Television, adiposity, and cardiometabolic risk in children and adolescents

Amanda E. Staiano; Deirdre M. Harrington; Stephanie T. Broyles; Alok K. Gupta; Peter T. Katzmarzyk

doi:10.1016/j.amepre.2012.09.049

Television, adiposity, and cardiometabolic risk in children and adolescents

Amanda E. Staiano, Deirdre M. Harrington, Stephanie T. Broyles, Alok K. Gupta, Peter T. Katzmarzyk

Physical Activity And Health

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Abstract

Background: It is largely unknown how TV use relates to depot-specific adiposity or cardiometabolic risk in children. Purpose: To examine relationships between having a TV in the bedroom and TV viewing time with total fat mass, abdominal subcutaneous and visceral adiposity, and cardiometabolic risk in children and adolescents. Methods: A cross-sectional study of 369 children and adolescents aged 5-18 years was conducted (2010-2011; analysis 2011-2012). Waist circumference; resting blood pressure; fasting triglycerides, high-density lipoprotein cholesterol [HDL-C] and glucose; fat mass by dual-energy x-ray absorptiometry; and abdominal subcutaneous and visceral adiposity by MRI were assessed. Cardiometabolic risk was defined as three or more risk factors including adverse levels of waist circumference, blood pressure, triglycerides, HDL-C, and glucose. Logistic regression analysis was used to compute ORs of high fat mass; subcutaneous and visceral adipose tissue mass (top age-adjusted quartile); and cardiometabolic risk, based on self-reported TV present in the bedroom and TV viewing time, controlling for age, gender, ethnicity, moderate-to-vigorous physical activity level, and unhealthy diet. Results: In multivariable models, presence of a TV in the bedroom and TV viewing time were associated with (p<0.05) higher odds of high waist circumference (OR=1.9–2.1); fat mass (OR=2.0–2.5); and subcutaneous adiposity (OR=2.1–2.9), whereas viewing TV ≥5 hours/day was associated with high visceral adiposity (OR=2.0). Having a TV in the bedroom was associated with elevated cardiometabolic risk (OR=2.9) and high triglycerides (OR=2.0). Conclusions Having a bedroom TV and TV viewing time were related to high waist circumference, fat mass, and abdominal subcutaneous adiposity. TV viewing time was related to visceral adiposity, and bedroom TV was related to cardiometabolic risk in children, controlling for moderate-to-vigorous physical activity and an unhealthy diet.

Original language	English
Pages (from-to)	40-47
Number of pages	8
Journal	Am. J. Prev. Med.
Volume	44
Issue number	1
DOIs	https://doi.org/10.1016/j.amepre.2012.09.049
Publication status	Published - 1 Jan 2013

Keywords

glucose
high density lipoprotein cholesterol
triacylglycerol
abdominal subcutaneous fat
adolescent
adult
article
blood pressure
cardiometabolic risk
child
child care
diet
dual energy X ray absorptiometry
female
human
major clinical study
male
obesity
physical activity
preschool child
school child
self report
television viewing
waist circumference

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10.1016/j.amepre.2012.09.049

Staiano-etal-AJPM2013-Television-adiposity-cardiometabolic-risk-children-adolescentsAccepted author manuscript, 54.2 KBLicence: CC BY-NC-ND 4.0

Cite this

@article{14523ea98e784cfc9a6e94dd50edfeda,

title = "Television, adiposity, and cardiometabolic risk in children and adolescents",

