PEDIATRICS Vol. 107 No. 5 May 2001, pp. 1043-1048
Effects of Contingent Television on Physical Activity and Television Viewing in Obese Children
Received Jan 27, 2000; accepted Aug 3, 2000.
,
From the * Obesity Research Center, St Luke's-Roosevelt
Hospital, Columbia University College of Physicians and Surgeons, New
York, New York; Behavioral Medicine Laboratory, Department of
Psychology, State University of New York at Buffalo, Buffalo, New York;
§ Amherst Systems, Buffalo, New York; and Department of
Biostatistics and Center for Research on Clinical Nutrition, University
of Alabama at Birmingham, Birmingham, Alabama.
Objective. Elevated television (TV) viewing and physical inactivity promote obesity in children. Thus, changes in physical activity and sedentary behavior seem critical to treating childhood obesity.
Present Study. Using a randomized, 2-arm design, this pilot study tested the effects of contingent TV on physical activity and TV viewing in 10 obese children. TV viewing was contingent on pedaling a stationary cycle ergometer for experimental participants but was not contingent on pedaling for control participants. The study was conducted over 12 weeks, including a 2-week baseline period.
Results. Multivariate analyses indicated that the
intervention significantly increased pedaling and reduced TV-viewing
time. During the treatment phase, the experimental group pedaled 64.4 minutes per week on average, compared with 8.3 minutes by controls. The experimental group watched 1.6 hours of TV per week on average, compared with 21.0 hours per week on average by controls during this
phase. Secondary analyses indicated that the experimental group showed
significantly greater reductions in total body fat and percent leg fat.
Total pedaling time during intervention correlated with greater
reductions in percent body fat (r = 
0.68).
Conclusions. Contingencies in the home environment can be arranged to modify physical activity and TV viewing and may have a role in treating childhood obesity. Contingent TV may be one method to help achieve this goal. Key words: childhood obesity, television, physical activity, sedentary behavior, behavioral therapy.
CiteULike 
Connotea 
Del.icio.us 
Digg 
Facebook 
Reddit 
Technorati 
Twitter What's this?
This article has been cited by other articles:
|
|
 |
|
  C. Verzeletti, L. Maes, M. Santinello, and C. A. Vereecken Soft drink consumption in adolescence: associations with food-related lifestyles and family rules in Belgium Flanders and the Veneto Region of Italy Eur J Public Health, October 5, 2009; (2009) ckp150v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. J. Daley Can Exergaming Contribute to Improving Physical Activity Levels and Health Outcomes in Children? Pediatrics, August 1, 2009; 124(2): 763 - 771. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. E. Benjamin, S. L. Rifas-Shiman, E. M. Taveras, J. Haines, J. Finkelstein, K. Kleinman, and M. W. Gillman Early Child Care and Adiposity at Ages 1 and 3 Years Pediatrics, August 1, 2009; 124(2): 555 - 562. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. McGovern, J. N. Johnson, R. Paulo, A. Hettinger, V. Singhal, C. Kamath, P. J. Erwin, and V. M. Montori Treatment of Pediatric Obesity: A Systematic Review and Meta-Analysis of Randomized Trials J. Clin. Endocrinol. Metab., December 1, 2008; 93(12): 4600 - 4605. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. R. Pate Physically Active Video Gaming: An Effective Strategy for Obesity Prevention? Arch Pediatr Adolesc Med, September 1, 2008; 162(9): 895 - 896. [Full Text] [PDF]
|
|
|
|
 |
|
 L. Graves, G. Stratton, N D Ridgers, and N T Cable Energy expenditure in adolescents playing new generation computer games Br. J. Sports Med., July 1, 2008; 42(7): 592 - 594. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. M. Williams, H. A. Raynor, and J. T. Ciccolo A Review of TV Viewing and Its Association With Health Outcomes in Adults American Journal of Lifestyle Medicine, June 1, 2008; 2(3): 250 - 259. [Abstract] [PDF]
|
|
|
|
 |
|
 L. Graves, G. Stratton, N D Ridgers, and N T Cable Comparison of energy expenditure in adolescents when playing new generation and sedentary computer games: cross sectional study BMJ, December 22, 2007; 335(7633): 1282 - 1284. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. A. Spear, S. E. Barlow, C. Ervin, D. S. Ludwig, B. E. Saelens, K. E. Schetzina, and E. M. Taveras Recommendations for Treatment of Child and Adolescent Overweight and Obesity Pediatrics, December 1, 2007; 120(Supplement_4): S254 - S288. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. S. Goldfield, R. Mallory, T. Parker, T. Cunningham, C. Legg, A. Lumb, K. Parker, D. Prud'homme, and K. B. Adamo Effects of Modifying Physical Activity and Sedentary Behavior on Psychosocial Adjustment in Overweight/Obese Children J. Pediatr. Psychol., August 1, 2007; 32(7): 783 - 793. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Lanningham-Foster, T. B. Jensen, R. C. Foster, A. B. Redmond, B. A. Walker, D. Heinz, and J. A. Levine Energy Expenditure of Sedentary Screen Time Compared With Active Screen Time for Children Pediatrics, December 1, 2006; 118(6): e1831 - e1835. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. S. Goldfield, R. Mallory, T. Parker, T. Cunningham, C. Legg, A. Lumb, K. Parker, D. Prud'homme, I. Gaboury, and K. B. Adamo Effects of Open-Loop Feedback on Physical Activity and Television Viewing in Overweight and Obese Children: A Randomized, Controlled Trial Pediatrics, July 1, 2006; 118(1): e157 - e166. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Fonseca and M. Gaspar de Matos Perception of overweight and obesity among Portuguese adolescents: an overview of associated factors Eur J Public Health, June 1, 2005; 15(3): 323 - 328. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. K. Roberts and R. J. Barnard Effects of exercise and diet on chronic disease J Appl Physiol, January 1, 2005; 98(1): 3 - 30. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. A. Jason and M. Fries Helping Parents Reduce Children's Television Viewing Research on Social Work Practice, March 1, 2004; 14(2): 121 - 131. [Abstract] [PDF]
|
|
|
|
|
|
J. Giammattei, G. Blix, H. H. Marshak, A. O. Wollitzer, and D. J. Pettitt Television Watching and Soft Drink Consumption: Associations With Obesity in 11- to 13-Year-Old Schoolchildren Arch Pediatr Adolesc Med, September 1, 2003; 157(9): 882 - 886. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. E. Barlow and W. H. Dietz Management of Child and Adolescent Obesity: Summary and Recommendations Based on Reports From Pediatricians, Pediatric Nurse Practitioners, and Registered Dietitians Pediatrics, July 1, 2002; 110(1): 236 - 238. [Full Text] [PDF]
|
|
|
|
 |
|
 Other Articles Noted Evid. Based Nurs., October 1, 2001; 4(4): E1 - 11. [Full Text] [PDF]
|
|
