U.S. Children Meeting Physical Activity, Screen Time, and Sleep Guidelines.


INTRODUCTION:Physical inactivity, high screen time, and short sleep are targets of public health initiatives for children. However, few data exist on how many U.S. children meet guidelines for these behaviors-data vital to inform which needs greater targeting. This study describes national prevalence estimates of U.S. children who meet physical activity, screen time, and sleep guidelines alone or in combination across each childhood year. METHODS:This analysis (completed in 2019) used cross-sectional data from the 2016-2017 National Survey of Children's Health, a nationally representative sample of U.S. children. Child physical activity (days per week with ≥60 minutes), recreational screen time (hours per day of TV viewing and electronic device use), and sleep duration (hours per day) were assessed through parental report. Guidelines recommend ≥60 minutes per day of physical activity, ≤2 hours per day of screen time, and 9-12 hours per day of sleep for individuals aged 6-12 years (8-10 hours for those aged 13-17 years). RESULTS:Only 8.8% (95% CI=8.2%, 9.5%) of U.S. children meet all the 3 guidelines combined. Majority of children/adolescents attain the sleep guideline (86.0%, 95% CI=85.2%, 86.7%), but a lower proportion meet physical activity (23.0%, 95% CI=22.1%, 23.9%) or screen time (32.9%, 95% CI=31.9%, 33.8%) guidelines. A substantial age effect was identified, with prevalence of meeting each distinct guideline and all the 3 declining with age (p<0.001). CONCLUSIONS:Few U.S. children meet all the 3 movement guidelines, with prevalence rates of children meeting guidelines declining with age. Although many meet sleep guidelines, few meet physical activity or screen time guidelines. Initiatives targeting physical activity and screen time, especially for adolescents, should be pursued.


Am J Prev Med


Friel CP,Duran AT,Shechter A,Diaz KM




Has Abstract


2020-10-01 00:00:00














  • Nondaily smokers should be asked and advised to quit.

    abstract:BACKGROUND:Nondaily smokers are a growing subpopulation of smokers. Current cessation guidelines were developed for daily smokers, and how clinicians might help nondaily smokers is not clear. METHODS:Analyzing the 2000 National Health Interview Survey in 2004, we compared characteristics of nondaily smokers with never...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Tong EK,Ong MK,Vittinghoff E,Pérez-Stable EJ

    更新日期:2006-01-01 00:00:00

  • Firearm Storage Practices Among American Veterans.

    abstract:INTRODUCTION:Interventions that reduce access to highly lethal and commonly used methods of suicide (e.g., limiting firearm access) are considered essential elements of effective suicide prevention programs. Scant epidemiologic data are available to inform such efforts among Veterans. The aim of this study is to descri...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Simonetti JA,Azrael D,Rowhani-Rahbar A,Miller M

    更新日期:2018-10-01 00:00:00

  • Alcohol and suicidal behavior: what is known and what can be done.

    abstract::Research on associations between substances of abuse and suicidal behaviors is a large, complex area. Herein, alcohol, the most commonly abused intoxicant worldwide, is examined with a focus on two topics: (1) acute use of alcohol (AUA) shortly prior to suicidal behavior; and (2) more chronic alcohol use disorder (AUD...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Conner KR,Bagge CL,Goldston DB,Ilgen MA

    更新日期:2014-09-01 00:00:00

  • Social learning variables and the risk of habitual smoking among adolescents: the Muscatine study.

    abstract::During the past 10 years a good deal of effort has focused on preventing cigarette smoking among adolescents. This effort has often been made without a clear understanding of (1) which groups within the population are at highest risk, (2) which variables are associated with habitual smoking rather than experimentation...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Spear SF,Akers RL

    更新日期:1988-11-01 00:00:00

  • Telephone counseling and attendance in a national mammography-screening program a randomized controlled trial.

    abstract:BACKGROUND:In Germany, a mammography-screening program (MSP) was implemented on a national level. It complies with all criteria of the European guidelines for quality assurance in screening mammography; however, the attendance rate is 54%, falling short of the target attendance rate of 70%. The aim of this study was to...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,随机对照试验


    authors: Hegenscheid K,Hoffmann W,Fochler S,Domin M,Weiss S,Hartmann B,Bick U,Hosten N

    更新日期:2011-10-01 00:00:00

  • Counseling strategies for obese patients.