abstract = "Background: It is largely unknown how TV use relates to depot-specific adiposity or cardiometabolic risk in children. Purpose: To examine relationships between having a TV in the bedroom and TV viewing time with total fat mass, abdominal subcutaneous and visceral adiposity, and cardiometabolic risk in children and adolescents. Methods: A cross-sectional study of 369 children and adolescents aged 5-18 years was conducted (2010-2011; analysis 2011-2012). Waist circumference; resting blood pressure; fasting triglycerides, high-density lipoprotein cholesterol [HDL-C] and glucose; fat mass by dual-energy x-ray absorptiometry; and abdominal subcutaneous and visceral adiposity by MRI were assessed. Cardiometabolic risk was defined as three or more risk factors including adverse levels of waist circumference, blood pressure, triglycerides, HDL-C, and glucose. Logistic regression analysis was used to compute ORs of high fat mass; subcutaneous and visceral adipose tissue mass (top age-adjusted quartile); and cardiometabolic risk, based on self-reported TV present in the bedroom and TV viewing time, controlling for age, gender, ethnicity, moderate-to-vigorous physical activity level, and unhealthy diet. Results: In multivariable models, presence of a TV in the bedroom and TV viewing time were associated with (p<0.05) higher odds of high waist circumference (OR=1.9–2.1); fat mass (OR=2.0–2.5); and subcutaneous adiposity (OR=2.1–2.9), whereas viewing TV ≥5 hours/day was associated with high visceral adiposity (OR=2.0). Having a TV in the bedroom was associated with elevated cardiometabolic risk (OR=2.9) and high triglycerides (OR=2.0). Conclusions Having a bedroom TV and TV viewing time were related to high waist circumference, fat mass, and abdominal subcutaneous adiposity. TV viewing time was related to visceral adiposity, and bedroom TV was related to cardiometabolic risk in children, controlling for moderate-to-vigorous physical activity and an unhealthy diet.",

keywords = "glucose, high density lipoprotein cholesterol, triacylglycerol, abdominal subcutaneous fat, adolescent, adult, article, blood pressure, cardiometabolic risk, child, child care, diet, dual energy X ray absorptiometry, female, human, major clinical study, male, obesity, physical activity, preschool child, school child, self report, television viewing, waist circumference",

author = "Staiano, {Amanda E.} and Harrington, {Deirdre M.} and Broyles, {Stephanie T.} and Gupta, {Alok K.} and Katzmarzyk, {Peter T.}",

note = "Funding details: National Institute of Diabetes and Digestive and Kidney Diseases, NIDDK, P30DK072476, RC1DK086881, T32DK064584 Funding details: American Heart Association, AHA, 11GRNT7750027 Funding details: Nutrition Obesity Research Center, University of North Carolina, NORC, NIH 2P30DK072476",

year = "2013",

month = jan,

day = "1",

doi = "10.1016/j.amepre.2012.09.049",

language = "English",

volume = "44",

pages = "40--47",

journal = "Am. J. Prev. Med.",

issn = "0749-3797",

publisher = "Elsevier Inc.",

number = "1",

}

TY - JOUR

T1 - Television, adiposity, and cardiometabolic risk in children and adolescents

AU - Staiano, Amanda E.

AU - Harrington, Deirdre M.

AU - Broyles, Stephanie T.

AU - Gupta, Alok K.

AU - Katzmarzyk, Peter T.

N1 - Funding details: National Institute of Diabetes and Digestive and Kidney Diseases, NIDDK, P30DK072476, RC1DK086881, T32DK064584 Funding details: American Heart Association, AHA, 11GRNT7750027 Funding details: Nutrition Obesity Research Center, University of North Carolina, NORC, NIH 2P30DK072476

