Advertisement

Association between screen time and metabolic syndrome in children and adolescents in Korea: The 2005 Korean National Health and Nutrition Examination Survey

      Abstract

      Objective

      To examine the association between screen time and the metabolic syndrome (MetS) in a nationally representative sample of children and adolescents.

      Methods

      A cross-sectional survey was conducted in 845 children and adolescents (10–18 years of age) from the 2005 Korean National Health and Nutrition Examination Surveys (KNHANES). Screen time was defined as TV time + computer time. The definition of MetS was based on the modified criteria used by the National Cholesterol Education Program-Adult Treatment Panel III, using age- and sex-specific values for some of the criteria.

      Results

      In comparison with the children and adolescents in the ST-Q1 (≤16 h for a week), the odds ratio (95% confidence interval) for MetS of subjects in the ST-Q4 (≥35 h for a week) was 2.23 (95% CI, 1.02–4.86) after the adjustment for age, household income, and residence area. Moreover, screen time for a weekend day was also strongly associated with the prevalence of MetS, but not for a weekday.

      Conclusions

      Screen time was independently associated with an increased prevalence risk of MetS in children and adolescents in Korea. Public health intervention to reduce screen time particularly for a weekend may be needed to prevent pediatric MetS in Korea.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Diabetes Research and Clinical Practice
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Reaven G.M.
        Banting Lecture 1988: role of insulin resistance in human disease.
        Diabetes. 1988; 37: 1595-1607
        • Moller D.E.
        • Kaufman K.D.
        Metabolic syndrome: a clinical and molecular perspective.
        Annu. Rev. Med. 2005; 56: 45-62
        • Cowey S.
        • Hardy R.W.
        The metabolic syndrome: a high-risk state for cancer?.
        Am. J. Pathol. 2006; 169: 1505-1522
        • Russo A.
        • Autelitano M.
        • Bisanti L.
        Metabolic syndrome and cancer risk.
        Eur. J. Cancer. 2008; 44: 293-297
        • Katzmarzyk P.T.
        • Pérusse L.
        • Malina R.M.
        • Bergeron J.
        • Després J.P.
        • Bouchard C.
        Stability of indicators of the metabolic syndrome from childhood and adolescence to young adulthood: the Quebec Family Study.
        J. Clin. Epidemiol. 2001; 54: 190-195
        • Srinivasan S.R.
        • Myers L.
        • Berenson G.S.
        Predictability of childhood adiposity and insulin for developing insulin resistance syndrome (syndrome X) in young adulthood: the Bogalusa Heart Study.
        Diabetes. 2002; 51: 204-209
        • Dietz W.H.
        Health consequences of obesity in youth: childhood predictors of adult disease.
        Pediatrics. 1998; 101: 518-525
        • Kim H.M.
        • Park J.
        • Kim H.S.
        • Kim D.H.
        Prevalence of the metabolic syndrome in Korean adolescents aged 12–19 years from the Korean National Health and Nutrition Examination Survey 1998 and 2001.
        Diabetes Res. Clin. Pract. 2007; 75: 111-114
        • Tammelin T.
        • Ekelund U.
        • Remes J.
        • Näyhä S.
        Physical activity and sedentary behaviors among Finnish youth.
        Med. Sci. Sports Exerc. 2007; 39: 1067-1074
        • Sugiyama T.
        • Healy G.N.
        • Dunstan D.W.
        • Salmon J.
        • Owen N.
        Is television viewing time a marker of a broader pattern of sedentary behavior?.
        Ann. Behav. Med. 2008; 35: 245-250
        • American Academy of Pediatrics
        Committee on public education, American Academy of Pediatrics: children, adolescents, and television.
        Pediatrics. 2001; 107: 423-426
        • Pardee P.E.
        • Norman G.J.
        • Lustig R.H.
        • Preud’homme D.
        • Schwimmer J.B.
        Television viewing and hypertension in obese children.
        Am. J. Prev. Med. 2007; 33: 439-443
        • Andersen R.E.
