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Cited by 667

The DOI matches its Crossref record; 40 of the 40 references it cites were found in a registry or an index.

TV Viewing and Physical Activity Are Independently Associated with Metabolic Risk in Children: The European Youth Heart Study

Open access
Ekelund, Ulf, Brage, Søren, Froberg, Karsten, Harro, Maarike, Anderssen, Sigmund A, Sardinha, Luis B, Riddoch, Chris, Andersen, Lars Bo·2006·PLoS Medicine
DOI 10.1371/journal.pmed.0030488
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Abstract

BACKGROUND: TV viewing has been linked to metabolic-risk factors in youth. However, it is unclear whether this association is independent of physical activity (PA) and obesity. METHODS AND FINDINGS: We did a population-based, cross-sectional study in 9- to 10-y-old and 15- to 16-y-old boys and girls from three regions in Europe (n = 1,921). We examined the independent associations between TV viewing, PA measured by accelerometry, and metabolic-risk factors (body fatness, blood pressure, fasting triglycerides, inverted high-density lipoprotein (HDL) cholesterol, glucose, and insulin levels). Clustered metabolic risk was expressed as a continuously distributed score calculated as the average of the standardized values of the six subcomponents. There was a positive association between TV viewing and adiposity (p = 0.021). However, after adjustment for PA, gender, age group, study location, sexual maturity, smoking status, birth weight, and parental socio-economic status, the association of TV viewing with clustered metabolic risk was no longer significant (p = 0.053). PA was independently and inversely associated with systolic and diastolic blood pressure, fasting glucose, insulin (all p < 0.01), and triglycerides (p = 0.02). PA was also significantly and inversely associated with the clustered risk score (p < 0.0001), independently of obesity and other confounding factors. CONCLUSIONS: TV viewing and PA may be separate entities and differently associated with adiposity and metabolic risk. The association between TV viewing and clustered metabolic risk is mediated by adiposity, whereas PA is associated with individual and clustered metabolic-risk indicators independently of obesity. Thus, preventive action against metabolic risk in children may need to target TV viewing and PA separately.

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Citations

Cites

Show all 40 references

Research works printed but not linked: 36

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Metadata

Authors
Ekelund, U., Brage, S., Froberg, K., Harro, M., Anderssen, S. A., Sardinha, L. B., Riddoch, C., & Andersen, L. B.
Venue
PLoS Medicine
Publisher
Public Library of Science (PLoS)
Published
2006-12-12
Volume
3
Issue
12
Pages
e488
ISSN
  • 1549-1277 (ISSN-L)
  • 1549-1676
DOI
10.1371/journal.pmed.0030488
OpenAlex
W2119690787
Cited by
667
References
40
FWCI
16.08
Type
journal article
Language
en
Open access
gold
Licence
creativecommons.org/licenses/by/4.0/ (unspecified)

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CoChat. (2026). Citation check: TV Viewing and Physical Activity Are Independently Associated with Metabolic Risk in Children: The European Youth Heart Study. https://app.cochat.ai/papers/10.1371/journal.pmed.0030488
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Ekelund, U., Brage, S., Froberg, K., Harro, M., Anderssen, S. A., Sardinha, L. B., Riddoch, C., & Andersen, L. B. (2006). TV Viewing and Physical Activity Are Independently Associated with Metabolic Risk in Children: The European Youth Heart Study. PLoS Medicine. https://doi.org/10.1371/journal.pmed.0030488

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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