Alobaid, AM, Zulyniak, MA, Ajjan, RA et al. (3 more authors) (2023) Barriers to Exercise in Adults with Type 1 Diabetes and Insulin Resistance. Canadian Journal of Diabetes, 47 (6). pp. 503-508. ISSN 1499-2671
Abstract
Objective
To explore attitudes to exercise and quality of life (QoL) in adults with type 1 diabetes (T1D) with and without insulin resistance (IR).
Design
We pooled baseline pre-treatment data from a subset of T1D individuals from two randomised controlled trials (RCT). Estimated glucose disposal rate (eGDR), a validated surrogate marker of IR, was calculated using an established formula to classify individuals according to IR status with a cut-point of <6mg/kg/min for the determination of IR. Self-reported barriers to exercise were obtained using a validated questionnaire, the Barriers to Physical Activity in T1D (BAPAD-1). In addition, QoL was determined using the 36-item short form (SF-36) questionnaire. Differences between dichotomised variables were assessed using independent t-tests, Mann-Whitney U tests or Fisher’s exact tests. Linear regression was employed to explore the association of eGDR with BAPAD-1 and QoL scores, with sequential adjustment for potential confounders.
Results
Of 85 individuals included, n=39 were classified as having IR. The mean BAPAD-1 total score was higher for individuals with IR (IR 3.87±0.61 vs. non-IR 2.83±0.55; P<0.001). The highest exercise barrier scores for individuals with IR were risk of hypoglycaemia (5.67±1.26) and risk of hyperglycaemia (5.23±1.20), whereas the highest scoring exercise barrier scores for non-IR individuals were non-diabetes related; low level of fitness (3.91±1.26) and physical health status excluding diabetes (3.67±1.48) were ranked highest. QoL scores were comparable between groups (P>0.05).
Conclusions
Risk of hypoglycaemia was the greatest barrier to exercise in T1D individuals with IR, whereas non-diabetes related barriers to exercise were more salient in T1D individuals without IR.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | Ⓒ 2023 The Author(s). Published by Elsevier Inc. on behalf of Canadian Diabetes Association. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | Physical activity; type 1 diabetes; insulin resistance; attitudes to exercise; quality of life |
Dates: |
|
Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Environment (Leeds) > School of Food Science and Nutrition (Leeds) > FSN Nutrition and Public Health (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 03 May 2023 14:08 |
Last Modified: | 18 Oct 2023 14:00 |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.jcjd.2023.04.016 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:198824 |