        • Crespo C.J.
        • Bartlett S.J.
        • Cheskin L.J.
        • Pratt M.
        Relationship of physical activity and television watching with body weight and level of fatness among children: results from the Third National Health and Nutrition Examination Survey.
        JAMA. 1998; 279: 938-942
        • Ford E.S.
        • Li C.
        • Cook S.
        • Choi H.K.
        Serum concentrations of uric acid and the metabolic syndrome among US children and adolescents.
        Circulation. 2007; 115: 2526-2532
        • Li Y.
        • Yang X.
        • Zhai F.
        • Kok F.J.
        • Zhao W.
        • Piao J.
        • et al.
        Prevalence of the metabolic syndrome in Chinese adolescents.
        Br. J. Nutr. 2008; 99: 565-570
        • Singh R.
        • Bhansali A.
        • Sialy R.
        • Aggarwal A.
        Prevalence of metabolic syndrome in adolescents from a north Indian population.
        Diabet. Med. 2007; 24: 195-199
        • Johnson W.D.
        • Kroon J.J.
        • Greenway F.L.
        • Bouchard C.
        • Ryan D.
        • Katzmarzyk P.T.
        Prevalence of risk factors for metabolic syndrome in adolescents: National Health and Nutrition Examination Survey (NHANES), 2001–2006.
        Arch. Pediatr. Adolesc. Med. 2009; 163: 371-377
        • Daratha K.B.
        • Bindler R.C.
        Effects of individual components, time, and sex on prevalence of metabolic syndrome in adolescents.
        Arch. Pediatr. Adolesc. Med. 2009; 163: 365-370
        • Morrison J.A.
        • Friedman L.A.
        • Harlan W.R.
        • Harlan L.C.
        • Barton B.A.
        • Schreiber G.B.
        • et al.
        Development of the metabolic syndrome in black and white adolescent girls: a longitudinal assessment.
        Pediatrics. 2005; 116: 1178-1182
        • Stroebele N.
        • de Castro J.M.
        Television viewing is associated with an increase in meal frequency in humans.
        Appetite. 2004; 42: 111-113
        • Phillips S.M.
        • Bandini L.G.
        • Naumova E.N.
        • Cyr H.
        • Colclough S.
        • Dietz W.H.
        • et al.
        Energy-dense snack food intake in adolescence: longitudinal relationship to weight and fatness.
        Obes. Res. 2004; 12: 461-472
        • Lowry R.
        • Wechsler H.
        • Galuska D.A.
        • Fulton J.E.
        • Kann L.
        Television viewing and its associations with overweight, sedentary lifestyle, and insufficient consumption of fruits and vegetables among US high school students: differences by race, ethnicity, and gender.
        J. Sch. Health. 2002; 72: 413-421
        • Rey-López J.P.
        • Vicente-Rodríguez G.
        • Biosca M.
        • Moreno L.A.
        Sedentary behaviour and obesity development in children and adolescents.
        Nutr. Metab. Cardiovasc. Dis. 2008; 18: 242-251
        • Panagiotakos D.B.
        • Pitsavos C.
        • Chrysohoou C.
        • Skoumas J.
        • Tousoulis D.
        • Toutouza M.
        • et al.
        Impact of lifestyle habits on the prevalence of the metabolic syndrome among Greek adults from the ATTICA study.
        Am. Heart J. 2004; 147: 106-112
        • Mark A.E.
        • Janssen I.
        Relationship between screen time and metabolic syndrome in adolescents.
        J. Public Health. 2008; 30: 153-160
        • Viner R.M.
        • Cole T.J.
        Television viewing in early childhood predicts adult body mass index.
        J. Pediatr. 2005; 147: 429-435
        • Schimitz K.H.
        • Harnack L.
        • Fulton J.E.
        • Jacobs Jr., D.R.
        • Gao S.
        • Lytle L.A.
        • et al.
        Reliability and validity of a brief questionnaire to assess television viewing and computer use by middle school children.
        J. Sch. Health. 2004; 74: 370-377
        • Feldman D.E.
        • Barnett T.
        • Shrier I.
        • Rossignol M.
        • Abenhaim L.
        Is physical activity differentially associated with different types of sedentary pursuits?.
        Arch. Pediatr. Adolesc. Med. 2003; 157: 797-802