The Association between Children's and Parents' Co-TV Viewing and Their Total Screen Time in Six European Countries: Cross-Sectional Data from the Feel4diabetes-Study

Int J Environ Res Public Health. 2018 Nov 21;15(11):2599. doi: 10.3390/ijerph15112599.


In many European children, high levels of screen time can be found, which is associated with several adverse health outcomes. Therefore, there is a need for identifying effective intervention strategies that reduce screen time in children. A factor that may contribute to excessive screen time in children may be "co-TV viewing" (i.e., the time that parents and children spend on watching TV together), as parents often recognize the importance of limiting children's (individual) screen time, but often encourage TV viewing as a family because of its perceived benefits (e.g., educational purposes). The primary aim of this study was to investigate the (sex-specific) association between co-TV viewing and both children's and parents' screen time, and these associations were investigated across and within six European countries. In total, 10,969 parents (Meanage = 40.7 ± 5.3 years, MeanBMI = 24.4 ± 4.6) of primary school children (Meanage = 8.2 ± 1.0 years, 49.0% boys, MeanBMI = 17.3 ± 2.8) completed a questionnaire assessing co-TV viewing and screen time. Multilevel regression analyses were conducted. Across countries, positive associations were found between co-TV viewing and both children's (β = 11.85, SE = 3.69, p < 0.001) and parents' screen time (β = 14.47, SE = 4.43, p = 0.001). Similar associations were found in most (but not all) countries. The results suggest that targeting co-TV viewing might be a promising intervention strategy because of its potential to limit screen time of both children and parents.

Keywords: childhood obesity; children; co-TV viewing; overweight; parents; screen time; sedentary behaviour.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Child
  • Cross-Sectional Studies
  • Europe
  • Female
  • Humans
  • Male
  • Middle Aged
  • Parents*
  • Pediatric Obesity
  • Perception
  • Schools
  • Screen Time*
  • Sedentary Behavior*
  • Surveys and Questionnaires
  • Television* / statistics & numerical data