Skip to main content
Erschienen in: Diabetologia 11/2005

01.11.2005 | Article

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

verfasst von: D. W. Dunstan, J. Salmon, N. Owen, T. Armstrong, P. Z. Zimmet, T. A. Welborn, A. J. Cameron, T. Dwyer, D. Jolley, J. E. Shaw, on behalf of the AusDiab Steering Committee

Erschienen in: Diabetologia | Ausgabe 11/2005

Einloggen, um Zugang zu erhalten

Abstract

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 ≥35 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 ≤7.0 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 (≥2.5 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 ≥2.5 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.
Literatur
1.
Zurück zum Zitat Wannamethee SG, Shaper AG, Walker M, Ebrahim S (1998) Lifestyle and 15-year survival free of heart attack, stroke, and diabetes in middle-aged British men. Arch Intern Med 158:2433–2440CrossRefPubMed Wannamethee SG, Shaper AG, Walker M, Ebrahim S (1998) Lifestyle and 15-year survival free of heart attack, stroke, and diabetes in middle-aged British men. Arch Intern Med 158:2433–2440CrossRefPubMed
2.
Zurück zum Zitat Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS (1991) Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. New Engl J Med 325:147–152PubMed Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS (1991) Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. New Engl J Med 325:147–152PubMed
3.
Zurück zum Zitat World Health Organization (1999) Definition, diagnosis and classification of diabetes mellitus and its complications. World Health Organization, Geneva World Health Organization (1999) Definition, diagnosis and classification of diabetes mellitus and its complications. World Health Organization, Geneva
4.
Zurück zum Zitat Laaksonen DE, Lakka HM, Salonen JT, Niskanen LK, Rauramaa R, Lakka TA (2002) Low levels of leisure-time physical activity and cardiorespiratory fitness predict development of the metabolic syndrome. Diabetes Care 25:1612–1618PubMed Laaksonen DE, Lakka HM, Salonen JT, Niskanen LK, Rauramaa R, Lakka TA (2002) Low levels of leisure-time physical activity and cardiorespiratory fitness predict development of the metabolic syndrome. Diabetes Care 25:1612–1618PubMed
5.
Zurück zum Zitat Wareham NJ, Hennings SJ, Byrne CD, Hales CN, Prentice AM, Day NE (1998) A quantitative analysis of the relationship between habitual energy expenditure, fitness and the metabolic cardiovascular syndrome. Br J Nutr 80:235–241PubMed Wareham NJ, Hennings SJ, Byrne CD, Hales CN, Prentice AM, Day NE (1998) A quantitative analysis of the relationship between habitual energy expenditure, fitness and the metabolic cardiovascular syndrome. Br J Nutr 80:235–241PubMed
6.
Zurück zum Zitat Rennie KL, McCarthy N, Yazdgerdi S, Marmot M, Brunner E (2003) Association of the metabolic syndrome with both vigorous and moderate physical activity. Int J Epidemiol 32:600–606CrossRefPubMed Rennie KL, McCarthy N, Yazdgerdi S, Marmot M, Brunner E (2003) Association of the metabolic syndrome with both vigorous and moderate physical activity. Int J Epidemiol 32:600–606CrossRefPubMed
7.
Zurück zum Zitat Gustat J, Srinivasan SR, Elkasabany A, Berenson GS (2002) Relation of self-rated measures of physical activity to multiple risk factors of insulin resistance syndrome in young adults: the Bogalusa Heart Study. J Clin Epidemiol 55:997–1006CrossRefPubMed Gustat J, Srinivasan SR, Elkasabany A, Berenson GS (2002) Relation of self-rated measures of physical activity to multiple risk factors of insulin resistance syndrome in young adults: the Bogalusa Heart Study. J Clin Epidemiol 55:997–1006CrossRefPubMed
8.
Zurück zum Zitat Lakka TA, Laaksonen DE, Lakka HM et al (2003) Sedentary lifestyle, poor cardiorespiratory fitness, and the metabolic syndrome. Med Sci Sports Exerc 35:1279–1286PubMed Lakka TA, Laaksonen DE, Lakka HM et al (2003) Sedentary lifestyle, poor cardiorespiratory fitness, and the metabolic syndrome. Med Sci Sports Exerc 35:1279–1286PubMed
9.
Zurück zum Zitat Kronenberg F, Pereira MA, Schmitz MK et al (2000) Influence of leisure time physical activity and television watching on atherosclerosis risk factors in the NHLBI Family Heart Study. Atherosclerosis 153:433–443CrossRefPubMed Kronenberg F, Pereira MA, Schmitz MK et al (2000) Influence of leisure time physical activity and television watching on atherosclerosis risk factors in the NHLBI Family Heart Study. Atherosclerosis 153:433–443CrossRefPubMed
10.
