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How Ethnic Differences in Television Watching and Low Physical Activity in UK Adults Affect Type 2 Diabetes

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Knowledge Management in Organisations (KMO 2023)

Part of the book series: Communications in Computer and Information Science ((CCIS,volume 1825))

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Abstract

Type 2 diabetes is increasing globally. However, those from South Asian and Black ethnic descent are more susceptible to the disease compared to those from European White descent. The reasons for this disparity are unknown. Lifestyle behaviours like low physical activity and sedentary behaviour are shown to be risk factors associated with type 2 diabetes. This link has been found in predominantly White ethnic groups. This study aims to examine whether the varying magnitude time spent watching television and physical activity contribute to the high risk of diabetes in minority ethnic groups compared to the majority Whites using the UK Biobank data. This is a cross-sectional study of middle-aged individuals from South Asian, Black and White ethnic backgrounds. Adjusting for age, socioeconomic status and BMI, television viewing as a sedentary behaviour and low physical activity were significant risk factors for the development of type 2 diabetes in south Asians and Whites but not Blacks which was evident with mediation by BMI. The non-significance in Blacks maybe due to other underlying factors. There is a need to develop effective interventions that can promote improved lifestyle behaviours in these populations including promoting the knowledge on the risk of sedentary behaviours and diabetes.

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References

  1. Matthews, D.: Sociology in nursing 4: the impact of ethnicity on health inequalities. Nurs. Times 111(44), 18–20 (2015). https://www.nursingtimes.net/. Accessed 03 Nov 2019

  2. Lillie-Blanton, M., Parsons, P.E., Gayle, H., Dievler, A.: Racial differences in health: not just black and white, but shades of gray. Annu. Rev. Public Health 17(1), 411–448 (1996). https://doi.org/10.1146/annurev.pu.17.050196.002211

    Article  Google Scholar 

  3. Goff, L.M.: Ethnicity and type 2 diabetes in the UK. Diabet. Med. 36(8), 927–938 (2019). https://doi.org/10.1111/dme.13895

    Article  Google Scholar 

  4. McLaughlin, M., et al.: Worldwide surveillance of self-reported sitting time: a scoping review. Int. J. Behav. Nutr. Phys. Act. 17(1), 111 (2020). https://doi.org/10.1186/s12966-020-01008-4

    Article  Google Scholar 

  5. Ntuk, U.E., Gill, J.M., Mackay, D.F., Sattar, N., Pell, J.P.: Ethnic-specific obesity cutoffs for diabetes risk: cross-sectional study of 490,288 UK biobank participants. Diabetes Care 37(9), 2500–2507 (2014)

    Article  Google Scholar 

  6. Eastwood, S.V., Mathur, R., Sattar, N., Smeeth, L., Bhaskaran, K., Chaturvedi, N.: Ethnic differences in guideline-indicated statin initiation for people with type 2 diabetes in UK primary care, 2006–2019: a cohort study. PLoS Med. 18(6), e1003672 (2021). https://doi.org/10.1371/journal.pmed.1003672

    Article  Google Scholar 

  7. Stamatakis, E., Ekelund, U., Ding, D., Hamer, M., Bauman, A.E., Lee, I.M.: Is the time right for quantitative public health guidelines on sitting? A narrative review of sedentary behaviour research paradigms and findings. Br. J. Sports Med. 53(6), 377–382 (2019). https://doi.org/10.1136/bjsports-2018-099131

    Article  Google Scholar 

  8. Yates, T., Henson, J., Edwardson, C., Bodicoat, D.H., Davies, M.J., Khunti, K.: Differences in levels of physical activity between White and South Asian populations within a healthcare setting: impact of measurement type in a cross-sectional study. BMJ Open 5(7), e006181 (2015). https://doi.org/10.1136/bmjopen-2014-006181

    Article  Google Scholar 

  9. Wilmot, E.G., et al.: Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia 55(11), 2895–2905 (2012). https://doi.org/10.1007/s00125-012-2677-z

    Article  Google Scholar 

  10. James, C.V., Moonesinghe, R., Wilson-Frederick, S.M., Hall, J.E., Penman-Aguilar, A., Bouye, K.: Racial/ethnic health disparities among rural adults—United States, 2012–2015. MMWR Surveill. Summ. 66(23), 1 (2017). https://doi.org/10.15585/mmwr.ss6623a1

  11. Matthews, K.A., et al.: Health-related behaviors by urban-rural county classification-united states, 2013. MMWR Surveill. Summ. 66(5) (2017). https://doi.org/10.15585/mmwr.ss6605a1

  12. Egan, B.M.: Physical activity and hypertension: knowing is not enough; we must apply. Willing is not enough; we must do—von Goethe. Hypertension 69(3), 404–406 (2017)

