Feasibility of Routine Assessment of Exercise Knowledge and Safety in Youth With Type 1 Diabetes

Roberts, Alissa J.; Mitrovich, Connor; Yi‐Frazier, Joyce P.; Taplin, Craig E.

doi:10.1177/0145721719860491

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…This study suggests that opportunities exist for improved education on exercise management for youth with T1D. Research has shown that increased in‐clinic education on safe exercise is desired by parents and youth with T1D, 42 and models of care to effectively incorporate exercise education into diabetes clinic have been recently published 43 …”

Section: Discussionmentioning

confidence: 97%

Association between fear of hypoglycemia and physical activity in youth with type 1 diabetes: The SEARCH for diabetes in youth study

et al. 2020

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Background: Youth with type 1 diabetes (T1D) are encouraged to participate in physical activity (PA). Studies have identified fear of hypoglycemia (FOH) as a barrier to participating in PA. Objectives: To examine (a) PA patterns in youth with T1D by age group and (b) the relationship between both parental and youth FOH and youth PA. Methods: A cross-sectional analysis from the SEARCH cohort study visit of youth ages 10 to 17 years with T1D (n = 1129) was conducted. Linear regression models estimated the association between self-reported number of days of vigorous PA (VPA) and moderate PA (MPA) and both youth-and parent-reported FOH. Multivariable models were adjusted for age, sex, race, duration of T1D, HbA1c, use of continuous glucose monitoring (CGM), recent severe hypoglycemia, primary insulin regimen, and BMI. Results: Participants were 52% female, had mean (sd) age 14.4 (4.2) years, diabetes duration 7.5 years (1.8), HbA1c 9.2% (1.7). Older youth were less likely to engage in VPA (P < .01), or sports teams (P < .01), but more likely to engage in MPA (P < .01). Higher youth FOH (behavior subscale) was associated with increased levels of VPA (β (se) 0.30 (0.11), P = .01) but not significantly associated with MPA (P = .06). There was no statistically significant association between parental FOH and youth PA. Conclusions: In SEARCH participants with T1D, VPA, and team sports participation declined with age, while MPA increased. We observed that higher scores on the youth FOH behavioral subscale were associated with increased VPA levels, suggesting that FOH may be less of a barrier to PA than previously thought.

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Section: Discussionmentioning

confidence: 97%

Association between fear of hypoglycemia and physical activity in youth with type 1 diabetes: The SEARCH for diabetes in youth study

et al. 2020

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Hypoglycaemia avoidance behaviour and exercise levels in active youth with type 1 diabetes

Roberts

Yi‐Frazier²,

Carlin³

et al. 2020

Endocrino Diabet & Metabol

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Aims The primary goal of this exploratory study was to examine the association between fear of hypoglycaemia (FOH), hypoglycaemia avoidance behaviours and exercise in active youth with type 1 diabetes (T1D). Methods 30 youth with T1D who participate in some physical activity (PA), age 15.0 ± 2.4 years, on insulin pump therapy completed the ‘Type 1 Diabetes Report of Exercise Practices Survey (T1D‐REPS)’ and parent and child hypoglycaemia fear surveys (HFS). Twenty‐eight participants completed the 3‐day PA recall survey. Clinical data and pump downloads were obtained at the time of the survey collection. Results Higher child HFS behaviour and total scores were associated with higher PA levels ( P = .003, P = .027), and higher parent HFS behaviour score was associated with higher youth PA levels ( P = .031), after adjusting for age, sex, duration of diabetes and BMI. Higher child HFS behaviour score was associated with a higher exercise hypoglycaemia avoidance score on T1D‐REPS ( r = .38, P = .043). Higher child HFS worry and total scores were associated with higher HbA1c ( r = .48, P = .008; r = .46, P = .012). Conclusions This study demonstrated that, in a generally active cohort of youth with T1D, increased hypoglycaemia avoidance behaviour was associated with higher PA levels. Higher overall FOH scores were associated with PA level, driven by higher behaviour subscale scores, while worry subscales were not correlated with PA level. Those with more FOH intervene more to specifically avoid exercise‐associated hypoglycaemia and appear to have worse overall glycaemic control. Thus, improved education is required to improve glycaemic control around exercise while maintaining avoidance of hypoglycaemia.

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Fear of hypoglycemia, a game changer during physical activity in type 1 diabetes mellitus patients

Berković

Bilić-Ćurčić

Sabolić³

et al. 2021

WJD

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Feasibility of Routine Assessment of Exercise Knowledge and Safety in Youth With Type 1 Diabetes

Cited by 3 publications

References 15 publications

Association between fear of hypoglycemia and physical activity in youth with type 1 diabetes: The SEARCH for diabetes in youth study

Association between fear of hypoglycemia and physical activity in youth with type 1 diabetes: The SEARCH for diabetes in youth study

Hypoglycaemia avoidance behaviour and exercise levels in active youth with type 1 diabetes

Fear of hypoglycemia, a game changer during physical activity in type 1 diabetes mellitus patients

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