• Am J Prev Med · Mar 2024

    TV Viewing From Young Adulthood to Middle Age and Cardiovascular Disease Risk.

    • Jason M Nagata, Eric Vittinghoff, Erin E Dooley, Feng Lin, Jamal S Rana, Stephen Sidney, and Pettee GabrielKelleyKDepartment of Epidemiology, School of Public Health, The University of Alabama at Birmingham, Birmingham, Alabama..
    • Division of Adolescent & Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California. Electronic address: jason.nagata@ucsf.edu.
    • Am J Prev Med. 2024 Mar 1; 66 (3): 427434427-434.

    IntroductionFew studies have longitudinally examined TV viewing trajectories and cardiovascular disease risk factors. The objective of this study was to determine the association between level and annualized changes in young adult TV viewing and the incidence of cardiovascular disease risk factors from young adulthood to middle age.MethodsIn 2023, prospective community-based cohort data of 4,318 Coronary Artery Risk Development in Young Adults study participants (1990-1991 to 2015-2016) were analyzed. Individualized daily TV viewing trajectories for each participant were developed using linear mixed models.ResultsEvery additional hour of TV viewing at age 23 years was associated with higher odds of incident hypertension (AOR=1.16; 95% CI=1.11, 1.22), diabetes (AOR=1.19; 95% CI=1.11, 1.28), high triglycerides (AOR=1.17; 95% CI=1.08, 1.26), dyslipidemia (AOR=1.10; 95% CI=1.03, 1.16), and obesity (AOR=1.12; 95% CI=1.06, 1.17). In addition, each hourly increase in daily TV viewing was associated with higher annual odds of incident hypertension (AOR=1.26; 95% CI=1.16, 1.37), low high-density lipoprotein cholesterol (AOR=1.15; 95% CI=1.03, 1.30), high triglycerides (AOR=1.32; 95% CI=1.15, 1.51), dyslipidemia (AOR=1.22; 95% CI=1.11, 1.34), and obesity (AOR=1.17; 95% CI=1.07, 1.27) over the follow-up period.ConclusionsIn this prospective cohort study, higher TV viewing in young adulthood and annual increases in TV viewing were associated with incident hypertension, high triglycerides, and obesity. Young adulthood as well as behaviors across midlife may be important time periods to promote healthful TV viewing behavior patterns.Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.

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