Dr. Gary Goldfield, Travis Saunders, Dr. Stasia Hadjiyannakis and Dr. Mark Tremblay along with other colleagues have written a paper titled, “Screen Viewing and Diabetes Risk Factors in Overweight and Obese Adolescents,” that was recently published in the American Journal of Preventive Medicine. Citation details are below.
G. Goldfield, T.J. Saunders, G.P. Kenny, S. Hadjiyannakis, P. Phillips, A.S. Alberga, M.S. Tremblay, R.J. Sigal. Screen Viewing and Diabetes Risk Factors in Overweight and Obese Adolescents. American Journal of Preventive Medicine 44(4S4):S364-S370, 2013.
ABSTRACT: Background: Sedentary behavior has been associated with deleterious cardiometabolic health indicators in adults, but very little research has examined this relationship in youth. Purpose: To examine the association between the duration and type of sedentary screen behavior with diabetes risk factors (fasting glucose, insulin, homeostasis model-insulin resistance [HOMA-IR], 2-hour postload glucose, hemoglobin A1c) in a sample of overweight and obese adolescents. Methods: A cross-sectional study of 307 overweight or obese adolescents aged 14–18 years (90 boys, 217 girls) assessed at baseline of a lifestyle intervention for weight control conducted from 2005 to 2010. Sedentary screen behaviors, defıned as hours per day spent watching TV, playing seated video games, recreational computer use, and total screen time were measured by self-report. Data were analyzed using linear regression analyses in 2012. Results: TV viewing was the only type of sedentary screen behavior associated with elevated diabetes risk factors before and after adjustment for confounders. Specifıcally, TV viewing remained positively associated with fasting insulin (adjusted r0.11, 0.10, p0.048) and HOMA-IR (adjusted r0.11, 0.10, p0.05) after adjustment for age, gender, waist-to-hip ratio, caloric intake, percentage of intake in carbohydrates, physical activity duration, and physical activity intensity. Conclusions: TV watching may be independently associated with an increase in diabetes risk factors in a high-risk sample of overweight and obese adolescents. These fındings provide support for interventions designed to reduce time spent watching TV as a possible means to attenuating diabetes risk factors in this high-risk population.