Margeirsdottir Hanna D, Larsen Jakob R, Brunborg Cathrine, Sandvik Leiv, Dahl-Jørgensen Knut
Faculty of Medicine, University of Oslo, Oslo, Norway.
Diabetes Care. 2007 Jun;30(6):1567-70. doi: 10.2337/dc06-2112. Epub 2007 Mar 19.
To examine the relationship between blood glucose control and the time spent watching television in Norwegian children and adolescents with type 1 diabetes in a population-based study.
A total of 538 children and adolescents from 9 hospitals in the eastern part of Norway participated in the study; 70% of eligible subjects participated. The time spent watching television and time using a computer was recorded separately by interview together with clinical data. Mean (+/-SD) age was 13.1 +/- 3.7 years, mean diabetes duration was 5.4 +/- 3.4 years, and mean A1C was 8.6 +/- 1.3% (reference range 4.1-6.4).
Sixty-two patients (11%) watched television <1 h daily (mean A1C 8.2 +/- 0.9%), 189 patients (35%) watched television between 1 and 2 h daily (8.4 +/- 1.2%), 166 patients (31%) watched television 2-3 h daily (8.7 +/- 1.4%), 75 patients (14%) watched television 3-4 h daily (8.8 +/- 1.2%), and 46 patients (9%) watched television > or =4 h daily (9.5 +/- 1.6%). This trend was highly significant (P < 0.001). The association between television viewing and A1C remained significant, even after adjusting for age and BMI and insulin dose. No correlation between A1C and the use of a personal computer was observed.
Extensive television watching is associated with poor blood glucose control in children and adolescents with type 1 diabetes.
在一项基于人群的研究中，探讨挪威1型糖尿病儿童和青少年的血糖控制与看电视时间之间的关系。
来自挪威东部9家医院的538名儿童和青少年参与了该研究；符合条件的受试者中有70%参与。通过访谈分别记录看电视时间、使用电脑时间以及临床数据。平均（±标准差）年龄为13.1±3.7岁，平均糖尿病病程为5.4±3.4年，平均糖化血红蛋白（A1C）为8.6±1.3%（参考范围4.1 - 6.4）。
62名患者（11%）每天看电视<1小时（平均A1C 8.2±0.9%），189名患者（35%）每天看电视1 - 2小时（8.4±1.2%），166名患者（31%）每天看电视2 - 3小时（8.7±1.4%），75名患者（14%）每天看电视3 - 4小时（8.8±1.2%），46名患者（9%）每天看电视≥4小时（9.5±1.6%）。这种趋势具有高度显著性（P<0.001）。即使在对年龄、体重指数（BMI）和胰岛素剂量进行校正后，看电视与A1C之间的关联仍然显著。未观察到A1C与使用个人电脑之间存在相关性。
在1型糖尿病儿童和青少年中，长时间看电视与血糖控制不佳有关。
