Associations Between Media Consumption Habits, Physical Activity, Socioeconomic Status, and Glycemic Control in Children, Adolescents, and Young Adults With Type 1 Diabetes

Galler, Angela; Lindau, Maren; Ernert, Andrea; Thalemann, Ralf; Raile, Klemens

doi:10.2337/dc11-0838

Cited by 71 publications

(64 citation statements)

References 25 publications

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“…Previous studies have shown that SES is associated with glycemic control and risk factors in type 1 diabetes (22)(23)(24)(25)(26)(27), but very few studies have examined how SES relates to CVD and death (7)(8)(9). These studies reported either a modest effect or no significant effect of SES or they were inadequately adjusted to allow for reliable inferences.…”

Section: Discussionmentioning

confidence: 99%

Impact of Socioeconomic Status on Cardiovascular Disease and Mortality in 24,947 Individuals With Type 1 Diabetes

et al. 2015

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OBJECTIVESocioeconomic status (SES) is a powerful predictor of cardiovascular disease (CVD) and death. We examined the association in a large cohort of patients with type 1 diabetes. RESEARCH DESIGN AND METHODSClinical data from the Swedish National Diabetes Register were linked to national registers, whereby information on income, education, marital status, country of birth, comorbidities, and events was obtained. Patients were followed until a first incident event, death, or end of follow-up. The association between socioeconomic variables and the outcomes was modeled using Cox regression, with rigorous covariate adjustment. RESULTSWe included 24,947 patients. Mean (SD) age and follow-up was 39.1 (13.9) and 6.0 (1.0) years. Death and fatal/nonfatal CVD occurred in 926 and 1378 individuals. Compared with being single, being married was associated with 50% lower risk of death, cardiovascular (CV) death, and diabetes-related death. Individuals in the two lowest quintiles had twice as great a risk of fatal/nonfatal CVD, coronary heart disease, and stroke and roughly three times as great a risk of death, diabetesrelated death, and CV death as individuals in the highest income quintile. Compared with having £9 years of education, individuals with a college/university degree had 33% lower risk of fatal/nonfatal stroke. Immigrants had 19%, 33%, and 45% lower risk of fatal/nonfatal CVD, all-cause death, and diabetes-related death, respectively, compared with Swedes. Men had 44%, 63%, and 29% greater risk of all-cause death, CV death, and diabetes-related death. CONCLUSIONSLow SES increases the risk of CVD and death by a factor of 2-3 in type 1 diabetes.

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Section: Discussionmentioning

confidence: 99%

Impact of Socioeconomic Status on Cardiovascular Disease and Mortality in 24,947 Individuals With Type 1 Diabetes

et al. 2015

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“…Youth with T1D have reported a high duration of screen time per day, the typical proxy for sedentary behavior, ranging between 110 and 140 min per day of television watching, and between 40 and 255 min per day of computer use (Liese et al, 2013). In fact, in one study of youth with T1D, the average amount of accumulated screen time was 2.9 hr per day (Galler, Lindau, Ernert, Thalemann, & Raile, 2011), which exceeds the recommendation of less than 2 hr of screen time per day (American Academy of Pediatrics, 2001). Accelerometry was used in another study to assess intensity of activity in youth with T1D and it was found that 84% of recorded daily activity was in sedentary pursuits, thus potentially posing increased cardiovascular risks and poorer glucose control (Michaliszyn & Faulkner, 2010).…”

Section: Introductionmentioning

confidence: 86%

Overweight and Obesity in Youth With Type 1 Diabetes

Minges¹,

Whittemore²,

Grey³

2013

Annu Rev Nurs Res

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Overweight and obesity in youth with type 1 diabetes (T1D) is now prevalent and accounts for significant health consequences, including cardiovascular complications and dual diagnosis of type 2 diabetes. Physical activity and lifestyle are modifiable and play an important role in the prevention and management of excessive weight, but it is unclear how these factors relate to overweight and obese youth with T1D. Thus, a systematic review was conducted to examine how physical activity, sedentary behavior, sleep, and diet are related to overweight/obesity in youth with T1D. Seven observational and intervention studies published between 1990 and 2013 were included in the review. Prevalence of overweight ranged from 12.5% to 33.3%. Overweight in youth with T1D was associated with infrequent napping, increased screen time, and skipping breakfast and dinner but was not related to time engaged in physical activity. Weight-related interventions indicated modest weight loss along with improved glycemic control. In light of this review, there is a need for high quality research that examines all levels of activity in youth with T1D to identify lifestyle modification targets for weight prevention and management.

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“…SES has been reported to have a serious impact on the prevalence of T1DM and T2DM as well as associated complications and mortality in every major ethnic group worldwide 10–16. In order to determine the effect of SES and behavioral economics propensity on the progress of diabetic complications, in the present study, we conducted a survey among patients with diabetes using modified behavioral economics questionnaires, including those related to SES.…”

Section: Introductionmentioning

confidence: 99%

A socioeconomic and behavioral survey of patients with difficult-to-control type 2 diabetes mellitus reveals an association between diabetic retinopathy and educational attainment

Emoto¹,

Okajima²,

Sugihara³

et al. 2016

PPA

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BackgroundWe have recently reported that the attitude of patients toward risk could be a factor in the progression of diabetic complications. In general, risk preference is closely related to socioeconomic status (SES), which includes factors such as age, sex, income, and educational attainment.ObjectiveWe aimed to determine the effect of SES and behavioral propensity on the progress of diabetic complications in patients with type 2 diabetes mellitus (T2DM).MethodsWe conducted a survey of 238 patients with difficult-to-control T2DM treated at a hospital in Japan using a modified behavioral economics questionnaire that included questions related to SES. The patients had been referred by general practitioners or other departments in the hospital because of poor metabolic control or unstable complications.ResultsEducational attainment was significantly associated with progression of retinopathy in patients <65 years of age. Educational attainment of a high school diploma (12 years of education) or lower was a significant risk factor, but there were no differences among levels of attainment beyond high school (13–16 years or more of education). Behavioral propensities were also weakly associated with complications, but not as much as educational attainment. Personal income level and economic status did not show an association with the retinopathy levels.ConclusionLower educational attainment is a strong risk factor for diabetic retinopathy, and it is independent of the economic status. The result suggests that cognitive function may play an important role in the progression of diabetic retinopathy in patients with T2DM.

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Associations Between Media Consumption Habits, Physical Activity, Socioeconomic Status, and Glycemic Control in Children, Adolescents, and Young Adults With Type 1 Diabetes

Cited by 71 publications

References 25 publications

Impact of Socioeconomic Status on Cardiovascular Disease and Mortality in 24,947 Individuals With Type 1 Diabetes

Impact of Socioeconomic Status on Cardiovascular Disease and Mortality in 24,947 Individuals With Type 1 Diabetes

Overweight and Obesity in Youth With Type 1 Diabetes

A socioeconomic and behavioral survey of patients with difficult-to-control type 2 diabetes mellitus reveals an association between diabetic retinopathy and educational attainment

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