Moderate-Vigorous Physical Activity and the Risk of Hypoglycemia in Active and Inactive Persons Living with Type 1 Diabetes

The aim of this study was to evaluate the level of physical activity and cardiorespiratory fitness in teenagers with type 1 diabetes mellitus (T1D) in comparison with healthy scholar participants. Total of 154 teenagers (T1D = 45 and CON = 109). Height, weight, cardiorespiratory fitness (VO2max), and the level of physical activity by the Bouchard’s Physical Activity Record were measured, and glycated hemoglobin (HbA1c) in T1D. The VO2max was lower in the T1D (38.38 ± 7.54) in comparison with the CON (42.44 ± 4.65; p < .05). The VO2max had correlation with the amount of time of moderate-to-vigorous physical activity (r = .63; p = .0001) and an inverse correlation with sedentary activities (r= -0.46; p = .006). In the T1D the levels of HbA1c had an inverse correlation with the amount of time of moderate-to-vigorous physical activity (r= -0.34; p = .041) and correlation with the BMI z-score (r = .43; p = .017). Only 37,8% of the participants in the T1D reached the adequate amount of daily moderate-to-vigorous intensity physical activity, in the CON 81,7% reached the WHO’s recommendation. Conclusion: T1D had less cardiorespiratory capacity then healthy controls, the teenagers of T1D with lower BMI z-score and that dedicated a greater time in moderate-to-vigorous intensity physical activity demonstrated a better glycemic control.

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Physical activity in type 1 diabetic young and early adults treated with insulin pump therapy. A preliminary report.

Progress in Health Sciences ◽

10.5604/01.3001.0013.3689 ◽

2019 ◽

Vol 1 ◽

pp. 13-21

Author(s):

A. Roszkowski ◽

K. Kulesza ◽

M. Cybulski ◽

A.M. Witkowska

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Insulin Pump ◽

Vigorous Physical Activity ◽

Insulin Pump Therapy ◽

Control Group ◽

Pump Therapy ◽

Physically Active ◽

Self Monitoring

Purpose: To determine the level of physical activity in young and early adults with type 1 diabetes in comparison with their healthy counterparts and to determine whether the use of insulin pump facilitates physical activity. Materials and methods: This study included 40 type 1 diabetes (T1D) subjects of both sexes treated with a personal insulin pump therapy, and 30 healthy controls. The diagnostic survey included questions about nutrition, knowledge about the disease and whether the patient can control diabetes through physical activity, diet and self-monitoring. The International Physical Activity Questionnaire – long form (IPAQ-L), was used to assess the level of physical activity of both diabetic and control individuals. Results: 87.5% T1D subjects believe that using an insulin pump facilitates their physical activity. The level of physical activity associated with cycling (p=0.038) and vigorous physical activity (p=0.008) was higher in T1D than in the control group. Statistically significant differences (p=0.043) were found for total physical activity. The total mean activity was higher in participants with T1D (8147.70 MET-min/week) compared to the control group (5857.55 MET-min/week). Conclusions: Young and early adults with type 1 diabetes may be more physically active than their healthy counterparts, mainly in their leisure time. The use of a personal insulin pump facilitates physical activity, but most diabetics experience episodes of hypoglycemia after physical activity.

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Youth and Parent Perspectives on the Acceptability of a Group Physical Activity and Coping Intervention for Adolescents With Type 1 Diabetes

The Science of Diabetes Self-Management and Care ◽

10.1177/26350106211040429 ◽

2021 ◽

Vol 47 (5) ◽

pp. 367-381

Author(s):

Melissa DeJonckheere ◽

Kevin L. Joiner ◽

Garrett I. Ash ◽

Mary Savoye ◽

Mackenzie Adams ◽

...

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Vigorous Physical Activity ◽

Qualitative Description ◽

Self Management ◽

Parent Perspectives ◽

Participant Engagement ◽

And Coping ◽

Management Behaviors

Purpose To examine youth and parent perspectives on the acceptability of Bright 1 Bodies, a group physical activity and coping intervention for adolescents with type 1 diabetes mellitus (T1DM). Methods Adolescents participated in 12 weekly sessions of moderate to vigorous physical activity and discussion with peers with T1DM. Adolescents completed an exit survey measuring satisfaction with the intervention on a 5-point Likert scale. Semistructured interviews were conducted with adolescents and at least one parent. Qualitative description was used to develop themes that summarize the acceptability of the intervention. Results Mean scores for survey subscales were: 4.5 (SD = 0.39) for program components and strategies, 4.4 (SD = 0.44) for comfort with the intervention, and 4.3 (SD = 0.62) for instructors. Themes included: (1) adolescents and parents valued being around others with T1DM and their families, (2) the intervention helped adolescents gain knowledge and reinforce diabetes self-management behaviors, (3) challenges included convenience and sustaining participant engagement, and (4) adolescents intended to sustain physical activity and diabetes self-management behaviors after the intervention. Conclusions Adolescents and parents viewed the intervention as acceptable across multiple domains. Participants valued the group aspect of the intervention, and future interventions would benefit from integrating social interactions with others with T1DM.

