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Media use trajector...
Media use trajectories and risk of metabolic syndrome in European children and adolescents: the IDEFICS/I.Family cohort
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- Sina, E. (författare)
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany
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- Buck, C. (författare)
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany
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- Veidebaum, T. (författare)
- Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia
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- Siani, A. (författare)
- Institute of Food Sciences, National Research Council, Avellino, Italy
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- Reisch, L. (författare)
- Department of Management, Society and Communication, Copenhagen Business School, Copenhagen, Denmark
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- Pohlabeln, H. (författare)
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany
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- Pala, V. (författare)
- Department of Preventive and Predictive Medicine, Fondazione IRCCS, Istituto Nazionale Dei Tumori, Milan, Italy
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- Lissner, Lauren, 1956 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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- Molnar, D. (författare)
- Department of Pediatrics, Medical School, University of Pécs, Hungary
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- Lissner, Lauren, 1956 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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- Kourides, Y. (författare)
- Research and Education Institute of Child Health, Strovolos, Cyprus
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- De Henauw, S. (författare)
- Department of Public Health and Primary Care, Ghent University, Belgium
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- Eiben, Gabriele (författare)
- Högskolan i Skövde,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,Medborgarcentrerad hälsa MeCH, Research on Citizen Centered Health, University of Skövde (Reacch US)
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- Ahrens, W. (författare)
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany ; Institute of Statistics, Faculty of Mathematics and Computer Science, University of Bremen, Germany
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- Hebestreit, A. (författare)
- Leibniz Institute for Prevention Research and Epidemiology-BIPS, Bremen, Germany
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(creator_code:org_t)
- 2021-10-18
- 2021
- Engelska.
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Ingår i: International Journal of Behavioral Nutrition and Physical Activity. - : Springer Science and Business Media LLC. - 1479-5868. ; 18:1
- Relaterad länk:
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https://ijbnpa.biome...
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https://doi.org/10.1...
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https://his.diva-por... (primary) (Raw object)
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: Media use may influence metabolic syndrome (MetS) in children. Yet, longitudinal studies are scarce. This study aims to evaluate the longitudinal association of childhood digital media (DM) use trajectories with MetS and its components. Methods: Children from Belgium, Cyprus, Estonia, Germany, Hungary, Italy, Spain and Sweden participating in the IDEFICS/I.Family cohort were examined at baseline (W1: 2007/2008) and then followed-up at two examination waves (W2: 2009/2010 and W3: 2013/2014). DM use (hours/day) was calculated as sum of television viewing, computer/game console and internet use. MetS z-score was calculated as sum of age- and sex-specific z-scores of four components: waist circumference, blood pressure, dyslipidemia (mean of triglycerides and HDL-cholesterol(-1)) and homeostasis model assessment for insulin resistance (HOMA-IR). Unfavorable monitoring levels of MetS and its components were identified (cut-off: >= 90(th) percentile of each score). Children aged 2-16 years with >= 2 observations (W1/W2; W1/W3; W2/W3; W1/W2/W3) were eligible for the analysis. A two-step procedure was conducted: first, individual age-dependent DM trajectories were calculated using linear mixed regressions based on random intercept (hours/day) and linear slopes (hours/day/year) and used as exposure measures in association with MetS at a second step. Trajectories were further dichotomized if children increased their DM duration over time above or below the mean. Results: 10,359 children and adolescents (20,075 total observations, 50.3% females, mean age = 7.9, SD = 2.7) were included. DM exposure increased as children grew older (from 2.2 h/day at 2 years to 4.2 h/day at 16 years). Estonian children showed the steepest DM increase; Spanish children the lowest. The prevalence of MetS at last follow-up was 5.5%. Increasing media use trajectories were positively associated with z-scores of MetS (slope: beta = 0.54, 95%CI = 0.20-0.88; intercept: beta = 0.07, 95%CI = 0.02-0.13), and its components after adjustment for puberty, diet and other confounders. Children with increasing DM trajectories above mean had a 30% higher risk of developing MetS (slope: OR = 1.30, 95%CI = 1.04-1.62). Boys developed steeper DM use trajectories and higher risk for MetS compared to girls. Conclusions: Digital media use appears to be a risk factor for the development of MetS in children and adolescents. These results are of utmost importance for pediatricians and the development of health policies to prevent cardio-metabolic disorders later in life.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Fysiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Physiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- Longitudinal study
- Digital media
- Screen-time
- Metabolic disorders
- Sedentary behavior
- Physical activity
- Diet quality
- Children
- Adolescents
- physical-activity
- reference values
- young-children
- screen time
- childhood
- associations
- insulin
- design
- health
- impact
- Nutrition & Dietetics
- Physiology
- Adolescents
- Research on Citizen Centered Health, University of Skövde (Reacch US)
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Sina, E.
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Buck, C.
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Veidebaum, T.
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Siani, A.
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Reisch, L.
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Pohlabeln, H.
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visa fler...
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Pala, V.
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Lissner, Lauren, ...
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Molnar, D.
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Kourides, Y.
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De Henauw, S.
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Eiben, Gabriele
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Ahrens, W.
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Hebestreit, A.
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Näringslära
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Medicinska och f ...
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och Fysiologi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Pediatrik
- Artiklar i publikationen
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International Jo ...
- Av lärosätet
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Göteborgs universitet
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Högskolan i Skövde