PY - 2013/1/1

Y1 - 2013/1/1

N2 - Background: It is largely unknown how TV use relates to depot-specific adiposity or cardiometabolic risk in children. Purpose: To examine relationships between having a TV in the bedroom and TV viewing time with total fat mass, abdominal subcutaneous and visceral adiposity, and cardiometabolic risk in children and adolescents. Methods: A cross-sectional study of 369 children and adolescents aged 5-18 years was conducted (2010-2011; analysis 2011-2012). Waist circumference; resting blood pressure; fasting triglycerides, high-density lipoprotein cholesterol [HDL-C] and glucose; fat mass by dual-energy x-ray absorptiometry; and abdominal subcutaneous and visceral adiposity by MRI were assessed. Cardiometabolic risk was defined as three or more risk factors including adverse levels of waist circumference, blood pressure, triglycerides, HDL-C, and glucose. Logistic regression analysis was used to compute ORs of high fat mass; subcutaneous and visceral adipose tissue mass (top age-adjusted quartile); and cardiometabolic risk, based on self-reported TV present in the bedroom and TV viewing time, controlling for age, gender, ethnicity, moderate-to-vigorous physical activity level, and unhealthy diet. Results: In multivariable models, presence of a TV in the bedroom and TV viewing time were associated with (p<0.05) higher odds of high waist circumference (OR=1.9–2.1); fat mass (OR=2.0–2.5); and subcutaneous adiposity (OR=2.1–2.9), whereas viewing TV ≥5 hours/day was associated with high visceral adiposity (OR=2.0). Having a TV in the bedroom was associated with elevated cardiometabolic risk (OR=2.9) and high triglycerides (OR=2.0). Conclusions Having a bedroom TV and TV viewing time were related to high waist circumference, fat mass, and abdominal subcutaneous adiposity. TV viewing time was related to visceral adiposity, and bedroom TV was related to cardiometabolic risk in children, controlling for moderate-to-vigorous physical activity and an unhealthy diet.

AB - Background: It is largely unknown how TV use relates to depot-specific adiposity or cardiometabolic risk in children. Purpose: To examine relationships between having a TV in the bedroom and TV viewing time with total fat mass, abdominal subcutaneous and visceral adiposity, and cardiometabolic risk in children and adolescents. Methods: A cross-sectional study of 369 children and adolescents aged 5-18 years was conducted (2010-2011; analysis 2011-2012). Waist circumference; resting blood pressure; fasting triglycerides, high-density lipoprotein cholesterol [HDL-C] and glucose; fat mass by dual-energy x-ray absorptiometry; and abdominal subcutaneous and visceral adiposity by MRI were assessed. Cardiometabolic risk was defined as three or more risk factors including adverse levels of waist circumference, blood pressure, triglycerides, HDL-C, and glucose. Logistic regression analysis was used to compute ORs of high fat mass; subcutaneous and visceral adipose tissue mass (top age-adjusted quartile); and cardiometabolic risk, based on self-reported TV present in the bedroom and TV viewing time, controlling for age, gender, ethnicity, moderate-to-vigorous physical activity level, and unhealthy diet. Results: In multivariable models, presence of a TV in the bedroom and TV viewing time were associated with (p<0.05) higher odds of high waist circumference (OR=1.9–2.1); fat mass (OR=2.0–2.5); and subcutaneous adiposity (OR=2.1–2.9), whereas viewing TV ≥5 hours/day was associated with high visceral adiposity (OR=2.0). Having a TV in the bedroom was associated with elevated cardiometabolic risk (OR=2.9) and high triglycerides (OR=2.0). Conclusions Having a bedroom TV and TV viewing time were related to high waist circumference, fat mass, and abdominal subcutaneous adiposity. TV viewing time was related to visceral adiposity, and bedroom TV was related to cardiometabolic risk in children, controlling for moderate-to-vigorous physical activity and an unhealthy diet.

KW - glucose

KW - high density lipoprotein cholesterol

KW - triacylglycerol

KW - abdominal subcutaneous fat

KW - adolescent

KW - adult

KW - article

KW - blood pressure

KW - cardiometabolic risk

KW - child

KW - child care

KW - diet

KW - dual energy X ray absorptiometry

KW - female

KW - human

KW - major clinical study

KW - male

KW - obesity

KW - physical activity

KW - preschool child

KW - school child

KW - self report

KW - television viewing

KW - waist circumference

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DO - 10.1016/j.amepre.2012.09.049

M3 - Article

SN - 0749-3797

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JO - Am. J. Prev. Med.

JF - Am. J. Prev. Med.

IS - 1

ER -

Television, adiposity, and cardiometabolic risk in children and adolescents

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