734-P: Perceived Barriers to Physical Activity in People with Type 1 Diabetes Using CGM

Abstract Background Physical activity (PA) is important for those with type 1 diabetes (T1DM); however, accurate information on PA in people with T1DM is limited. Aims This study assessed adherence to PA guidelines using both objective and subjective PA measures and evaluated the relationship between accelerometer-measured PA and cardiovascular disease (CVD) risk factors. Barriers to PA were also assessed. Methods Using an observational cross-sectional design, PA was measured objectively over 7 days in 72 participants (34 males) using an accelerometer (ActiGraph) and subjectively using the International Physical Activity Questionnaire (IPAQ). Perceived barriers to PA were assessed using the Barriers to Physical Activity in Diabetes (type 1) scale. Multiple linear regression models assessed the influence of PA on HbA1c and CVD risk factors. Results Mean age ± SD was 40.9 ± 12.9 years, diabetes duration was 18 ± 11.6 years, and HbA1c was 65 ± 14 mmol/mol /8.0 ± 1.3%. Twenty-three (32%) participants exercised according to PA recommendations as measured by an accelerometer. Sixty-nine (97%) participants reported meeting the recommendations as per the IPAQ. Those meeting recommendations (accelerometry) had a lower HbA1c (p = 0.001), BMI (p = 0.032), waist circumference (p = 0.006), and fat mass (p = 0.032) and a greater number of hypoglycaemic events (p = 0.004). Fear of hypoglycaemia was the strongest barrier to PA (mean 3.4 ± 2.0). Conclusion The majority of participants failed to meet PA recommendations. Meeting the recommendations was associated with healthier CVD risk factor profiles. Individuals with T1DM possibly overestimate their PA using self-reported measures and require support and education to safely improve activity levels.

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Barriers and facilitators of physical activity participation in adults living with type 1 diabetes: A systematic scoping review.

Applied Physiology Nutrition and Metabolism ◽

10.1139/apnm-2020-0461 ◽

2020 ◽

Author(s):

Marian C Brennan ◽

Janie A Brown ◽

Nikos Ntoumanis ◽

Gavin D Leslie

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Patient Education ◽

Behaviour Change ◽

Scoping Review ◽

Barriers And Facilitators ◽

Inclusion Criteria ◽

Behaviour Change Interventions ◽

Barriers To Physical Activity

To identify and map barriers and facilitators of physical activity (PA) in adults living with type 1 diabetes (T1D) in any care setting or environment. A scoping review was conducted in accordance with the PRISMA-ScR guidelines to address the aim of this review. Exclusion / inclusion criteria were determined a priori. Articles captured in the search were subject to title and abstract screening before full text articles were assessed for eligibility against the exclusion / inclusion criteria. Included articles underwent critical appraisal before being charted, mapped, and discussed. Forty-six articles were included in the final synthesis. Most commonly, articles reported cross-sectional survey studies (46%), then qualitative designs (17%), and opinion or text (17%). Experimental studies accounted for 13% of included articles. Fear of hypoglycaemia / hypoglycaemia was the most commonly reported barrier and patient education the most commonly discussed facilitator. Quality appraisal revealed methodological issues among included articles. Higher quality research with theoretically sound behaviour change interventions combined with targeted patient education is needed to address fear of hypoglycaemia / hypoglycaemia as a barrier to PA. Novelty bullets • Hypoglycaemia and fear of hypoglycaemia were the most commonly reported barriers to physical activity in adults with T1D • Powered RCTs are required to establish efficacy of behaviour change interventions targeting these barriers to physical activity

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89-LB: The Effect of GIP on Plasma Glucose in a Setting of Prandial Insulin Overdose and Physical Activity after Meal Intake in Patients with Type 1 Diabetes

Diabetes ◽

10.2337/db20-89-lb ◽

2020 ◽

Vol 69 (Supplement 1) ◽

pp. 89-LB ◽

Cited By ~ 1

Author(s):

BJØRN HOE ◽

SEBASTIAN M. NGUYEN HEIMBÜRGER ◽

LÆRKE S. GASBJERG ◽

MADS B. LYNGGAARD ◽

BOLETTE HARTMANN ◽

...

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Plasma Glucose ◽

Prandial Insulin ◽

Meal Intake ◽

Insulin Overdose

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Assessment of physical inactivity and perceived barriers to physical activity among health college students, south-western Saudi Arabia

Eastern Mediterranean Health Journal ◽

10.26719/2014.20.10.596 ◽

2014 ◽

Vol 20 (10) ◽

pp. 596-604 ◽

Cited By ~ 17

Author(s):

N.J. Awadalla ◽

A.E. Aboelyazed ◽

M.A. Hassanein ◽

S.N. Khalil ◽

R. Aftab ◽

...

Keyword(s):

Physical Activity ◽

College Students ◽

Saudi Arabia ◽

Physical Inactivity ◽

Perceived Barriers ◽

Barriers To Physical Activity

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Mobile Physical Activity for Type 1 Diabetes

Case Medical Research ◽

10.31525/ct1-nct04204733 ◽

2019 ◽

Author(s):

Keyword(s):

Physical Activity ◽

Type 1 Diabetes

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Association between Physical Activity and Sport Participation on Hemoglobin A1c Among Children and Adolescents with Type 1 Diabetes

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18147490 ◽

2021 ◽

Vol 18 (14) ◽

pp. 7490

Author(s):

Kristi M. King ◽

Jason R. Jaggers ◽

Lindsay J. Della ◽

Timothy McKay ◽

Sara Watson ◽

...

Keyword(s):

Physical Activity ◽

Type 1 Diabetes ◽

Medical Records ◽

Hemoglobin A1c ◽

Pediatric Patients ◽

Sport Participation ◽

Multiple Linear Regression Model ◽

Significant Difference ◽

Hba1c Levels

Purpose: To determine associations between physical activity (PA) and sport participation on HbA1c levels in children with type 1 diabetes (T1D). Method: Pediatric patients with T1D were invited to complete a PA and sport participation survey. Data were linked to their medical records for demographic characteristics, diabetes treatment and monitoring plans, and HbA1c levels. Results: Participants consisted of 71 females and 81 males, were 13 ± 3 years old with an average HbA1c level of 8.75 ± 1.81. Children accumulating 60 min of activity 3 days or more a week had significantly lower HbA1c compared to those who accumulated less than 3 days (p < 0.01) of 60 min of activity. However, there was no significant difference in HbA1c values based on sport participation groups. A multiple linear regression model indicated that PA, race, age, duration of diagnosis, and CGM use all significantly predicted HbA1c (p < 0.05). Conclusion: This study demonstrated the significant relationship between daily PA and HbA1c. Those in this sample presented with lower HbA1c values even if accumulating less than the recommended number of days of activity. Further, it was shown that sport participation alone may not be adequate enough to impact HbA1c in a similar manner.

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