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.
• 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 .
  
  
• Keywords:
  Adolescent Cardiovascular Diseases Child Computers Diabetes Diabetes Mellitus, Type 1 Diabetes Mellitus, Type 2 Female Hemoglobin A1c Humans Longitudinal Studies Male Risk Factors Screen Time Serum Lipids Television Young Adult Youth

  More +
• 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/
• Volume:
  16
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:979be4ab6aaf91bd9b6ca768f28e6dbd619227963b8d3fb4fdf40666d1e6d57c
• Download URL:
  https://stacks.cdc.gov/view/cdc/34183/cdc_34183_DS1.pdf
• File Type:
  [PDF - 498.75 KB ]