    abstract::Counseling strategies usually assume that an individual is ready to change; however this assumption is probably not true for many obese individuals seeking medical care. Since individuals progress through a series of stages of change, some may not yet be ready to change. The transtheoretical model of behavior change p...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Clark MM,Pera V,Goldstein MG,Thebarge RW,Guise BJ

    更新日期:1996-07-01 00:00:00

  • Lifetime direct medical costs of treating type 2 diabetes and diabetic complications.

    abstract:BACKGROUND:Lifetime direct medical cost of treating type 2 diabetes and diabetic complications in the U.S. is unknown. PURPOSE:This study provides nationally representative estimates of lifetime direct medical costs of treating type 2 diabetes and diabetic complications in people newly diagnosed with type 2 diabetes, ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Zhuo X,Zhang P,Hoerger TJ

    更新日期:2013-09-01 00:00:00

  • Cigar/cigarillo surveillance: limitations of the U.S. Department of Agriculture system.

    abstract:BACKGROUND:The U.S. Department of Agriculture (USDA) reports data on cigar sales in two categories: little cigars (weighing less than 3 lbs. per thousand) and large cigars and cigarillos (weighing more than 10 lbs. per thousand). A rise in the sales of little cigars in recent years is a cause for concern. The capacious...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Kozlowski LT,Dollar KM,Giovino GA

    更新日期:2008-05-01 00:00:00

  • Activating patients to practice skin cancer prevention: response to mailed materials from physicians versus HMOs.

    abstract:OBJECTIVES:We investigated whether the source and emphasis of mailed messages about skin cancer would differentially activate patients to initiate skin cancer prevention by calling a toll-free number. METHODS:We mailed a questionnaire to 981 randomly selected patients of a large medical group to assess their concern a...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Gerbert B,Wolff M,Tschann JM,McPhee SJ,Caspers NM,Martin MJ,Saulovich A

    更新日期:1997-05-01 00:00:00

  • Breast self-examination: the effects of prescribed frequency on adherence, accuracy, and detection ability.

    abstract::The purpose of our study was to determine the effects of prescribed rates of breast self-examination (BSE) on reported frequency of BSE per year. Fifty-one women were divided at random into three groups: a weekly prescription, every-two-weeks prescription, and monthly prescription. All women were trained to competence...

    journal_title:American journal of preventive medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Kenney E,Hovell MF,Mewborn CR,Dockter B,Chin L

    更新日期:1988-05-01 00:00:00

  • Weight loss during the intensive intervention phase of the weight-loss maintenance trial.

    abstract:BACKGROUND:To improve methods for long-term weight management, the Weight Loss Maintenance (WLM) trial, a four-center randomized trial, was conducted to compare alternative strategies for maintaining weight loss over a 30-month period. This paper describes methods and results for the initial 6-month weight-loss program...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,随机对照试验


    authors: Hollis JF,Gullion CM,Stevens VJ,Brantley PJ,Appel LJ,Ard JD,Champagne CM,Dalcin A,Erlinger TP,Funk K,Laferriere D,Lin PH,Loria CM,Samuel-Hodge C,Vollmer WM,Svetkey LP,Weight Loss Maintenance Trial Research Group.

    更新日期:2008-08-01 00:00:00

  • Incentives vs outreach workers for latent tuberculosis treatment in drug users.

    abstract:BACKGROUND:Drug users are at increased risk for latent tuberculosis infection (LTBI) and also at increased risk for noncompletion of medication regimens for treatment of LTBI or tuberculosis disease. Directly observed therapy (DOT) provided by outreach workers, the use of incentives, or both have been suggested as a me...

    journal_title:American journal of preventive medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Malotte CK,Hollingshead JR,Larro M

    更新日期:2001-02-01 00:00:00

  • Reviews of evidence regarding interventions to increase use of child safety seats.

    abstract:BACKGROUND:In 1998, nearly 600 child occupants of motor vehicles aged younger than 4 years died in motor vehicle crashes. Yet approximately 29% of children aged 4 years and younger do not ride in appropriate child safety seat restraints, which, when correctly installed and used, reduce the need for hospitalization in t...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,评审


    authors: Zaza S,Sleet DA,Thompson RS,Sosin DM,Bolen JC,Task Force on Community Preventive Services.

