Association between daily steps, diabetes management and health indicators in people living with type 1 diabetes: A cross‐sectional study from the BETTER registry
Authors' conclusion
Among adults living with type 1 diabetes, higher daily step counts were associated with more favourable glycaemic and anthropometric profiles, as well as lower use of depression/anxiety medication without evidence of increased hypoglycaemia. Causality cannot be inferred, and reverse causation is possible.
Study context
- Population
- Adults with T1D (333) or LADA (50) from the BETTER registry wearing a validated pedometer for 7–12 days; mean age 46.7 ± 13.3 years, 63% women, diabetes duration 24.2 ± 15.6 years, body mass index (BMI) 26.1 ± 4.5 kg/m²333 T1D, 50 LADA
- Participants
- 383 adults
- Exposure
- Mean daily steps 7000–10 000 and >10 000 vs <7000
- Group 1n = 163reference
- Group 2n = 125
- Group 3n = 95
- Outcome
- HbA1c ≤7%
Methodological detailsregistry-based (BETTER registry), multivariable models adjusted for potential confounders, Bonferroni correction
- Registry-based (BETTER registry)
- Multivariable models adjusted for potential confounders
- Bonferroni correction
Main finding
As reported in the abstract
Overall proportion with HbA1c ≤7%
43.6%
Observational data: associations, not effects.
Further findings
Level 1 and 2 hypoglycaemia frequency
- Did not differ significantly across groups
Anthropometrics and depression/anxiety medication use
- Lower waist circumference in groups 2 and 3 vs group 1
- Group 3 had lower BMI and lower proportion of depression/anxiety medication use vs group 1
Original publication
Association between daily steps, diabetes management and health indicators in people living with type 1 diabetes: A cross‐sectional study from the BETTER registry. Diabetes Obes Metab. Published 20 January 2026. doi:10. 1111/ dom. 70473
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