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Associations of TV viewing and physical activity with the metabolic syndrome in Australian adults

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journal contribution
posted on 01.11.2005, 00:00 authored by David DunstanDavid Dunstan, Jo SalmonJo Salmon, N Owen, T Armstrong, P Zimmet, T Welborn, Adrian CameronAdrian Cameron, T Dwyer, Damien Jolley, J Shaw
Aims/hypothesis We analysed a sample of Australian adults to determine the strength of associations of TV viewing and participation in physical activity with the metabolic syndrome.

Methods
This population-based cross-sectional study included 6,241 adults aged ge35 years who were free from diagnosed diabetes mellitus and self-reported ischaemic disease and were not taking lipid-lowering or antihypertensive drugs. The metabolic syndrome was defined according to the 1999 World Health Organization criteria. Participants self-reported TV viewing time and physical activity time for the previous week.

Results The adjusted odds ratio of having the metabolic syndrome was 2.07 (95% CI 1.49–2.88) in women and 1.48 (95% CI 0.95–2.31) in men who watched TV for >14 h per week compared with those who watched le7.0 h per week. Compared with those who were less active (<2.5 h per week), the odds ratio for the metabolic syndrome was 0.72 (95% CI 0.58–0.90) in men and 0.53 (95% CI 0.38–0.74) in women who were active (ge2.5 h per week). Longer TV viewing (>14 h per week) was associated with an increased risk of insulin resistance, obesity and dyslipidaemia in both men and women. A total physical activity time of ge2.5 h per week was associated with a reduced prevalence of both insulin resistance and dyslipidaemia in both sexes and reduced prevalence of both obesity and hypertension in women.

Conclusions/interpretation Increased TV viewing time was associated with an increased prevalence of the metabolic syndrome, while physical activity was associated with a reduced prevalence. Population strategies addressing the metabolic syndrome should focus on reducing sedentary behaviours such as TV viewing, as well as increasing physical activity.

History

Journal

Diabetologia : clinical and experimental diabetes and metabolism

Volume

48

Issue

11

Pagination

2254 - 2261

Publisher

Springer-Verlag

Location

Berlin, Germany

ISSN

0012-186X

eISSN

1432-0428

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2005, Springer-Verlag