    更新日期:2001-11-01 00:00:00

  • Self-reported alcohol-impaired driving in the U.S., 2006 and 2008.

    abstract:BACKGROUND:Alcohol-impaired driving caused 10,839 deaths in 2009. Alcohol-impaired driving fatalities as a percentage of all motor vehicle fatalities decreased from 1982 to 1999 but have remained stable since. Understanding characteristics of those who engage in this behavior is critical to achieving future reductions....

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Bergen G,Shults RA,Beck LF,Qayad M

    更新日期:2012-02-01 00:00:00

  • Posttraumatic stress disorder and obesity: evidence for a risk association.

    abstract:BACKGROUND:There is evidence from cross-sectional studies that posttraumatic stress disorder (PTSD) may be associated with obesity. The aim of this study was to examine prospective longitudinal associations between PTSD and obesity in a community sample. METHODS:A prospective, longitudinal, epidemiologic study with a ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Perkonigg A,Owashi T,Stein MB,Kirschbaum C,Wittchen H-U

    更新日期:2009-01-01 00:00:00

  • Trends in Breast Cancer Screening: Impact of U.S. Preventive Services Task Force Recommendations.

    abstract:INTRODUCTION:Although there is general agreement among various guidelines on benefits of routine screening mammography, the age of screening initiation and the optimal frequency of the test remain controversial. In 2009, the U.S. Preventive Services Task Force (USPSTF) recommended against routine breast cancer screenin...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Dehkordy SF,Hall KS,Roach AL,Rothman ED,Dalton VK,Carlos RC

    更新日期:2015-09-01 00:00:00

  • Telephone counseling for physical activity and diet in primary care patients.

    abstract:BACKGROUND:The delivery of effective interventions to assist patients to improve their physical activity and dietary behaviors is a challenge in the busy primary care setting. DESIGN:Cluster RCT with practices randomized to telephone counseling intervention or usual care. Data collection took place from February 2005 ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,随机对照试验


    authors: Eakin E,Reeves M,Lawler S,Graves N,Oldenburg B,Del Mar C,Wilke K,Winkler E,Barnett A

    更新日期:2009-02-01 00:00:00

  • Microcomputer method to extract subfiles from statewide multiple cause of death files.

    abstract::A simple microcomputer system has been developed using off-the-shelf components. The system permits local access, in an acceptable time frame, to several years of New Jersey multiple cause of death data (approximately 70,000 records per calendar year). This report describes the system, including hardware, software, da...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Crane GL,Fife D

    更新日期:1990-03-01 00:00:00

  • Housing Disadvantage and Poor Mental Health: A Systematic Review.

    abstract:CONTEXT:This study reviews collective evidence on the longitudinal impact of housing disadvantage (based on tenure, precarity, and physical characteristics) on mental health. It is focused on temporally ordered studies where exposures preceded outcomes, a key criterion to establishing causal evidence. EVIDENCE ACQUISI...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Singh A,Daniel L,Baker E,Bentley R

    更新日期:2019-08-01 00:00:00

  • The smartphone as a platform for wearable cameras in health research.

    abstract:BACKGROUND:The Microsoft SenseCam, a small camera that is worn on the chest via a lanyard, increasingly is being deployed in health research. However, the SenseCam and other wearable cameras are not yet in widespread use because of a variety of factors. It is proposed that the ubiquitous smartphones can provide a more ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Gurrin C,Qiu Z,Hughes M,Caprani N,Doherty AR,Hodges SE,Smeaton AF

    更新日期:2013-03-01 00:00:00

  • Effectiveness of community health workers in the care of people with hypertension.

    abstract:BACKGROUND:The contributions of community health workers (CHWs) in the delivery of culturally relevant programs for hypertension control have been studied since the 1970s. This systematic review examines the effectiveness of CHWs in supporting the care of people with hypertension. METHODS:Computerized searches were co...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章,评审


    authors: Brownstein JN,Chowdhury FM,Norris SL,Horsley T,Jack L Jr,Zhang X,Satterfield D

    更新日期:2007-05-01 00:00:00

  • The Comprehensive Prevention Knowledge and Applications Survey Instrument: its validity and reliability.

    abstract::Because the instruments used to measure current practices among primary care physicians in a broad range of prevention activities are limited, we developed a study to test a tool that would evaluate current prevention knowledge and applications, including items regarding activities to prevent AIDS and other sexually t...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Moser R Jr,McCance KL,Smith KR

    更新日期:1991-05-01 00:00:00

  • Dietary Protein Sources and All-Cause and Cause-Specific Mortality: The Golestan Cohort Study in Iran.

