International Journal of Medical Laboratory Research (IJMLR)

TELEVISION WATCHING, DIETARY AND SEDENTARY BEHAVIORS AND OBESITY: OBSERVATIONS FROM A SEMI RURAL INDIAN POPULATION

 

V Pai, JP Davis, R Shetty, S Rao, PL Palatty, GS Pavankumar, MS Baliga

 

ABSTRACT: Background: Obesity is considered to have increased in epidemic proportions throughout the globe, more so in developing countries like India. Obesity is primarily associated with sedentary lifestyle with poor dietary choices and less physical activity. Television is one of the sedentary activities is often associated with consumption of oily foods. This has compounded the problem of obesity and lead to associated health problems including hypertension, diabetes and metabolic syndrome. Results: The questionnaire study involved 369 subjects in a rural setup. Majority of the studied population watched TV and major chunk of them were middle aged people. The time involved in TV viewing was higher in the same population, which is a sedentary form of activity. Statistical correlation was observed between education, income status, oily food consumption and Television viewing. Physical activity was notably higher in the non-TV viewing subjects. BMI, which is measure of obesity, was increased in the TV viewers, coupled with lifestyle disorders like Diabetes, Hypertension and arthritis. Alcohol and tobacco usage too was shown to increase with Television viewing. The dietary choices of TV watching subjects were of less nutritive value with more sugar and oil consumption. Conclusion: Indian studies correlating television viewing and obesity in the adult population are lacking. The study shows a significant correlation of increased TV viewing with obesity in the middle-aged population and the associated health problems related to it.

KEYWORD: Television, dietary, sedentary behaviors, body mass index (BMI), obesity.

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REFERENCES:

1. [1]. Bray, G. A. Etiology and prevalence of obesity. The Genetics of Obesity,2020; 17-33.

2. [2]. Das Gupta, R., Haider, S. S., Sutradhar, I., Hashan, M. R., Sajal, I. H., Hasan, M., Haider, M. R., &Sarker, M . Association of frequency of television watching with overweight and obesity among women of reproductive age in India: Evidence from a nationally representative study. PLOS ONE, 2019; 14(8), e0221758.

3. [3]. Hruby, A., & Hu, F. B (2014). The epidemiology of obesity: A big picture. PharmacoEconomics, 2014; 33(7): 673-689.

4. [4]. Bonita, R., Magnusson, R., Bovet, P., Zhao, D., Malta, D. C., Geneau, R., Suh, I., Thankappan, K. R., McKee, M., Hospedales, J., De Courten, M., Capewell, S., &Beaglehole, R.The Lancet, 2013; 381(9866): 575-584.

5. [5]. Ahirwar, R., &Mondal, P. R (2019). Prevalence of obesity in India: A systematic review. Diabetes & Metabolic Syndrome: Clinical Research & Reviews,2019 13(1):318-321.

6. [6]. van der Ploeg, H. P . Sitting time and all-cause mortality risk in 222 497 Australian adults.;ArchivesofInternalMedicine 2012;172(6),:494.

7. [7]. Pate, R. R., O'Neill, J. R., &Lobelo, F. The evolving definition of "Sedentary". Exercise and Sport Sciences Reviews.2008;36(4):173-178

8. [8]. Grøntved, A. Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality.JAMA, 2011;305(23):2448.

9. [9]. Hu, F. B. Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women.;JAMA, 2003; 289(14):1785.

10. [10]. Rezende, L. F., Rey-López, J. P., Matsudo, V. K., & Luiz, O. D. Sedentary behavior and health outcomes among older adults: A systematic review. BMC Public Health, 2014;14(1):333

11. [11]. Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ, Owen N. Breaks in sedentary time: beneficial associations with metabolic risk. Diabetes Care. 2008;31(4):661-6.

12. [12]. Vereecken, C. A., Todd, J., Roberts, C., Mulvihill, C., &Maes, L. Television viewing behaviour and associations with food habits in different countries.2006; Public Health Nutrition, 9(2):244-250.

