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AuthorJabbour, Georges
AuthorBragazzi, Nicola Luigi
Available date2023-01-24T09:50:21Z
Publication Date2021-09-07
Publication NameFrontiers in Endocrinology
Identifierhttp://dx.doi.org/10.3389/fendo.2021.722123
Citationyouth, type 1 diabetes, continuous blood glucose monitoring, insulin pump, vigorous physical activity, child hypoglycemia fear survey behavior, sometimes experience PA hypoglycemia
URIhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85115375740&origin=inward
URIhttp://hdl.handle.net/10576/38791
AbstractThe primary goal of this study was to explore physical activity (PA) levels, hypoglycemia fear scores and hypoglycemia episodes according to insulin administration and blood glucose monitoring methods in youth with type 1 diabetes (T1D). A self-administered questionnaire was completed by 28 children and 33 adolescents with T1D, and their PA was assessed. Hypoglycemia episodes, fear of hypoglycemia scores, insulin therapy (pump vs. injection) and blood glucose monitoring (continuous blood glucose monitors [CGMs] vs. blood glucose meters) methods are reported in the present work. There were no significant differences in the number of hypoglycemic episodes, child hypoglycemia fear survey behavior or total scores, or any components of the PA profile between youth using injections and those using a pump. However, these variables differed significantly when compared according to blood glucose monitoring method (CGMs vs. blood glucose meters): 41.2 vs. 81.8, p<0.01; 1.03 ± 0.05 vs. 2.6 ± 0.63, p<0.01; 1.09 ± 0.43 vs. 2.94 ± 0.22, p<0.01; and 222 ± 18 vs. 49 ± 11, p<0.01 (for total time in vigorous PA in minutes per week), respectively. CGM use correlated significantly with VPA levels (β=0.6; p=0.04). Higher VPA levels were associated with higher child hypoglycemia fear survey behavior scores (β=0.52; p=0.04). The latter correlates negatively with the number of episodes of hypoglycemia in the past 12 months in all category groups. The type of insulin injection was not associated with more activity in youth with T1D. In contrast, CGM use may be associated with increased vigorous PA among T1D youth. Those with higher hypoglycemia fear survey behavior scores engaged in more VPA and had fewer hypoglycemia episodes. Although CGM use ensures continuous monitoring of glycemia during exercise, increasing hypoglycemia avoidance behavior is still a necessary part of exercise management strategies in active youth with T1D.
Languageen
PublisherFrontiers Media
Subjectchild hypoglycemia fear survey behavior
continuous blood glucose monitoring
insulin pump
sometimes experience PA hypoglycemia
type 1 diabetes
vigorous physical activity
youth
TitleContinuous Blood Glucose Monitoring Increases Vigorous Physical Activity Levels and Is Associated With Reduced Hypoglycemia Avoidance Behavior In Youth With Type 1 Diabetes
TypeArticle
Volume Number12
ESSN1664-2392
dc.accessType Open Access


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