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Television viewing time and weight gain in colorectal cancer survivors: a prospective population-based study

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Abstract

Objective

To investigate the prospective relationships between television viewing time and weight gain in the 3 years following colorectal cancer diagnosis for 1,867 colorectal cancer survivors (body mass index (BMI) ≥ 18.5 kg/m2).

Methods

BMI, television viewing time, physical activity, and socio-demographic and clinical covariates were assessed at baseline (5 months), 24 months and 36 months post-diagnosis. Multiple linear regression was used to study independent associations between baseline television viewing time and BMI at 24 and 36 months post-diagnosis.

Results

At both follow-up time points, there was a significant increase in mean BMI for participants reporting ≥5 h/day of television viewing compared to those watching <3 h/day at baseline (24 months: 0.72 kg/m2 (0.31, 1.12), p < 0.001; 36 months: 0.61 kg/m2 (0.14, 1.07), p = 0.01), independent of baseline BMI, gender, age, education, marital status, smoking, cancer site, cancer disease stage, treatment mode and co-morbidities. Additional adjustment for baseline physical activity did not change results.

Conclusions

These findings suggest that a greater emphasis on decreasing television viewing time could help reduce weight gain among colorectal cancer survivors. This, in turn, could contribute to a risk reduction for co-morbid conditions such as type 2 diabetes and cardiovascular disease.

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Acknowledgments

This project was funded by the Cancer Council Queensland. Owen is supported by a Queensland Health Core Research Infrastructure grant and by NHMRC Program Grant funding (#301200). Dunstan is supported by a Victorian Health Promotion Foundation Public Health Research Fellowship.

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Authors and Affiliations

  1. MRC Epidemiology Unit, Institute of Metabolic Science, Addenbrooke’s Hospital, Hills Road, P.O. Box 285, Cambridge, CB2 0QQ, UK

    Katrien Wijndaele & Stephen Sharp

  2. Viertel Centre for Research in Cancer Control, The Cancer Council Queensland, Brisbane, QLD, Australia

    Brigid M. Lynch & Joanne F. Aitken

  3. Cancer Prevention Research Centre, School of Population Health, The University of Queensland, Brisbane, QLD, Australia

    Neville Owen & David W. Dunstan

  4. Baker IDI Heart and Diabetes Institute, Melbourne, VIC, Australia

    David W. Dunstan

  5. Vario Health Institute, Edith Cowan University, Perth, WA, Australia

    David W. Dunstan

Authors
  1. Katrien Wijndaele
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  2. Brigid M. Lynch
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  3. Neville Owen
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  4. David W. Dunstan
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  5. Stephen Sharp
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  6. Joanne F. Aitken
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Wijndaele, K., Lynch, B.M., Owen, N. et al. Television viewing time and weight gain in colorectal cancer survivors: a prospective population-based study. Cancer Causes Control 20, 1355–1362 (2009). https://doi.org/10.1007/s10552-009-9356-5

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  • DOI: https://doi.org/10.1007/s10552-009-9356-5

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