TY - JOUR T1 - PHysical activity and screen-time viewing among elementary school–aged children in the united states from 2009 to 2010 AU - Fakhouri TI, Hughes JP, Brody DJ, Kit BK, Ogden CL Y1 - 2013/03/01 N1 - 10.1001/2013.jamapediatrics.122 JO - JAMA Pediatrics SP - 223 EP - 229 VL - 167 IS - 3 N2 - Objectives  To describe the percentage of children who met physical activity and screen-time recommendations and to examine demographic differences. Recommendations for school-aged children include 60 minutes of daily moderate-to-vigorous physical activity and no more than 2 hours per day of screen-time viewing.Design  Cross-sectional study.Setting  Data from the 2009-2010 National Health and Nutrition Examination Survey, a representative sample of the US population.Participants  Analysis included 1218 children 6 to 11 years of age.Main Exposures  Age, race/ethnicity, sex, income, family structure, and obesity status.Main Outcome Measures  Proxy-reported adherence to physical activity and screen-time recommendations, separately and concurrently.Results  Based on proxy reports, overall, 70% of children met physical activity recommendations, and 54% met screen-time viewing recommendations. Although Hispanics were less likely to meet physical activity recommendations (adjusted odds ratio [aOR], 0.60 [95% CI, 0.38-0.95]), they were more likely to meet screen-time recommendations compared with non-Hispanic whites (aOR, 1.69 [95% CI, 1.18-2.43]). Only 38% met both recommendations concurrently. Age (9-11 years vs 6-8 years: aOR, 0.57 [95% CI, 0.38-0.85]) and obesity (aOR, 0.53 [95% CI, 0.38-0.73]) were inversely associated with concurrent adherence to both recommendations.Conclusions  Fewer than 4 in 10 children met both physical activity and screen-time recommendations concurrently. The prevalence of sedentary behavior was higher in older children. Low levels of screen-time viewing may not necessarily predict higher levels of physical activity. SN - 2168-6203 M3 - doi: 10.1001/2013.jamapediatrics.122 UR - http://dx.doi.org/10.1001/2013.jamapediatrics.122 ER -