1 CHU Sainte-Justine Research Center, University of Montreal, Montreal, QC, Canada.
2 Department of Human Genetics, McGill University, Montreal, QC, Canada.
3 Department of Family Medicine, McGill University, Montreal, QC, Canada.
4 Epidemiology and Biostatistics Unit, INRS-Institut Armand-Frappier, Laval, QC, Canada.
5 Department of Kinesiology, University of Montreal, Montreal, QC, Canada.
6 School of Public Health, University of Alberta, Edmonton, AB, Canada.
7 Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
8 Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, QC, Canada.
9 Department of Medicine, Respiratory epidemiology and clinical research unit, McGill University Health Centre, McGill University, Montréal, QC, Canada.
10 PERFORM Centre & Department of Psychology, Concordia University, Montréal, QC, Canada.
11 CHU Sainte-Justine Research Center, University of Montreal, Montreal, QC, Canada. melanie.henderson.hsj@gmail.com.
12 Department of Pediatrics, University of Montreal, Montreal, QC, Canada. melanie.henderson.hsj@gmail.com.

Tune out and turn in: the influence of television viewing and sleep on lipid profiles in children.

Int J Obes (Lond). 2020 Mar 13;:

Authors: Manousaki D, Barnett TA, Mathieu ME, Maximova K, Simoneau G, Harnois-Leblanc S, Benedetti A, McGrath JJ, Henderson M, QUALITY Cohort Collaborative Group

Abstract

BACKGROUND/OBJECTIVES: Physical activity is beneficial to lipid profiles; however, the association between sedentary behavior and sleep and pediatric dyslipidemia remains unclear. We aimed to investigate whether sedentary behavior or sleep predicted lipid profiles in children over a 2-year period.

SUBJECTS/METHODS: Six hundered and thirty children from the QUALITY cohort, with at least one obese parent, were assessed prospectively at ages 8-10 and 10-12 years. Measures of sedentary behavior included self-reported TV viewing and computer/video game use. Seven-day accelerometry was used to derive sedentary behavior and sleep duration. Adiposity was assessed using DEXA scans. Twenty-four-hour dietary recalls yielded estimates of carbohydrate and fat intake. Outcomes included fasting total cholesterol, triglycerides, HDL and LDL-cholesterol. Multivariable models were adjusted for adiposity and diet.

RESULTS: At both Visit 1 (median age 9.6 year) and Visit 2 (median age 11.6 year), children were of normal weight (55%), overweight (22%), or obese (22%). Every additional hour of TV viewing at Visit 1 was associated with a 7.0% triglyceride increase (95% CI: 3.5, 10.6; P?<?0.01) and 2.6% HDL decrease (95% CI: -4.2, -0.9; P?<?0.01) at Visit 2; findings remained significant after adjusting for adiposity and diet. Every additional hour of sleep at Visit 1 predicted a 4.8% LDL decrease (95% CI: -9.0, -0.5; P?=?0.03) at Visit 2, after adjusting for fat intake; this association became nonsignificant once controlling for adiposity.

CONCLUSIONS: Longer screen time during childhood appears to deteriorate lipid profiles in early adolescence, even after accounting for other major lifestyle habits. There is preliminary evidence of a deleterious effect of shorter sleep duration, which should be considered in further studies.

PMID: 32203106 [PubMed - as supplied by publisher]