Kindergartners and first-graders who watch as little as one hour of television daily are more likely to be overweight or obese than children who watch TV for less than 60 minutes each day, according to a new study.
Researchers analysed data from the Early Childhood Longitudinal Survey of 11,113 children in the US who were in kindergarten during the 2011-2012 school year.
Lifestyle factors that could affect a child's educational performance were collected from parents, including the number of hours of television children watched on weekdays and weekends, and how often they used computers.
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A year later, 10,853 of the children's height and weight were measured, and parents again were asked about their child's TV habits.
Results showed that US kindergartners watched an average of 3.3 hours of TV a day.
Both kindergartners and first-graders who watched one to two hours or more than two hours daily had significantly higher body mass indexes than those who watched less than 30 minutes or 30-60 minutes a day, even after adjusting for socioeconomic status, race/ethnicity and computer use.
In both kindergarten and first grade, children viewing as little as one hour of TV daily were 50-60 per cent more likely to be overweight and 58 per cent to 73 per cent more likely to be obese compared to those watching less than an hour.
Computer use, however, was not associated with higher weight.
Furthermore, children who watched one hour or more of TV daily were 39 per cent more likely to become overweight and 86 per cent more likely to become obese between kindergarten and first grade.
"Given overwhelming evidence connecting the amount of time TV viewing and unhealthy weight, pediatricians and parents should attempt to restrict childhood TV viewing," said study author Mark D DeBoer, associate professor of pediatrics, Division of Pediatric Endocrinology, University of Virginia.
The American Academy of Pediatrics (AAP) recommends limiting children and teens to less than two hours of screen time each day.
DeBoer, however, said even that might be too much.
"Given the data presented in this study, the AAP may wish to lower its recommended TV viewing allowances," he said.
The study was presented at the Pediatric Academic Societies (PAS) annual meeting in San Diego.