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Television Viewing Time and Mortality: The Australian Diabetes, Obesity and Lifestyle Study (AusDiab)
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.
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“Dunstan et al. (151) found that each 1-hour increase in TV viewing time was associated with 11% and 18% increased risks of all-cause and CVD mortality, respectively, in 20,000 Australian men and women.”
From Lack of Exercise Is a Major Cause of Chronic Diseases (2012) · cites this paper as [151]
In the citing paper
“all-cause and CVD mortalities increased 46% and 80%, respectively for TV viewing time >4hr/day as compared to <2 hrs/day, which were independent of smoking, blood pressure, cholesterol, diet, waist circumference, and leisure-time exercise.”
From Lack of Exercise Is a Major Cause of Chronic Diseases (2012) · cites this paper as [151]
In the citing paper
“These results were obtained for a total population of 372,550 compiled from seven surveys covering six countries (Australia, Canada, Norway, Spain, UK and USA) [3,17,18,24,25,27,33].”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [17]
In the citing paper
“Fifty six percent of the older population report watching over 2 h of TV per day, 54.2% report over 3 h and 15.1% report over 4 h.”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [17]
In the citing paper
“It would appear there is little difference in report by gender (1.6 ± 1.6%) [3,17,18].”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [17]
In the citing paper
“Fifty six percent of the older population report watching over 2 h of TV per day, 54.2% report over 3 h and 15.1% report over 4 h.”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [17]
In the citing paper
“On average 61.5% females reported more than 4 h of sitting compared to males at 63.5% [3,17,18].”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [17]
In the citing paper
“Report of TV viewing by gender was less common, the average difference between gender report was 1.8 ± 1.4% [16,17,21,23].”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [17]
In the citing paper
“Fifty six percent of the older population report watching over 2 h of TV per day, 54.2% report over 3 h and 15.1% report over 4 h.”
From Prevalence of Sedentary Behavior in Older Adults: A Systematic Review (2013) · cites this paper as [17]
In the citing paper
“The detrimental health effect of sitting too much is independent of the person’s activity level.”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [16]
In the citing paper
“Studies have indicated that a sedentary lifestyle (ie, too much sitting) is a predictor of poor health outcomes [14-18].”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [16]
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Matsui, T., Mine, Y., Takahashi, S., Funabashi, D., Yoshitake, S., Matsuoka, H., Yamaguchi, T. N., Dobashi, S., Sakairi, Y., Yoshimoto, H., et al. (2024) · doi:10.2196/preprints.60082 · Cited by 1
Gogol, M. (2015) · Zeitschrift für Gerontologie und Geriatrie · doi:10.1007/s00391-015-0934-8
Askander, G. (2015) · Australasian Journal of Paramedicine
Archer, C. J., & Wolf, K. (2011) · Murdoch University Research Portal
ACCURACY OF THE POSITIONAL ACTIVITY LOGGER#2 (PAL2) TO IDENTIFY HUMAN POSTURE AND MOVEMENT
Lythgo, N., Benson, A. C., & Gordon, B. A. (2012) · RMIT Research Repository (RMIT University Library)
Patterns of Sedentary Behavior and Association with Health Risks among African American Adults
Warren-Jones, T. Y. (2015) · Scholar Commons (University of South Carolina)
Tushuizen, M. E. (2012) · Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam)
WORKSITE INTERVENTION TO REDUCE SEDENTARY TIME
Peavler, M. (2012) · The Scholarship East Carolina University's Institutional Repository (East Carolina University)
Gohlke, H., Albus, C., Bönner, G., Darius, H., Eckert, S., Gohlke-Bärwolf, C., Gysan, D. B., Hahmann, H., Halle, M., Hambrecht, R., et al. (2013) · Der Kardiologe · doi:10.1007/s12181-012-0468-x
Metadata
- Authors
- 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.
- Affiliations
- Université Paris-Sud (FR)
- ORCID
- Venue
- Circulation
- Published
- 2010-01-26
- Volume
- 121
- Issue
- 3
- Pages
- 384-391
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2109444109
- Cited by
- 825
- References
- 40
- Citations by year
- 2026: 5 · 2025: 18 · 2024: 36 · 2023: 28 · 2022: 31 · 2021: 37 · 2020: 45 · 2019: 55 · 2018: 49 · 2017: 54 · 2016: 48 · 2015: 73 · 2014: 69 · 2013: 75 · 2012: 77
- FWCI
- 59.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Research Bank (Australian Catholic University) (submittedVersion)
- Deakin Research Online (Deakin University) (submittedVersion)
- eSpace (Curtin University) (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- television viewing time, sedentary behavior, all-cause mortality, cardiovascular mortality, cancer mortality, sitting time, leisure-time physical activity, cardiometabolic risk, AusDiab
- MeSH terms
- Adult, Aged, Australia, Cardiovascular Diseases, Diabetes Mellitus, Female, Follow-Up Studies, Humans, Life Style, Male, Middle Aged, Neoplasms, Obesity, Risk Factors, Television, Cohort Studies, Exercise, Risk Reduction Behavior
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