13. [13]. Blanck, H. M., McCullough, M. L., Patel, A. V., Gillespie, C., Calle, E. E., Cokkinides, V. E., Galuska, D. A., Khan, L. K., &Serdula, M. K. Sedentary behavior, recreational physical activity, and 7-Year weight gain among postmenopausal U.S. women. Obesity,2007 15(6),1578-1588.

14. [14]. Joint WHO/FAO expert consultation. Diet, nutrition and the prevention of chronic diseases. Geneva: World Health Organization; 2003. p. 149 p. (WHO technical report series no. 916)

15. [15]. Bjørnelv S, Lydersen S, Mykletun A, Holmen TL. Changes in BMI-distribution from 1966–69 to 1995–97 in adolescents. The Young-HUNT study, Norway. BMC Public Health. 2007;7:279–285. 

16. [16]. Shetty PS. Nutrition transition in India. Public Health Nutrition. 2002;5:175–182. [PubMed] 

17. [17]. Popkin BM. The shift in stages of the nutritional transition in the developing world differs from past experiences. Public Health Nutrition. 2002;5:205–214.

18. [18]. Canan E, Imamoglu S, Tuncel E, Erturk E, Ercan I. Comparison of the factors that influence obesity prevalence in three district municipalities of the same city with different socio-economical status: A survey analysis in an urban Turkish population. Preventive Medicine. 2005;40:181–188. 

19. [19]. Sobngwi E, Mbanya JC, Unwin NC, Kengne AP, Fezeu L, Minkoulou EM, Aspray TJ, Alberti KG. Physical activity and its relationship with obesity, hypertension and diabetes in urban and rural Cameroon. International Journal of Obesity Related Metabolic Disorder. 2002;26:1009–1016. 

20. [20]. Schneider D. International trends in adolescent nutrition. Social Science and Medicine. 2000;51:955–967. 

21. [21]. Bell AC, Ge K, Popkin BM. The road to obesity or the path to prevention: Motorized transportation and obesity in China. Obesity Research. 2002;10:277–283.

22. [22]. Popkin BM, Horton D, Kim S, Mahal A, Shuigao J. Trends in diet, nutritional status, and diet-related non-communicable diseases in China and India: The economic costs of the nutrition transition. Nutrition Review. 2001;59:379–390. 

23. [23]. Census of India. [accessed January 28, 2012];2011 

24. [24]. Drewnowski A, Popkin BM. The nutrition transition: New trends in the global diet. Nutrition Reviews. 1997;55:31–43. 

25. [25]. Jeffery, R. W., & French, S. A . Epidemic obesity in the United States: Are fast foods and television viewing contributing? American Journal of Public Health, 1998;88(2),277-280.

26. [26]. Cassidy, S., Chau, J. Y., Catt, M., Bauman, A., &Trenell, M. I. Low physical activity, high television viewing and poor sleep duration cluster in overweight and obese adults; a cross-sectional study of 398,984 participants from the UK Biobank. International Journal of Behavioral Nutrition and Physical Activity,2017; 14(1).

27. [27]. Grøntved, A., Ried-Larsen, M., Møller, N. C., Kristensen, P. L., Wedderkopp, N., Froberg, K., Hu, F. B., Ekelund, U., & Andersen, L. B . Youth screen-time behaviour is associated with cardiovascular risk in young adulthood: The European youth heart study. European Journal of Preventive Cardiology,2012; 21(1):49-56.

28. [28]. Bertrais, S., Beyeme-Ondoua, J., Czernichow, S., Galan, P., Hercberg, S., &Oppert, J. Sedentary behaviors, physical activity, and metabolic syndrome in middle-aged French subjects. Obesity Research, 2005;13(5): 936-944

29. [29]. Tsuji, T., Amemiya, A., Shirai, K., Stenholm, S., Pentti, J., Oksanen, T., Vahtera, J., & Kondo, K. Association between education and television viewing among older working and retired people: A comparative study of Finland and Japan. BMC Public Health,2018; 18(1):917

30. [30]. Trivedi T, Liu J, Probst J, Merchant A, Jhones S, Martin AB. Obesity and obesity-related behaviors among rural and urban adults in the USA. Rural Remote Health. 2015; Oct-Dec;15(4):3267..

