Physical Activity Surveillance in Adolescents with Type 1 Diabetes: A Pilot Mixed-Methods Investigation
Type 1 diabetes (T1D) affects over 2,500 children in Ireland. Insulin replacement is the mainstay of treatment for T1D, and physical activity (PA) is an important, modifiable lifestyle factor for sustaining health. Surveillance of PA for both research and clinical purposes in paediatric T1D has been...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2022/4202561 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832564897179762688 |
|---|---|
| author | Susan Giblin Paul Scully Julie Evers Niall Dalton Grainne Hayes Alan Donnelly O. Orla Neylon Clodagh O’Gorman |
| author_facet | Susan Giblin Paul Scully Julie Evers Niall Dalton Grainne Hayes Alan Donnelly O. Orla Neylon Clodagh O’Gorman |
| author_sort | Susan Giblin |
| collection | DOAJ |
| description | Type 1 diabetes (T1D) affects over 2,500 children in Ireland. Insulin replacement is the mainstay of treatment for T1D, and physical activity (PA) is an important, modifiable lifestyle factor for sustaining health. Surveillance of PA for both research and clinical purposes in paediatric T1D has been limited. This study deployed both quantitative (accelerometry) and qualitative (self-report) measures to assess habitual PA patterns in children with T1D. Twenty-one participants (9 females, 12 males) between 10 and 17 years (mean 13.7±1.94 years) were recruited from an Outpatients Paediatric Diabetes Clinic. Total steps, standing time (minutes (mins)) and sitting time (mins) were recorded using the activPAL 3 microactivity monitor. Clinical parameters (HbA1c, insulin regimen, and weight centiles) were measured. A self-report diary was used to measure perceived activity levels. The findings of this study show that participant children with T1D are not achieving the required steps per day to sustain physical health (recommended minimum 11,500). Females (mean=7,306 steps±5,468) achieved significantly less (p=0.001) steps per day compared to males (10,806 steps±5,904). No significant differences were found between genders for sitting time or standing time. Overweight or obesity was identified in 44% of female participants and 15% of male participants. Mean HbA1c for both females 8.25% (67 mmol/mol) and males 7.97% (64 mmol/mol) was above the International Society for Pediatric and Adolescent Diabetes (ISPAD) recommended <7.0% (53 mmol/mol) for children. Further research is warranted to investigate PA promotion strategies in populations of children with paediatric T1D. |
| format | Article |
| id | doaj-art-8c8615ca5eaf4806a70cd4d08f014d24 |
| institution | Kabale University |
| issn | 2314-6753 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-8c8615ca5eaf4806a70cd4d08f014d242025-02-03T01:09:55ZengWileyJournal of Diabetes Research2314-67532022-01-01202210.1155/2022/4202561Physical Activity Surveillance in Adolescents with Type 1 Diabetes: A Pilot Mixed-Methods InvestigationSusan Giblin0Paul Scully1Julie Evers2Niall Dalton3Grainne Hayes4Alan Donnelly5O. Orla Neylon6Clodagh O’Gorman7Department of PaediatricsDepartment of PaediatricsDepartment of PaediatricsDepartment of PaediatricsDepartment of Physical Education and Sports ScienceDepartment of Physical Education and Sports ScienceDepartment of PaediatricsDepartment of PaediatricsType 1 diabetes (T1D) affects over 2,500 children in Ireland. Insulin replacement is the mainstay of treatment for T1D, and physical activity (PA) is an important, modifiable lifestyle factor for sustaining health. Surveillance of PA for both research and clinical purposes in paediatric T1D has been limited. This study deployed both quantitative (accelerometry) and qualitative (self-report) measures to assess habitual PA patterns in children with T1D. Twenty-one participants (9 females, 12 males) between 10 and 17 years (mean 13.7±1.94 years) were recruited from an Outpatients Paediatric Diabetes Clinic. Total steps, standing time (minutes (mins)) and sitting time (mins) were recorded using the activPAL 3 microactivity monitor. Clinical parameters (HbA1c, insulin regimen, and weight centiles) were measured. A self-report diary was used to measure perceived activity levels. The findings of this study show that participant children with T1D are not achieving the required steps per day to sustain physical health (recommended minimum 11,500). Females (mean=7,306 steps±5,468) achieved significantly less (p=0.001) steps per day compared to males (10,806 steps±5,904). No significant differences were found between genders for sitting time or standing time. Overweight or obesity was identified in 44% of female participants and 15% of male participants. Mean HbA1c for both females 8.25% (67 mmol/mol) and males 7.97% (64 mmol/mol) was above the International Society for Pediatric and Adolescent Diabetes (ISPAD) recommended <7.0% (53 mmol/mol) for children. Further research is warranted to investigate PA promotion strategies in populations of children with paediatric T1D.http://dx.doi.org/10.1155/2022/4202561 |
| spellingShingle | Susan Giblin Paul Scully Julie Evers Niall Dalton Grainne Hayes Alan Donnelly O. Orla Neylon Clodagh O’Gorman Physical Activity Surveillance in Adolescents with Type 1 Diabetes: A Pilot Mixed-Methods Investigation Journal of Diabetes Research |
| title | Physical Activity Surveillance in Adolescents with Type 1 Diabetes: A Pilot Mixed-Methods Investigation |
| title_full | Physical Activity Surveillance in Adolescents with Type 1 Diabetes: A Pilot Mixed-Methods Investigation |
| title_fullStr | Physical Activity Surveillance in Adolescents with Type 1 Diabetes: A Pilot Mixed-Methods Investigation |
| title_full_unstemmed | Physical Activity Surveillance in Adolescents with Type 1 Diabetes: A Pilot Mixed-Methods Investigation |
| title_short | Physical Activity Surveillance in Adolescents with Type 1 Diabetes: A Pilot Mixed-Methods Investigation |
| title_sort | physical activity surveillance in adolescents with type 1 diabetes a pilot mixed methods investigation |
| url | http://dx.doi.org/10.1155/2022/4202561 |
| work_keys_str_mv | AT susangiblin physicalactivitysurveillanceinadolescentswithtype1diabetesapilotmixedmethodsinvestigation AT paulscully physicalactivitysurveillanceinadolescentswithtype1diabetesapilotmixedmethodsinvestigation AT julieevers physicalactivitysurveillanceinadolescentswithtype1diabetesapilotmixedmethodsinvestigation AT nialldalton physicalactivitysurveillanceinadolescentswithtype1diabetesapilotmixedmethodsinvestigation AT grainnehayes physicalactivitysurveillanceinadolescentswithtype1diabetesapilotmixedmethodsinvestigation AT alandonnelly physicalactivitysurveillanceinadolescentswithtype1diabetesapilotmixedmethodsinvestigation AT oorlaneylon physicalactivitysurveillanceinadolescentswithtype1diabetesapilotmixedmethodsinvestigation AT clodaghogorman physicalactivitysurveillanceinadolescentswithtype1diabetesapilotmixedmethodsinvestigation |