Zurück zum Zitat Jakes RW, Day NE, Khaw KT et al (2003) Television viewing and low participation in vigorous recreation are independently associated with obesity and markers of cardiovascular disease risk: EPIC-Norfolk population-based study. Eur J Clin Nutr 57:1089–1096CrossRefPubMed Jakes RW, Day NE, Khaw KT et al (2003) Television viewing and low participation in vigorous recreation are independently associated with obesity and markers of cardiovascular disease risk: EPIC-Norfolk population-based study. Eur J Clin Nutr 57:1089–1096CrossRefPubMed
11.
Zurück zum Zitat Owen N, Leslie E, Salmon J, Fotheringham MJ (2000) Environmental determinants of physical activity and sedentary behavior. Exerc Sport Sci Rev 28:153–158PubMed Owen N, Leslie E, Salmon J, Fotheringham MJ (2000) Environmental determinants of physical activity and sedentary behavior. Exerc Sport Sci Rev 28:153–158PubMed
12.
Zurück zum Zitat Hu FB, Leitzmann MF, Stampfer MJ, Colditz GA, Willett WC, Rimm EB (2001) Physical activity and television watching in relation to risk for type 2 diabetes mellitus in men. Arch Intern Med 161:1542–1548CrossRefPubMed Hu FB, Leitzmann MF, Stampfer MJ, Colditz GA, Willett WC, Rimm EB (2001) Physical activity and television watching in relation to risk for type 2 diabetes mellitus in men. Arch Intern Med 161:1542–1548CrossRefPubMed
13.
Zurück zum Zitat Hu FB, Li TY, Colditz GA, Willett WC, Manson JE (2003) Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. J Am Med Assoc 289:1785–1791CrossRef Hu FB, Li TY, Colditz GA, Willett WC, Manson JE (2003) Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. J Am Med Assoc 289:1785–1791CrossRef
14.
Zurück zum Zitat Dunstan DW, Zimmet PZ, Welborn TA et al (2002) The Australian Diabetes, Obesity and Lifestyle Study (AusDiab)—methods and response rates. Diabetes Res Clin Pract 57:119–129CrossRefPubMed Dunstan DW, Zimmet PZ, Welborn TA et al (2002) The Australian Diabetes, Obesity and Lifestyle Study (AusDiab)—methods and response rates. Diabetes Res Clin Pract 57:119–129CrossRefPubMed
15.
Zurück zum Zitat Dunstan DW, Zimmet PZ, Welborn TA et al (2002) The rising prevalence of diabetes and impaired glucose tolerance: the Australian Diabetes, Obesity and Lifestyle Study. Diabetes Care 25:829–834PubMed Dunstan DW, Zimmet PZ, Welborn TA et al (2002) The rising prevalence of diabetes and impaired glucose tolerance: the Australian Diabetes, Obesity and Lifestyle Study. Diabetes Care 25:829–834PubMed
16.
Zurück zum Zitat Cameron AJ, Welborn TA, Zimmet PZ et al (2003) Overweight and obesity in Australia: the 1999–2000 Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Med J Aust 178:427–432PubMed Cameron AJ, Welborn TA, Zimmet PZ et al (2003) Overweight and obesity in Australia: the 1999–2000 Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Med J Aust 178:427–432PubMed
17.
Zurück zum Zitat National Cholesterol Education Program (2001) Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). J Am Med Assoc 285:2486–2497 National Cholesterol Education Program (2001) Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). J Am Med Assoc 285:2486–2497
19.
Zurück zum Zitat Ireland P, Jolley D, Giles G et al (1994) Development of the Melbourne FFQ: a food frequency questionnaire for use in an Australian prospective study involving an ethnically diverse cohort. Asia Pac J Clin Nutr 3:19–31 Ireland P, Jolley D, Giles G et al (1994) Development of the Melbourne FFQ: a food frequency questionnaire for use in an Australian prospective study involving an ethnically diverse cohort. Asia Pac J Clin Nutr 3:19–31
20.
Zurück zum Zitat Lewis J, Milligan G, Hunt A (1995) NUTTAB95 nutrient data table for use in Australia. Australian Government Publishing Service, Canberra Lewis J, Milligan G, Hunt A (1995) NUTTAB95 nutrient data table for use in Australia. Australian Government Publishing Service, Canberra
21.
Zurück zum Zitat Salmon J, Owen N, Crawford D, Bauman A, Sallis JF (2003) Physical activity and sedentary behavior: a population-based study of barriers, enjoyment, and preference. Health Psychol 22:178–188CrossRefPubMed Salmon J, Owen N, Crawford D, Bauman A, Sallis JF (2003) Physical activity and sedentary behavior: a population-based study of barriers, enjoyment, and preference. Health Psychol 22:178–188CrossRefPubMed
22.
Zurück zum Zitat Australian Institute of Health and Welfare (2003) The Active Australia Survey. A guide and manual for implementation, analysis and reporting. AIHW, Canberra Australian Institute of Health and Welfare (2003) The Active Australia Survey. A guide and manual for implementation, analysis and reporting. AIHW, Canberra
23.
Zurück zum Zitat US Department of Health and Human Services (1996) Physical activity and health: a report of the Surgeon General. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Washington US Department of Health and Human Services (1996) Physical activity and health: a report of the Surgeon General. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Washington
