Journal
PEDIATRIC DIABETES
Volume 16, Issue 5, Pages 382-391Publisher
WILEY
DOI: 10.1111/pedi.12163
Keywords
diabetes; hemoglobin A1c; screen time; serum lipids; youth
Categories
Funding
- Centers for Disease Control and Prevention (PA) [00097, DP-05-069, DP-10-001]
- National Institute of Diabetes and Digestive and Kidney Diseases
- NIH/NCRR [UL1RR029882]
- NIH CTSA [UL1 TR00423]
- University of Colorado Pediatric Clinical and Translational Research Center (CTRC) [UL1 TR000154]
- National Center for Research Resources and the National Center for Advancing Translational Sciences, National Institutes of Health [8 UL1 TR000077]
- Kaiser Permanente Southern California [U48/CCU919219, U01 DP000246, U18DP002714]
- University of Colorado Denver [U48/CCU819241-3, U01 DP000247, U18DP000247-06A1]
- Kuakini Medical Center [U58CCU919256, U01 DP000245]
- Children's Hospital Medical Center (Cincinnati) [U48/CCU519239, U01 DP000248, 1U18DP002709]
- University of North Carolina at Chapel Hill [U48/CCU419249, U01 DP000254, U18DP002708]
- University of Washington School of Medicine [U58/CCU019235-4, U01 DP000244, U18DP002710-01]
- Wake Forest University School of Medicine [U48/CCU919219, U01 DP000250, 200-2010-35171]
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BackgroundThe 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). ObjectiveTo examine the longitudinal relationship of screen time with HbA1c and serum lipids among youth with diabetes. SubjectsYouth with T1D and T2D. MethodsWe followed up 1049 youth (10 yr old) with recently diagnosed T1D and T2D participating in the SEARCH for Diabetes in Youth Study. ResultsIncreased 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). ConclusionsYouth 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.
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