    Google Scholar 

  13. Major, L., Simonsick, E.M., Napolitano, M.A., DiPietro, L.: Domains of sedentary behavior and cognitive function: the health, aging, and body composition study, 1999/2000 to 2006/2007. J. Gerontol. A (2023). https://doi.org/10.1093/gerona/glad020

    Article  Google Scholar 

  14. Werneck, A.O., et al.: Independent and combined associations of sugar-sweetened beverage consumption, TV viewing, and physical activity with severe depressive symptoms among 59,402 adults. Braz. J. Psychiatry 43, 574–583 (2020). https://doi.org/10.1590/1516-4446-2020-1073

    Article  Google Scholar 

  15. Pulsford, R.M., Stamatakis, E., Britton, A.R., Brunner, E.J., Hillsdon, M.M.: Sitting behavior and obesity: evidence from the Whitehall II study. Am. J. Prev. Med. 44(2), 132–138 (2013)

    Article  Google Scholar 

  16. Waidyatilaka, I., Lanerolle, P., Wickremasinghe, R., Atukorala, S., Somasundaram, N., de Silva, A.: Sedentary behaviour and physical activity in South Asian women: time to review current recommendations? PLoS ONE 8(3), e58328 (2013). https://doi.org/10.1371/journal.pone.0058328

    Article  Google Scholar 

  17. Cha, S.S., Seo, B.K.: Smartphone use and smartphone addiction in middle school students in Korea: prevalence, social networking service, and game use. Health Psychol. Open 5(1), 2055102918755046 (2018). https://doi.org/10.1177/2055102918755046

    Article  Google Scholar 

  18. Lee, J., Ahn, J.S., Min, S., Kim, M.H.: Psychological characteristics and addiction propensity according to content type of smartphone use. Int. J. Environ. Res. Public Health 17(7), 2292 (2020). https://doi.org/10.3390/ijerph17072292

    Article  Google Scholar 

  19. Clark, B.K., Sugiyama, T., Healy, G.N., Salmon, J., Dunstan, D.W., Owen, N.: Validity and reliability of measures of television viewing time and other non-occupational sedentary behaviour of adults: a review. Obes. Rev. 10(1), 7–16 (2009). https://doi.org/10.1111/j.1467-789X.2008.00508.x

    Article  Google Scholar 

  20. Chu, A.H., Ng, S.H., Koh, D., Müller-Riemenschneider, F.: Domain-specific adult sedentary behaviour questionnaire (ASBQ) and the GPAQ single-item question: a reliability and validity study in an Asian population. Int. J. Environ. Res. Public Health 15(4), 739 (2018). https://doi.org/10.3390/ijerph15040739

    Article  Google Scholar 

  21. Guo, C., et al.: Association of total sedentary behaviour and television viewing with risk of overweight/obesity, type 2 diabetes and hypertension: a dose–response meta-analysis. Diabetes Obes. Metab. 22(1), 79–90 (2020). https://doi.org/10.1111/dom.13867

    Article  MathSciNet  Google Scholar 

  22. Patterson, R., et al.: Sedentary behaviour and risk of all-cause, cardiovascular and cancer mortality, and incident type 2 diabetes: a systematic review and dose response meta-analysis. Eur. J. Epidemiol. 33(9), 811–829 (2018). https://doi.org/10.1007/s10654-018-0380-1

    Article  Google Scholar 

  23. Blüher, S., et al.: Who should we target for diabetes prevention and diabetes risk reduction? Curr. Diab. Rep. 12, 147–156 (2012). https://doi.org/10.1007/s11892-012-0255-x

    Article  Google Scholar 

  24. Krishnan, S., Rosenberg, L., Palmer, J.R.: Physical activity and television watching in relation to risk of type 2 diabetes: the Black Women’s Health Study. Am. J. Epidemiol. 169(4), 428–434 (2009). https://doi.org/10.1093/aje/kwn344

    Article  Google Scholar 

  25. Joseph, J.J., et al.: Modifiable lifestyle risk factors and incident diabetes in African Americans. Am. J. Prev. Med. 53(5), e165–e174 (2017). https://doi.org/10.1016/j.amepre.2017.06.018

    Article  Google Scholar 

  26. Joseph, J.J., et al.: Physical activity, sedentary behaviors and the incidence of type 2 diabetes mellitus: the Multi-Ethnic Study of Atherosclerosis (MESA). BMJ Open Diabetes Res. Care 4(1), e000185 (2016). https://doi.org/10.1136/bmjdrc-2015-000185

    Article  Google Scholar 

  27. Stamatakis, E., Gill, J.M.: Sitting behaviour and physical activity: two sides of the same cardiovascular health coin? Br. J. Sports Med. 53(14), 852–853 (2019). https://doi.org/10.1136/bjsports-2018-099640

