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Published Online First: 13 March 2009. doi:10.1136/thx.2008.104406
Thorax 2009;64:321-325
Copyright © 2009 BMJ Publishing Group Ltd & British Thoracic Society.

ASTHMA

Association of duration of television viewing in early childhood with the subsequent development of asthma

A Sherriff1, A Maitra2, A R Ness3, C Mattocks4, C Riddoch4, J J Reilly5, J Y Paton5, A J Henderson6

1 Dental School, Faculty of Medicine, University of Glasgow, Glasgow, UK
2 Department of Paediatric Respiratory Medicine, Sheffield Children’s Hospital, Sheffield, UK
3 Department of Oral and Dental Science, University of Bristol, Bristol, UK
4 School for Health, University of Bath, Bath, UK
5 Division of Developmental Medicine, University of Glasgow, Glasgow, UK
6 Department of Community-Based Medicine, University of Bristol, Bristol, UK

Dr A Sherriff, Dental School, Faculty of Medicine, University of Glasgow, Glasgow G2 3JZ, UK; a.sherriff{at}dental.gla.ac.uk

Objective: To investigate whether duration of television (TV) viewing in young children is associated with subsequent development of asthma.

Methods: Children taking part in the Avon Longitudinal Study of Parents and Children (ALSPAC) with no wheeze up to the age of 3.5 years and follow-up data at 11.5 years of age took part in a prospective longitudinal cohort study. The main outcome measure was asthma, defined as doctor-diagnosed asthma by 7.5 years of age with symptoms and/or treatment in the previous 12 months at 11.5 years of age. Parental report of hours of TV viewing per day by the children was ascertained at 39 months.

Results: In children with no symptoms of wheeze at 3.5 years of age and follow-up data at 11.5 years of age, the prevalence of asthma was 6% (185/3065). Increased TV viewing at 3.5 years was associated with increased prevalence of asthma at 11.5 years of age (p for linear trend = 0.0003). Children who watched television for >2 h/day were almost twice as likely to develop asthma by 11.5 years of age as those watching TV for 1–2 h/day (adjusted odds ratio 1.8 (95% CI 1.2 to 2.6)).

Conclusion: Longer duration of TV viewing in children with no symptoms of wheeze at 3.5 years of age was associated with the development of asthma in later childhood.


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