Abstract
BackgroundThe aim of presented cross-sectional study was to determine the association of different types of physical activity (PA) with metabolic control in people with type 1 diabetes.Materials and MethodsA total of 109 adult subjects with type 1 diabetes were asked to complete the non-exercise activity thermogenesis (NEAT) questionnaire, the hypoglycemia questionnaire, and the World Health Organization Global PA Questionnaire (GPAQ) which was used to assess moderate PA (MPA) and vigorous PA (VPA).ResultsNEAT score (p < 0.001) and total duration of work as assessed with GPAQ (p = 0.007) were positively associated with chronic glycemic control when controlled for sex, BMI, and continuous glucose monitoring system (CGMS) use. We could not confirm such association with total leisure time PA (LTPA) assessed with GPAQ (p = 0.443), though. Multivariate regression model controlled for sex showed positive effects of HbA1c (p = 0.011) and age (p = 0.035), and negative effect of NEAT score (p = 0.001) on BMI. Systolic blood pressure was positively associated with duration of MPA (p = 0.009) and VPA (p = 0.012), but not with NEAT score (p = 0.830) when controlled for sex and BMI. NEAT score and VPA were positively associated with HDL levels when controlled for sex and BMI. Controlled for sex and BMI, higher values of VPA were significantly associated with lower levels of total cholesterol (p = 0.009) and LDL (p = 0.005).ConclusionHigher levels of NEAT are associated with some favorable metabolic effects in adult people with type 1 diabetes, but may also present an additional burden for them with more challenging environment regarding glycemic control.
Highlights
MATERIALS AND METHODSPhysical activity has an important role in many aspects of treatment of people with type 1 diabetes (Riddell et al, 2017)
In another cross-sectional study of 1,030 people with type 1 diabetes low levels of leisure time physical activity (LTPA) were associated with poor glycemic control in women, but there was no statistical association with levels of LTPA and HbA1c in men (Wadén et al, 2005)
We observed statistically significant differences in physical activity (PA) between genders, with men spending more time for vigorous physical activity (VPA) and women being more active in non-exercise physical activity (NEPA)
Summary
MATERIALS AND METHODSPhysical activity has an important role in many aspects of treatment of people with type 1 diabetes (Riddell et al, 2017). A 7-year prospective cohort analysis performed in 1,659 people with type 1 diabetes could not find association between HbA1c levels and amount of LTPA (Balk et al, 2016). In another cross-sectional study of 1,030 people with type 1 diabetes low levels of LTPA were associated with poor glycemic control in women, but there was no statistical association with levels of LTPA and HbA1c in men (Wadén et al, 2005). The aim of presented cross-sectional study was to determine the association of different types of physical activity (PA) with metabolic control in people with type 1 diabetes
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
