Children younger than 7 years with type 1 diabetes are less physically active than healthy controls

Sundberg, Frida; Forsander, Gun; Fasth, Anders; Ekelund, Ulf

doi:10.1111/j.1651-2227.2012.02803.x

Cited by 52 publications

(39 citation statements)

References 26 publications

(44 reference statements)

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“…Measurement methods: A total of 17 out of the 25 eligible studies used the ActiGraph accelerometer to measure habitual MVPA and/or ST, though with a variety of different ActiGraph models and approaches to data collection and reduction. Of the remaining studies: three used the Actical [28, 33, 53]; two the RT3 “Triaxial Research Tracker” [37, 40]; one the PAM “Physical Activity Monitor” B.V. type AM 100 [41]; one the Actiheart (which combines accelerometry and heart rate monitoring) [49]; and one the Step Watch 3 ™ [52]. …”

Section: Resultsmentioning

confidence: 99%

“…Of the 14 studies that measured ST, the chronic diseases studied were: cardiovascular disease—3 studies [29, 31, 32]; chronic respiratory diseases—4 studies [36, 39, 40, 42]; diabetes—5 studies [44–46, 48, 49]; malignancy—2 studies [51, 53]. …”

Section: Resultsmentioning

confidence: 99%

“…In 10 out of the 13 eligible studies, there was a healthy control group, and in 4/10 studies ST was significantly higher in those with chronic disease than in the healthy control groups [46, 48, 49, 53], in one study ST was significantly lower in the patient group compared to the healthy control group [36], and in 5 studies there was no significant group difference [31, 39, 40, 42, 51]. Suitable summary data for combining individual study data were only available for three studies (n = 355) in patients with chronic respiratory disease with findings indicating no statistically significant group difference in time spent sedentary (SMD -0.40, 95% CI -1.53 to 0.74, p = 0.49, I 2 = 95%).…”

Section: Resultsmentioning

confidence: 99%

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Accelerometer measured levels of moderate-to-vigorous intensity physical activity and sedentary time in children and adolescents with chronic disease: A systematic review and meta-analysis

Elmesmari

Reilly

Martin³

et al. 2017

PLoS ONE

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ContextModerate-to-vigorous physical activity (MVPA) and sedentary time (ST) are important for child and adolescent health.ObjectiveTo examine habitual levels of accelerometer measured MVPA and ST in children and adolescents with chronic disease, and how these levels compare with healthy peers.MethodsData sources: An extensive search was carried out in Medline, Cochrane library, EMBASE, SPORTDiscus and CINAHL from 2000–2017.Study selection: Studies with accelerometer-measured MVPA and/or ST (at least 3 days and 6 hours/day to provide estimates of habitual levels) in children 0–19 years of age with chronic diseases but without co-morbidities that would present major impediments to physical activity. In all cases patients were studied while well and clinically stable.ResultsOut of 1592 records, 25 studies were eligible, in four chronic disease categories: cardiovascular disease (7 studies), respiratory disease (7 studies), diabetes (8 studies), and malignancy (3 studies). Patient MVPA was generally below the recommended 60 min/day and ST generally high regardless of the disease condition. Comparison with healthy controls suggested no marked differences in MVPA between controls and patients with cardiovascular disease (1 study, n = 42) and type 1 diabetes (5 studies, n = 400; SMD -0.70, 95% CI -1.89 to 0.48, p = 0.25). In patients with respiratory disease, MVPA was lower in patients than controls (4 studies, n = 470; SMD -0.39, 95% CI -0.80, 0.02, p = 0.06). Meta-analysis indicated significantly lower MVPA in patients with malignancies than in the controls (2 studies, n = 90; SMD -2.2, 95% CI -4.08 to -0.26, p = 0.03). Time spent sedentary was significantly higher in patients in 4/10 studies compared with healthy control groups, significantly lower in 1 study, while 5 studies showed no significant group difference.ConclusionsMVPA in children/adolescents with chronic disease appear to be well below guideline recommendations, although comparable with activity levels of their healthy peers except for children with malignancies. Tailored and disease appropriate intervention strategies may be needed to increase MVPA and reduce ST in children and adolescents with chronic disease.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Accelerometer measured levels of moderate-to-vigorous intensity physical activity and sedentary time in children and adolescents with chronic disease: A systematic review and meta-analysis

Elmesmari

Reilly

Martin³

et al. 2017

PLoS ONE

View full text Add to dashboard Cite

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“…In one of the only published studies examining physical activity in young children with T1D, Sundberg and colleagues used accelerometers to measure daily physical activity in 24 children with T1D and 26 healthy children (all under 7 years of age). Young children with T1D were found to be less active overall, and engaged in fewer minutes of moderate-to-intense physical activity as compared to peers without T1D [38]. …”

Section: Challenges To T1d Management and Glycemic Controlmentioning

confidence: 99%

Young Children with Type 1 Diabetes: Challenges, Research, and Future Directions

2014

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The incidence of type 1 diabetes (T1D) in young children (age <6 years) is rising. Diabetes management guidelines offered by the American Diabetes Association and health care teams understandably place a high burden of responsibility on caregivers to check young children's blood glucose levels, administer insulin, and monitor diet and physical activity with the ultimate goal of maintaining tight glycemic control. Unfortunately, this tight control is needed during a vulnerable developmental period when behavior is unpredictable, T1D can be physiologically difficult to control, parenting stress can be elevated, and caregivers are strained by normal child caretaking routines. Despite the potentially different management needs, specific education and clinical services for managing diabetes in young children are rarely offered, and behavioral research with this young child age group has been limited in scope and quantity. Research findings pertinent to young children with T1D are reviewed, and potential clinical implications, as well as areas for future research, are discussed.

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“…Descriptions of participants, non-participants, healthy control children and the recruitment process have been published previously, together with detailed information on the measurements used [5][6][7]. Parents of 24 children with diabetes (12 girls) consented to their child's participation in the study.…”

Section: Participantsmentioning

confidence: 99%

Health‐related quality of life in preschool children with Type 1 diabetes

2014

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Children younger than 7 years with type 1 diabetes are less physically active than healthy controls

Abstract: Physical activity is significantly reduced in young children with type 1 diabetes.

Cited by 52 publications

References 26 publications

Accelerometer measured levels of moderate-to-vigorous intensity physical activity and sedentary time in children and adolescents with chronic disease: A systematic review and meta-analysis

Accelerometer measured levels of moderate-to-vigorous intensity physical activity and sedentary time in children and adolescents with chronic disease: A systematic review and meta-analysis

Young Children with Type 1 Diabetes: Challenges, Research, and Future Directions

Health‐related quality of life in preschool children with Type 1 diabetes

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