Goldbeck

    (Department of Child and Adolescent Psychiatry/Psychotherapy, Ulm University, Steinhövelstraße 5, 89075 Ulm, Germany
    Lutz Goldbeck passed away on Oct 30th 2017. He will be warmly remembered and dearly missed by all of us.)

  • Hermann Brenner

    (Division of Clinical Epidemiology and Ageing Research, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120 Heidelberg, Germany
    Division of Preventive Oncology, German Cancer Research Center (DKFZ) and National Center for Tumor Diseases (NCT), Im Neuenheimer Feld 581, 69120 Heidelberg, Germany
    German Cancer Consortium (DKTK), German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120 Heidelberg, Germany)

  • Dietrich Rothenbacher

    (Institute of Epidemiology and Medical Biometry, Ulm University; Helmholtzstraße 22, 89081 Ulm, Germany
    Division of Clinical Epidemiology and Ageing Research, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120 Heidelberg, Germany)

Abstract

Screen time is a central activity of children’s daily life and jeopardizes mental health. However, results appear inconclusive and are often based on small cross-sectional studies. We aimed to investigate the temporal sequence of the association between screen time and self-esteem taking into account further indirect effects through family or friendship relationship. In our population-based birth cohort study (baseline November 2000–November 2001, Ulm, Germany), these relationships were explored in n = 519 11- and 13-year-old children and their parents who both provided information on children’s screen time: time spent watching television or videos (TV), time spent on computers, video game consoles, mobile devices, or cell phones; so called “other screen time”, and children’s self-esteem (KINDL-R). Time watching TV (self-reported) at age 11 was negatively associated with girls’ self-esteem at the same age but positively with an increase of self-esteem between age 11 and 13. However, the latter association was restricted to low to moderate TV viewers. In boys, a higher increase of other screen time between age 11 and age 13 was associated with lower self-reported self-esteem at age 13. Additionally, friendship relationship mediated the association between watching TV and self-esteem in girls. For parental reports similar associations were observed. These findings indicate that time sequence and potential mediators need further investigation in cohort studies with multiple assessments of screen time and self-esteem.

Suggested Citation

  • Stefanie Braig & Jon Genuneit & Viola Walter & Stephanie Brandt & Martin Wabitsch & Lutz Goldbeck & Hermann Brenner & Dietrich Rothenbacher, 2018. "Screen Time, Physical Activity and Self-Esteem in Children: The Ulm Birth Cohort Study," IJERPH, MDPI, vol. 15(6), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:6:p:1275-:d:152875
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    References listed on IDEAS

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    1. Tanja Poulain & Mandy Vogel & Madlen Neef & Franziska Abicht & Anja Hilbert & Jon Genuneit & Antje Körner & Wieland Kiess, 2018. "Reciprocal Associations between Electronic Media Use and Behavioral Difficulties in Preschoolers," IJERPH, MDPI, vol. 15(4), pages 1-13, April.
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    Cited by:

    1. Manuel Ávila-García & María Esojo-Rivas & Emilio Villa-González & Pablo Tercedor & Francisco Javier Huertas-Delgado, 2021. "Relationship between Sedentary Time, Physical Activity, and Health-Related Quality of Life in Spanish Children," IJERPH, MDPI, vol. 18(5), pages 1-11, March.
    2. Daniel Sanz-Martín & Félix Zurita-Ortega & Germán Ruiz-Tendero & José Luis Ubago-Jiménez, 2023. "Moderate–Vigorous Physical Activity, Screen Time and Sleep Time Profiles: A Cluster Analysis in Spanish Adolescents," IJERPH, MDPI, vol. 20(3), pages 1-13, January.
    3. Daniel Sanz-Martín & Eduardo Melguizo-Ibáñez & Germán Ruiz-Tendero & José Luis Ubago-Jiménez, 2022. "An Explanatory Model of the Relationships between Physical Activity, Social Support and Screen Time among Adolescents," IJERPH, MDPI, vol. 19(12), pages 1-12, June.
    4. Daniel Sanz-Martín & José Luis Ubago-Jiménez & Germán Ruiz-Tendero & Félix Zurita-Ortega, 2022. "Moderate-Vigorous Physical Activity, Family Support, Peer Support, and Screen Time: An Explanatory Model," IJERPH, MDPI, vol. 19(23), pages 1-9, December.
    5. Lilian Krist & Stephanie Roll & Nanette Stroebele-Benschop & Nina Rieckmann & Jacqueline Müller-Nordhorn & Christin Bürger & Stefan N. Willich & Falk Müller-Riemenschneider, 2020. "Determinants of Physical Activity and Screen Time Trajectories in 7th to 9th Grade Adolescents—A Longitudinal Study," IJERPH, MDPI, vol. 17(4), pages 1-15, February.

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