| BMC Public Health | |
| Correlates of prolonged television viewing time in older Japanese men and women | |
| Teruichi Shimomitsu1  Koichiro Oka4  Neville Owen2  Takemi Sugiyama3  Shigeru Inoue1  Hiroyuki Kikuchi1  | |
| [1] Department of Preventive Medicine and Public Health, Tokyo Medical University, Tokyo, Japan;School of Medicine, Monash University, Melbourne, Australia;Behavioural Epidemiology Laboratory, Baker IDI Heart and Diabetes Institute, Melbourne, Australia;Faculty of Sport Sciences, Waseda University, Tokorozawa, Japan | |
| 关键词: Cross-sectional study; Population-based study; Socio-demographic attributes; Sedentary behavior; | |
| Others : 1162466 DOI : 10.1186/1471-2458-13-213 |
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| received in 2012-11-11, accepted in 2013-03-05, 发布年份 2013 | |
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【 摘 要 】
Background
In addition to insufficient moderate-to-vigorous physical activity (MVPA), prolonged sitting time is also a health risk for older adults. An understanding of population subgroups who have prolonged television viewing (TV) time, a predominant sedentary behavior, can aid in the development of relevant health promotion initiatives; however, few such studies have focused on older adults, the most sedentary segment of the population as a whole. The aim of this study is to examine the socio-demographic attributes associated with TV time among community-dwelling Japanese older men and women.
Methods
A population-based, cross-sectional mail survey was used to collect data on TV time, MVPA, and socio-demographic characteristics. The survey was conducted from February through March 2010. Participants were 2700 community-dwelling older adults (aged 65–74 years, 50% men) who were randomly selected from the registry of residential addresses of three cities in Japan. Data from 1665 participants (mean age: 69.5 years, 52% men) who completed all variables for the present study were analyzed. Multivariate logistic regression analyses were used to calculate the odds ratios (ORs) of prolonged TV time (>2 hours/day) for each socio-demographic attribute, stratified by gender.
Results
Of the 1665 participants, 810 (48.6%) watched TV for more than 2 hours/day. The median television viewing time (25th, 75th percentile) was 2.00 (1.07, 3.50) hours/day. Prolonged TV time was associated with not in full-time employment, lower educational attainment, weight status, living in regional areas and low MVPA for the whole sample. For men, prolonged TV time was associated with lower educational attainment; (OR = 1.53, 95% CI: 1.12-2.07), underweight (OR = 1.63, 95% CI: 1.02-2.60), overweight (OR = 1.57, 95% CI: 1.11-2.21), and low MVPA (OR = 1.43, 95% CI: 1.02-2.02). For women, living in regional areas (OR = 2.02, 95% CI: 1.33-3.08), living alone (OR = 1.61, 95% CI: 1.03-2.49), not driving (OR = 1.79, 95% CI 1.21-2.65), overweight (OR = 1.50, 95% CI: 1.00-2.24), and low MVPA (OR = 1.51. 95% CI: 1.05-2.17) were associated with prolonged TV time.
Conclusions
These findings identify particular socio-demographic and behavioral characteristics related to TV time among Japanese older adults. It should be noted that correlates of prolonged TV time differed by gender. Women in living situations with limited transportation options tended to spend prolonged time watching TV. Health promotion initiatives for older adults, particularly for older women, may be more effective if they take these attributes into account.
【 授权许可】
2013 Kikuchi et al.; licensee BioMed Central Ltd.
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20150413065429462.pdf | 361KB | ||
| Figure 1. | 80KB | Image |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]Owen N, Healy GN, Matthews CE, Dunstan D: Too much sitting: the population health science of sedentary behavior. Exerc Sport Sci Rev 2010, 38:105-113.
- [2]Hamilton MT, Hamilton DG, Zderic TW: Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease. Diabetes 2007, 56:2655-2667.