    abstract:INTRODUCTION:Dietary protein comes from foods with greatly different compositions that may not relate equally with mortality risk. Few cohort studies from non-Western countries have examined the association between various dietary protein sources and cause-specific mortality. Therefore, the associations between dietary...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Farvid MS,Malekshah AF,Pourshams A,Poustchi H,Sepanlou SG,Sharafkhah M,Khoshnia M,Farvid M,Abnet CC,Kamangar F,Dawsey SM,Brennan P,Pharoah PD,Boffetta P,Willett WC,Malekzadeh R

    更新日期:2017-02-01 00:00:00

  • A rapid food screener to assess fat and fruit and vegetable intake.

    abstract:BACKGROUND:The U.S. Preventive Services Task Force recommends that Americans lower dietary fat and cholesterol intake and increase fiber and fruit/vegetables to reduce prevalence of heart disease, cancer, stroke, hypertension, obesity, and non-insulin-dependent diabetes mellitus in the United States. To provide prevent...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Block G,Gillespie C,Rosenbaum EH,Jenson C

    更新日期:2000-05-01 00:00:00

  • Factors affecting evidence-based decision making in local health departments.

    abstract:BACKGROUND:Data indicating the extent to which evidence-based decision making (EBDM) is used in local health departments (LHDs) are limited. PURPOSE:This study aims to determine use of decision-making processes by New York State LHD leaders and upper-level staff and identify facilitators and barriers to the use of EBD...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Sosnowy CD,Weiss LJ,Maylahn CM,Pirani SJ,Katagiri NJ

    更新日期:2013-12-01 00:00:00

  • Factors influencing physicians' preventive practices.

    abstract::We used data on a stratified random sample of 809 Quebec physicians to determine the extent to which the integration of prevention into medical practice was related to physicians' sociodemographic background, area of specialization, medical practice characteristics, and professional attitudes. Among factors positively...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Maheux B,Pineault R,Lambert J,Béland F,Berthiaume M

    更新日期:1989-07-01 00:00:00

  • Causes of Excess Mortality in Veterans Treated for Posttraumatic Stress Disorder.

    abstract:INTRODUCTION:Published research indicates that posttraumatic stress disorder (PTSD) is associated with increased mortality. However, causes of death among treatment-seeking patients with PTSD remain poorly characterized. The study objective was to describe causes of death among Veterans with PTSD to inform preventive i...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Forehand JA,Peltzman T,Westgate CL,Riblet NB,Watts BV,Shiner B

    更新日期:2019-08-01 00:00:00

  • Food Access, Chronic Kidney Disease, and Hypertension in the U.S.

    abstract:INTRODUCTION:Greater distance to full-service supermarkets and low income may impair access to healthy diets and contribute to chronic kidney disease (CKD) and hypertension. The study aim was to determine relationships among residence in a "food desert," low income, CKD, and blood pressure. METHODS:Adults in the 2003-...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Suarez JJ,Isakova T,Anderson CA,Boulware LE,Wolf M,Scialla JJ

    更新日期:2015-12-01 00:00:00

  • Healthy People 2010 objectives for unintentional injury and violence among adolescents. Trends from the National Youth Risk Behavior Survey, 1999-2009.

    abstract:BACKGROUND:In 2000, the USDHHS released Healthy People 2010 (HP2010), a series of disease prevention and health promotion objectives for the nation. Thirty-nine of these objectives were dedicated to injury prevention and six of these objectives related to adolescents, who were tracked through CDC's National Youth Risk ...

    journal_title:American journal of preventive medicine

    pub_type: 杂志文章


    authors: Olsen EO,Hertz MF,Shults RA,Hamburger ME,Lowry R

    更新日期:2011-12-01 00:00:00

  • Efficacy of self-help behavior modification materials in smoking cessation.

    abstract::We evaluated the efficacy of the Stanford Quit Kit, an eight-page self-administered smoking cessation program. Subjects were randomly assigned to receive the Quit Kit (n = 142) or a delayed intervention (n = 65). Confirmed abstinence (p less than .05) and reduced smoking among continuing smokers (p less than .002) wer...

    journal_title:American journal of preventive medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Sallis JF,Hill RD,Killen JD,Telch MJ,Flora JA,Girard J,Taylor CB,Fortmann SP

    更新日期:1986-11-01 00:00:00