    Article  Google Scholar 

  28. Ding, D., Rogers, K., van der Ploeg, H., Stamatakis, E., Bauman, A.E.: Traditional and emerging lifestyle risk behaviors and all-cause mortality in middle-aged and older adults: evidence from a large population-based Australian cohort. PLoS Med. 12(12), e1001917 (2015). https://doi.org/10.1371/JOURNAL.PMED.1001917

    Article  Google Scholar 

  29. Owen, N., Sugiyama, T., Eakin, E.E., Gardiner, P.A., Tremblay, M.S., Sallis, J.F.: Adults’ sedentary behavior: determinants and interventions. Am. J. Prev. Med. 41(2), 189–196 (2011). https://doi.org/10.1016/j.amepre.2011.05.013

    Article  Google Scholar 

  30. Bodde, A.E., Seo, D.C., Frey, G.C., Van Puymbroeck, M., Lohrmann, D.K.: Correlates of moderate-to-vigorous physical activity participation in adults with intellectual disabilities. Health Promot. Pract. 14(5), 663–670 (2013). https://doi.org/10.1177/1524839912462395

    Article  Google Scholar 

  31. Wijndaele, K., et al.: Reliability and validity of a domain-specific last 7-d sedentary time questionnaire. Med. Sci. Sports Exerc. 46(6), 1248 (2014). https://doi.org/10.1249/MSS.0000000000000214

    Article  Google Scholar 

  32. Lynch, B.M.: Sedentary behavior and cancer: a systematic review of the literature and proposed biological mechanisms. Cancer Epidemiol. Biomarkers Prev. 19(11), 2691–2709 (2010). https://doi.org/10.1158/1055-9965.EPI-10-0815

    Article  Google Scholar 

  33. Mathew, A., et al.: Physical activity levels among urban and rural women in south India and the risk of breast cancer: a case-control study. Eur. J. Cancer Prev. 18(5), 368–376 (2009). https://doi.org/10.1097/CEJ.0b013e32832e1c46

    Article  Google Scholar 

  34. Katzmarzyk, P.T., Church, T.S., Craig, C.L., Bouchard, C.: Sitting time and mortality from all causes, cardiovascular disease, and cancer. Med. Sci. Sports Exerc. 41(5), 998–1005 (2009). https://doi.org/10.1249/MSS.0b013e3181930355

    Article  Google Scholar 

  35. Rimmer, J.H., Marques, A.C.: Physical activity for people with disabilities. Lancet 380(9838), 193–195 (2012). https://doi.org/10.1016/S0140-6736(12)61028-9

    Article  Google Scholar 

  36. Rimmer, J.H., Riley, B., Wang, E., Rauworth, A., Jurkowski, J.: Physical activity participation among persons with disabilities: barriers and facilitators. Am. J. Prev. Med. 26(5), 419–425 (2004). https://doi.org/10.1016/j.amepre.2004.02.002

    Article  Google Scholar 

  37. Hu, F.B., Li, T.Y., Colditz, G.A., Willett, W.C., Manson, J.E.: Television watching and other sedentary behaviors in relation to risk of obesity and type 2 diabetes mellitus in women. JAMA 289(14), 1785–1791 (2003). https://doi.org/10.1001/jama.289.14.1785

    Article  Google Scholar 

  38. Wilmot, E.: The hazards of sedentary behaviour. Pract. Diabetes 31(2), 50–51 (2014). https://doi.org/10.1002/pdi.1829

    Article  Google Scholar 

  39. Ipaq Research Committee: Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ) – short and long forms. Ipaq (2005)

    Google Scholar 

  40. Cuzick, J.: A Wilcoxon-type test for trend. Stat. Med. 4(1), 87–90 (1985). http://www.ncbi.nlm.nih.gov/pubmed/3992076. Accessed 03 July 2017

  41. Deng, M.G., Cui, H.T., Lan, Y.B., Nie, J.Q., Liang, Y.H., Chai, C.: Physical activity, sedentary behavior, and the risk of type 2 diabetes: a two-sample Mendelian Randomization analysis in the European population. Front. Endocrinol. 13 (2022). https://doi.org/10.3389/fendo.2022.964132

  42. Stamatakis, E., et al.: Sitting behaviour is not associated with incident diabetes over 13 years: the Whitehall II cohort study. Br. J. Sports Med. 51(10), 818–823 (2017). https://doi.org/10.1136/bjsports-2016-096723

    Article  Google Scholar 

  43. Healy, G.N., Matthews, C.E., Dunstan, D.W., Winkler, E.A., Owen, N.: Sedentary time and cardio-metabolic biomarkers in US adults: NHANES 2003–06. Eur. Heart J. 32(5), 590–597 (2011). https://doi.org/10.1093/eurheartj/ehq451

