Pathways from adolescent screen time to eating related symptoms: a multilevel longitudinal mediation analysis through self-esteem

Livet, Audrey; Boers, Elroy; Laroque, Flavie; Afzali, Mohammad H.; McVey, Gail; Conrod, Patricia J.

doi:10.1080/08870446.2022.2141239

Cited by 5 publications

(13 citation statements)

References 57 publications

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“…After removing duplicates and records published before 2019, 12,289 were eligible for title and abstract screening. Priority screening was stopped after verifying 6008 (49%) of them, and of these, 225 met the inclusion criteria and had their full text verified, leading to 21 studies 35–55 being included. In parallel, four additional full texts were retrieved by screening reference lists, all of which were excluded, including one 56 for being in Turkish.…”

Section: Resultsmentioning

confidence: 99%

“…All were in English, except for one 40 in Spanish. One was a cohort study, 46 18 employed a single timepoint cross‐sectional design, and two 41,50 only provided eligible data at a single point in time (explained in Table S11). Most recruited participants were from secondary schools ( n = 18).…”

Section: Resultsmentioning

confidence: 99%

“…The remaining do not (no arrow) because they are based on cross‐sectional data. Social media →Low self‐esteem →Binge eating 46 ; Social media—Body image—Dietary restraint 52 ; Experiencing online interpersonal sexual objectification on social media—Conceptualization of beauty (—Body image)—Respecting hunger and satiety cues 48 ; Social media—Anxiety—Emotional eating 38 …”

Section: Resultsmentioning

confidence: 99%

“…All were in English, except for one 40 in Spanish. One was a cohort study, 46 18 employed a single timepoint cross-sectional design, and two 41,50 only provided eligible data at a single point in time (explained in Table S11). Most recruited participants were from secondary schools All studies collected self-reported data using questionnaires, including one 35 that also involved semi-structured interviews analyzed quantitatively.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…38 In Livet et al's 5-year cohort study (n = 3801, high risk), selfesteem mediated the relationship between binge eating and time on social media (p < 0.001 for all time points). 46 Rodgers et al's final models (n = 681, high risk) suggest that regularly using several social media platforms is associated with internalizing a social media ideal.…”

Section: Mental Health and Dietary Outcomesmentioning

confidence: 99%

See 4 more Smart Citations

Associations between social media, adolescent mental health, and diet: A systematic review

Blanchard,

Conway‐Moore,

Aguiar

et al. 2023

Obesity Reviews

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SummarySocial media use is integral to many adolescents' lives. It brings benefits but can also have detrimental effects on both physical and mental health. We conducted a systematic review examining associations between social media use, adolescent mental health (including body image, self‐esteem, stress, interpersonal relationships and loneliness, anxiety, and depressive symptoms), and dietary outcomes. Quantitative studies published between 2019 and 2023 investigating both mental health and diet were searched in 11 databases. The risk of bias was appraised using ROBINS‐E. Data were narratively synthesized by type of association, PROGRESS‐Plus health equity characteristics, and related to social media influencers. Twenty‐one studies were included, of which only one focused on influencers. Sex/gender was the only equity characteristic assessed (n = 8), with mixed results. The findings suggest significant positive correlations between social media use and both depressive and disordered eating symptoms, body dissatisfaction, and anxiety. Four studies identified body image, self‐esteem, or anxiety as moderators acting between social media exposure and dietary outcomes. Policy interventions mitigating the impact of social media on adolescents—particularly body image and disordered eating—are needed, alongside follow‐up studies on causal pathways, the role of influencers, equity impacts, dietary intake, and the best measurement tools to use.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Mental Health and Dietary Outcomesmentioning

confidence: 99%

See 3 more Smart Citations

Associations between social media, adolescent mental health, and diet: A systematic review

Blanchard,

Conway‐Moore,

Aguiar

et al. 2023

Obesity Reviews

View full text Add to dashboard Cite

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Screen use while eating is associated with lower intuitive eating and higher disordered eating in Chinese adult men and women

