Covidentary: Is Covid-19 Leading Children With Type1 Diabetes To Sedentary Behaviour?

Abstract

PURPOSE: To explore the physical activity (PA) level and describe variation in glycaemic values before and during the restrictions caused by the Sars-Cov-2 pandemic (COVID-19) in Italian children with type 1 diabetes (T1D). METHODS: Parents or guardians of children with T1D (< 18 years) filled out an online survey. Anthropometric characteristics, PA, play and sport and sedentary time were collected before and after the introduction of restrictions. Moreover, we investigated the medical-related factors. RESULTS: a total of 280 children and adolescents (mean age was 11.8 ± 3.3 years; 58.5% M) were included in the analysis. Before and after the introduction of restrictions, we reported a significant decline in participation in sport activities (-2.1 ± 2.1 h/week) and a reduction in time spent in outdoor plays (-73.9 ± 93.6 min/day). Moreover, we reported a significant increase in sedentary time (+144.7 ± 147.8 min/day). Finally, an increase in mean glycaemic values (-25.4 ± 33.4 mg/dL) and insulin delivery (in 71.8% of patients) were also recorded. CONCLUSIONS: a decline in participation in sport activities and a significant increase of sedentary time can influence the management of T1D in children and adolescents, influencing the risk of acute and long-term complications. Online exercise programs may be useful to maintain both the health and wellbeing of youth with T1D.