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Thomas N. Robinson

Reducing Children's Television Viewing to Prevent Obesity: A Randomized Controlled Trial. (... an attempt to assess the effects of reducing television, videotape, and video game use on changes in adiposity [fatness, obesity], physical activity, and dietary intake in children and adolescents. The study was conducted between September 1996 and April 1997 and involved 192 third- and fourth-grade students in 2 elementary schools in San Jose, California, USA; the students' parents approved their participation in the study.
Participating children in 1 elementary school received an 18-lesson, 6-month classroom curriculum to reduce television, videotape, and video game use; participating children in the other elementary school did not. Several physical and behavioral factors were measured over the course of the study including body mass index, height, weight, waist and hip circumferences, and cardiorespiratory fitness; self-reported media use, physical activity, and dietary behaviors; and parental report of child and family behaviors.
Based on the results of the study, the researcher concluded that, with a few exceptions, previous prevention interventions that have attempted to increase physical activity and decrease dietary fat and energy intake have been relatively ineffective at reducing body fatness. In contrast, this intervention targeting only television, videotape, and video game use produced statistically significant and clinically significant relative changes in BMI [body mass index], triceps skinfold thickness, waist circumference, and waist-to-hip ratio over a period of 7 months ... Additional experimental studies with larger and more sociodemographically diverse samples are needed to evaluate the generalizability of these findings. However, this study indicates that reducing television, videotape, and video game use may be a promising, population-based approach to help prevent childhood obesity. Other keywords and phrases -- adolescent, child, diet, health -- from the text of the abstract and article)

JAMA--The Journal of the American Medical Association Volume 282, Number 16 (October 27, 1999): pages 1561-1567.

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