He,

Fu,

Cui

et al. 2023

Intl J Eating Disorders

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ObjectiveWe aimed to explore the potential associations between screen use while eating and intuitive eating and disordered (thinness‐oriented and muscularity‐oriented) eating behaviors.MethodsAnalyses included 600 Chinese adults (50% women; Mage = 30.67, SD = 8.08) recruited online. The use of four major screen devices was captured, including cell phones, tablets, computers, and TVs. Three types of eating behaviors were examined, namely intuitive eating, thinness‐oriented disordered eating, and muscularity‐oriented disordered eating. Pearson correlation and hierarchical regression analyses were conducted separately for men and women to examine the sex‐specific associations between screen use while eating and intuitive eating, thinness‐oriented disordered eating, and muscularity‐oriented disordered eating.ResultsIn both men and women, more screen use while eating was significantly associated with lower intuitive eating, higher thinness‐oriented disordered eating, and higher muscularity‐oriented disordered eating, above and beyond total screen time and social media use.DiscussionWe found preliminary evidence for the significant links between screen use while eating and intuitive eating and disordered eating. Given the global increases in screen use, continued research is warranted to further explore the role of screen use while eating in the development and maintenance of intuitive eating and disordered eating.Public SignificanceMuch remains unknown regarding screen use while eating and eating behaviors. We found that in both Chinese men and women, more screen use while eating was significantly and uniquely associated with lower intuitive eating, higher thinness‐oriented disordered eating, and higher muscularity‐oriented disordered eating. Findings highlight the importance of incorporating screen use while eating in future research on intuitive eating and disordered eating.

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Prospective association of screen time with binge‐eating disorder among adolescents in the United States: The mediating role of depression

Al‐Shoaibi,

Shao,

Ganson

et al. 2024

Intl J Eating Disorders

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ObjectiveScreen time has been reported to be associated with binge‐eating disorder (BED) among adolescents in the US; however, potential mediators remain unclear. This study aimed to evaluate depression symptoms as a mediator of the prospective association between screen time and BED.MethodWe utilized data from 9465 children (aged 9–11 years at baseline) from the Adolescent Brain Cognitive Development (ABCD) study (2016–2021). A generalized structural equation model was used to examine the prospective association between average daily screen time at baseline and BED at year 2, adjusting for baseline BED diagnosis, and other potential covariates (e.g., age, sex, and income). Mediation was examined using bias‐corrected (BC) 95% confidence intervals for the indirect effect of baseline screen time on year 2 BED through depression symptoms (change from baseline to year 1).ResultsOne hundred and one participants (42.7% male, 49.4% racial/ethnic minority) met the criteria for BED in year 2. Participants were 9.9 years of age on average at baseline, 51.3% identified as male, and 43.1% identified as a racial/ethnic minority. Adjusting for covariates, screen time was prospectively associated with BED (OR = 1.09, 95% CI [1.03, 1.14], p = .005). Depression symptoms (B = .19, BC 95% CI [0.10, 0.28]) partially mediated (9.2%) the prospective association between screen time and BED.DiscussionAmong US adolescents, higher baseline screen time was prospectively associated with BED diagnosis at year 2, and this relationship was partially mediated by increased depression symptoms. Preventive approaches targeting high screen use may have utility for reducing BED risk among adolescents.Public significanceAmong U.S. adolescents, higher screen time was prospectively associated with the incidence of BED. This association was partially mediated by the change in depressive symptoms. Preventive approaches targeting high screen use may have utility for reducing BED risk among adolescents.

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Pathways from adolescent screen time to eating related symptoms: a multilevel longitudinal mediation analysis through self-esteem

Cited by 5 publications

References 57 publications

Associations between social media, adolescent mental health, and diet: A systematic review

Associations between social media, adolescent mental health, and diet: A systematic review

Screen use while eating is associated with lower intuitive eating and higher disordered eating in Chinese adult men and women

Prospective association of screen time with binge‐eating disorder among adolescents in the United States: The mediating role of depression

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