Television viewing time and mortality: The Australian Diabetes, Obesity and Lifestyle study (AusDiab)

Dunstan, D. W., Barr, E. L. M., Healy, G. N., Salmon, J., Shaw, J. E., Balkau, B., Magliano, D. J., Cameron, A. J., Zimmet, P. Z. and Owen, N. (2010) Television viewing time and mortality: The Australian Diabetes, Obesity and Lifestyle study (AusDiab). Circulation, 121 3: 384-391. doi:10.1161/CIRCULATIONAHA.109.894824

Author Dunstan, D. W.
Barr, E. L. M.
Healy, G. N.
Salmon, J.
Shaw, J. E.
Balkau, B.
Magliano, D. J.
Cameron, A. J.
Zimmet, P. Z.
Owen, N.
Title Television viewing time and mortality: The Australian Diabetes, Obesity and Lifestyle study (AusDiab)
Journal name Circulation   Check publisher's open access policy
ISSN 0009-7322
Publication date 2010-01-26
Sub-type Article (original research)
DOI 10.1161/CIRCULATIONAHA.109.894824
Open Access Status Not Open Access
Volume 121
Issue 3
Start page 384
End page 391
Total pages 8
Editor Joseph Loscalzo
Karen Barry
Place of publication Baltimore, MD, U.S.A.
Publisher Lippincott, Williams & Wilkins for the American Heart Association
Language eng
Subject 1102 Cardiovascular Medicine and Haematology
Abstract Television (TV) viewing time is associated with increased risk of all-cause, cardiovascular and cancer mortality. Although TV time is detrimentally associated with key inflammatory markers, the associations of TV time with other inflammatory-related mortality (with a predominant inflammatory, oxidative or infectious component, but not attributable to cancer or cardiovascular causes), are unknown.
Formatted abstract
Background— Television viewing time, the predominant leisure-time sedentary behavior, is associated with biomarkers of cardiometabolic risk, but its relationship with mortality has not been studied. We examined the associations of prolonged television viewing time with all-cause, cardiovascular disease (CVD), cancer, and non-CVD/noncancer mortality in Australian adults.

Methods and Results— Television viewing time in relation to subsequent all-cause, CVD, and cancer mortality (median follow-up, 6.6 years) was examined among 8800 adults ≥25 years of age in the Australian Diabetes, Obesity and Lifestyle Study (AusDiab). During 58 087 person-years of follow-up, there were 284 deaths (87 CVD deaths, 125 cancer deaths). After adjustment for age, sex, waist circumference, and exercise, the hazard ratios for each 1-hour increment in television viewing time per day were 1.11 (95% confidence interval [CI], 1.03 to 1.20) for all-cause mortality, 1.18 (95% CI, 1.03 to 1.35) for CVD mortality, and 1.09 (95% CI, 0.96 to 1.23) for cancer mortality. Compared with a television viewing time of <2 h/d, the fully adjusted hazard ratios for all-cause mortality were 1.13 (95% CI, 0.87 to 1.36) for ≥2 to <4 h/d and 1.46 (95% CI, 1.04 to 2.05) for ≥4 h/d. For CVD mortality, corresponding hazard ratios were 1.19 (95% CI, 0.72 to 1.99) and 1.80 (95% CI, 1.00 to 3.25). The associations with both cancer mortality and non-CVD/noncancer mortality were not significant.

Conclusions— Television viewing time was associated with increased risk of all-cause and CVD mortality. In addition to the promotion of exercise, chronic disease prevention strategies could focus on reducing sitting time, particularly prolonged television viewing.
© 2010 American Heart Association, Inc.
Keyword Epidemiology
Risk factors
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Public Health Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 372 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 390 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Sun, 07 Feb 2010, 10:07:30 EST