- [3]Jakes RW, Day NE, Khaw KT, Luben R, Oakes S, Welch A, Bingham S, Wareham NJ: Television viewing and low participation in vigorous recreation are independently associated with obesity and markers of cardiovascular disease risk: EPIC-Norfolk population-based study. Eur J Clin Nutr 2003, 57:1089-1096.
- [4]Kronenberg F, Pereira MA, Schmitz MK, Arnett DK, Evenson KR, Crapo RO, Jensen RL, Burke GL, Sholinsky P, Ellison RC, Hunt SC: Influence of leisure time physical activity and television watching on atherosclerosis risk factors in the NHLBI Family Heart Study. Atherosclerosis 2000, 153:433-443.
- [5]Dunstan DW, Salmon J, Owen N, Armstrong T, Zimmet PZ, Welborn TA, Cameron AJ, Dwyer T, Jolley D, Shaw JE: Associations of TV viewing and physical activity with the metabolic syndrome in Australian adults. Diabetologia 2005, 48:2254-2261.
- [6]Chang PC, Li TC, Wu MT, Liu CS, Li CI, Chen CC, Lin WY, Yang SY, Lin CC: Association between television viewing and the risk of metabolic syndrome in a community-based population. BMC Public Health 2008, 8:193. BioMed Central Full Text
- [7]Hamer M, Stamatakis E, Mishra GD: Television- and screen-based activity and mental well-being in adults. Am J Prev Med 2010, 38:375-380.
- [8]Hu FB, Leitzmann MF, Stampfer MJ, Colditz GA, Willett WC, Rimm EB: Physical activity and television watching in relation to risk for type 2 diabetes mellitus in men. Arch Intern Med 2001, 161:1542-1548.
- [9]Dunstan DW, Barr EL, Healy GN, Salmon J, Shaw JE, Balkau B, Magliano DJ, Cameron AJ, Zimmet PZ, Owen N: Television viewing time and mortality: the Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Circulation 2010, 121:384-391.
- [10]Hamilton MT, Healy NG, Dunstan DW, Zderic TW, Owen N: Too little exercise and too much sitting: inactivity physiology and the need for new recommendations on sedentary behavior. Curr Cardiovasc Risk Reports 2008, 2:292-298.
- [11]Owen N, Sugiyama T, Eakin EE, Gardiner PA, Tremblay MS, Sallis JF: Adults’ sedentary behavior determinants and interventions. Am J Prev Med 2011, 41:189-196.
- [12]Matthews CE, Chen KY, Freedson PS, Buchowski MS, Beech BM, Pate RR, Troiano RP: Amount of time spent in sedentary behaviors in the United States, 2003–2004. Am J Epidemiol 2008, 167:875-881.
- [13]Healy GN, Clark BK, Winkler EA, Gardiner PA, Brown WJ, Matthews CE: Measurement of adults’ sedentary time in population-based studies. Am J Prev Med 2011, 41:216-227.
- [14]Clark BK, Sugiyama T, Healy GN, Salmon J, Dunstan DW, Shaw JE, Zimmet PZ, Owen N: Socio-demographic correlates of prolonged television viewing time in Australian men and women: the AusDiab study. J Phys Act Health 2010, 7:595-601.
- [15]Gao X, Nelson ME, Tucker KL: Television viewing is associated with prevalence of metabolic syndrome in Hispanic elders. Diabetes Care 2007, 30:694-700.
- [16]Gardiner PA, Healy GN, Eakin EG, Clark BK, Dunstan DW, Shaw JE, Zimmet PZ, Owen N: Associations between television viewing time and overall sitting time with the metabolic syndrome in older men and women: the Australian diabetes obesity and lifestyle study. J Am Geriatr Soc 2011, 59:788-796.
- [17]Inoue S, Sugiyama T, Takamiya T, Oka K, Owen N, Shimomitsu T: Television viewing time is associated with overweight/obesity among older adults, independent of meeting physical activity and health guidelines. J Epidemiol 2012, 22:50-56.
- [18]Sugiyama T, Healy GN, Dunstan DW, Salmon J, Owen N: Is television viewing time a marker of a broader pattern of sedentary behavior? Ann Behav Med 2008, 35:245-250.
