Food Consumption and Screen-Based Sedentary Behaviors in European Adolescents: The HELENA Study | Adolescent Medicine | JAMA Pediatrics | JAMA Network
[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Nov 2012

Food Consumption and Screen-Based Sedentary Behaviors in European Adolescents: The HELENA Study

Author Affiliations

Author Affiliations: Growth, Exercise, Nutrition, and Development Research Group, School of Health Sciences, University of Zaragoza, Zaragoza (Ms Santaliestra-Pasías and Drs Mouratidou and Moreno), Department of Medical Physiology, Faculty of Medicine, University of Granada, Granada (Ms Cuenca-García), and Immunonutrition Research Group, Department of Metabolism and Nutrition, Instituto del Frío, Institute of Food Science and Technology and Nutrition, Spanish National Research Council, Madrid (Dr Díaz), Spain; Departments of Movement and Sport Sciences (Ms Verbestel and Dr De Bourdeaudhuij) and Public Health (Dr Huybrechts), Ghent University, Ghent, Belgium; Institut National de la Santé et de la Recherche Médicale, Faculty of Medicine, University of Lille, Lille, France (Dr Gottrand); National Research Institute for Food and Nutrition, Rome, Italy (Ms Le Donne); Department of Social Medicine, Preventive Medicine and Nutrition Clinic, University of Crete, Heraklion (Dr Kafatos), and Department of Nutrition and Dietetics, Harakopio University, Athens (Dr Manios), Greece; Department of Pediatrics, Medical Faculty, University of Pécs, Pécs, Hungary (Dr Molnar); Unit for Preventive Nutrition, Department of Biosciences and Nutrition at Novum, Karolinska Institute, Huddinge, Sweden (Dr Sjöström); and Medical University of Vienna, Vienna, Austria (Dr Widhalm).

Arch Pediatr Adolesc Med. 2012;166(11):1010-1020. doi:10.1001/archpediatrics.2012.646

Objective To examine the association between time spent on different sedentary behaviors and consumption of certain food and beverage groups in a sample of European adolescents.

Design Data from the Healthy Lifestyle in Europe by Nutrition in Adolescence Cross-sectional Study.

Setting Eight survey centers (Athens, Dortmund, Ghent, Lille, Rome, Stockholm, Vienna, and Zaragoza).

Participants A total of 2202 participants (45.5% boys) aged 12½ to 17½ years.

Main Outcome Measures Information on sedentary behaviors (weekdays and weekends) collected via a standardized self-reported questionnaire, including watching television, playing computer and video games, using the Internet for studying or recreation, and studying. Food and beverage consumption data of selected groups were obtained using 2 nonconsecutive 24-hour recalls.

Results Boys reporting more than 4 h/d of watching television, playing computer games, and using the Internet for recreation were more likely to consume sweetened beverages (weekends) (odds ratio [OR], 1.83 [95% CI, 1.21-2.75]; 1.99 [1.31-3.01]; and 1.73 [1.03-2.91], respectively), and less likely to consume fruit (weekdays) (0.39 [0.21-0.72], 0.37 [0.18-0.77], and 0.39 [0.19-0.78], respectively) than those who spent less than 2 h/d. Girls spending more time per day watching television and playing computer or video games (weekdays) and playing computer games or surfing the Internet for recreation (weekends) were more likely to drink sweetened beverages (OR, 1.89 [95% CI, 1.21-2.94]; 1.57 [1.00-2.46]; 2.14 [1.16-3.97]; and 2.30 [1.24-4.28], respectively) and less likely to consume fruit (weekdays) (0.43 [0.23-0.80], 0.40 [0.19-0.83], 0.37 [0.14-0.94], and 0.42 [0.20-0.85], respectively) than those who spent less than 2 h/d.

Conclusion Increased television viewing and computer and Internet use during adolescence is associated with higher odds of consumption of sweetened beverages and lower odds of fruit consumption.