Longitudinal association between television watching and computer use and risk markers in diabetes in the SEARCH for Diabetes in Youth Study. Issue 5 (12th July 2014)

• Record Type: Journal Article
• Authors: 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
• Is Part Of: Pediatric diabetes. Volume 16:Issue 5(2015:Aug.)
• Page Start: 382
• Page End: 391
• Publication Date: 2014-07-12
• Subjects: Diabetes in children -- Periodicals; 616.462
• DOI: 10.1111/pedi.12163
• Languages: English
• ISSNs: 1399-543X

Abstract

<abstract abstract-type="main" id="pedi12163-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="pedi12163-sec-0001" sec-type="section"> <title>Background</title> <p id="pedi12163-para-0001">The study provides evidence of the longitudinal association between screen time with hemoglobin A1c (HbA1c) and cardiovascular risk markers among youth with type 1 diabetes (T1D) and type 2 diabetes (T2D).</p> </sec> <sec id="pedi12163-sec-0002" sec-type="section"> <title>Objective</title> <p id="pedi12163-para-0002">To examine the longitudinal relationship of screen time with HbA1c and serum lipids among youth with diabetes.</p> </sec> <sec id="pedi12163-sec-0003" sec-type="section"> <title>Subjects</title> <p id="pedi12163-para-0003">Youth with T1D and T2D.</p> </sec> <sec id="pedi12163-sec-0004" sec-type="section"> <title>Methods</title> <p id="pedi12163-para-0004">We followed up 1049 youth (≥10 yr old) with recently diagnosed T1D and T2D participating in the SEARCH for Diabetes in Youth Study.</p> </sec> <sec id="pedi12163-sec-0005" sec-type="section"> <title>Results</title> <p id="pedi12163-para-0005">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 low‐density lipoprotein cholesterol (LDL‐c, p‐value <0.05) (whole week). For example, for youth who watched 1 h of television per weekday at the outset and 3 h per weekday 5 yr 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 h per weekday at the outset and 1 h per weekday 5 yr later, the model predicted lesser absolute increases in HbA1c (2.08% for T1D and 1.06% for T2D).</p> </sec> <sec id="pedi12163-sec-0006" sec-type="section"> <title>Conclusions</title> <p id="pedi12163-para-0006">Youth with T2D who increased their television watching over time vs. those who decreased it had larger increases in HbA1c over 5 yr. Youth with T1D who increased their television watching over time had increases in LDL‐c, TG, and to a lesser extent HbA1c.</p> </sec> </abstract>