Associations of sedentary time patterns and TV viewing time with inflammatory and endothelial function biomarkers in children

Pediatr Obes. 2016 Jun;11(3):194-201. doi: 10.1111/ijpo.12045. Epub 2015 Jun 19.

Abstract

Objective: Investigate associations of TV viewing time and accelerometry-derived sedentary time with inflammatory and endothelial function biomarkers in children.

Methods: Cross-sectional analysis of 164 7-10-year-old children. TV viewing time was assessed by parental proxy report and total and patterns of sedentary time accumulation (e.g. prolonged bouts) were assessed by accelerometry. C-reactive protein (CRP), homeostasis model assessment of insulin resistance, interleukin-2, -6, -8, -10, tumour necrosis factor alpha, adiponectin, resistin, brain-derived neurotrophic factor, soluble intercellular and vascular adhesion molecule 1, plasminogen activator inhibitor 1 and soluble E-selectin were assessed. Generalised linear models assessed the associations of TV viewing and sedentary time with biomarkers, adjusting for sex, waist circumference, moderate- to vigorous-intensity physical activity and diet density.

Results: Each additional h week(-1) of TV viewing was associated with 4.4% (95% CI: 2.1, 6.7) greater CRP and 0.6% (0.2, 1.0) greater sVCAM-1 in the fully adjusted model. The association between frequency and duration of 5-10 min bouts of sedentary time and CRP was positive after adjustment for sex and waist circumference but attenuated after adjustment for diet density.

Conclusions: This study suggests that TV viewing was unfavourably associated with several markers of inflammation and endothelial dysfunction. The detrimental association between 5 and 10 min bouts of sedentary time and CRP approached significance, suggesting that further research with a stronger study design (longitudinal and/or experimental) is needed to better understand how the accumulation of sedentary time early in life may influence short and longer term health.

Keywords: Cardiometabolic; paediatric; sedentary behaviour.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biomarkers / blood*
  • C-Reactive Protein / analysis
  • Child
  • Cross-Sectional Studies
  • Endothelium, Vascular*
  • Female
  • Humans
  • Inflammation*
  • Insulin Resistance
  • Male
  • Sedentary Behavior*
  • Sex Factors
  • Television*
  • Time Factors
  • Vascular Cell Adhesion Molecule-1 / blood
  • Waist Circumference

Substances

  • Biomarkers
  • Vascular Cell Adhesion Molecule-1
  • C-Reactive Protein