doi:10.3390/ijerph15112599engLatomme, JulieVan Stappen, VickyCardon, GreetMorgan, Philip J.Lateva, MinaChakarova, NevenaKivelä, JeminaLindström, JaanaAndroutsos, OdysseasGonzález-Gil, Esther M.De Miguel-Etayo, PilarNánási, AnnaKolozsvári, László RManios, YannisDe Craemer, MariekeThe Association between Children's and Parents' Co-TV Viewing and Their Total Screen Time in Six European Countries: cross-sectional data from the Feel4diabetes-StudyART-2018-109006In many European children, high levels of screen time can be found, which is associated with several adverse health outcomes. Therefore, there is a need for identifying effective intervention strategies that reduce screen time in children. A factor that may contribute to excessive screen time in children may be “co-TV viewing” (i.e., the time that parents and children spend on watching TV together), as parents often recognize the importance of limiting children’s (individual) screen time, but often encourage TV viewing as a family because of its perceived benefits (e.g., educational purposes). The primary aim of this study was to investigate the (sex-specific) association between co-TV viewing and both children’s and parents’ screen time, and these associations were investigated across and within six European countries. In total, 10,969 parents (Meanage = 40.7 ± 5.3 years, MeanBMI = 24.4 ± 4.6) of primary school children (Meanage = 8.2 ± 1.0 years, 49.0% boys, MeanBMI = 17.3 ± 2.8) completed a questionnaire assessing co-TV viewing and screen time. Multilevel regression analyses were conducted. Across countries, positive associations were found between co-TV viewing and both children’s (ß = 11.85, SE = 3.69, p < 0.001) and parents’ screen time (ß = 14.47, SE = 4.43, p = 0.001). Similar associations were found in most (but not all) countries. The results suggest that targeting co-TV viewing might be a promising intervention strategy because of its potential to limit screen time of both children and parents.2018http://zaguan.unizar.es/record/7952110.3390/ijerph15112599http://zaguan.unizar.es/record/79521oai:zaguan.unizar.es:79521info:eu-repo/grantAgreement/EC/H2020/643708/EU/Developing and implementing a community-based intervention to create a more supportive social and physical environment for lifestyle changes to prevent diabetes in vulnerable families across Europe/Feel4DiabetesThis project has received funding from the European Union’s Horizon 2020 research and innovation program under grant agreement No H2020 643708-Feel4DiabetesInternational Journal of Environmental Research and Public Health 15, 11 (2018), [18 pp]byhttp://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccess