Vigorous Physical Activity Is Associated With Better Glycated Hemoglobin and Lower Fear of Hypoglycemia Scores in Youth With Type 1 Diabetes: A 2-Year Follow-Up Study

Frontiers in Physiology
Georges Jabbour

Abstract

To correlate glycated hemoglobin (HbA1c) and fear of hypoglycemia scores with physical activity (PA) levels in children and adolescents with type 1 diabetes (T1D) over a period of 2 years. Twenty-eight children and 33 adolescents with T1D have been assessed for their PA profile. Personal and medical data for the patients were collected at baseline (visit 0: V0), 1 year later (V1), and 2 years later (V2). At baseline, children with T1D engaged in less moderate to vigorous PA (MVPA) (p < 0.01) per day than adolescents. These results did not differ across visits. On the contrary, adolescents spent fewer time in vigorous physical activity (VPA) (p < 0.01) than children did (p < 0.01). Fear of hypoglycemia scores correlated significantly with VPA levels (β = -0.41, p = 0.03; β = -0.44, p = 0.06; β = -0.61, p = 0.001). For HbA1c (%), significant correlations were reported with VPA levels (β = -0.54, p = 0.02; β = -0.47, p = 0.03; β = -0.62, p = 0.01) across visits. Body mass index percentile correlated with total screen time (β = 0.28, p = 0.02; β = 0.29, p = 0.01; β = 0.31, p = 0.04) and overall PA levels (β = -0.52, p = 0.02; β = -0.42, p = 0.03; β = -0.42, p = 0.01). Performing more vigorous PA a day is associated with better HbA1...Continue Reading

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Citations

Oct 7, 2021·The Science of Diabetes Self-management and Care·Melissa DeJonckheereMargaret Grey

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