Is fear of hypoglycemia a major barrier to an active lifestyle in children and adolescents with type 1 diabetes? The Diactive-1 study
Fecha
2023Autor
Versión
Acceso abierto / Sarbide irekia
Tipo
Artículo / Artikulua
Versión
Versión publicada / Argitaratu den bertsioa
Identificador del proyecto
Impacto
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10.1111/sms.14369
Resumen
Studies on fear of hypoglycemia as a barrier to physical activity among youth
with type 1 diabetes (T1D) have been limited and controversial, most of which
used self-reported assessment. The aim of the study was to evaluate the relationship between fear of hypoglycemia and physical activity and glycemic metrics
in children and adolescents with T1D. Seventy-four participants (6–18 years
of age ...
[++]
Studies on fear of hypoglycemia as a barrier to physical activity among youth
with type 1 diabetes (T1D) have been limited and controversial, most of which
used self-reported assessment. The aim of the study was to evaluate the relationship between fear of hypoglycemia and physical activity and glycemic metrics
in children and adolescents with T1D. Seventy-four participants (6–18 years
of age; 44.6% females) with T1D were included in the study. Physical activity
was assessed through accelerometry on nine consecutive days, and blood glucose metrics were simultaneously tracked using continuous glucose monitoring
(time-in-range and hypoglycemic events). A closed question was used to evaluate the avoidance of physical activity due to fear of hypoglycemia. Fifteen participants (20%) reported avoiding physical activity due to fear of hypoglycemia.
The group reporting no fear of hypoglycemia showed lower total physical activity
(−35.33min/day, 95% confidence interval [CI] (−77.57 to −1.47)) and light physical activity (−29.81min/day, 95% CI −64.01 to −2.75) and higher sedentary time
(77.95min/day, 95% CI 26.46–136.87) per day compared with those with fear of
hypoglycemia. No difference was found between those patients with fear of hypoglycemia in terms of meeting the recommendations of glycated hemoglobin,
glucose coefficient of variation, and time-in-range when compared to those with
no fear of hypoglycemia. In conclusion, children and adolescents with fear of
hypoglycemia were more active, less sedentary, and had similar glycemic metrics
to those without fear. Our results therefore suggest that fear of hypoglycemia may
be less of a barrier to an active lifestyle than previously believed. [--]
Materias
Barriers,
Hypoglycemia,
Physical activity,
Time in range,
Youth
Editor
Wiley
Publicado en
Scandinavian Journal of Medicine & Science in Sports, 2023;00:1–8
Departamento
Universidad Pública de Navarra. Departamento de Ciencias de la Salud /
Nafarroako Unibertsitate Publikoa. Osasun Zientziak Saila
Versión del editor
Entidades Financiadoras
This study was funded by grant PI21/01238 from the Instituto de Salud Carlos III (Spain). Dr. García-Hermoso is a Miguel Servet Fellow (Instituto de Salud Carlos III – CP18/0150). The project that gave rise to these results received the support of a fellowship from “la Caixa” Foundation granted to Nidia Huerta Uribe (ID 11780038). Open access funding provided by Universidad Pública de Navarra.