Can Kids’ Outdoor Play Reduce Risk for Too Much Screen Time?

To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test.

1. You are a member of the health care team for a 2-year-old boy who watches television 2 hours each day. On the basis of the analysis from the Japanese Hamamatsu Birth Cohort Study for Mothers and Children (HBC Study) by Sugiyama and colleagues, which one of the following statements about the associations of higher screen time at age 2 years with neurodevelopmental outcomes at age 4 years, and mediating effects of outdoor play on these associations, is correct?
   Higher screen time at age 2 years was associated with lower communication scores at age 4 years
   Frequency of outdoor play mediated the association of screen time at age 2 years with communication scores at age 4 years
   Higher screen time was not associated with lower scores in daily living skills
   Screen time, but not frequency of outdoor play, was associated with socialization
2. According to the analysis from the HBC Study by Sugiyama and colleagues, which one of the following statements about clinical and public health implications of associations of higher screen time at age 2 years with neurodevelopmental outcomes at age 4 years, and mediating effects of outdoor play on these associations, is correct?
   The findings do not suggest any potential preventive interventions
   Previous research suggests good compliance with current guidelines regarding screen use in children
   Outdoor play has proven benefits for physical, mental, and developmental health by fostering motor skills and motor planning
   Parents are likely to have overestimated children’s screen time