Longitudinal association between television watching and computer use and risk markers in diabetes in the SEARCH for Diabetes in Youth Study

Details

• Alternative Title:
  Pediatr Diabetes
• Personal Author:
  Li, Chao ; Beech, Bettina ; Crume, Tessa ; D’Agostino, Ralph B. ; Dabelea, Dana ; Kaar, Jill L ; Liese, Angela D. ; Mayer-Davis, Elizabeth J. ; Pate, Russell ; Pettitt, David J. ; Taplin, Craig ; Rodriguez, Beatriz ; Merchant, Anwar T.
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• Description:
  Background ; The study provides evidence of the longitudinal association between screen time with hemoglobin A1c and cardiovascular risk markers among youth with type 1 (T1D) and type 2 diabetes (T2D) . ; Objective ; To examine the longitudinal relationship of screen time with HbA1c and serum lipids among youth with diabetes. ; Subjects ; Youth with T1D and T2D. ; Methods ; We followed up 1049 youth (≥10 yr. old) with recently diagnosed T1D and T2D participating in the SEARCH for Diabetes in Youth Study. ; Results ; Increased television watching on weekdays and during the week over time was associated with larger increases in HbA1c among youth with T1D and T2D (p-value<0.05). Among youth with T1D, significant longitudinal associations were observed between television watching and TG (p-value<0.05) (week days and whole week), and LDL-c (p-value<0.05) (whole week). For example, for youth who watched 1 hour of television per weekday at the outset and 3 hours per weekday 5 years later, the longitudinal model predicted greater absolute increases in HbA1c (2.19% for T1D and 2.16% for T2D); whereas for youth who watched television 3 hours per weekday at the outset and 1 hour per weekday 5 years later, the model predicted lesser absolute increases in HbA1c (2.08% for T1D and 1.06% for T2D). ; Conclusions ; Youth with T2D who increased their television watching over time vs those that decreased it had larger increases in HbA1c over 5 years. Youth with T1D who increased their television watching over time had increases in LDL-c, TG and to a lesser extent HbA1c .
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• Keywords:
  • Diabetes
  • youth
  • hemoglobin A1c
  • serum lipids
  • screen time
  • Adolescent
  • Cardiovascular Diseases
  • Child
  • Computers
  • Diabetes Mellitus, Type 1
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• Source:
  Pediatr Diabetes. 16(5):382-391
• Pubmed ID:
  25041407
• Pubmed Central ID:
  PMC4291304
• Document Type:
  Journal Article
• Funding:
  P30 DK057516/DK/NIDDK NIH HHSUnited States/ ; U01 DP000247/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP002710/DP/NCCDPHP CDC HHSUnited States/ ; UL1 TR000154/TR/NCATS NIH HHSUnited States/ ; U18 DP002714/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000248/DP/NCCDPHP CDC HHSUnited States/ ; 00097/PHS HHSUnited States/ ; UL1 RR029882/RR/NCRR NIH HHSUnited States/ ; U18 DP002709/DP/NCCDPHP CDC HHSUnited States/ ; UL1 TR002319/TR/NCATS NIH HHSUnited States/ ; UL1 TR000423/TR/NCATS NIH HHSUnited States/ ; U01 DP000250/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP002708/DP/NCCDPHP CDC HHSUnited States/ ; HIR 10-001/HX/HSRD VAUnited States/ ; U01 DP000245/DP/NCCDPHP CDC HHSUnited States/ ; DP-05-069/DP/NCCDPHP CDC HHSUnited States/ ; DP-10-001/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000244/DP/NCCDPHP CDC HHSUnited States/ ; R03 DE022785/DE/NIDCR NIH HHSUnited States/ ; UL1 TR000077/TR/NCATS NIH HHSUnited States/ ; U01 DP000246/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000254/DP/NCCDPHP CDC HHSUnited States/
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• Volume:
  16
• Issue:
  5
• Download URL:
  https://stacks.cdc.gov/view/cdc/34183/cdc_34183_DS1.pdf
• File Type:
  [PDF - 498.75 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:979be4ab6aaf91bd9b6ca768f28e6dbd619227963b8d3fb4fdf40666d1e6d57c