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Television viewing and fatty liver in early midlife. The Cardiovascular Risk in Young Finns Study.

AbstractINTRODUCTION:
Both sedentary behaviour and fatty liver are associated with increased risk of obesity and non-communicable diseases, but their relationship remains unknown. We investigated the relationship of television (TV) viewing time with serum gamma-glutamyltransferase (GGT) and Fatty Liver Index (FLI), and ultrasonographically assessed liver fat.
METHODS:
A total of 1,367 adults of the population-based Cardiovascular Risk in Young Finns study (748 women, 619 men, aged 34-49 years) had fasting serum GGT, triglycerides, weight, height, and waist circumference, and self-reported TV time data from 2001, 2007, and 2011. Changes in GGT and FLI, and liver ultrasound images in 2011 were studied in groups with constantly low (≤ 1 h/d), moderate (1-3 h/d), or high (≥ 3 h/d) daily TV time, and in groups with ≥ 1 hour increase/decrease in daily TV time between 2001 and 2011.
RESULTS:
Constantly high TV time was associated with higher GGT and FLI (P < 0.02 in both), and 2.3-fold (95% CI 1.2-4.5) increased risk of fatty liver regardless of age, sex, leisure-time and occupational physical activity, energy intake, diet composition, alcohol use, sleep duration, socioeconomic status, and smoking. Adjustment for BMI partly attenuated the associations.
CONCLUSIONS:
High TV viewing increases fatty liver risk. It may be one mechanism linking sedentary behaviour with increased cardiometabolic disease risks.
AuthorsHarri Helajärvi, Katja Pahkala, Olli J Heinonen, Markus Juonala, Mervi Oikonen, Tuija Tammelin, Nina Hutri-Kähönen, Mika Kähönen, Terho Lehtimäki, Vera Mikkilä, Jorma Viikari, Olli T Raitakari
JournalAnnals of medicine (Ann Med) Vol. 47 Issue 6 Pg. 519-26 ( 2015) ISSN: 1365-2060 [Electronic] England
PMID26362414 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Triglycerides
  • gamma-Glutamyltransferase
Topics
  • Adult
  • Body Mass Index
  • Body Weight
  • Cardiovascular Diseases (blood, epidemiology)
  • Female
  • Finland (epidemiology)
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Non-alcoholic Fatty Liver Disease (blood, diagnostic imaging, epidemiology)
  • Risk Factors
  • Sedentary Behavior
  • Television (statistics & numerical data)
  • Triglycerides (blood)
  • Ultrasonography
  • Waist Circumference
  • gamma-Glutamyltransferase (blood)

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