Among children , these interventions demonstrated reduced screen time , increased physical activity , and improved diet- and weight-related outcomes .
CONTEXT Sedentary time spent with screen media is associated with obesity among children and adults .
Obesity has potentially serious health consequences , such as heart disease and diabetes .
This Community Guide systematic review examined the effectiveness and economic efficiency of behavioral interventions aim ed at reducing recreational ( i.e. , neither school- nor work-related ) sedentary screen time , as measured by screen time , physical activity , diet , and weight-related outcomes .
Primary care interventions to reduce television viewing in African-American children.
BACKGROUND Data are lacking on primary care interventions to reduce children 's television viewing .  Low-income African-American children watch greater amounts of television than their peers . DESIGN / METHODS A r and omized controlled pilot and feasibility trial was conducted . Twenty-eight families with 7- to 12-year-old African-American children receiving primary care at an urban community clinic serving a low-income population were r and omized to receive counseling alone or counseling plus a behavioral intervention that included an electronic television time manager . The main outcome was hours of children 's television , videotape , and video game use . Parents/guardians and children completed baseline and 4-week follow-up self-report surveys . Additional outcomes included overall household television use , time spent in organized physical activity and playing outside , and meals eaten by the child while watching television . RESULTS Both intervention groups reported similar decreases in children 's television , videotape , and video game use ( mean changes of -13.7 , SD=26.1 and -14.1 , SD=16.8 hours per week ) . The behavioral intervention group reported significantly greater increases in organized physical activity ( changes of + 2.5 , SD=5.9 and -3.6 , SD=4.7 hours per week ; p = 0.004 ) and nearly significant greater increases in playing outside ( changes of 1.0 , SD=5.9 and -4.7 , SD=9.4 hours per week ; p < 0.06 ) . Changes in overall household television use and meals eaten while watching television also appeared to favor the behavioral intervention , with small to medium effect sizes , but differences were not statistically significant . CONCLUSIONS This small pilot and feasibility study evaluated two promising primary care-based interventions to reduce television , videotape , and video game use among low-income African-American children . The effects on physical activity suggest that the behavioral intervention may be more effective
Among children , these interventions demonstrated reduced screen time , increased physical activity , and improved diet- and weight-related outcomes .
CONTEXT Sedentary time spent with screen media is associated with obesity among children and adults .
Obesity has potentially serious health consequences , such as heart disease and diabetes .
This Community Guide systematic review examined the effectiveness and economic efficiency of behavioral interventions aim ed at reducing recreational ( i.e. , neither school- nor work-related ) sedentary screen time , as measured by screen time , physical activity , diet , and weight-related outcomes .