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Association of Age, Sex, and Weight with Moderate-to-Vigorous Physical Activity in a Pediatric Type 1 Diabetes Population

Diabetes ◽

10.2337/db18-1384-p ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 1384-P

Author(s):

NELS E. THOMPSON ◽

DAVID A. WATSON ◽

TIMOTHY L. BARNES ◽

LAURA M. GANDRUD

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Vigorous Physical Activity ◽

Pediatric Type 1 Diabetes

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Physical Activity in Adolescent Females with Type 1 Diabetes

International Journal of Pediatrics ◽

10.1155/2010/328318 ◽

2010 ◽

Vol 2010 ◽

pp. 1-6 ◽

Cited By ~ 14

Author(s):

Bahareh Schweiger ◽

Georgeanna Klingensmith ◽

Janet K. Snell-Bergeon

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Glycemic Control ◽

Vigorous Physical Activity ◽

Linear Regression Analysis ◽

Adolescent Females ◽

Self Report ◽

Activity Levels ◽

Physically Active

Objective. We sought to identify amount of physical activity and relationship of physical activity to glycemic control among adolescent females 11 to 19 years of age with type 1 diabetes mellitus (T1DM). We also sought to evaluate associations of age and ethnicity with physical activity levels.Research Design and Methods. Adolescent females ages 11–19 years (n=203) were recruited during their outpatient diabetes appointment. Physical activity was obtained by self-report and was categorized as the number of days subjects had accumulated 60 minutes of moderate-to-vigorous physical activity during the past 7 days and for a typical week.Results. Girls reported being physically active for at least 60 minutes per day on2.7±2.3days in the last week, and on3.1±2.2days in a typical week. A greater number of physically active days in a typical week were associated with lower A1c (P=.049) in linear regression analysis.Conclusion. Adolescent females with T1DM report exercising for at least 60 minutes about 3 days per week, which does not meet the international recommendations of 60 minutes of moderate-to-vigorous activity per day. It is particularly important that adolescent girls with T1DM be encouraged to exercise since a greater number of physically active days per week is associated with better glycemic control.

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Continuous Blood Glucose Monitoring Increases Vigorous Physical Activity Levels and Is Associated With Reduced Hypoglycemia Avoidance Behavior in Youth With Type 1 Diabetes

SSRN Electronic Journal ◽

10.2139/ssrn.3847744 ◽

2021 ◽

Author(s):

Georges Jabbour

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Blood Glucose ◽

Vigorous Physical Activity ◽

Glucose Monitoring ◽

Blood Glucose Monitoring ◽

Activity Levels ◽

Physical Activity Levels ◽

Continuous Blood Glucose Monitoring

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Continuous Blood Glucose Monitoring Increases Vigorous Physical Activity Levels and Is Associated With Reduced Hypoglycemia Avoidance Behavior In Youth With Type 1 Diabetes

Frontiers in Endocrinology ◽

10.3389/fendo.2021.722123 ◽

2021 ◽

Vol 12 ◽

Author(s):

Georges Jabbour ◽

Nicola Luigi Bragazzi

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Blood Glucose ◽

Avoidance Behavior ◽

Vigorous Physical Activity ◽

Glucose Monitoring ◽

Blood Glucose Monitoring ◽

Monitoring Methods ◽

Monitoring Method

The primary goal of this study was to explore physical activity (PA) levels, hypoglycemia fear scores and hypoglycemia episodes according to insulin administration and blood glucose monitoring methods in youth with type 1 diabetes (T1D). A self-administered questionnaire was completed by 28 children and 33 adolescents with T1D, and their PA was assessed. Hypoglycemia episodes, fear of hypoglycemia scores, insulin therapy (pump vs. injection) and blood glucose monitoring (continuous blood glucose monitors [CGMs] vs. blood glucose meters) methods are reported in the present work. There were no significant differences in the number of hypoglycemic episodes, child hypoglycemia fear survey behavior or total scores, or any components of the PA profile between youth using injections and those using a pump. However, these variables differed significantly when compared according to blood glucose monitoring method (CGMs vs. blood glucose meters): 41.2 vs. 81.8, p<0.01; 1.03 ± 0.05 vs. 2.6 ± 0.63, p<0.01; 1.09 ± 0.43 vs. 2.94 ± 0.22, p<0.01; and 222 ± 18 vs. 49 ± 11, p<0.01 (for total time in vigorous PA in minutes per week), respectively. CGM use correlated significantly with VPA levels (β=0.6; p=0.04). Higher VPA levels were associated with higher child hypoglycemia fear survey behavior scores (β=0.52; p=0.04). The latter correlates negatively with the number of episodes of hypoglycemia in the past 12 months in all category groups. The type of insulin injection was not associated with more activity in youth with T1D. In contrast, CGM use may be associated with increased vigorous PA among T1D youth. Those with higher hypoglycemia fear survey behavior scores engaged in more VPA and had fewer hypoglycemia episodes. Although CGM use ensures continuous monitoring of glycemia during exercise, increasing hypoglycemia avoidance behavior is still a necessary part of exercise management strategies in active youth with T1D.

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