Association between Fear of Hypoglycemia and Physical Activity in Youth with Type 1 Diabetes: the SEARCH for Diabetes in Youth Study

Details

• Alternative Title:
  Pediatr Diabetes
• Personal Author:
  Roberts, Alissa J. ; Taplin, Craig E. ; Isom, Scott ; Divers, Jasmin ; Saydah, Sharon ; Jensen, Elizabeth T. ; Mayer-Davis, Elizabeth J ; Reid, Lauren A. ; Liese, Angela D. ; Dolan, Larry M. ; Dabelea, Dana ; Lawrence, Jean M. ; Pihoker, Catherine
• Description:
  Background:
  
  Youth with type 1 diabetes (T1D) are encouraged to participate in physical activity (PA). Studies have identified fear of hypoglycemia (FOH) as a barrier to participating in PA.
  
  Objectives:
  
  To examine 1) PA patterns in youth with T1D by age group and 2) the relationship between both parental and youth FOH and youth PA.
  
  Methods:
  
  A cross-sectional analysis from the SEARCH cohort study visit of youth ages 10-17 years with T1D (n=1,129) was conducted. Linear regression models estimated the association between self-reported number of days of vigorous PA (VPA) and moderate PA (MPA) and both youth- and parent-reported FOH. Multivariable models were adjusted for age, sex, race, duration of T1D, HbA1c, use of continuous glucose monitoring (CGM), recent severe hypoglycemia, primary insulin regimen, and BMI.
  
  Results:
  
  Participants were 52% female, had mean (sd) age 14.4 (4.2) years, diabetes duration 7.5 years (1.8), HbA1c 9.2% (1.7). Older youth were less likely to engage in VPA (p<.01), or sports teams (p<.01), but more likely to engage in MPA (p<.01). Higher youth FOH (behavior subscale) was associated with increased levels of VPA (β (se) 0.30 (0.11), p=.01) but not significantly associated with MPA (p=.06). There was no statistically significant association between parental FOH and youth PA.
  
  Conclusions:
  
  In SEARCH participants with T1D, VPA and team sports participation declined with age, while MPA increased. We observed that higher scores on the youth FOH behavioral subscale were associated with increased VPA levels, suggesting that FOH may be less of a barrier to PA than previously thought.
  
  
• Subjects:
  Article
• Source:
  Pediatr Diabetes. 21(7):1277-1284
• Pubmed ID:
  32738012
• Pubmed Central ID:
  PMC7855399
• Document Type:
  Journal Article
• Funding:
  P30 DK057516/DK/NIDDK NIH HHSUnited States/ ; U18DP006139/ACL/ACL HHSUnited States/ ; U01 DP000247/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP002710/DP/NCCDPHP CDC HHSUnited States/ ; PA numbers 00097 DP-05-069 DP-10-001/CC/CDC HHSUnited States/ ; U18DP006138/ACL/ACL HHSUnited States/ ; UL1 TR000154/TR/NCATS NIH HHSUnited States/ ; U18 DP002714/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000248/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000244/DP/NCCDPHP CDC HHSUnited States/ ; UL1 TR000062/TR/NCATS NIH HHSUnited States/ ; U18DP006134/ACL/ACL HHSUnited States/ ; U18 DP002709/DP/NCCDPHP CDC HHSUnited States/ ; U18DP006131/ACL/ACL HHSUnited States/ ; UL1 TR001425/TR/NCATS NIH HHSUnited States/ ; UL1 TR000077/TR/NCATS NIH HHSUnited States/ ; HIR 10-001/HX/HSRD VAUnited States/ ; R01 DK127208/DK/NIDDK NIH HHSUnited States/ ; UL1 TR000423/TR/NCATS NIH HHSUnited States/ ; U18DP006136/ACL/ACL HHSUnited States/ ; U01 DP000250/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000246/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000254/DP/NCCDPHP CDC HHSUnited States/ ; U18DP006133/ACL/ACL HHSUnited States/ ; U18 DP002708/DP/NCCDPHP CDC HHSUnited States/ ; UL1 TR001450/TR/NCATS NIH HHSUnited States/
• Volume:
  21
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e028d7131e0b4f6b3ec5f359e6eb973643a856b012cd8c09078facee7ce67fe5
• Download URL:
  https://stacks.cdc.gov/view/cdc/102163/cdc_102163_DS1.pdf
• File Type:
  [PDF - 403.73 KB ]