Smith L, Hamer M
Health Behaviour Research Centre, University College London, London, UK.
Diabet Med. 2014 Dec;31(12):1572-6. doi: 10.1111/dme.12544. Epub 2014 Jul 30.
To investigate the longitudinal association between television viewing time and risk of incident diabetes mellitus in an elderly sample of adults in England.
Analyses of data from the English Longitudinal Study of Ageing. At baseline (2008), participants reported their television viewing time and physical activity level. Diabetes mellitus was recorded from self-reported physician diagnosis at 2-year follow-up. Associations between television viewing time and combined television viewing time and physical activity level with risk of incident diabetes mellitus at follow-up were examined using adjusted logistic regression models.
A total of 5964 participants (mean ± sd age 65 ± 9 years at baseline, 44% male) were included in the analyses. There was an association between baseline television viewing time and risk of incident diabetes mellitus at 2-year follow-up (≥ 6 h/day compared with <2 h/day; odds ratio 4.27, 95% CI 1.69, 10.77), although the association was attenuated to the null in final adjusted models that included BMI. Participants who were inactive/had high television viewing time at baseline were almost twice as likely to have diabetes mellitus at 2-year follow-up than those who were active/had low television viewing time (fully adjusted odds ratio 1.94, 95% CI 1.02, 3.68), although active participants reporting high television viewing were not at risk.
Interventions to reduce the incidence of diabetes in the elderly that focus on both increasing physical activity and reducing television viewing time might prove useful.
在英国成年人的老年样本中,研究看电视时间与新发糖尿病风险之间的纵向关联。
对英国老龄化纵向研究的数据进行分析。在基线期(2008年),参与者报告了他们的看电视时间和身体活动水平。在2年随访时,通过自我报告的医生诊断记录糖尿病情况。使用校正后的逻辑回归模型,检验看电视时间以及看电视时间与身体活动水平的组合与随访时新发糖尿病风险之间的关联。
共有5964名参与者(基线期平均年龄±标准差为65±9岁,44%为男性)纳入分析。在2年随访时,基线看电视时间与新发糖尿病风险之间存在关联(每天≥6小时与<2小时相比;比值比4.27,95%可信区间1.69,10.77),尽管在纳入体重指数的最终校正模型中,该关联减弱至无统计学意义。在基线期不活动/看电视时间长的参与者在2年随访时患糖尿病的可能性几乎是活动/看电视时间短的参与者的两倍(完全校正后的比值比1.94,95%可信区间1.02,3.68),尽管报告看电视时间长的活动参与者没有风险。
聚焦于增加身体活动和减少看电视时间的降低老年人糖尿病发病率的干预措施可能是有用的。