Does meeting physical activity recommendations ameliorate association between television viewing with cardiovascular disease risk? A cross-sectional, population-based analysis.
Does meeting physical activity recommendations ameliorate association between television viewing with cardiovascular disease risk? A cross-sectional, population-based analysis.
复制标题
满足身体活动建议是否会改善看电视与心血管疾病风险之间的关联？
DOI：
10.1136/bmjopen-2019-036507
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发表时间：
2020
期刊：
影响因子：
2.9
通讯作者：
Hanlon,AlexandraL
中科院分区：
文献类型：
--
作者：
Patterson,Freda;Mitchell,JonathanA;Dominick,Gregory;Lozano,AliciaJ;Huang,Liming;Hanlon,AlexandraL
作为一种常见的久坐行为，看电视与身体质量指数（BMI）以及总体心血管疾病（CVD）风险的增加有关。这项研究检查了满足推荐的每周体力活动量（PA）在多大程度上降低了看电视与BMI和CVD风险结果之间的关联。第二个目标是确定（即，临界点）的每日电视观看，赋予更高的BMI和CVD风险的一个大的人口为基础的样本的成年人。DesignationPopulation-based，横断面研究。SettingUK Biobank招募了35个中心在英国2006年和2010年之间。主要outcomeCVD风险，结果线性回归模型表明，每天多看一小时电视，心血管疾病风险增加3%（aCoeff=0.03，d=0.16，p<0.0001）;电视观看与符合PA指南之间的相互作用与CVD风险轻微相关（aCoeff=0.0010，d=0.01，p=0.014）。每天看电视时间每增加一小时，BMI增加0.54（aCoeff=0.54，d=0.13，p<0.0001）;看电视与符合PA指南之间的相互作用与BMI无显著相关性。回归树模型的研究结果显示，2.5小时的电视观看与BMI和CVD risk.ConclusionsThese数据强调电视观看与心血管疾病风险之间的独立关联，并建议减少电视观看，每天少于2.5小时，即使在身体活跃的成年人，是临床和公共卫生的优先事项。
ObjectivesAs a common form of sedentary behaviour, television viewing is associated with an increase in body mass index (BMI) as well as overall cardiovascular disease (CVD) risk. This study examined the extent to which meeting the recommended volume of weekly physical activity (PA) reduced the association between television viewing with the outcomes of BMI and CVD risk. A second aim was to determine the number of hours (ie, cut-point) of daily television viewing that conferred a higher BMI and CVD risk for a large population-based sample of adults.DesignPopulation-based, cross-sectional study.SettingUK Biobank recruited across 35 centres in the UK between 2006 and 2010.Primary outcomeCVD risk, as measured by the 30-year Framingham risk score.ResultsLinear regression models indicated that every additional hour of television viewing per day was associated with a 3% increase in CVD risk (aCoeff=0.03, d=0.16, p<0.0001); the interaction between television viewing with meeting PA guidelines was marginally associated with CVD risk (aCoeff=0.0010, d=0.01, p=0.014). Each additional hour of television viewing per day was associated with a 0.54 increase in BMI (aCoeff=0.54, d=0.13, p<0.0001); the interaction between television viewing with meeting PA guidelines was not significantly associated with BMI. Regression tree models of the study outcomes revealed that 2.5 hours of television viewing was associated with pronounced increases in BMI and CVD risk.ConclusionsThese data underscore the independent association between television viewing with cardiovascular risk and suggest that reducing television viewing to less than 2.5 hours per day, even in physically active adults, is a clinical and public health priority.