24.
Zurück zum Zitat Fung TT, Hu FB, Yu J et al (2000) Leisure-time physical activity, television watching, and plasma biomarkers of obesity and cardiovascular disease risk. Am J Epidemiol 152:1171–1178CrossRefPubMed Fung TT, Hu FB, Yu J et al (2000) Leisure-time physical activity, television watching, and plasma biomarkers of obesity and cardiovascular disease risk. Am J Epidemiol 152:1171–1178CrossRefPubMed
25.
Zurück zum Zitat Ching PL, Willett WC, Rimm EB, Colditz GA, Gortmaker SL, Stampfer MJ (1996) Activity level and risk of overweight in male health professionals. Am J Public Health 86:25–30PubMed Ching PL, Willett WC, Rimm EB, Colditz GA, Gortmaker SL, Stampfer MJ (1996) Activity level and risk of overweight in male health professionals. Am J Public Health 86:25–30PubMed
26.
Zurück zum Zitat Jeffery RW, French SA (1998) Epidemic obesity in the United States: are fast foods and television viewing contributing? Am J Public Health 88:277–280PubMed Jeffery RW, French SA (1998) Epidemic obesity in the United States: are fast foods and television viewing contributing? Am J Public Health 88:277–280PubMed
27.
Zurück zum Zitat Hamilton M, Hamilton D, Zderic T (2004) Exercise physiology versus inactivity physiology: an essential concept for understanding lipoprotein lipase regulation. Exerc Sport Sci Rev 32:161–166CrossRefPubMed Hamilton M, Hamilton D, Zderic T (2004) Exercise physiology versus inactivity physiology: an essential concept for understanding lipoprotein lipase regulation. Exerc Sport Sci Rev 32:161–166CrossRefPubMed
28.
Zurück zum Zitat Hu G, Pekkarinen H, Hanninen O, Tian H, Jin R (2002) Comparison of dietary and non-dietary risk factors in overweight and normal-weight Chinese adults. Br J Nutr 88:91–97CrossRefPubMed Hu G, Pekkarinen H, Hanninen O, Tian H, Jin R (2002) Comparison of dietary and non-dietary risk factors in overweight and normal-weight Chinese adults. Br J Nutr 88:91–97CrossRefPubMed
29.
Zurück zum Zitat Pereira MA, Folsom AR, McGovern PG, et al (1999) Physical activity and incident hypertension in black and white adults: the Atherosclerosis Risk in Communities Study. Prev Med 28:304–312CrossRefPubMed Pereira MA, Folsom AR, McGovern PG, et al (1999) Physical activity and incident hypertension in black and white adults: the Atherosclerosis Risk in Communities Study. Prev Med 28:304–312CrossRefPubMed
30.
Zurück zum Zitat Bassett DR Jr, Fitzhugh EC, Crespo CJ, King GA, McLaughlin JE (2002) Physical activity and ethnic differences in hypertension prevalence in the United States. Prev Med 34:179–186CrossRefPubMed Bassett DR Jr, Fitzhugh EC, Crespo CJ, King GA, McLaughlin JE (2002) Physical activity and ethnic differences in hypertension prevalence in the United States. Prev Med 34:179–186CrossRefPubMed
31.
Zurück zum Zitat Sharabi Y, Grotto I, Huerta M, Grossman E (2004) Susceptibility of the influence of weight on blood pressure in men versus women: lessons from a large-scale study of young adults. Am J Hypertens 17:404–408CrossRefPubMed Sharabi Y, Grotto I, Huerta M, Grossman E (2004) Susceptibility of the influence of weight on blood pressure in men versus women: lessons from a large-scale study of young adults. Am J Hypertens 17:404–408CrossRefPubMed
32.
Zurück zum Zitat Timperio A, Salmon J, Bull F, Rosenberg M (2002) Validation of physical activity questions for use in Australian population surveys. Commonwealth Department of Aging, Canberra Timperio A, Salmon J, Bull F, Rosenberg M (2002) Validation of physical activity questions for use in Australian population surveys. Commonwealth Department of Aging, Canberra
33.
Zurück zum Zitat Briefel RR, Sempos CT, McDowell MA, Chien S, Alaimo K (1997) Dietary methods research in the third National Health and Nutrition Examination Survey: underreporting of energy intake. Am J Clin Nutr 65:1203S–1209SPubMed Briefel RR, Sempos CT, McDowell MA, Chien S, Alaimo K (1997) Dietary methods research in the third National Health and Nutrition Examination Survey: underreporting of energy intake. Am J Clin Nutr 65:1203S–1209SPubMed
Metadaten
Titel
Associations of TV viewing and physical activity with the metabolic syndrome in Australian adults
verfasst von
D. W. Dunstan
J. Salmon
N. Owen
T. Armstrong
P. Z. Zimmet
T. A. Welborn
A. J. Cameron
T. Dwyer
D. Jolley
J. E. Shaw
on behalf of the AusDiab Steering Committee
Publikationsdatum
01.11.2005
Erschienen in
Diabetologia / Ausgabe 11/2005
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-005-1963-4

Weitere Artikel der Ausgabe 11/2005

Diabetologia 11/2005 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.