Type 1 diabetes

Sedentary Behavior and Physical Activity Associated with Psychosocial Outcomes in Adolescents with Type 1 Diabetes

Pediatr DiabetesPublished Secondary analysis of baseline data from a pilot trial of a sleep-promoting intervention

Authors' conclusion

Our findings extend previous survey-based work demonstrating an association between decreased diabetes distress with greater weekly MVPA and lower sedentary time. The current study highlights the multifaceted benefits of physical activity in this population and provides preliminary evidence for developing interventions to reduce sedentary time as an alternative method to improve psychosocial outcomes in this at-risk population.

Study context

Population
Adolescents with T1D; mean age 15.9 ± 1.3 years
Participants
29 adolescents
Primary endpoint
Diabetes distress in relation to MVPA (minutes per week) and proportion of awake time spent sedentary
Methodological detailscross-sectional, actigraphy-measured activity
  • Cross-sectional
  • Actigraphy-measured activity

Primary result

As reported in the abstract

Diabetes distress

Moderate-to-vigorous physical activity (MVPA) associated with lower diabetes distress, unadjusted

−3.6

95% CI −6.4 to −0.8

MVPA associated with lower diabetes distress, adjusted

−2.6

95% CI −5.0--0.3

Sedentary time associated with higher diabetes distress, adjusted

6.3

95% CI 1.3–11.2

Sedentary time and diabetes distress, unadjusted, not associated

6.0

95% CI −5.6–12.6

Further findings

Activity levels

MVPA per day, mean ± SD (minutes)
19.6 ± 22.4
Awake time sedentary, mean ± SD
68.6 ± 9.9%

Quality of life and depressive symptoms

No significant associations of quality of life or depressive symptoms with either MVPA or sedentary behavior

Original publication

Sedentary Behavior and Physical Activity Associated with Psychosocial Outcomes in Adolescents with Type 1 Diabetes. Pediatr Diabetes. Published 5 April 2023. doi:10.1155/2023/1395466

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