- [19]Burton NW, Khan A, Brown WJ, Turrell G: The association between sedentary leisure and physical activity in middle-aged adults. Br J Sports Med 2012, 46:747-752.
- [20]Oppert JM, Thomas F, Charles MA, Benetos A, Basdevant A, Simon C: Leisure-time and occupational physical activity in relation to cardiovascular risk factors and eating habits in French adults. Public Health Nutr 2006, 9:746-754.
- [21]Tokuda Y, Okubo T, Ohde S, Jacobs J, Takahashi O, Omata F, Yanai H, Hinohara S, Fukui T: Assessing items on the SF-8 Japanese version for health-related quality of life: a psychometric analysis based on the nominal categories model of item response theory. Value Health 2009, 12:568-573.
- [22]Salmon J, Owen N, Crawford D, Bauman A, Sallis JF: Physical activity and sedentary behavior: a population-based study of barriers, enjoyment, and preference. Health Psychol 2003, 22:178-188.
- [23]Clark BK, Sugiyama T, Healy GN, Salmon J, Dunstan DW, Owen N: Validity and reliability of measures of television viewing time and other non-occupational sedentary behaviour of adults: a review. Obes Rev 2009, 10:7-16.
- [24]Bowman SA: Television-viewing characteristics of adults: correlations to eating practices and overweight and health status. Prev Chronic Dis 2006, 3:A38.
- [25]Murase NKT, Ueda C, Inoue S, Shimomitsu T: Validity and reliability of Japanese version of international physical activity questionnaire. J Health Welfare Stat 2002, 49:1-9.
- [26]Lang IA, Rice NE, Wallace RB, Guralnik JM, Melzer D: Smoking cessation and transition into retirement: analyses from the English Longitudinal Study of Ageing. Age Ageing 2007, 36:638-643.
- [27]Brennan PL, Schutte KK, Moos RH: Retired status and older adults’ 10-year drinking trajectories. J Stud Alcohol Drugs 2010, 71:165-168.
- [28]Slingerland AS, van Lenthe FJ, Jukema JW, Kamphuis CB, Looman C, Giskes K, Huisman M, Narayan KM, Mackenbach JP, Brug J: Aging, retirement, and changes in physical activity: prospective cohort findings from the GLOBE study. Am J Epidemiol 2007, 165:1356-1363.
- [29]Japan National Police Agency: The white paper on police 2010. Oita: Saiki Printing; 2010.
- [30]Jacobs JM, Cohen A, Hammerman-Rozenberg R, Azoulay D, Maaravi Y, Stessman J: Going outdoors daily predicts long-term functional and health benefits among ambulatory older people. J Aging Health 2008, 20:259-272.
- [31]Johnson KM, Nelson KM, Bradley KA: Television viewing practices and obesity among women veterans. J Gen Intern Med 2006, 21(Suppl 3):S76-S81.
- [32]Salmon J, Bauman A, Crawford D, Timperio A, Owen N: The association between television viewing and overweight among Australian adults participating in varying levels of leisure-time physical activity. Int J Obes Relat Metab Disord 2000, 24:600-606.
- [33]Sugiyama T, Healy GN, Dunstan DW, Salmon J, Owen N: Joint associations of multiple leisure-time sedentary behaviours and physical activity with obesity in Australian adults. Int J Behav Nutr Phys Act 2008, 5:35. BioMed Central Full Text
- [34]Rhodes RE, Mark RS, Temmel CP: Adult sedentary behavior: a systematic review. Am J Prev Med 2012, 42:e3-e28.
- [35]Oka K, Shibata A: Dog ownership and health-related physical activity among Japanese adults. J Phys Act Health 2009, 6:412-418.
- [36]van Uffelen JG, Heesch KC, Hill RL, Brown WJ: A qualitative study of older adults' responses to sitting-time questions: do we get the information we want? BMC Public Health 2011, 11:458. BioMed Central Full Text
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