    Article  Google Scholar 

  44. Batty, G.D., Gale, C.R., Kivimäki, M., Deary, I.J., Bell, S.: Generalisability of results from UK Biobank: comparison with a pooling of 18 cohort studies. SSRN Electron. J. (2020). https://doi.org/10.2139/ssrn.3437793

    Article  Google Scholar 

  45. Fry, A., et al.: Comparison of sociodemographic and health-related characteristics of UK Biobank participants with those of the general population. Am. J. Epidemiol. 186(9), 1026–1034 (2017). https://doi.org/10.1093/AJE/KWX246

    Article  Google Scholar 

  46. Allison, M.A., Jensky, N.E., Marshall, S.J., Bertoni, A.G., Cushman, M.: Sedentary behavior and adiposity-associated inflammation: the multi-ethnic study of atherosclerosis. Am. J. Prev. Med. 42(1), 8–13 (2012). https://doi.org/10.1016/j.amepre.2011.09.023

    Article  Google Scholar 

  47. Hamilton, M.T., Hamilton, D.G., Zderic, T.W.: Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease. Diabetes 56(11), 2655–2667 (2007). https://doi.org/10.2337/db07-0882.CVD

    Article  Google Scholar 

  48. Larsen, R.N., et al.: Breaking up of prolonged sitting over three days sustains, but does not enhance, lowering of postprandial plasma glucose and insulin in overweight and obese adults. Clin. Sci. 129(2), 117–127 (2015). https://doi.org/10.1042/CS20140790

    Article  Google Scholar 

  49. Henson, J., et al.: Breaking up prolonged sitting with standing or walking attenuates the postprandial metabolic response in postmenopausal women: a randomized acute study. Diabetes Care 39(1), 130–138 (2016). https://doi.org/10.2337/dc15-1240

    Article  Google Scholar 

  50. Rockette-Wagner, B., et al.: The impact of lifestyle intervention on sedentary time in individuals at high risk of diabetes. Diabetologia 58(6), 1198–1202 (2015). https://doi.org/10.1007/s00125-015-3565-0

    Article  Google Scholar 

  51. ADA: Standards of medical care in diabetes – 2017. Diabetes Care 40(1), 386–390 (2017). https://doi.org/10.2337/dc14-S014

  52. Hamer, M., Stamatakis, E.: Screen-based sedentary behavior, physical activity, and muscle strength in the English longitudinal study of ageing. PLoS ONE 8(6), e66222 (2013). https://doi.org/10.1371/journal.pone.0066222

    Article  Google Scholar 

  53. Grøntved, A., Hu, F.B.: Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a meta-analysis. JAMA 305(23), 2448–2455 (2011)

    Article  Google Scholar 

  54. Bennie, J.A., et al.: Total and domain-specific sitting time among employees in desk-based work settings in Australia. Aust. N. Z. J. Public Health 39(3), 237–242 (2015). https://doi.org/10.1111/1753-6405.12293

    Article  Google Scholar 

  55. Chu, A.H.Y., Van Dam, R.M., Biddle, S.J.H., Tan, C.S., Koh, D., Müller-Riemenschneider, F.: Self-reported domain-specific and accelerometer-based physical activity and sedentary behaviour in relation to psychological distress among an urban Asian population. Int. J. Behav. Nutr. Phys. Act. 15, 1–14 (2018). https://doi.org/10.1186/s12966-018-0669-1

    Article  Google Scholar 

  56. Tasali, E., Leproult, R., Spiegel, K.: Reduced sleep duration or quality: relationships with insulin resistance and type 2 diabetes. Prog. Cardiovasc. Dis. 51(5), 381–391 (2009). https://doi.org/10.1016/j.pcad.2008.10.002

    Article  Google Scholar 

  57. Cassidy, S., Chau, J.Y., Catt, M., Bauman, A., Trenell, M.I.: Cross-sectional study of diet, physical activity, television viewing and sleep duration in 233 110 adults from the UK Biobank; the behavioural phenotype of cardiovascular disease and type 2 diabetes. BMJ Open 6(3), e010038 (2016). https://doi.org/10.1136/bmjopen-2015-010038

    Article  Google Scholar 

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Ayoade, U., Eze, N.J. (2023). How Ethnic Differences in Television Watching and Low Physical Activity in UK Adults Affect Type 2 Diabetes. In: Uden, L., Ting, IH. (eds) Knowledge Management in Organisations. KMO 2023. Communications in Computer and Information Science, vol 1825. Springer, Cham. https://doi.org/10.1007/978-3-031-34045-1_33

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