Longitudinal association between television watching and computer use and risk markers in diabetes in the SEARCH for Diabetes in Youth Study
Published Date:Jul 12 2014
Source:Pediatr Diabetes. 16(5):382-391.
Pubmed Central ID:PMC4291304
Funding:00097/PHS HHS/United States
DP-05-069/DP/NCCDPHP CDC HHS/United States
DP-10-001/DP/NCCDPHP CDC HHS/United States
R03 DE022785/DE/NIDCR NIH HHS/United States
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) .
To examine the longitudinal relationship of screen time with HbA1c and serum lipids among youth with diabetes.
Youth with T1D and T2D.
We followed up 1049 youth (≥10 yr. old) with recently diagnosed T1D and T2D participating in the SEARCH for Diabetes in Youth Study.
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).
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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