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Screen Time and Its Relation to Cardiometabolic Risk Among Children and Adolescents: The Caspian-Iii Study



Safiri S1, 2 ; Kelishadi R3 ; Qorbani M4, 5 ; Abbasighahramanloo A2 ; Motlagh ME6, 7 ; Ardalan G7 ; Shafiee G5 ; Ahadi Z5 ; Sanaei M5 ; Asayesh H8 ; Larijani B9 ; Heshmat R5
Authors
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Authors Affiliations
  1. 1. Dept. of Public Health, School of Nursing & Midwifery, Maragheh University of Medical Sciences, Maragheh, Iran
  2. 2. Road Traffic Injury Research Center, Department of Statistics & Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran
  3. 3. Dept. of Pediatrics, Child Growth and Development Research Center, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Dept. of Community Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
  5. 5. Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Dept. of Pediatrics, Ahvaz University of Medical Sciences, Ahvaz, Iran
  7. 7. Dept. of School Health, Bureau of Population, Family and School Health, Ministry of Health and Medical Education, Tehran, Iran
  8. 8. Dept. of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran
  9. 9. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: Iranian Journal of Public Health Published:2015

Abstract

Background: Among chronic non-communicable diseases (CNCDs), the occurrence of cardiovascular diseases and diabetes is more prominent. CNCDs origin in early life; with sedentary habits, notably prolonged screen time (ST), leisure time spent on watching TV and working computer, suggested as one of their risk factors. We aimed to investi-gate the relationship between ST and cardiometabolic risk factors in a nationally representative sample of Iranian chil-dren and adolescents. Methods: In this analytical cross-sectional study, 5,625 school students aged 10-18 were studied in the third national survey of a school-based surveillance program. For ensuring representativeness of sample, subjects were selected using multistage random cluster sampling method from urban and rural areas of 27 provinces in Iran (2009-10). ST was as-sessed through validated self-administered questionnaire, and cardiometabolic factors were determined. In addition, metabolic syndrome components were defined based on the Adult Treatment Panel III criteria modified for the pedi-atric age group. In addition, high total cholesterol (TC), high low-density lipoprotein cholesterol (LDL-C), and gener-alized obesity were assessed as other cardiometabolic risk factors. Results: Mean age was 14.73±2.41. While, positive significant association was found between ST and abdominal obe-sity, blood pressure, levels of LDL-C and triglycerides (P <0.05), it was reversely correlated with HDL-C level (P <0.05). However, there was positive but not statistically significant association between ST and odds of metabolic syndrome (P =0.32). Conclusion: The association between ST and some metabolic syndrome components, reducing ST should be consid-ered as one of the preventive strategies among children and adolescents. © 2016, Iranian Journal of Public Health. All rights reserved.
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