| Summary: | <p>Abstract</p> <p>Background</p> <p>There has been an increase in screen-based communication, leading to concerns about the negative health effects of screen-based activities in children and adolescents. The present study aimed to (1) analyze changes in screen time activity in Norwegian children from 2001 to 2008, and (2) to analyze associations between the changes in screen time activity over time and sex, grade level and parental educational level.</p> <p>Methods</p> <p>Within the project Fruits and Vegetables Make the Marks (FVMM), 1488 6<sup>th</sup> and 7<sup>th</sup> grade pupils from 27 Norwegian elementary schools completed a questionnaire including a question about time spent on television viewing and personal computer use in 2001 and 1339 pupils from the same schools completed the same questionnaire in 2008. Data were analyzed by multilevel linear mixed models.</p> <p>Results</p> <p>The proportions of 6<sup>th</sup> and 7<sup>th</sup> grade pupils at the 27 schools that reported screen time activity outside school of 2 hours/day or more decreased from 55% to 45% (p<0.001) from 2001 to 2008 when adjusting for sex, grade level and parental education. The decrease was most evident in 6<sup>th</sup> graders (51% to 37%) and in children with highly educated parents (54% to 39%).</p> <p>Conclusion</p> <p>The present study shows that there has been a marked reduction in screen time activity outside school in this group of Norwegian 10–12 year olds from 2001 to 2008.</p>
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