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Clinical Summary

Stroke risk and time spent watching television: is there a link?

Takeaway

  • In this retrospective analysis of data from Australian Diabetes, Obesity, and Lifestyle study, data set showed no significant independent association between time spent watching television and risk for stroke.
  • However, the author’s caution need for further studies, as their findings may be underpowered.

Why this matters

  • A low level of physical activity is an established risk factor for stroke, but little is known about the importance of common sedentary TV viewing behaviour to stroke risk.

 Study design

  • Retrospective analysis of 11,247 participants (≥25 years old) from Australian Diabetes, Obesity and Lifestyle study who had a biomedical examination at baseline assessment.
  • 6400 and 4614 participants underwent follow-up assessments in wave 2 and 3, respectively.
  • Funding: None disclosed.

Key results

  • During the study period, 153 participants had confirmed stroke whereas 9207 participants had no stroke.
  • Of 153 participants with stroke during the study period, 23 had prior stroke and 126 did not.
  • Time spent watching television (minutes/day) at baseline was significantly associated with stroke outcome (OR, 1.003; P=.001).
  •  However, this association extinguished in models adjusted for age and sex (aOR, 1.000; P=.83) and age, sex, education, smoking status, alcohol intake, and diet quality (aOR, 1.000; P=.87).
  • Age was positively correlated with time spent watching television (Spearman's r, 0.19; P<.001).

Limitations

  • Total time spent watching television was self-reported.
  • Time spent watching television is an incomplete indication for time spent being sedentary.

References


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