31. [31]. Patterson, F., Mitchell, J. A., Dominick, G., Lozano, A. J., Huang, L., & Hanlon, A. L . Does meeting physical activity recommendations ameliorate association between television viewing with cardiovascular disease risk? A cross-sectional, population-based analysis. BMJ Open,2020; 10(6),e036507.

32. [32]. Shuval, K., Gabriel, K. P., & Leonard, T . TV viewing and BMI by race/Ethnicity and socio-economicstatus.PLoS ONE, 20138(5):e63579.

33. [33]. Ghose, B. Frequency of TV viewing and prevalence of overweight and obesity among adult women in Bangladesh: A cross-sectional study. BMJ Open.2017;7(1),e014399.

34. [34]. Harris, J. L., Bargh, J. A., & Brownell, K. D . Priming effects of television food advertising on eating behavior. Health Psychology,2019; 28(4),404-413.

35. [35]. Kuriyan R, Bhat S, Thomas T, Vaz M, Kurpad AV. Television viewing and sleep are associated with overweight among urban and semi-urban South Indian children. Nutr J. 2007; 6:25.

36. [36]. Wang Y. Diet, physical activity, childhood obesity and risk of cardiovascular disease. International Congress Series Atherosclerosis XIII. Proceedings of the 13th International Atherosclerosis Symposium; 2004. pp. 176–179. 

37. [37]. Biddle, S. J., García Bengoechea, E., Pedisic, Z., Bennie, J., Vergeer, I., &Wiesner, G. Erratum to: Screen time, other sedentary behaviours, and obesity risk in adults: a review of reviews. Current Obesity Reports, 2017;6(3):352-352.

38. [38]. Werneck, A. O., Silva, D. R., Malta, D. C., Souza-Júnior, P. R., Azevedo, L. O., Barros, M. B., &Szwarcwald, C. L. Physical inactivity and elevated TV-viewing reported changes during the COVID-19 pandemic are associated with mental health: A survey with 43,995 Brazilian adults. Journal of Psychosomatic Research,2021; 140:110292.

39. [39]. Gao, X., Nelson, M. E., & Tucker, K. L . Television viewing is associated with prevalence of metabolic syndrome in Hispanic elders. Diabetes Care,2007;30(3):694-700.

40. [40]. Gardiner, P. A., Healy, G. N., Eakin, E. G., Clark, B. K., Dunstan, D. W., Shaw, J. E., Zimmet, P. Z., & Owen, N . Associations between television viewing time and overall sitting time with the metabolic syndrome in older men and women: The Australian diabetes obesity and lifestyle study. Journal of the American Geriatrics Society, 2011;59(5);788-796.

41. [41]. Keadle, S. K., Arem, H., Moore, S. C., Sampson, J. N., & Matthews, C. E. Impact of changes in television viewing time and physical activity on longevity: A prospective cohort study. International Journal of Behavioral Nutrition and Physical Activity,2015; 12(1): 156

42. [42]. Inoue, S., Sugiyama, T., Takamiya, T., Oka, K., Owen, N., &Shimomitsu, T.Television viewing time is associated with overweight/Obesity among older adults, independent of meeting physical activity and health guidelines. Journal of Epidemiology. 2012;22(1):50-56.

43. [43]. Chapman, C. D., Nilsson, V. C., Thune, H. Å., Cedernaes, J., Le Grevès, M., Hogenkamp, P. S., Benedict, C., & Schiöth, H. B. Watching TV and food intake: The role of content. PLoS ONE, 2014; 9(7):e100602.

44. [44]. Gutschoven, K., & Van den Bulck, J. Television viewing and age at smoking initiation: Does a relationship exist between higher levels of television viewing and earlier onset of smoking? Nicotine & Tobacco Research, 2005;7(3),381-385.