Type 2 & other diabetes

Discretionary Screen Time and Progression From Prediabetes to Type 2 Diabetes: Mediating Roles of Sleep and the Triglyceride‐Glucose Index

Diabetes Obes MetabPublished Prospective cohort study

Main finding · T2DResult — go to the resultHazard ratio 1.26 95% CI 1.12–1.40

Authors' conclusion

Higher discretionary screen time was associated with an increased risk of type 2 diabetes among individuals with prediabetes, partly mediated by poor sleep and insulin resistance.

Study context

Population
Participants with prediabetes from the UK Biobank
Participants
41,978 participants
Exposure
Discretionary screen time >5 h/day vs <2 h/day
Outcome
Incident T2D, confirmed through linked hospital, primary care and death registry records

Main finding

T2D

Hazard ratio

1.26

95% CI 1.12–1.40

> 5 h/dayvs < 2 h/day
HR 1.26 (95% CI 1.12–1.40)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Dose-response (restricted cubic spline)

Non-linear association between discretionary screen time and T2D
P for nonlinear = 0.006

T2D by screen-time type

Television viewing, HR
1.35 (95% CI 1.21, 1.51)
Leisure computer use, HR
1.04 (95% CI 0.88, 1.23)

Mediation by sleep and triglyceride-glucose (TyG) index

Mediated by sleep and TyG index combined
30.2%
Mediated through sleep
10.7%
Mediated through TyG index
18.1%
  • Exploratory mediation analyses

Original publication

Discretionary Screen Time and Progression From Prediabetes to Type 2 Diabetes: Mediating Roles of Sleep and the Triglyceride‐Glucose Index. Diabetes Obes Metab. Published 20 April 2026. doi:10.1111/dom.70796

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