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Television-viewing time and bodily pain in Australian adults with and without type 2 diabetes: 12-year prospective relationships
journal contribution
posted on 2023-02-15, 03:05 authored by FQS Dzakpasu, N Owen, A Carver, P Sethi, CJ Brakenridge, A Salim, DM Urquhart, F Cicuttini, David DunstanDavid DunstanBackground: Bodily pain is a common presentation in several chronic diseases, yet the influence of sedentary behaviour, common in ageing adults, is unclear. Television-viewing (TV) time is a ubiquitous leisure-time sedentary behaviour, with a potential contribution to the development of bodily pain. We examined bodily pain trajectories and the longitudinal relationships of TV time with the bodily pain severity; and further, the potential moderation of the relationships by type 2 diabetes (T2D) status. Method: Data were from 4099 participants (aged 35 to 65 years at baseline) in the Australian Diabetes, Obesity and Lifestyle Study (AusDiab), who took part in the follow-ups at 5 years, 12 years, or both. Bodily pain (from SF36 questionnaire: a 0 to 100 scale, where lower scores indicate more-severe pain), TV time, and T2D status [normal glucose metabolism (NGM), prediabetes, and T2D] were assessed at all three time points. Multilevel growth curve modelling used age (centred at 50 years) as the time metric, adjusting for potential confounders, including physical activity and waist circumference. Results: Mean TV time increased, and bodily pain worsened (i.e., mean bodily pain score decreased) across the three time points. Those with T2D had higher TV time and more-severe bodily pain than those without T2D at all time points. In a fully adjusted model, the mean bodily pain score for those aged 50 years at baseline was 76.9(SE: 2.2) and worsened (i.e., bodily pain score decreased) significantly by 0.3(SE: 0.03) units every additional year (p <0.001). Those with initially more-severe pain had a higher rate of increase in pain severity. At any given time point, a one-hour increase in daily TV time was significantly associated with an increase in pain severity [bodily pain score decreased by 0.69 (SE: 0.17) units each additional hour; p <0.001], accounting for the growth factor (age) and confounders’ effects. The association was more-pronounced in those with T2D than in those without (prediabetes or NGM), with the effect of T2D on bodily pain severity becoming more apparent as TV time increases, significantly so when TV time increased above 2.5 hours per day. Conclusion: Bodily pain severity increased with age in middle-aged and older Australian adults over a 12-year period, and increments in TV time predicted increased bodily pain severity at any given period, which was more pronounced in those with T2D. While increasing physical activity is a mainstay of the prevention and management of chronic health problems, these new findings highlight the potential of reducing sedentary behaviours in this context.
History
Journal
BMC Public HealthVolume
22Article number
ARTN 2218Location
EnglandPublisher DOI
ISSN
1471-2458eISSN
1471-2458Language
EnglishPublication classification
C1 Refereed article in a scholarly journalIssue
1Publisher
BMCUsage metrics
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Keywords
Science & TechnologyLife Sciences & BiomedicinePublic, Environmental & Occupational HealthBodily pain trajectoryChronic painGrowth curve modelPrediabetesSedentary behaviourTV timeType 2 diabetesTEST-RETEST RELIABILITYPHYSICAL-ACTIVITYSEDENTARY BEHAVIORLIFE-STYLEOBESITYOSTEOARTHRITISASSOCIATIONGUIDELINESMANAGEMENTVALIDITYAdultMiddle AgedHumansAgedDiabetes Mellitus, Type 2Prediabetic StateProspective StudiesAustraliaPainTelevisionPreventionNutritionPain ResearchObesityDiabetesChronic PainClinical ResearchMetabolic and endocrinePublic Health and Health Services not elsewhere classified
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