Television Viewing and Hypertension in Obese Children
Refers to article:
Sedentary Behavior
Stuart J.H. Biddle
American Journal of Preventive Medicine
December 2007 (Vol. 33, Issue 6, Pages 502-504) Full Text |
Full-Text PDF (45 KB)
Background
Television viewing is strongly associated with an increased risk of childhood and adolescent obesity. However, the association between TV viewing and hypertension in children is unknown. This study aimed to identify whether TV watching is associated with hypertension in obese children.
Methods
Children seen for obesity, aged 4 to 17 years, were evaluated at three pediatric centers from 2003 to 2005. In 2006–2007, a logistic regression model estimated the odds of hypertension for hours of daily TV time controlling for race, site, and body mass index (BMI) z-score.
Results
A total of 546 subjects, with a mean age of 12 years, were evaluated. The children had a mean BMI of 35.5±9.3 kg/m2 (98.7th±0.8 percentile, z-score 2.54±0.4). TV time was positively correlated with the severity of obesity. After controlling for race, site, and BMI z-score, both the severity of obesity and daily TV time were significant independent predictors of the presence of hypertension. Children watching 2 to 4 hours of TV had 2.5 times the odds of hypertension compared with children watching 0 to <2 hours. The odds of hypertension for children watching 4 or more hours of TV were 3.3 times greater than for children watching 0 to <2 hours of TV.
Conclusions
In obese children, the amount of time spent watching TV is associated with both hypertension and the severity of obesity. Thus, TV viewing is a potential target for addressing hypertension in obese children.
aDepartment of Pediatrics, School of Medicine, University of California, San Diego
bDepartment of Family and Preventive Medicine, University of California, San Diego
cRady Children’s Hospital and Health Center, San Diego
dDivision of Endocrinology, Department of Pediatrics, School of Medicine, University of California, San Francisco, California
eThe USA Healthy Life Center, Department of Pediatrics, University of South Alabama, Mobile, Alabama
Address correspondence and reprint requests to: Jeffrey B. Schwimmer, MD, Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, University of California, San Diego, 200 West Arbor Drive, San Diego CA 92103-845.
The full text of this article is available via AJPM Online at www.ajpm-online.net; 1 unit of Category-1 CME credit is also available with details on the website.
ABSTRACT